PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE
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NURSING-AN INTERPROFESSIONAL APPROACH 6TH EDITION-
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DUNPHY q
TESTBANK q
,Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
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1. A nurse has conducted a literature review in an effort to identify the effect of hand
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washing on the incidence of nosocomial (hospital-acquired) infections in acute care
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settings. An article presented findings at a level of significance of <0.01. This indicates
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that q
A) The control group and the experimental group were more than 99% similar.
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B) The findings of the study have less than 1% chance of being attributable to chance.
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C) The effects of the intervention were nearly zero.
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D) The clinical significance of the findings was less than 1:100.
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Ans: Bq
Feedback: The level of significance is the level at which the researcher believes that the study
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results most likely represent a no chance event. A level of significance of <0.01 indicates that
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there is less than 1% probability that the result is due to chance.
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2. A nurse has expressed skepticism to a colleague about the value of nursing research,
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claiming that nursing research has little relevance to practice. How can the nurses colleague best
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defend the importance of nursing research?
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A) The existence of nursing research means that nurses are now able to access federal grant
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money, something that didnt use to be the case.
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,B) Nursing research has allowed the development of masters and doctoral programs and has
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greatly increased the credibility of the profession.
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C) The growth of nursing research has caused nursing to be viewed as a true profession,
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rather than simply as a trade or a skill.
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D) The application of nursing research has the potential to improve nursing practice and
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patient outcomes.
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Ans: D q
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
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ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
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education programs, grant funding, or the public view of the profession.
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3. A nurse has read a qualitative research study in order to understand the lived experience
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of parents who have a neonatal loss. Which of the following questions should the nurse prioritize
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when appraising the results of this study?
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A) How well did the authors capture the personal experiences of these parents?
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, B) How well did the authors control for confounding variables that may have affected the
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findings?
q
C) Did the authors use statistical measures that were appropriate to the phenomenon in
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question?
q
D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A q
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
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subjective experiences of individuals. Statistical measures and variables are not dimensions of a
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qualitative methodology.
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4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
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busy urban hospital. She has noticed that many new mothers abandon breast-feeding their babies
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when they experience early challenges and wonders what could be done to encourage more
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women to continue breast-feeding. What role is Tracy most likely to play in a research project
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that tests an intervention aimed at promoting breast-feeding?
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A) Applying for grant funding for the research project q q q q q q q
B) Posing the clinical problem to one or more nursing researchers
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C) Planning the methodology of the research project q q q q q q
D) Carrying out the intervention and submitting the results for publication Ans: B
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Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
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applications, methodological planning, and publication submission are normally carried out by
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nurses who have advanced degrees in nursing.
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5. A patient signed the informed consent form for a drug trial that was explained to patient
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by a research assistant. Later, the patient admitted to his nurse that he did not understand the
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research assistants explanation or his own role in the study. How should this patients nurse
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q q q q q q q
NURSING-AN INTERPROFESSIONAL APPROACH 6TH EDITION-
q q q q q
DUNPHY q
TESTBANK q
,Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
q q q q q q q q q q q
1. A nurse has conducted a literature review in an effort to identify the effect of hand
q q q q q q q q q q q q q q q
washing on the incidence of nosocomial (hospital-acquired) infections in acute care
q q q q q q q q q q q
settings. An article presented findings at a level of significance of <0.01. This indicates
q q q q q q q q q q q q q q
that q
A) The control group and the experimental group were more than 99% similar.
q q q q q q q q q q q
B) The findings of the study have less than 1% chance of being attributable to chance.
q q q q q q q q q q q q q q
C) The effects of the intervention were nearly zero.
q q q q q q q
D) The clinical significance of the findings was less than 1:100.
q q q q q q q q q
Ans: Bq
Feedback: The level of significance is the level at which the researcher believes that the study
q q q q q q q q q q q q q q q
results most likely represent a no chance event. A level of significance of <0.01 indicates that
q q q q q q q q q q q q q q q q
there is less than 1% probability that the result is due to chance.
q q q q q q q q q q q q q
2. A nurse has expressed skepticism to a colleague about the value of nursing research,
q q q q q q q q q q q q q
claiming that nursing research has little relevance to practice. How can the nurses colleague best
q q q q q q q q q q q q q q q
defend the importance of nursing research?
q q q q q q
A) The existence of nursing research means that nurses are now able to access federal grant
q q q q q q q q q q q q q q
money, something that didnt use to be the case.
q q q q q q q q q
,B) Nursing research has allowed the development of masters and doctoral programs and has
q q q q q q q q q q q q
greatly increased the credibility of the profession.
q q q q q q q
C) The growth of nursing research has caused nursing to be viewed as a true profession,
q q q q q q q q q q q q q q
rather than simply as a trade or a skill.
q q q q q q q q q
D) The application of nursing research has the potential to improve nursing practice and
q q q q q q q q q q q q
patient outcomes.
q q
Ans: D q
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
q q q q q q q q q q q q q q
ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
q q q q q q q q q q q q q
education programs, grant funding, or the public view of the profession.
q q q q q q q q q q q
3. A nurse has read a qualitative research study in order to understand the lived experience
q q q q q q q q q q q q q q
of parents who have a neonatal loss. Which of the following questions should the nurse prioritize
q q q q q q q q q q q q q q q q
when appraising the results of this study?
q q q q q q q
A) How well did the authors capture the personal experiences of these parents?
q q q q q q q q q q q
, B) How well did the authors control for confounding variables that may have affected the
q q q q q q q q q q q q q
findings?
q
C) Did the authors use statistical measures that were appropriate to the phenomenon in
q q q q q q q q q q q q
question?
q
D) Were the instruments that the researchers used statistically valid and reliable?
q q q q q q q q q q
Ans: A q
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
q q q q q q q q q q q q q q q
subjective experiences of individuals. Statistical measures and variables are not dimensions of a
q q q q q q q q q q q q q
qualitative methodology.
q q
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
q q q q q q q q q q q q q q q q q
busy urban hospital. She has noticed that many new mothers abandon breast-feeding their babies
q q q q q q q q q q q q q q
when they experience early challenges and wonders what could be done to encourage more
q q q q q q q q q q q q q q
women to continue breast-feeding. What role is Tracy most likely to play in a research project
q q q q q q q q q q q q q q q q
that tests an intervention aimed at promoting breast-feeding?
q q q q q q q q
A) Applying for grant funding for the research project q q q q q q q
B) Posing the clinical problem to one or more nursing researchers
q q q q q q q q q
C) Planning the methodology of the research project q q q q q q
D) Carrying out the intervention and submitting the results for publication Ans: B
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Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
q q q q q q q q q q q q q q q
applications, methodological planning, and publication submission are normally carried out by
q q q q q q q q q q q
nurses who have advanced degrees in nursing.
q q q q q q q
5. A patient signed the informed consent form for a drug trial that was explained to patient
q q q q q q q q q q q q q q q
by a research assistant. Later, the patient admitted to his nurse that he did not understand the
q q q q q q q q q q q q q q q q q
research assistants explanation or his own role in the study. How should this patients nurse
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