, Primary Care: Art and Science of Advanced Practice Nursing - An
u u u u u u u u u u
Interprofessional Approach 5th edition Dunphy Test Bank
u u u u u u u
Chapter 1. Primary Care in the Twenty-First Century: A Circle of
u u u u u u u u u u
Caring u
1. A nurse has conducted a literature review in an effort to identify the effect of handwashing on
u u u u u u u u u u u u u u u u u
uthe incidence of nosocomial (hospital-acquired) infections in acute care settings. An article
u u u u u u u u u u u
upresented findings at a level of significance of <0.01. This indicates that
u u u u u u u u u u u
A) the control group and the experimental group were more than 99% similar.
u u u u u u u u u u u
B) the findings of the study have less than 1% chance of being attributable to chance.
u u u u u u u u u u u u u u
C) the effects of the intervention were nearly zero.
u u u u u u u
D) the clinical significance of the findings was less than 1:100.
u u u u u u u u u
Ans: B u
Feedback: The level of significance is the level at which the researcher believes that the study
u u u u u u u u u u u u u u u
uresults most likely represent a nonchance event. A level of significance of <0.01 indicates that
u u u u u u u u u u u u u u
uthere is less than 1% probability that the result is due to chance.
u u u u u u u u u u u u
2. A nurse has read a qualitative research study in order to understand the lived experience of
u u u u u u u u u u u u u u u u
uparents who have a neonatal loss. Which of the following questions should the nurse prioritize
u u u u u u u u u u u u u u
uwhen appraising the results of this study?
u u u u u u
A) How well did the authors capture the personal experiences of these parents?
u u u u u u u u u u u
B) How well did the authors control for confounding variables that may have affected the findings?
u u u u u u u u u u u u u u
C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
u u u u u u u u u u u u u
D) Were the instruments that the researchers used statistically valid and reliable?
u u u u u u u u u u
Ans: A u
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
u u u u u u u u u u u u u u u
usubjective experiences of individuals. Statistical measures and variables are not dimensions of a
u u u u u u u u u u u u
uqualitative methodology. u
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming
u u u u u u u u u u u u u u u
uthat nursing research has little relevance to practice. How can the nurses colleague best defend
u u u u u u u u u u u u u u
uthe importance of nursing research?
u u u u
,A) The existence of nursing research means that nurses are now able to access federal grant
u u u u u u u u u u u u u u
umoney, something that didnt use to be the case.
u u u u u u u u
B) Nursing research has allowed the development of masters and doctoral programs and has
u u u u u u u u u u u u
ugreatly increased the credibility of the profession.
u u u u u u
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather
u u u u u u u u u u u u u u u
uthan simply as a trade or a skill.
u u u u u u u
D) The application of nursing research has the potential to improve nursing practice and
u u u u u u u u u u u u
upatient outcomes. u
Ans: D u
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
u u u u u u u u u u u u u u
uultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
u u u u u u u u u u u u
ueducation programs, grant funding, or the public view of the profession.
u u u u u u u u u u
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
u u u u u u u u u u u u u u u u u
ubusy urban hospital. She has noticed that many new mothers abandon breast-feeding their
u u u u u u u u u u u u
ubabies when they experience early challenges and wonders what could be done to encourage
u u u u u u u u u u u u u
umore women to continue breast-feeding. What role is Tracy most likely to play in a research
u u u u u u u u u u u u u u u
uproject that tests an intervention aimed at promoting breast-feeding?
u u u u u u u u
A) Applying for grant funding for the research project u u u u u u u
B) Posing the clinical problem to one or more nursing researchers
u u u u u u u u u
C) Planning the methodology of the research project u u u u u u
D) Carrying out the intervention and submitting the results for
u u u u u u u u
u publication Ans: B u u
Feedback: A major role for staff nurses is to identify questions or problems for research.
u u u u u u u u u u u u u u
uGrant applications, methodological planning, and publication submission are normally
u u u u u u u u
ucarried out by nurses who have advanced degrees in nursing.
u u u u u u u u u
5. A patient signed the informed consent form for a drug trial that was explained to patient
u u u u u u u u u u u u u u u
uby a research assistant. Later, the patient admitted to his nurse that he did not understand the
u u u u u u u u u u u u u u u u
uresearch assistants explanation or his own role in the study. How should this patients nurse
u u u u u u u u u u u u u u
urespond to this revelation? u u u
A) Explain the research process to the patient in greater detail.
u u u u u u u u u
B) Describe the details of a randomized controlled trial for the patient.
u u u u u u u u u u
, C) Inform the research assistant that the patients consent is likely invalid.
u u u u u u u u u u
D) Explain to the patient that his written consent is now legally binding.
u u u u u u u u u u u
Ans: C u
Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse is not
u u u u u u u u u u u u u u u u
uresponsible for research consent. If patients who have agreed to participate exhibit ambivalence or
u u u u u u u u u u u u u
uuncertainty about participating, do not try to convince them to participate. Ask the person
u u u u u u u u u u u u u
ufrom the research team who is managing consents to speak with concerned patients about the study,
u u u u u u u u u u u u u u u
ueven after a patient has signed the consent forms.
u u u u u u u u
Multiple Selection u
6. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP) among
u u u u u u u u u u u u u
uthe nurses on a unit. A nurse who is implementing EBP integrates which of the following? (Select
u u u u u u u u u u u u u u u u
uall that apply.)
u u
A) Interdisciplinary consensus u
B) Nursing tradition u
C) Research studies u
D) Patient preferences and values u u u
E) Clinical expertise u
u Ans: C, D, E u u u
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-solving
u u u u u u u u u u
uapproach to the delivery of healthcare that integrates the best evidence from studies and patient
u u u u u u u u u u u u u u
ucare data with clinician expertise and patient preferences and values.
u u u u u u u u u
Multiple Choice u
7. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow
u u u u u u u u u u u u u u u u
uto heal and which now poses a threat of osteomyelitis. The wound care nurse who has been
u u u u u u u u u u u u u u u u
uworking with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
u u u u u u u u u u u
uproposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the
u u u u u u u u u u u u u u
usuggestion repugnant and adamantly opposes this treatment despite the sizable body of evidence
u u u u u u u u u u u u
usupporting it. How should the nurse reconcile Mrs. Mayes views with the principles of EBP?
u u u u u u u u u u u u u u
A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
u u u u u u u u u u u u u
B) The nurse should explain the evidence to the patient in greater detail.
u u u u u u u u u u u
u u u u u u u u u u
Interprofessional Approach 5th edition Dunphy Test Bank
u u u u u u u
Chapter 1. Primary Care in the Twenty-First Century: A Circle of
u u u u u u u u u u
Caring u
1. A nurse has conducted a literature review in an effort to identify the effect of handwashing on
u u u u u u u u u u u u u u u u u
uthe incidence of nosocomial (hospital-acquired) infections in acute care settings. An article
u u u u u u u u u u u
upresented findings at a level of significance of <0.01. This indicates that
u u u u u u u u u u u
A) the control group and the experimental group were more than 99% similar.
u u u u u u u u u u u
B) the findings of the study have less than 1% chance of being attributable to chance.
u u u u u u u u u u u u u u
C) the effects of the intervention were nearly zero.
u u u u u u u
D) the clinical significance of the findings was less than 1:100.
u u u u u u u u u
Ans: B u
Feedback: The level of significance is the level at which the researcher believes that the study
u u u u u u u u u u u u u u u
uresults most likely represent a nonchance event. A level of significance of <0.01 indicates that
u u u u u u u u u u u u u u
uthere is less than 1% probability that the result is due to chance.
u u u u u u u u u u u u
2. A nurse has read a qualitative research study in order to understand the lived experience of
u u u u u u u u u u u u u u u u
uparents who have a neonatal loss. Which of the following questions should the nurse prioritize
u u u u u u u u u u u u u u
uwhen appraising the results of this study?
u u u u u u
A) How well did the authors capture the personal experiences of these parents?
u u u u u u u u u u u
B) How well did the authors control for confounding variables that may have affected the findings?
u u u u u u u u u u u u u u
C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
u u u u u u u u u u u u u
D) Were the instruments that the researchers used statistically valid and reliable?
u u u u u u u u u u
Ans: A u
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
u u u u u u u u u u u u u u u
usubjective experiences of individuals. Statistical measures and variables are not dimensions of a
u u u u u u u u u u u u
uqualitative methodology. u
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming
u u u u u u u u u u u u u u u
uthat nursing research has little relevance to practice. How can the nurses colleague best defend
u u u u u u u u u u u u u u
uthe importance of nursing research?
u u u u
,A) The existence of nursing research means that nurses are now able to access federal grant
u u u u u u u u u u u u u u
umoney, something that didnt use to be the case.
u u u u u u u u
B) Nursing research has allowed the development of masters and doctoral programs and has
u u u u u u u u u u u u
ugreatly increased the credibility of the profession.
u u u u u u
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather
u u u u u u u u u u u u u u u
uthan simply as a trade or a skill.
u u u u u u u
D) The application of nursing research has the potential to improve nursing practice and
u u u u u u u u u u u u
upatient outcomes. u
Ans: D u
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
u u u u u u u u u u u u u u
uultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
u u u u u u u u u u u u
ueducation programs, grant funding, or the public view of the profession.
u u u u u u u u u u
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
u u u u u u u u u u u u u u u u u
ubusy urban hospital. She has noticed that many new mothers abandon breast-feeding their
u u u u u u u u u u u u
ubabies when they experience early challenges and wonders what could be done to encourage
u u u u u u u u u u u u u
umore women to continue breast-feeding. What role is Tracy most likely to play in a research
u u u u u u u u u u u u u u u
uproject that tests an intervention aimed at promoting breast-feeding?
u u u u u u u u
A) Applying for grant funding for the research project u u u u u u u
B) Posing the clinical problem to one or more nursing researchers
u u u u u u u u u
C) Planning the methodology of the research project u u u u u u
D) Carrying out the intervention and submitting the results for
u u u u u u u u
u publication Ans: B u u
Feedback: A major role for staff nurses is to identify questions or problems for research.
u u u u u u u u u u u u u u
uGrant applications, methodological planning, and publication submission are normally
u u u u u u u u
ucarried out by nurses who have advanced degrees in nursing.
u u u u u u u u u
5. A patient signed the informed consent form for a drug trial that was explained to patient
u u u u u u u u u u u u u u u
uby a research assistant. Later, the patient admitted to his nurse that he did not understand the
u u u u u u u u u u u u u u u u
uresearch assistants explanation or his own role in the study. How should this patients nurse
u u u u u u u u u u u u u u
urespond to this revelation? u u u
A) Explain the research process to the patient in greater detail.
u u u u u u u u u
B) Describe the details of a randomized controlled trial for the patient.
u u u u u u u u u u
, C) Inform the research assistant that the patients consent is likely invalid.
u u u u u u u u u u
D) Explain to the patient that his written consent is now legally binding.
u u u u u u u u u u u
Ans: C u
Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse is not
u u u u u u u u u u u u u u u u
uresponsible for research consent. If patients who have agreed to participate exhibit ambivalence or
u u u u u u u u u u u u u
uuncertainty about participating, do not try to convince them to participate. Ask the person
u u u u u u u u u u u u u
ufrom the research team who is managing consents to speak with concerned patients about the study,
u u u u u u u u u u u u u u u
ueven after a patient has signed the consent forms.
u u u u u u u u
Multiple Selection u
6. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP) among
u u u u u u u u u u u u u
uthe nurses on a unit. A nurse who is implementing EBP integrates which of the following? (Select
u u u u u u u u u u u u u u u u
uall that apply.)
u u
A) Interdisciplinary consensus u
B) Nursing tradition u
C) Research studies u
D) Patient preferences and values u u u
E) Clinical expertise u
u Ans: C, D, E u u u
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-solving
u u u u u u u u u u
uapproach to the delivery of healthcare that integrates the best evidence from studies and patient
u u u u u u u u u u u u u u
ucare data with clinician expertise and patient preferences and values.
u u u u u u u u u
Multiple Choice u
7. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow
u u u u u u u u u u u u u u u u
uto heal and which now poses a threat of osteomyelitis. The wound care nurse who has been
u u u u u u u u u u u u u u u u
uworking with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
u u u u u u u u u u u
uproposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the
u u u u u u u u u u u u u u
usuggestion repugnant and adamantly opposes this treatment despite the sizable body of evidence
u u u u u u u u u u u u
usupporting it. How should the nurse reconcile Mrs. Mayes views with the principles of EBP?
u u u u u u u u u u u u u u
A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
u u u u u u u u u u u u u
B) The nurse should explain the evidence to the patient in greater detail.
u u u u u u u u u u u
