CREATED BY BRAMMY
,CREATED BY BRAMMY
TEST BANK FOR
PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE NURSING –
AN INTERPROFESSIONAL APPROACH 5TH 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
handw ashi ng on the incidence of nosocomial (hospital-
acquired) infections in acute care settings. An article presented findings at a level of
significa nce 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 stu dy results most likely represent a no chance event. A level of
significance of <0.01 indicat es that there is less than 1% probability that the
result is due to chance.
2. A nurse has read a qualitative research study in order to understand the
lived experie nce of parents who have a neonatal loss. Which of the following
questions should the nurse pri oritize 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 t he findings?
,CREATED BY BRAMMY
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 su bjective experiences of individuals. Statistical measures and variables are not
dimensions of a quali tative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing
research, cla iming that nursing research has little relevance to practice. How can the
nurses colleague b est de fend the importance of nursing research?
A) The existence of nursing research means that nurses are now able to access
federal gra nt money, something that didnt use to be the case.
B) Nursing research has allowed the development of masters and doctoral
programs and h as greatly increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true
professio n, rather than simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing
practice an d patient outcomes.
, CREATED BY BRAMMY
ANS>> D
Feedback: The greatest value of nursing research lies in the potential to improve
practice and, ulti mately, to improve patient outcomes. This supersedes the contributions
of nursing research t o educ ation programs, grant funding, or the public view of the
profession.
4. Tracy is a nurse with a baccalaureate degree who works in the labor and
delivery unit o f 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 e ncourage more women to continue breast-
feeding. What role is Tracy most likely to play in a research project that tests an
intervention ai med at promoting breast-feeding?
A) Applying for grant funding for the research project
2i
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. Gr ant applications, methodological planning, and publication submission
are normally carried o ut by nurses who have advanced degrees in nursing.
5. A patient signed the informed consent form for a drug trial that was explained
to pati ent by a research assistant. Later, the patient admitted to his nurse that he
did not understan d the re search assistants explanation or his own role in the study.
How should this patients nurse respo nd to this revelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
,CREATED BY BRAMMY
TEST BANK FOR
PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE NURSING –
AN INTERPROFESSIONAL APPROACH 5TH 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
handw ashi ng on the incidence of nosocomial (hospital-
acquired) infections in acute care settings. An article presented findings at a level of
significa nce 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 stu dy results most likely represent a no chance event. A level of
significance of <0.01 indicat es that there is less than 1% probability that the
result is due to chance.
2. A nurse has read a qualitative research study in order to understand the
lived experie nce of parents who have a neonatal loss. Which of the following
questions should the nurse pri oritize 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 t he findings?
,CREATED BY BRAMMY
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 su bjective experiences of individuals. Statistical measures and variables are not
dimensions of a quali tative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing
research, cla iming that nursing research has little relevance to practice. How can the
nurses colleague b est de fend the importance of nursing research?
A) The existence of nursing research means that nurses are now able to access
federal gra nt money, something that didnt use to be the case.
B) Nursing research has allowed the development of masters and doctoral
programs and h as greatly increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true
professio n, rather than simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing
practice an d patient outcomes.
, CREATED BY BRAMMY
ANS>> D
Feedback: The greatest value of nursing research lies in the potential to improve
practice and, ulti mately, to improve patient outcomes. This supersedes the contributions
of nursing research t o educ ation programs, grant funding, or the public view of the
profession.
4. Tracy is a nurse with a baccalaureate degree who works in the labor and
delivery unit o f 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 e ncourage more women to continue breast-
feeding. What role is Tracy most likely to play in a research project that tests an
intervention ai med at promoting breast-feeding?
A) Applying for grant funding for the research project
2i
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. Gr ant applications, methodological planning, and publication submission
are normally carried o ut by nurses who have advanced degrees in nursing.
5. A patient signed the informed consent form for a drug trial that was explained
to pati ent by a research assistant. Later, the patient admitted to his nurse that he
did not understan d the re search assistants explanation or his own role in the study.
How should this patients nurse respo nd to this revelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
