TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED
l# l# l# l# l# l# l# l# l#
l# PRACTICE NURSING-AN INTERPROFESSIONAL APPROACH
l# l# l#
6TH EDITION- DUNPHY
l# l#
,Chapter l#1. l#Primary l#Care l#in l#the l#Twenty-First l#Century: l#A l#Circle l#of l#Caring
1. A l#nurse l#has l#conducted l#a l#literature l#review l#in l#an l#effort l#to l#identify l#the l#effect
l#of l#hand l#washing l#on l#the l#incidence l#of l#nosocomial l#(hospital-acquired) l#infections
l#in l#acute l#care l#settings. l#An l#article l#presented l#findings l#at l#a l#level l#of l#significance l#of
l#<0.01. l#This l#indicates l#that
A) The l#control l#group l#and l#the l#experimental l#group l#were l#more l#than l#99% l#similar.
B) The l#findings l#of l#the l#study l#have l#less l#than l#1% l#chance l#of l#being l#attributable l#to l#chance.
C) The l#effects l#of l#the l#intervention l#were l#nearly l#zero.
D) The l#clinical l#significance l#of l#the l#findings l#was l#less l#than l#1:100.
Ans: l#B
Feedback: l#The l#level l#of l#significance l#is l#the l#level l#at l#which l#the l#researcher l#believes l#that
l#the l#study l#results l#most l#likely l#represent l#a l#no l#chance l#event. l#A l#level l#of l#significance l#of
l#<0.01 l#indicates l#that l#there l#is l#less l#than l#1% l#probability l#that l#the l#result l#is l#due l#to
l#chance.
2. A l#nurse l#has l#expressed l#skepticism l#to l#a l#colleague l#about l#the l#value l#of l#nursing
l#research, l#claiming l#that l#nursing l#research l#has l#little l#relevance l#to l#practice. l#How l#can l#the
l#nurses l#colleague l#best l#defend l#the l#importance l#of l#nursing l#research?
A) The l#existence l#of l#nursing l#research l#means l#that l#nurses l#are l#now l#able l#to l#access l#federal
l#grant l#money, l#something l#that l#didnt l#use l#to l#be l#the l#case.
,B) Nursing l#research l#has l#allowed l#the l#development l#of l#masters l#and l#doctoral l#programs
l#and l#has l#greatly l#increased l#the l#credibility l#of l#the l#profession.
C) The l#growth l#of l#nursing l#research l#has l#caused l#nursing l#to l#be l#viewed l#as l#a l#true
l#profession, l#rather l#than l#simply l#as l#a l#trade l#or l#a l#skill.
D) The l#application l#of l#nursing l#research l#has l#the l#potential l#to l#improve l#nursing
l#practice l#and l#patient l#outcomes.
Ans: l#D
Feedback: l#The l#greatest l#value l#of l#nursing l#research l#lies l#in l#the l#potential l#to l#improve l#practice
l#and, l#ultimately, l#to l#improve l#patient l#outcomes. l#This l#supersedes l#the l#contributions l#of l#nursing
l#research l#to l#education l#programs, l#grant l#funding, l#or l#the l#public l#view l#of l#the l#profession.
3. A l#nurse l#has l#read l#a l#qualitative l#research l#study l#in l#order l#to l#understand l#the l#lived
l#experience l#of l#parents l#who l#have l#a l#neonatal l#loss. l#Which l#of l#the l#following l#questions l#should
l#the l#nurse l#prioritize l#when l#appraising l#the l#results l#of l#this l#study?
A) How l#well l#did l#the l#authors l#capture l#the l#personal l#experiences l#of l#these l#parents?
, B) How l#well l#did l#the l#authors l#control l#for l#confounding l#variables l#that l#may l#have
l#affected l#the l#findings?
C) Did l#the l#authors l#use l#statistical l#measures l#that l#were l#appropriate l#to l#the
l#phenomenon l#in l#question?
D) Were l#the l#instruments l#that l#the l#researchers l#used l#statistically l#valid l#and l#reliable?
Ans: l#A
Feedback: l#Qualitative l#studies l#are l#judged l#on l#the l#basis l#of l#how l#well l#they l#capture l#and l#convey
l#the l#subjective l#experiences l#of l#individuals. l#Statistical l#measures l#and l#variables l#are l#not l#dimensions
l#of l#a l#qualitative l#methodology.
4. Tracy l#is l#a l#nurse l#with l#a l#baccalaureate l#degree l#who l#works l#in l#the l#labor l#and l#delivery
l#unit l#of l#a l#busy l#urban l#hospital. l#She l#has l#noticed l#that l#many l#new l#mothers l#abandon l#breast-
feeding l#their l#babies l#when l#they l#experience l#early l#challenges l#and l#wonders l#what l#could l#be
l#done l#to l#encourage l#more l#women l#to l#continue l#breast-feeding. l#What l#role l#is l#Tracy l#most
l#likely l#to l#play l#in l#a l#research l#project l#that l#tests l#an l#intervention l#aimed l#at l#promoting
l#breast-feeding?
A) Applying l#for l#grant l#funding l#for l#the l#research l#project
B) Posing l#the l#clinical l#problem l#to l#one l#or l#more l#nursing l#researchers
C) Planning l#the l#methodology l#of l#the l#research l#project
D) Carrying l#out l#the l#intervention l#and l#submitting l#the l#results l#for l#publication l#Ans: l#B
Feedback: l#A l#major l#role l#for l#staff l#nurses l#is l#to l#identify l#questions l#or l#problems l#for
l#research. l#Grant l#applications, l#methodological l#planning, l#and l#publication l#submission l#are
l#normally l#carried l#out l#by l#nurses l#who l#have l#advanced l#degrees l#in l#nursing.
5. A l#patient l#signed l#the l#informed l#consent l#form l#for l#a l#drug l#trial l#that l#was l#explained l#to
l#patient l#by l#a l#research l#assistant. l#Later, l#the l#patient l#admitted l#to l#his l#nurse l#that l#he l#did
l#not l#understand l#the l#research l#assistants l#explanation l#or l#his l#own l#role l#in l#the l#study. l#How
l# l# l# l# l# l# l# l# l#
l# PRACTICE NURSING-AN INTERPROFESSIONAL APPROACH
l# l# l#
6TH EDITION- DUNPHY
l# l#
,Chapter l#1. l#Primary l#Care l#in l#the l#Twenty-First l#Century: l#A l#Circle l#of l#Caring
1. A l#nurse l#has l#conducted l#a l#literature l#review l#in l#an l#effort l#to l#identify l#the l#effect
l#of l#hand l#washing l#on l#the l#incidence l#of l#nosocomial l#(hospital-acquired) l#infections
l#in l#acute l#care l#settings. l#An l#article l#presented l#findings l#at l#a l#level l#of l#significance l#of
l#<0.01. l#This l#indicates l#that
A) The l#control l#group l#and l#the l#experimental l#group l#were l#more l#than l#99% l#similar.
B) The l#findings l#of l#the l#study l#have l#less l#than l#1% l#chance l#of l#being l#attributable l#to l#chance.
C) The l#effects l#of l#the l#intervention l#were l#nearly l#zero.
D) The l#clinical l#significance l#of l#the l#findings l#was l#less l#than l#1:100.
Ans: l#B
Feedback: l#The l#level l#of l#significance l#is l#the l#level l#at l#which l#the l#researcher l#believes l#that
l#the l#study l#results l#most l#likely l#represent l#a l#no l#chance l#event. l#A l#level l#of l#significance l#of
l#<0.01 l#indicates l#that l#there l#is l#less l#than l#1% l#probability l#that l#the l#result l#is l#due l#to
l#chance.
2. A l#nurse l#has l#expressed l#skepticism l#to l#a l#colleague l#about l#the l#value l#of l#nursing
l#research, l#claiming l#that l#nursing l#research l#has l#little l#relevance l#to l#practice. l#How l#can l#the
l#nurses l#colleague l#best l#defend l#the l#importance l#of l#nursing l#research?
A) The l#existence l#of l#nursing l#research l#means l#that l#nurses l#are l#now l#able l#to l#access l#federal
l#grant l#money, l#something l#that l#didnt l#use l#to l#be l#the l#case.
,B) Nursing l#research l#has l#allowed l#the l#development l#of l#masters l#and l#doctoral l#programs
l#and l#has l#greatly l#increased l#the l#credibility l#of l#the l#profession.
C) The l#growth l#of l#nursing l#research l#has l#caused l#nursing l#to l#be l#viewed l#as l#a l#true
l#profession, l#rather l#than l#simply l#as l#a l#trade l#or l#a l#skill.
D) The l#application l#of l#nursing l#research l#has l#the l#potential l#to l#improve l#nursing
l#practice l#and l#patient l#outcomes.
Ans: l#D
Feedback: l#The l#greatest l#value l#of l#nursing l#research l#lies l#in l#the l#potential l#to l#improve l#practice
l#and, l#ultimately, l#to l#improve l#patient l#outcomes. l#This l#supersedes l#the l#contributions l#of l#nursing
l#research l#to l#education l#programs, l#grant l#funding, l#or l#the l#public l#view l#of l#the l#profession.
3. A l#nurse l#has l#read l#a l#qualitative l#research l#study l#in l#order l#to l#understand l#the l#lived
l#experience l#of l#parents l#who l#have l#a l#neonatal l#loss. l#Which l#of l#the l#following l#questions l#should
l#the l#nurse l#prioritize l#when l#appraising l#the l#results l#of l#this l#study?
A) How l#well l#did l#the l#authors l#capture l#the l#personal l#experiences l#of l#these l#parents?
, B) How l#well l#did l#the l#authors l#control l#for l#confounding l#variables l#that l#may l#have
l#affected l#the l#findings?
C) Did l#the l#authors l#use l#statistical l#measures l#that l#were l#appropriate l#to l#the
l#phenomenon l#in l#question?
D) Were l#the l#instruments l#that l#the l#researchers l#used l#statistically l#valid l#and l#reliable?
Ans: l#A
Feedback: l#Qualitative l#studies l#are l#judged l#on l#the l#basis l#of l#how l#well l#they l#capture l#and l#convey
l#the l#subjective l#experiences l#of l#individuals. l#Statistical l#measures l#and l#variables l#are l#not l#dimensions
l#of l#a l#qualitative l#methodology.
4. Tracy l#is l#a l#nurse l#with l#a l#baccalaureate l#degree l#who l#works l#in l#the l#labor l#and l#delivery
l#unit l#of l#a l#busy l#urban l#hospital. l#She l#has l#noticed l#that l#many l#new l#mothers l#abandon l#breast-
feeding l#their l#babies l#when l#they l#experience l#early l#challenges l#and l#wonders l#what l#could l#be
l#done l#to l#encourage l#more l#women l#to l#continue l#breast-feeding. l#What l#role l#is l#Tracy l#most
l#likely l#to l#play l#in l#a l#research l#project l#that l#tests l#an l#intervention l#aimed l#at l#promoting
l#breast-feeding?
A) Applying l#for l#grant l#funding l#for l#the l#research l#project
B) Posing l#the l#clinical l#problem l#to l#one l#or l#more l#nursing l#researchers
C) Planning l#the l#methodology l#of l#the l#research l#project
D) Carrying l#out l#the l#intervention l#and l#submitting l#the l#results l#for l#publication l#Ans: l#B
Feedback: l#A l#major l#role l#for l#staff l#nurses l#is l#to l#identify l#questions l#or l#problems l#for
l#research. l#Grant l#applications, l#methodological l#planning, l#and l#publication l#submission l#are
l#normally l#carried l#out l#by l#nurses l#who l#have l#advanced l#degrees l#in l#nursing.
5. A l#patient l#signed l#the l#informed l#consent l#form l#for l#a l#drug l#trial l#that l#was l#explained l#to
l#patient l#by l#a l#research l#assistant. l#Later, l#the l#patient l#admitted l#to l#his l#nurse l#that l#he l#did
l#not l#understand l#the l#research l#assistants l#explanation l#or l#his l#own l#role l#in l#the l#study. l#How
