TEST BANK FOR PRIMARY CARE ART AND SCIE
, , , , , , ,
NCE OF ADVANCED PRACTICE NURSING –
, , , , ,
AN INTERPROFESSIONAL APPROACH 6TH EDI
, , , ,
TION DUNPHY ALL CHAPTERS-2025-
, , ,
2026 UPDATE. ,
, Primary,Care:,Art,and,Science,of,Advanced,Practice,Nursing,-
,An,Interprofessional,Approach,5th,edition,Dunphy,Test,Bank,
,
,
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,the,inci
dence,of,nosocomial,(hospital-
acquired),infections,in,acute,care,settings.,An,article,presented,findings,at,a,level,of,significance,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.,
,
Ans:,B,
,
Feedback:,The,level,of,significance,is,the,level,at,which,the,researcher,believes,that,the,study,results,m
ost,likely,represent,a,nonchance,event.,A,level,of,significance,of,<0.01,indicates,that,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,parents,wh
o,have,a,neonatal,loss.,Which,of,the,following,questions,should,the,nurse,prioritize,when,appraising,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,findings?,
,
C) Did,the,authors,use,statistical,measures,that,were,appropriate,to,the,phenomenon,in,question?,
,
D) Were,the,instruments,that,the,researchers,used,statistically,valid,and,reliable?,
,
Ans:,A,
,
Feedback:,Qualitative,studies,are,judged,on,the,basis,of,how,well,they,capture,and,convey,the,subj
ective,experiences,of,individuals.,Statistical,measures,and,variables,are,not,dimensions,of,a,qualit
ative,methodology.,
,
3.,A,nurse,has,expressed,skepticism,to,a,colleague,about,the,value,of,nursing,research,,claiming,that,nur
sing,research,has,little,relevance,to,practice.,How,can,the,nurses,colleague,best,defend,the,importance,o
f,nursing,research?,
A) The,existence,of,nursing,research,means,that,nurses,are,now,able,to,access,federal,grant,money,,s
omething,that,didnt,use,to,be,the,case.,
,,
B) Nursing,research,has,allowed,the,development,of,masters,and,doctoral,programs,and,has,greatly,
increased,the,credibility,of,the,profession.,
,
C) The,growth,of,nursing,research,has,caused,nursing,to,be,viewed,as,a,true,profession,,rather,than,s
imply,as,a,trade,or,a,skill.,
,
D) The,application,of,nursing,research,has,the,potential,to,improve,nursing,practice,and,patient,outc
omes.,
,
Ans:,D,
,
Feedback:,The,greatest,value,of,nursing,research,lies,in,the,potential,to,improve,practice,and,,ultimatel
y,,to,improve,patient,outcomes.,This,supersedes,the,contributions,of,nursing,research,to,education,prog
rams,,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,urban,
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,encoura
ge,more,women,to,continue,breast-
feeding.,What,role,is,Tracy,most,likely,to,play,in,a,research,project,that,tests,an,intervention,aimed,at,pr
omoting,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,
Ans:,B,
Feedback:,A,major,role,for,staff,nurses,is,to,identify,questions,or,problems,for,research.,Grant,applicati
ons,,methodological,planning,,and,publication,submission,are,normally,carried,out,by,nurses,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,research,
assistant.,Later,,the,patient,admitted,to,his,nurse,that,he,did,not,understand,the,research,assistants,expla
nation,or,his,own,role,in,the,study.,How,should,this,patients,nurse,respond,to,this,revelation?,
,
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.,
,
, Ans:,C,
,
Feedback:,Just,as,the,staff,nurse,is,not,responsible,for,medical,consent,,the,staff,nurse,is,not,responsible
,for,research,consent.,If,patients,who,have,agreed,to,participate,exhibit,ambivalence,or,uncertainty,abo
ut,participating,,do,not,try,to,convince,them,to,participate.,Ask,the,person,from,the,research,team,who,i
s,managing,consents,to,speak,with,concerned,patients,about,the,study,,even,after,a,patient,has,signed,th
e,consent,forms.,
,
Multiple,Selection,
,
6.,A,nurse,leader,is,attempting,to,increase,the,awareness,of,evidence-
based,practice,(EBP),among,the,nurses,on,a,unit.,A,nurse,who,is,implementing,EBP,integrates,which,of
,the,following?,(Select,all,that,apply.),
,
A) Interdisciplinary,consensus,
,
B) Nursing,tradition,
,
C) Research,studies,
,
D) Patient,preferences,and,values,
,
E) Clinical,expertise,
Ans:,C,,D,,E,
Feedback:,Fineout-Overholt,,Melnyk,,Stillwell,,and,Williamson,define,EBP,as,a,problem-
solving,approach,to,the,delivery,of,healthcare,that,integrates,the,best,evidence,from,studies,and,patient,
care,data,with,clinician,expertise,and,patient,preferences,and,values.,
,
Multiple,Choice,
,
7.,Mrs.,Mayes,is,a,73-year-
old,woman,who,has,a,diabetic,foot,ulcer,that,has,been,extremely,slow,to,heal,and,which,now,poses,a,thr
eat,of,osteomyelitis.,The,wound,care,nurse,who,has,been,working,with,Mrs.,Mayes,applies,evidence-
based,practice,(EBP),whenever,possible,and,has,proposed,the,use,of,maggot,therapy,to,debride,necroti
c,tissue.,Mrs.,Mayes,,however,,finds,the,suggestion,repugnant,and,adamantly,opposes,this,treatment,de
spite,the,sizable,body,of,evidence,supporting,it.,How,should,the,nurse,reconcile,Mrs.,Mayes,views,with
,the,principles,of,EBP?,
,
A) The,nurse,should,explain,that,reliable,and,valid,research,evidence,overrides,the,patients,opinion.,
,
B) The,nurse,should,explain,the,evidence,to,the,patient,in,greater,detail.,
C) The,nurse,should,integrate,the,patients,preferences,into,the,plan,of,care.,
,
D) The,nurse,should,involve,the,patients,family,members,in,the,decision-making,process.,
,
Ans:,C,
, , , , , , ,
NCE OF ADVANCED PRACTICE NURSING –
, , , , ,
AN INTERPROFESSIONAL APPROACH 6TH EDI
, , , ,
TION DUNPHY ALL CHAPTERS-2025-
, , ,
2026 UPDATE. ,
, Primary,Care:,Art,and,Science,of,Advanced,Practice,Nursing,-
,An,Interprofessional,Approach,5th,edition,Dunphy,Test,Bank,
,
,
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,the,inci
dence,of,nosocomial,(hospital-
acquired),infections,in,acute,care,settings.,An,article,presented,findings,at,a,level,of,significance,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.,
,
Ans:,B,
,
Feedback:,The,level,of,significance,is,the,level,at,which,the,researcher,believes,that,the,study,results,m
ost,likely,represent,a,nonchance,event.,A,level,of,significance,of,<0.01,indicates,that,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,parents,wh
o,have,a,neonatal,loss.,Which,of,the,following,questions,should,the,nurse,prioritize,when,appraising,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,findings?,
,
C) Did,the,authors,use,statistical,measures,that,were,appropriate,to,the,phenomenon,in,question?,
,
D) Were,the,instruments,that,the,researchers,used,statistically,valid,and,reliable?,
,
Ans:,A,
,
Feedback:,Qualitative,studies,are,judged,on,the,basis,of,how,well,they,capture,and,convey,the,subj
ective,experiences,of,individuals.,Statistical,measures,and,variables,are,not,dimensions,of,a,qualit
ative,methodology.,
,
3.,A,nurse,has,expressed,skepticism,to,a,colleague,about,the,value,of,nursing,research,,claiming,that,nur
sing,research,has,little,relevance,to,practice.,How,can,the,nurses,colleague,best,defend,the,importance,o
f,nursing,research?,
A) The,existence,of,nursing,research,means,that,nurses,are,now,able,to,access,federal,grant,money,,s
omething,that,didnt,use,to,be,the,case.,
,,
B) Nursing,research,has,allowed,the,development,of,masters,and,doctoral,programs,and,has,greatly,
increased,the,credibility,of,the,profession.,
,
C) The,growth,of,nursing,research,has,caused,nursing,to,be,viewed,as,a,true,profession,,rather,than,s
imply,as,a,trade,or,a,skill.,
,
D) The,application,of,nursing,research,has,the,potential,to,improve,nursing,practice,and,patient,outc
omes.,
,
Ans:,D,
,
Feedback:,The,greatest,value,of,nursing,research,lies,in,the,potential,to,improve,practice,and,,ultimatel
y,,to,improve,patient,outcomes.,This,supersedes,the,contributions,of,nursing,research,to,education,prog
rams,,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,urban,
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,encoura
ge,more,women,to,continue,breast-
feeding.,What,role,is,Tracy,most,likely,to,play,in,a,research,project,that,tests,an,intervention,aimed,at,pr
omoting,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,
Ans:,B,
Feedback:,A,major,role,for,staff,nurses,is,to,identify,questions,or,problems,for,research.,Grant,applicati
ons,,methodological,planning,,and,publication,submission,are,normally,carried,out,by,nurses,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,research,
assistant.,Later,,the,patient,admitted,to,his,nurse,that,he,did,not,understand,the,research,assistants,expla
nation,or,his,own,role,in,the,study.,How,should,this,patients,nurse,respond,to,this,revelation?,
,
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.,
,
, Ans:,C,
,
Feedback:,Just,as,the,staff,nurse,is,not,responsible,for,medical,consent,,the,staff,nurse,is,not,responsible
,for,research,consent.,If,patients,who,have,agreed,to,participate,exhibit,ambivalence,or,uncertainty,abo
ut,participating,,do,not,try,to,convince,them,to,participate.,Ask,the,person,from,the,research,team,who,i
s,managing,consents,to,speak,with,concerned,patients,about,the,study,,even,after,a,patient,has,signed,th
e,consent,forms.,
,
Multiple,Selection,
,
6.,A,nurse,leader,is,attempting,to,increase,the,awareness,of,evidence-
based,practice,(EBP),among,the,nurses,on,a,unit.,A,nurse,who,is,implementing,EBP,integrates,which,of
,the,following?,(Select,all,that,apply.),
,
A) Interdisciplinary,consensus,
,
B) Nursing,tradition,
,
C) Research,studies,
,
D) Patient,preferences,and,values,
,
E) Clinical,expertise,
Ans:,C,,D,,E,
Feedback:,Fineout-Overholt,,Melnyk,,Stillwell,,and,Williamson,define,EBP,as,a,problem-
solving,approach,to,the,delivery,of,healthcare,that,integrates,the,best,evidence,from,studies,and,patient,
care,data,with,clinician,expertise,and,patient,preferences,and,values.,
,
Multiple,Choice,
,
7.,Mrs.,Mayes,is,a,73-year-
old,woman,who,has,a,diabetic,foot,ulcer,that,has,been,extremely,slow,to,heal,and,which,now,poses,a,thr
eat,of,osteomyelitis.,The,wound,care,nurse,who,has,been,working,with,Mrs.,Mayes,applies,evidence-
based,practice,(EBP),whenever,possible,and,has,proposed,the,use,of,maggot,therapy,to,debride,necroti
c,tissue.,Mrs.,Mayes,,however,,finds,the,suggestion,repugnant,and,adamantly,opposes,this,treatment,de
spite,the,sizable,body,of,evidence,supporting,it.,How,should,the,nurse,reconcile,Mrs.,Mayes,views,with
,the,principles,of,EBP?,
,
A) The,nurse,should,explain,that,reliable,and,valid,research,evidence,overrides,the,patients,opinion.,
,
B) The,nurse,should,explain,the,evidence,to,the,patient,in,greater,detail.,
C) The,nurse,should,integrate,the,patients,preferences,into,the,plan,of,care.,
,
D) The,nurse,should,involve,the,patients,family,members,in,the,decision-making,process.,
,
Ans:,C,
