Test Bank for Primary Care The Art and Science of Advanced Practice Nursing: An Interprofessional Approach 6th Edition by Debera J. Dunphy LATEST UPDATE

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TEST BANK: PRIMARY CARE ART
AND SCIENCE OF ADVANCED
PRACTICE NURSING
– AN INTERPROFESSIONAL
APPROACH 6TH
EDITION DUNPHY LATES 2025 –
2026 UPDATE




TEST,BANK:,PRIMARY,CARE,ART,AND,SCIENCE,OF,ADVANCED,PRACTICE,NURSING,
–,AN,INTERPROFESSIONAL,APPROACH,6th




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EDITION,DUNPHY,

Chapter,1:,Primary,Care,in,the,Twenty-First,
Century:,A,Circle,of,Caring,
1. A,nurse,has,conducted,a,literature,review,in,an,effort,to,identify,the,effect,of,handwashing,on,th
e,incidence,of,nosocomial,(hospital-
acquired),infections,in,acute,care,settings.,An,article,presented,findings,at,a,level,of,significanc
e,of
<0.01.,This,indicates,that
A. The,control,group,and,the,experimental,group,were,more,than,99%,similar.
B. The,findings,of,the,study,have,less,than,1%,chance,of,being,attributable,to,chance.
C. The,effects,of,the,intervention,were,nearly,zero.
D. The,clinical,significance,of,the,findings,was,less,than,1:100.
Answer:,B,
Feedback:,The,level,of,significance,is,the,level,at,which,the,researcher,believes,that,the,stud
y,results,most,likely,represent,a,no,chance,event.,A,level,of,significance,of,<0.01,indicates,t
hat,there,is,less,than,1%,probability,that,the,result,is,due,to,chance.,
2. A,nurse,has,read,a,qualitative,research,study,in,order,to,understand,the,lived,experience,of,paren
ts,who,have,a,neonatal,loss.,Which,of,the,following,questions,should,the,nurse,prioritize,when,a
ppraising,the,results,of,this,study?
A. How,well,did,the,authors,capture,the,personal,experiences,of,these,parents?
B. How,well,did,the,authors,control,for,confounding,variables,that,may,have,affected,the,fi
ndings?
C. Did,the,authors,use,statistical,measures,that,were,appropriate,to,the,phenomenon,in,ques
tion?
D. Were,the,instruments,that,the,researchers,used,statistically,valid,and,reliable?
Answer:,A,
Feedback:,Qualitative,studies,are,judged,on,the,basis,of,how,well,they,capture,and,convey,t
he,subjective,experiences,of,individuals.,Statistical,measures,and,variables,are,not,dimensi
ons,of,a,qualitative,methodology.,
3. A,nurse,has,expressed,skepticism,to,a,colleague,about,the,value,of,nursing,research,,claiming,th
at,nursing,research,has,little,relevance,to,practice.,How,can,the,nurses,colleague,best,defend,the,
importance,of,nursing,research?
A) The,existence,of,nursing,research,means,that,nurses,are,now,able,to,access,federal,gr
ant,money,,something,that,didnt,use,to,be,the,case.
B) Nursing,research,has,allowed,the,development,of,masters,and,doctoral,programs,an
d,has,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,,
rather,than,simply,as,a,trade,or,a,skill.
D) The,application,of,nursing,research,has,the,potential,to,improve,nursing,practice,and
,patient,outcomes.

Answer:,D,
Feedback:,The,greatest,value,of,nursing,research,lies,in,the,potential,to,improve,practice,an
d,,ultimately,,to,improve,patient,outcomes.,This,supersedes,the,contributions,of,nursing,res
earch,to,education,programs,,grant,funding,,or,the,public,view,of,the,profession.,
4. Tracy,is,a,nurse,with,a,baccalaureate,degree,who,works,in,the,labor,and,delivery,unit,of,a,busy,u
rban,hospital.,She,has,noticed,that,many,new,mothers,abandon,breast-
feeding,their,babies,when,they,experience,early,challenges,and,wonders,what,could,be,done,to,e
ncourage,more,women,to,continue,breast-
feeding.,What,role,is,Tracy,most,likely,to,play,in,a,research,project,that,tests,an,intervention,aim
ed,at,promoting,breast-feeding?,A),Applying,for,grant,funding,for,the,research,project
B) Posing,the,clinical,problem,to,one,or,more,nursing,researchers
C) Planning,the,methodology,of,the,research,project
D) Carrying,out,the,intervention,and,submitting,the,results,for,publication
Answer:,B,
Feedback:,A,major,role,for,staff,nurses,is,to,identify,questions,or,problems,for,research.,Grant,a
pplications,,methodological,planning,,and,publication,submission,are,normally,carried,out,by,n
urses,who,have,advanced,degrees,in,nursing.,
5. A,patient,signed,the,informed,consent,form,for,a,drug,trial,that,was,explained,to,patient,by,a,res
earch,assistant.,Later,,the,patient,admitted,to,his,nurse,that,he,did,not,understand,the,research,as
sistants,explanation,or,his,own,role,in,the,study.,How,should,this,patients,nurse,respond,to,this,r
evelation?
A) Explain,the,research,process,to,the,patient,in,greater,detail.
B) Describe,the,details,of,a,randomized,controlled,trial,for,the,patient.
C) Inform,the,research,assistant,that,the,patients,consent,is,likely,invalid.
D) Explain,to,the,patient,that,his,written,consent,is,now,legally,binding.
Answer:,C,
Feedback:,Just,as,the,staff,nurse,is,not,responsible,for,medical,consent,,the,staff,nurse,is,not,resp
onsible,for,research,consent.,If,patients,who,have,agreed,to,participate,exhibit,ambivalence,or,u
ncertainty,about,participating,,do,not,try,to,convince,them,to,participate.,Ask,the,person,from,th
e,research,team,who,is,managing,consents,to,speak,with,concerned,patients,about,the,study,,eve
n,after,a,patient,has,signed,the,consent,forms.,




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