,TEST-BANK-FOR-PRIMARY-CARE-ART-AND-SCIENCE-OF-ADVANCED-PRACTICE-
NURSING-–-AN-INTERPROFESSIONAL-APPROACH-6TH-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-hand-
washing-on-the-incidence-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-most-likely-represent-a-no-chance-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-expressed-skepticism-to-a-colleague-about-the-value-of-nursing-research,-
claiming-that-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-grant-
money,-something-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-simply-as-a-trade-or-a-skill.
D) The-application-of-nursing-research-has-the-potential-to-improve-nursing-practice-and-
patient-outcomes.
Ans:-D
Feedback:-The-greatest-value-of-nursing-research-lies-in-the-potential-to-improve-practice-and,-
ultimately,-to-improve-patient-outcomes.-This-supersedes-the-contributions-of-nursing-research-to-
education-programs,-grant-funding,-or-the-public-view-of-the-profession.
3. A-nurse-has-read-a-qualitative-research-study-in-order-to-understand-the-lived-experience-
of-parents-who-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-
subjective-experiences-of-individuals.-Statistical-measures-and-variables-are-not-dimensions-of-a-
qualitative-methodology.
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-encourage-more-
women-to-continue-breast-feeding.-What-role-is-Tracy-most-likely-to-play-in-a-research-project-
that-tests-an-intervention-aimed-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-Ans:-B
Feedback:-A-major-role-for-staff-nurses-is-to-identify-questions-or-problems-for-research.-Grant-
applications,-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-explanation-or-his-own-role-in-the-study.-How-should-this-patients-nurse
NURSING-–-AN-INTERPROFESSIONAL-APPROACH-6TH-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-hand-
washing-on-the-incidence-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-most-likely-represent-a-no-chance-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-expressed-skepticism-to-a-colleague-about-the-value-of-nursing-research,-
claiming-that-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-grant-
money,-something-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-simply-as-a-trade-or-a-skill.
D) The-application-of-nursing-research-has-the-potential-to-improve-nursing-practice-and-
patient-outcomes.
Ans:-D
Feedback:-The-greatest-value-of-nursing-research-lies-in-the-potential-to-improve-practice-and,-
ultimately,-to-improve-patient-outcomes.-This-supersedes-the-contributions-of-nursing-research-to-
education-programs,-grant-funding,-or-the-public-view-of-the-profession.
3. A-nurse-has-read-a-qualitative-research-study-in-order-to-understand-the-lived-experience-
of-parents-who-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-
subjective-experiences-of-individuals.-Statistical-measures-and-variables-are-not-dimensions-of-a-
qualitative-methodology.
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-encourage-more-
women-to-continue-breast-feeding.-What-role-is-Tracy-most-likely-to-play-in-a-research-project-
that-tests-an-intervention-aimed-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-Ans:-B
Feedback:-A-major-role-for-staff-nurses-is-to-identify-questions-or-problems-for-research.-Grant-
applications,-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-explanation-or-his-own-role-in-the-study.-How-should-this-patients-nurse
