,Primary Care: Art and Science of Advanced Practice Nursing An Inter-professional Approach 6th Edition Dunphy
Test Bank
Chapterg01.gPrimarygCaregingthegTwenty-FirstgCentury:gAgCirclegofgCaring
1. Agnurseghasgconductedgagliteraturegreviewgingangeffortgtogidentifygthegeffectgofghandgwashinggongt
heincidencegofgnosocomialg(hospital-
acquired)ginfectionsgingacutegcaregsettings.gAngarticlegpresentedgfindingsgatgaglevelgofgsignificanceg
ofg<0.01.gThisgindicatesgthat
A) thegcontrolggroupgandgthegexperimentalggroupgweregmoregthang99%gsimilar.
B) thegfindingsgofgthegstudyghaveglessgthang1%gchancegofgbeinggattributablegtogchance.
C) thegeffectsgofgtheginterventiongweregnearlygzero.
D) thegclinicalgsignificancegofgthegfindingsgwasglessgthang1:100.
Ans:gB
Feedback:gTheglevelgofgsignificancegisgtheglevelgatgwhichgthegresearchergbelievesgthatgthegstudygresultsg
mostglikelygrepresentgagnonchancegevent.gAglevelgofgsignificancegofg<0.01gindicatesgthatgtheregisglessgth
ang1%gprobabilitygthatgthegresultgisgduegtogchance.
2. Agnurseghasgreadgagqualitativegresearchgstudygingordergtogunderstandgtheglivedgexperiencegofgparentsg
whoghavegagneonatalgloss.gWhichgofgthegfollowinggquestionsgshouldgthegnursegprioritizegwhengappraisi
nggthegresultsgofgthisgstudy?
A) Howgwellgdidgthegauthorsgcapturegthegpersonalgexperiencesgofgthesegparents?
B) Howgwellgdidgthegauthorsgcontrolgforgconfoundinggvariablesgthatgmayghavegaffectedgthegfindings?
C) Didgthegauthorsgusegstatisticalgmeasuresgthatgweregappropriategtogthegphenomenongingquestion?
D) Weregtheginstrumentsgthatgthegresearchersgusedgstatisticallygvalidgandgreliable?
Ans:gA
Feedback:gQualitativegstudiesgaregjudgedgongthegbasisgofghowgwellgtheygcapturegandgconveygthegsubject
ivegexperiencesgofgindividuals.gStatisticalgmeasuresgandgvariablesgaregnotgdimensionsgofgagqualitativegm
ethodology.
3. Agnurseghasgexpressedgskepticismgtogagcolleaguegaboutgthegvaluegofgnursinggresearch,gclaiminggthatgn
ursinggresearchghasglittlegrelevancegtogpractice.gHowgcangthegnursesgcolleaguegbestgdefendgthegimporta
ncegofgnursinggresearch?
,A) Thegexistencegofgnursinggresearchgmeansgthatgnursesgaregnowgablegtogaccessgfederalggrantgmoney,gs
omethinggthatgdidntgusegtogbegthegcase.
B) Nursinggresearchghasgallowedgthegdevelopmentgofgmastersgandgdoctoralgprogramsgandghasggreatlygi
ncreasedgthegcredibilitygofgthegprofession.
C) Theggrowthgofgnursinggresearchghasgcausedgnursinggtogbegviewedgasgagtruegprofession,grathergthangsi
mplygasgagtradegorgagskill.
D) Thegapplicationgofgnursinggresearchghasgthegpotentialgtogimprovegnursinggpracticegandgpatientgo
utcomes.
Ans:gD
Feedback:gTheggreatestgvaluegofgnursinggresearchgliesgingthegpotentialgtogimprovegpracticegand,gultimat
ely,gtogimprovegpatientgoutcomes.gThisgsupersedesgthegcontributionsgofgnursinggresearchgtogeducationgpr
ograms,ggrantgfunding,gorgthegpublicgviewgofgthegprofession.
4. Tracygisgagnursegwithgagbaccalaureategdegreegwhogworksgingtheglaborgandgdeliverygunitgofgagbusygu
rbanghospital.gSheghasgnoticedgthatgmanygnewgmothersgabandongbreast-
feedinggtheirgbabiesgwhengtheygexperiencegearlygchallengesgandgwondersgwhatgcouldgbegdonegtogenc
ouragegmoregwomengtogcontinuegbreast-
feeding.gWhatgrolegisgTracygmostglikelygtogplaygingagresearchgprojectgthatgtestsganginterventiongaime
dgatgpromotinggbreast-feeding?
A) Applyinggforggrantgfundinggforgthegresearchgproject
B) Posinggthegclinicalgproblemgtogonegorgmoregnursinggresearchers
C) Planninggthegmethodologygofgthegresearchgproject
D) Carryinggoutgtheginterventiongandgsubmittinggthegresultsgforgpublicationg
Ans:gB
Feedback:gAgmajorgrolegforgstaffgnursesgisgtogidentifygquestionsgorgproblemsgforgresearch.gGrantga
pplications,gmethodologicalgplanning,gandgpublicationgsubmissiongaregnormallygcarriedgoutgbygn
ursesgwhoghavegadvancedgdegreesgingnursing.
5. Agpatientgsignedgtheginformedgconsentgformgforgagdruggtrialgthatgwasgexplainedgtogpatientgbygagres
earchgassistant.gLater,gthegpatientgadmittedgtoghisgnursegthatghegdidgnotgunderstandgthegresearchgassi
stantsgexplanationgorghisgowngrolegingthegstudy.gHowgshouldgthisgpatientsgnursegrespondgtogthisgrevel
ation?
A) Explaingthegresearchgprocessgtogthegpatientginggreatergdetail.
B) Describegthegdetailsgofgagrandomizedgcontrolledgtrialgforgthegpatient.
, C) Informgthegresearchgassistantgthatgthegpatientsgconsentgisglikelyginvalid.
D) Explaingtogthegpatientgthatghisgwrittengconsentgisgnowglegallygbinding.
Ans:gC
Feedback:gJustgasgthegstaffgnursegisgnotgresponsiblegforgmedicalgconsent,gthegstaffgnursegisgnotgresponsib
legforgresearchgconsent.gIfgpatientsgwhoghavegagreedgtogparticipategexhibitgambivalencegorguncertaintyga
boutgparticipating,gdognotgtrygtogconvincegthemgtogparticipate.gAskgthegpersongfromgthegresearchgteamgw
hogisgmanaginggconsentsgtogspeakgwithgconcernedgpatientsgaboutgthegstudy,gevengaftergagpatientghasgsign
edgthegconsentgforms.
MultiplegSelection
6. Agnursegleadergisgattemptinggtogincreasegthegawarenessgofgevidence-
basedgpracticeg(EBP)gamonggthegnursesgongagunit.gAgnursegwhogisgimplementinggEBPgintegratesgwhichg
ofgthegfollowing?g(Selectgallgthatgapply.)
A) Interdisciplinarygconsensus
B) Nursinggtradition
C) Researchgstudies
D) Patientgpreferencesgandgvalues
E) Clinicalgexpertise
gAns:gC,gD,gE
Feedback:gFineout-Overholt,gMelnyk,gStillwell,gandgWilliamsongdefinegEBPgasgagproblem-
solvinggapproachgtogthegdeliverygofghealthcaregthatgintegratesgthegbestgevidencegfromgstudiesgandgpatien
tgcaregdatagwithgcliniciangexpertisegandgpatientgpreferencesgandgvalues.
MultiplegChoice
7. Mrs.gMayesgisgag73-year-
oldgwomangwhoghasgagdiabeticgfootgulcergthatghasgbeengextremelygslowgtoghealgandgwhichgnowgposesgagt
hreatgofgosteomyelitis.gThegwoundgcaregnursegwhoghasgbeengworkinggwithgMrs.gMayesgappliesgevidenc
e-
basedgpracticeg(EBP)gwhenevergpossiblegandghasgproposedgthegusegofgmaggotgtherapygtogdebridegnecrot
icgtissue.gMrs.gMayes,ghowever,gfindsgthegsuggestiongrepugnantgandgadamantlygopposesgthisgtreatmentg
despitegthegsizablegbodygofgevidencegsupportinggit.gHowgshouldgthegnursegreconcilegMrs.gMayesgviewsg
withgthegprinciplesgofgEBP?
A) Thegnursegshouldgexplaingthatgreliablegandgvalidgresearchgevidencegoverridesgthegpatientsgopinion.
B) Thegnursegshouldgexplaingthegevidencegtogthegpatientginggreatergdetail.
Test Bank
Chapterg01.gPrimarygCaregingthegTwenty-FirstgCentury:gAgCirclegofgCaring
1. Agnurseghasgconductedgagliteraturegreviewgingangeffortgtogidentifygthegeffectgofghandgwashinggongt
heincidencegofgnosocomialg(hospital-
acquired)ginfectionsgingacutegcaregsettings.gAngarticlegpresentedgfindingsgatgaglevelgofgsignificanceg
ofg<0.01.gThisgindicatesgthat
A) thegcontrolggroupgandgthegexperimentalggroupgweregmoregthang99%gsimilar.
B) thegfindingsgofgthegstudyghaveglessgthang1%gchancegofgbeinggattributablegtogchance.
C) thegeffectsgofgtheginterventiongweregnearlygzero.
D) thegclinicalgsignificancegofgthegfindingsgwasglessgthang1:100.
Ans:gB
Feedback:gTheglevelgofgsignificancegisgtheglevelgatgwhichgthegresearchergbelievesgthatgthegstudygresultsg
mostglikelygrepresentgagnonchancegevent.gAglevelgofgsignificancegofg<0.01gindicatesgthatgtheregisglessgth
ang1%gprobabilitygthatgthegresultgisgduegtogchance.
2. Agnurseghasgreadgagqualitativegresearchgstudygingordergtogunderstandgtheglivedgexperiencegofgparentsg
whoghavegagneonatalgloss.gWhichgofgthegfollowinggquestionsgshouldgthegnursegprioritizegwhengappraisi
nggthegresultsgofgthisgstudy?
A) Howgwellgdidgthegauthorsgcapturegthegpersonalgexperiencesgofgthesegparents?
B) Howgwellgdidgthegauthorsgcontrolgforgconfoundinggvariablesgthatgmayghavegaffectedgthegfindings?
C) Didgthegauthorsgusegstatisticalgmeasuresgthatgweregappropriategtogthegphenomenongingquestion?
D) Weregtheginstrumentsgthatgthegresearchersgusedgstatisticallygvalidgandgreliable?
Ans:gA
Feedback:gQualitativegstudiesgaregjudgedgongthegbasisgofghowgwellgtheygcapturegandgconveygthegsubject
ivegexperiencesgofgindividuals.gStatisticalgmeasuresgandgvariablesgaregnotgdimensionsgofgagqualitativegm
ethodology.
3. Agnurseghasgexpressedgskepticismgtogagcolleaguegaboutgthegvaluegofgnursinggresearch,gclaiminggthatgn
ursinggresearchghasglittlegrelevancegtogpractice.gHowgcangthegnursesgcolleaguegbestgdefendgthegimporta
ncegofgnursinggresearch?
,A) Thegexistencegofgnursinggresearchgmeansgthatgnursesgaregnowgablegtogaccessgfederalggrantgmoney,gs
omethinggthatgdidntgusegtogbegthegcase.
B) Nursinggresearchghasgallowedgthegdevelopmentgofgmastersgandgdoctoralgprogramsgandghasggreatlygi
ncreasedgthegcredibilitygofgthegprofession.
C) Theggrowthgofgnursinggresearchghasgcausedgnursinggtogbegviewedgasgagtruegprofession,grathergthangsi
mplygasgagtradegorgagskill.
D) Thegapplicationgofgnursinggresearchghasgthegpotentialgtogimprovegnursinggpracticegandgpatientgo
utcomes.
Ans:gD
Feedback:gTheggreatestgvaluegofgnursinggresearchgliesgingthegpotentialgtogimprovegpracticegand,gultimat
ely,gtogimprovegpatientgoutcomes.gThisgsupersedesgthegcontributionsgofgnursinggresearchgtogeducationgpr
ograms,ggrantgfunding,gorgthegpublicgviewgofgthegprofession.
4. Tracygisgagnursegwithgagbaccalaureategdegreegwhogworksgingtheglaborgandgdeliverygunitgofgagbusygu
rbanghospital.gSheghasgnoticedgthatgmanygnewgmothersgabandongbreast-
feedinggtheirgbabiesgwhengtheygexperiencegearlygchallengesgandgwondersgwhatgcouldgbegdonegtogenc
ouragegmoregwomengtogcontinuegbreast-
feeding.gWhatgrolegisgTracygmostglikelygtogplaygingagresearchgprojectgthatgtestsganginterventiongaime
dgatgpromotinggbreast-feeding?
A) Applyinggforggrantgfundinggforgthegresearchgproject
B) Posinggthegclinicalgproblemgtogonegorgmoregnursinggresearchers
C) Planninggthegmethodologygofgthegresearchgproject
D) Carryinggoutgtheginterventiongandgsubmittinggthegresultsgforgpublicationg
Ans:gB
Feedback:gAgmajorgrolegforgstaffgnursesgisgtogidentifygquestionsgorgproblemsgforgresearch.gGrantga
pplications,gmethodologicalgplanning,gandgpublicationgsubmissiongaregnormallygcarriedgoutgbygn
ursesgwhoghavegadvancedgdegreesgingnursing.
5. Agpatientgsignedgtheginformedgconsentgformgforgagdruggtrialgthatgwasgexplainedgtogpatientgbygagres
earchgassistant.gLater,gthegpatientgadmittedgtoghisgnursegthatghegdidgnotgunderstandgthegresearchgassi
stantsgexplanationgorghisgowngrolegingthegstudy.gHowgshouldgthisgpatientsgnursegrespondgtogthisgrevel
ation?
A) Explaingthegresearchgprocessgtogthegpatientginggreatergdetail.
B) Describegthegdetailsgofgagrandomizedgcontrolledgtrialgforgthegpatient.
, C) Informgthegresearchgassistantgthatgthegpatientsgconsentgisglikelyginvalid.
D) Explaingtogthegpatientgthatghisgwrittengconsentgisgnowglegallygbinding.
Ans:gC
Feedback:gJustgasgthegstaffgnursegisgnotgresponsiblegforgmedicalgconsent,gthegstaffgnursegisgnotgresponsib
legforgresearchgconsent.gIfgpatientsgwhoghavegagreedgtogparticipategexhibitgambivalencegorguncertaintyga
boutgparticipating,gdognotgtrygtogconvincegthemgtogparticipate.gAskgthegpersongfromgthegresearchgteamgw
hogisgmanaginggconsentsgtogspeakgwithgconcernedgpatientsgaboutgthegstudy,gevengaftergagpatientghasgsign
edgthegconsentgforms.
MultiplegSelection
6. Agnursegleadergisgattemptinggtogincreasegthegawarenessgofgevidence-
basedgpracticeg(EBP)gamonggthegnursesgongagunit.gAgnursegwhogisgimplementinggEBPgintegratesgwhichg
ofgthegfollowing?g(Selectgallgthatgapply.)
A) Interdisciplinarygconsensus
B) Nursinggtradition
C) Researchgstudies
D) Patientgpreferencesgandgvalues
E) Clinicalgexpertise
gAns:gC,gD,gE
Feedback:gFineout-Overholt,gMelnyk,gStillwell,gandgWilliamsongdefinegEBPgasgagproblem-
solvinggapproachgtogthegdeliverygofghealthcaregthatgintegratesgthegbestgevidencegfromgstudiesgandgpatien
tgcaregdatagwithgcliniciangexpertisegandgpatientgpreferencesgandgvalues.
MultiplegChoice
7. Mrs.gMayesgisgag73-year-
oldgwomangwhoghasgagdiabeticgfootgulcergthatghasgbeengextremelygslowgtoghealgandgwhichgnowgposesgagt
hreatgofgosteomyelitis.gThegwoundgcaregnursegwhoghasgbeengworkinggwithgMrs.gMayesgappliesgevidenc
e-
basedgpracticeg(EBP)gwhenevergpossiblegandghasgproposedgthegusegofgmaggotgtherapygtogdebridegnecrot
icgtissue.gMrs.gMayes,ghowever,gfindsgthegsuggestiongrepugnantgandgadamantlygopposesgthisgtreatmentg
despitegthegsizablegbodygofgevidencegsupportinggit.gHowgshouldgthegnursegreconcilegMrs.gMayesgviewsg
withgthegprinciplesgofgEBP?
A) Thegnursegshouldgexplaingthatgreliablegandgvalidgresearchgevidencegoverridesgthegpatientsgopinion.
B) Thegnursegshouldgexplaingthegevidencegtogthegpatientginggreatergdetail.
