TEST BANK for Primary Care The Art and Science of Advanced Practice Nursing – An Interprofessional Approach 6th Edition by Debera J. Dunphy

,Primary Care: Art and Science of Advanced Practice Nursing-An
Interproessional Approach 6th edition Dunphy Test Bank



Chapterd01.dPrimarydCaredindthedTwenty-FirstdCentury:dAdCircle ofdCaringlj




1. Anursedhasdconducteddadliteraturedreviewindandeffortdtodidentifythedeffectdofdhanddwashingondthedi
ncidencedofdnosocomiald(hospital-
acquired)dinfectionsdindacutedcaredsettings.dAndarticledpresenteddfindingsdatdadleveldofdsignificancedodfd
<0.01.dThisdindicatesdthat

A) thedcontroldgroupdanddthedexperimentaldgroupdweredmoredthand99%dsimilar.

B) the findingsdofdthedstudyhavedlessdthand1%dchancedofdbeingdattributabledtodchance.
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C) the effectsdofdthedinterventiondwerednearlyzero.
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D) theclinicaldsignificancedofthedfindingsdwasdlessdthand1:100.

Ans:dB

Feedback:dThedleveldofdsignificancedis thedleveldatdwhichdthedresearcherdbelievesdthatdthedstudyresultsdmods
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tdlikelydrepresentdadnonchancedevent.dAdleveldofdsignificancedofd<0.01dindicatesdthatdtheredisdlessdthand1
%dprobabilitydthatdthedresultdisdduedtodchance.

2. Anursedhas read a qualitativedresearchdstudyindorderdtodunderstanddthedliveddexperiencedofparentsdwhdo
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dhavedadneonataldloss.dWhichdofdthe followingdquestionsdshoulddthednursedprioritizedwhendappraisingdthdedr
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esultsdofdthisdstudy?

A) Howwellddiddthedauthorsdcapturedthedpersonaldexperiencesdofdthesedparents?

B) Howwellddiddthedauthorsdcontroldfordconfoundingdvariablesdthatdmayhavedaffecteddthedfindings?

C) Diddthedauthorsdusedstatisticaldmeasuresdthatdweredappropriatedto thedphenomenon indquestion?
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D) Were thedinstrumentsdthatdthedresearchersduseddstatisticallyvaliddand reliable?
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Ans:dA

Feedback:dQualitativedstudiesdaredjudgeddondthedbasisdofdhowdwelldtheydcapturedanddconveydthedsubjectidv
edexperiencesdofdindividuals.dStatisticaldmeasuresdanddvariablesdarednotddimensions ofdadqualitativedmetdho
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dology.

3. Anursehasdexpresseddskepticismdtoda colleaguedaboutdthevaluedofnursingdresearch,dclaimingthatdnudr
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singdresearchdhasdlittle relevancedtodpractice.dHowdcandthednursesdcolleaguedbestddefend thedimportancded
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ofdnursingdresearch?

,A) Thedexistencedofdnursingdresearchdmeansdthatdnursesdarenowdabledtodaccess federaldgrantdmoney,dsod lj


methingdthat didnt usedtodbedthedcase.
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B) Nursing researchdhasdalloweddthedevelopmentdofdmastersandddoctoraldprogramsdandhasdgreatlydind
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creaseddthedcredibilitydofdthe profession. lj




C) The growthdofdnursingresearchdhasdcauseddnursingtodbedviewed asdadtruedprofession,dratherdthandsid
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mplydasdadtradedordadskill.

D) Theapplicationdof nursingdresearch hasdthedpotentialdtoimprovenursingpracticedanddpatientdoudt
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comes.

Ans:dD

Feedback:dThedgreatestdvaluedofdnursing researchdlies indthedpotentialdtodimprovedpracticedand,dultimateld
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y,dtodimprove patientdoutcomes.dThis supersedesdthedcontributionsdofdnursing researchdtodeducationdprogrd
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ams,dgrantdfunding,dordthedpublicdviewdofdthedprofession.

4. Tracyisdanursedwithdadbaccalaureateddegreedwhodworksdin thedlabordand deliverydunitdofdadbusydurbda lj lj


ndhospital.dShedhasdnoticeddthatdmanynewdmothersdabandondbreast-
feedingdtheirdbabiesdwhendtheydexperiencedearlydchallengesdanddwondersdwhatdcoulddbeddonedtodencdo
uragedmoredwomendtodcontinuedbreast-
feeding.dWhatdroledisdTracydmostdlikelydtodplaydindadresearchdprojectdthatdtestsdandintervention aimeddat lj


dpromotingdbreast-feeding?




A) Applyingfordgrantdfunding fordthe researchdproject
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B) Posing thedclinicaldproblemdtodonedormore nursing researchers
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C) Planning thedmethodologydofdthedresearchdproject
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D) CarryingoutdtheinterventiondandsubmittingthedresultsdforpublicationdAd

ns:dB

Feedback:dAdmajordroledfordstaffdnursesdisdtodidentifyquestionsdordproblemsdfordresearch.dGrant apdp lj


lications,dmethodologicaldplanning,danddpublicationdsubmissiondarednormallycarrieddoutdbydnursdes
dwhodhavedadvancedddegreesdindnursing.




5. Adpatientdsigneddthedinformed consentdformdforda drugdtrialdthat wasdexplaineddtodpatientdbydadresde
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archdassistant.dLater,dthedpatientdadmitted todhisdnursedthatdheddiddnotdunderstanddthedresearchdassistda
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ntsdexplanationdorhis owndroledindthedstudy.dHowshould thisdpatientsdnurserespond todthisdrevelatiodn
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?

A) Explainthedresearchdprocessdtodthedpatientdindgreaterddetail.

B) Describetheddetailsdofdadrandomized controlleddtrialdforthedpatient. lj

, C) Informthedresearchdassistantdthatdthedpatientsdconsentdisdlikelyinvalid.

D) Explaintothedpatientdthatdhisdwrittendconsent isdnowdlegallybinding.
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Ans:dC

Feedback:dJustdasdthedstaffdnursedisdnotdresponsibledfordmedicaldconsent,dthedstaffdnursedisdnot responsiblded
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fordresearch consent.dIfdpatientsdwhodhavedagreeddtodparticipatedexhibitdambivalencedorduncertaintydabdou
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tdparticipating,ddodnotdtrydtodconvincedthemdtodparticipate.dAskdthedpersondfromdthedresearchdteamdwhodis lj


managing consents todspeakdwithdconcerneddpatientsdaboutdthedstudy,devendafterdadpatientdhasdsigneddtdhed
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consentdforms.

MultipledSelection

6. Adnursedleaderdisdattemptingdtodincreasedthedawarenessdofdevidence-
baseddpracticed(EBP)damong thednursesdondadunit.dAdnurse whodisdimplementing EBPdintegratesdwhichdofdthe fol
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wing?d(Selectdalldthatdapply.)

A) Interdisciplinaryconsensus

B) Nursing tradition
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C) Researchstudies

D) Patientdpreferencesdanddvalues

E) Clinicalexpertised

Ans:dC,dD,dE

Feedback:dFineout-Overholt,dMelnyk,dStillwell,danddWilliamsonddefinedEBPdasdadproblem-
solvingdapproachdtodtheddeliveryofdhealthcaredthat integratesdthedbestdevidencedfromdstudiesdand patientdca
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reddatadwithdcliniciandexpertisedanddpatientdpreferencesdanddvalues.

MultipledChoice

7. Mrs.dMayesdisdad73-year-
olddwomandwhodhasdaddiabeticdfootdulcerdthatdhasdbeendextremelydslowdtodhealdanddwhichdnowdposesdadthdre
atdofdosteomyelitis.dThedwounddcarednursedwhodhasdbeendworkingdwithdMrs.dMayesdappliesdevidence-
dbaseddpracticed(EBP)dwheneverdpossibledanddhasdproposeddthedusedofdmaggotdtherapydtoddebridednecrotid

cdtissue.dMrs.dMayes,dhowever,dfindsdthedsuggestiondrepugnantdand adamantlyopposesdthisdtreatmentddeds
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pitedthedsizabledbodyofdevidencedsupportingdit.dHowdshoulddthednursedreconciledMrs.dMayesdviews withdth lj


edprinciplesdofdEBP?

A) Thenursedshoulddexplaindthatdreliabledanddvaliddresearchdevidencedoverridesdthedpatientsdopinion.

B) The nursedshoulddexplaindthedevidencedto thedpatientdindgreaterddetail.
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