TEST BANK Primary Care The Art and Science of Advanced Practice Nursing – An Interprofessional Approach 6th Edition by Debera J. Dunphy| Complete Guide Chapter 1-82

, Primary Care: Art and Science of Advanced Practice Nursingj- An
Interprofessional Approach 5th edition Dunphy Test Bank



Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring

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1.jThisjindicatesjthat

A) thejcontroljgroupjandjthejexperimentaljgroupjwerejmorejthanj99%jsimilar.

B) thejfindingsjofjthejstudyjhavejlessjthanj1%jchancejofjbeingjattributablejtojchance.

C) thejeffectsjofjthejinterventionjwerejnearlyjzero.

D) thejclinicaljsignificancejofjthejfindingsjwasjlessjthanj1:100.

Ans:jB

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ikelyjrepresentjajnonchancejevent.jAjleveljofjsignificancejofj<0.01jindicatesjthatjtherejisjlessjthanj1%jprob
abilityjthatjthejresultjisjduejtojchance.

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havejajneonataljloss.jWhichjofjthejfollowingjquestionsjshouldjthejnursejprioritizejwhenjappraisingjthejres
ultsjofjthisjstudy?

A) Howjwelljdidjthejauthorsjcapturejthejpersonaljexperiencesjofjthesejparents?

B) Howjwelljdidjthejauthorsjcontroljforjconfoundingjvariablesjthatjmayjhavejaffectedjthejfindings?

C) Didjthejauthorsjusejstatisticaljmeasuresjthatjwerejappropriatejtojthejphenomenonjinjquestion?

D) Werejthejinstrumentsjthatjthejresearchersjusedjstatisticallyjvalidjandjreliable?

Ans:jA

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xperiencesjofjindividuals.jStatisticaljmeasuresjandjvariablesjarejnotjdimensionsjofjajqualitativejmethodol
ogy.

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ngjresearchjhasjlittlejrelevancejtojpractice.jHowjcanjthejnursesjcolleaguejbestjdefendjthejimportancejofjn
ursingjresearch?

,A) Thejexistencejofjnursingjresearchjmeansjthatjnursesjarejnowjablejtojaccessjfederaljgrantjmoney,jsome
thingjthatjdidntjusejtojbejthejcase.

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easedjthejcredibilityjofjthejprofession.

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lyjasjajtradejorjajskill.

D) Thejapplicationjofjnursingjresearchjhasjthejpotentialjtojimprovejnursingjpracticejandjpatientjoutc
omes.

Ans:jD

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ojimprovejpatientjoutcomes.jThisjsupersedesjthejcontributionsjofjnursingjresearchjtojeducationjprograms,
jgrantjfunding,jorjthejpublicjviewjofjthejprofession.




4. Tracyjisjajnursejwithjajbaccalaureatejdegreejwhojworksjinjthejlaborjandjdeliveryjunitjofjajbusyjurbanj
hospital.jShejhasjnoticedjthatjmanyjnewjmothersjabandonjbreast-
feedingjtheirjbabiesjwhenjtheyjexperiencejearlyjchallengesjandjwondersjwhatjcouldjbejdonejtojencour
agejmorejwomenjtojcontinuejbreast-
feeding.jWhatjrolejisjTracyjmostjlikelyjtojplayjinjajresearchjprojectjthatjtestsjanjinterventionjaimedjatjp
romotingjbreast-feeding?

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C) Planningjthejmethodologyjofjthejresearchjproject

D) CarryingjoutjthejinterventionjandjsubmittingjthejresultsjforjpublicationjAn

s:jB

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cations,jmethodologicaljplanning,jandjpublicationjsubmissionjarejnormallyjcarriedjoutjbyjnursesjw
hojhavejadvancedjdegreesjinjnursing.

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hjassistant.jLater,jthejpatientjadmittedjtojhisjnursejthatjhejdidjnotjunderstandjthejresearchjassistantsjex
planationjorjhisjownjrolejinjthejstudy.jHowjshouldjthisjpatientsjnursejrespondjtojthisjrevelation?

A) Explainjthejresearchjprocessjtojthejpatientjinjgreaterjdetail.

B) Describejthejdetailsjofjajrandomizedjcontrolledjtrialjforjthejpatient.

, C) Informjthejresearchjassistantjthatjthejpatientsjconsentjisjlikelyjinvalid.

D) Explainjtojthejpatientjthatjhisjwrittenjconsentjisjnowjlegallyjbinding.

Ans:jC

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rjresearchjconsent.jIfjpatientsjwhojhavejagreedjtojparticipatejexhibitjambivalencejorjuncertaintyjaboutjpar
ticipating,jdojnotjtryjtojconvincejthemjtojparticipate.jAskjthejpersonjfromjthejresearchjteamjwhojisjmanagi
ngjconsentsjtojspeakjwithjconcernedjpatientsjaboutjthejstudy,jevenjafterjajpatientjhasjsignedjthejconsentjfo
rms.

MultiplejSelection

6. Ajnursejleaderjisjattemptingjtojincreasejthejawarenessjofjevidence-
basedjpracticej(EBP)jamongjthejnursesjonjajunit.jAjnursejwhojisjimplementingjEBPjintegratesjwhichjofjth
ejfollowing?j(Selectjalljthatjapply.)

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B) Nursingjtradition

C) Researchjstudies

D) Patientjpreferencesjandjvalues

E) Clinicaljexpertisej

Ans:jC,jD,jE

Feedback:jFineout-Overholt,jMelnyk,jStillwell,jandjWilliamsonjdefinejEBPjasjajproblem-
solvingjapproachjtojthejdeliveryjofjhealthcarejthatjintegratesjthejbestjevidencejfromjstudiesjandjpatientjcar
ejdatajwithjclinicianjexpertisejandjpatientjpreferencesjandjvalues.

MultiplejChoice

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oldjwomanjwhojhasjajdiabeticjfootjulcerjthatjhasjbeenjextremelyjslowjtojhealjandjwhichjnowjposesjajthreat
jofjosteomyelitis.jThejwoundjcarejnursejwhojhasjbeenjworkingjwithjMrs.jMayesjappliesjevidence-

basedjpracticej(EBP)jwheneverjpossiblejandjhasjproposedjthejusejofjmaggotjtherapyjtojdebridejnecroticjti
ssue.jMrs.jMayes,jhowever,jfindsjthejsuggestionjrepugnantjandjadamantlyjopposesjthisjtreatmentjdespitej
thejsizablejbodyjofjevidencejsupportingjit.jHowjshouldjthejnursejreconcilejMrs.jMayesjviewsjwithjthejprin
ciplesjofjEBP?

A) Thejnursejshouldjexplainjthatjreliablejandjvalidjresearchjevidencejoverridesjthejpatientsjopinion.

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