Dunphy Primary Care APN Test Bank 6th Ed

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TESTnBANKn FORnPRIMARYnCAREnARTnANDnSCIENCEnOFnADVANCEDnPRACTICEnNURSI
n

NGn–nANnINTERPROFESSIONALnAPPROACHn6THnEDITIONnDUNPHYnchaptern1-82n
Chaptern1.n PrimarynCareninnthenTwenty-Firstn Century:nAnCirclenofnCaring


1. nAnnursenhasnconductednanliteraturenreviewninnanneffortntonidentifyntheneffectnofnhandwashin

ngnonnthenincidencenofnnosocomialn(hospital-
acquired)ninfectionsninnacutencarensettings.nAnnarticlenpresentednfindingsnatnanlevelnofnsignificanceno
fn<0.01.nThisnindicatesnthat


A) Thencontrolngroupnandnthenexperimentalngroupn weren morenthann99%n similar.


B) Thenfindingsnofnthenstudynhaven lessnthann1%nchancenofnbeingnattributablenton chance.


C) Theneffectsnofnthen interventionnwerennearlynzero.


D) Thenclinicalnsignificancenofnthen findingsnwasnlessnthann1:100.


Ans:nB


Feedback:nThenlevelnofnsignificancenisnthenlevelnatnwhichnthenresearchernbelievesnthatnthenstudynr
esultsnmostnlikelynrepresentnannonchancenevent.nAnlevelnofnsignificancenofn<0.01nindicatesnthatnth
erenisnlessnthann1%nprobabilitynthatnthenresultnisnduentonchance.


2. Annursenhasnreadnanqualitativenresearchnstudyninnorderntonunderstandnthenlivednexperienceno
fnparentsnwhonhavenanneonatalnloss.nWhichnofnthenfollowing questionsnshouldnthennursenprioritizenw
hi


hennappraisingnthenresultsnofnthisnstudy?


A) Hownwellndidnthen authorsncapturenthenpersonalnexperiencesnofnthesenparents?


B) Hownwellndidnthenauthorsncontrolnfornconfoundingnvariablesnthatnmaynhavenaffectednthenf
indings?

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C) Didnthenauthorsnusenstatisticalnmeasuresnthatnwerenappropriatentonthenphenomenonninn
question?


D) Werentheninstrumentsnthatnthenresearchersnusednstatisticallynvalidnandnreliable?


Ans:nA


Feedback:nQualitativenstudiesnarenjudgednonnthenbasisnofnhownwellntheyncapturenandnconveynthensunbject
ivenexperiencesnofnindividuals.nStatisticalnmeasuresnandnvariablesnarennotndimensionsnofnanqualintativenm
ethodology.


3. Annursenhasnexpressednskepticismntonancolleaguenaboutnthenvaluenofnnursingnresearch,nclani
mingnthatnnursingnresearchnhasnlittlenrelevancentonpractice.nHowncannthennursesncolleaguenbestndenfe
ndnthenimportancenofnnursingnresearch?




A) Thenexistencenofnnursingnresearchnmeansnthatnnursesnarennownablentonaccessnfederalngrantn
money,nsomethingnthatndidntnusentonbenthencase.


B) Nursingnresearchnhasnallowednthendevelopmentnofnmastersnandndoctoralnprogramsnandnhasn
greatlynincreasednthencredibilitynofnthenprofession.


C) Thengrowthnofnnursingnresearchnhasncausednnursingntonbenviewednasnantruenprofession,nr
athernthannsimplynasnantradenornanskill.


D) Thenapplicationnofnnursingnresearchnhasnthenpotentialntonimprovennursingnpracticenandn
patientnoutcomes.

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Ans:nD


Feedback:nThengreatestnvaluenofnnursingnresearchnliesninnthenpotentialntonimprove npracticenand,nultin
h


mately,ntonimprovenpatientnoutcomes.nThisnsupersedesnthencontributionsnofnnursingnresearchntoneducna
tionnprograms,ngrantnfunding,nornthenpublicnviewnofnthenprofession.


4. Tracynisnannursenwithnanbaccalaureatendegreenwhonworksninnthenlabornandndeliverynunitnofnanb
usynurbannhospital.nShenhasnnoticednthatnmanynnewnmothersnabandonnbreast-
feedingntheirnbabiesnwhenntheynexperiencenearlynchallengesnandnwondersnwhatncouldnbendonentonenn
couragenmorenwomenntoncontinuenbreast-
feeding.nWhatnrolenisnTracynmostnlikelyntonplayninnanresearchnprojectnthatntestsnanninterventionnainm
ednatnpromotingnbreast-feeding?


A) Applying forngrantnfundingnfornthenresearchnproject
hi




B) Posingnthenclinicalnproblemntononenornmorennursingn researchers


C) Planningnthen methodologynofnthenresearchnproject


D) Carryingnoutntheninterventionnandnsubmittingnthenresultsnforn publicationnAns:nB
Feedback:nAnmajornrolenfornstaffnnursesnisntonidentifynquestionsnornproblemsnfornresearch.nGrantna
pplications,nmethodologicalnplanning,nandnpublicationnsubmissionnarennormallyncarriednoutnbynn
ursesnwhonhavenadvancedndegreesninnnursing.


5. Anpatientnsignedntheninformednconsentnformnfornandrug trialnthatnwasnexplainedntonpatientnb
hi


ynanresearchnassistant.nLater,nthenpatientnadmittedntonhisnnursenthatnhendidnnotnunderstandnthenrense
archnassistantsnexplanationnornhisnownnroleninnthenstudy.nHownshouldnthisnpatientsnnursenresponndn
tonthisnrevelation?


A) Explain thenresearchnprocessntonthenpatientn inngreaterndetail.
hi




B) Describenthendetailsnofnanrandomizedncontrolled trialnfornthenpatient.
hi

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C) Informnthenresearchnassistantn that thenpatientsnconsentn isnlikelyninvalid.
hi




D) Explainntonthenpatientnthatn hisnwrittennconsentn isnnownlegallynbinding.


Ans:nC


Feedback:nJustnasnthenstaffnnursenisnnotnresponsiblenfornmedicalnconsent,nthenstaffnnursenisnnotnresnp
onsiblenfornresearchnconsent.nIfnpatientsnwhonhavenagreedntonparticipatenexhibitnambivalencenornunnc
ertaintynaboutnparticipating,ndonnotntryntonconvincenthemntonparticipate.nAsknthenpersonnfromnthnenre
searchnteamnwhonisnmanagingnconsentsntonspeaknwithnconcernednpatientsnaboutnthenstudy,nevennnaft
ernanpatientnhasnsignednthenconsentnforms.


MultiplenSelection


6. Annursenleadernisnattemptingntonincreasenthenawarenessnofnevidence-
basednpracticen(EBP)namongnthennursesnonnanunit.nAnnursenwhonisnimplementingnEBPnintegratesnwh
ichnofnthenfollowing?n(Selectnallnthatnapply.)


A) Interdisciplinaryn consensus


B) Nursingntradition


C) Researchnstudies


D) Patientnpreferencesnandnvalues