Test Bank - Primary Care-The Art and Science of Advanced Practice Nursing, 5th Edition (Dunphy, 2019) | All Chapters

, Primary Care: Art and Science of Advanced Practice Nursing -
uu uu uu uu uu uu uu uu uu


An Interprofessional Approach 5th edition Dunphy Test Bank
uu uu uu uu uu uu uu uu




Chapter 1. Primary Care in the Twenty- uu uu uu uu uu uu


First Century: A Circle of Caring uu uu uu uu uu




1. A nurse has conducted a literature review in an effort to identify the effect of handwashing o
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


n the incidence of nosocomial (hospital-
uu uu uu uu uu


acquired) infections in acute care settings. An article presented findings at a level of significanc
uu uu uu uu uu uu uu uu uu uu uu uu uu uu


e of <0.01. This indicates that
uu uu uu uu uu




A) the control group and the experimental group were more than 99% similar.
uu uu uu uu uu uu uu uu uu uu uu




B) the findings of the study have less than 1% chance of being attributable to chance.
uu uu uu uu uu uu uu uu uu uu uu uu uu uu




C) the effects of the intervention were nearly zero.
uu uu uu uu uu uu uu




D) the clinical significance of the findings was less than 1:100.
uu uu uu uu uu uu uu uu uu




Ans: B uu




Feedback: The level of significance is the level at which the researcher believes that the study r
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


esults most likely represent a nonchance event. A level of significance of <0.01 indicates that t
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


here is less than 1% probability that the result is due to chance.
uu uu uu uu uu uu uu uu uu uu uu uu




2. A nurse has read a qualitative research study in order to understand the lived experience of p
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


arents who have a neonatal loss. Which of the following questions should the nurse prioritize
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


when appraising the results of this study?
uu uu uu uu uu uu




A) How well did the authors capture the personal experiences of these parents?
uu uu uu uu uu uu uu uu uu uu uu




B) How well did the authors control for confounding variables that may have affected the findings?
uu uu uu uu uu uu uu uu uu uu uu uu uu uu




C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
uu uu uu uu uu uu uu uu uu uu uu uu uu




D) Were the instruments that the researchers used statistically valid and reliable?
uu uu uu uu uu uu uu uu uu uu




Ans: A uu




Feedback: Qualitative studies are judged on the basis of how well they capture and convey th
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


e subjective experiences of individuals. Statistical measures and variables are not dimensions
uu uu uu uu uu uu uu uu uu uu uu uu


of a qualitative methodology.
uu uu uu




3. A nurse has expressed skepticism to a colleague about the value of nursing research, claimi
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


ng that nursing research has little relevance to practice. How can the nurses colleague best de
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


fend the importance of nursing research?
uu uu uu uu uu

,A) The existence of nursing research means that nurses are now able to access federal gra
uu uu uu uu uu uu uu uu uu uu uu uu uu uu


nt money, something that didnt use to be the case.
uu uu uu uu uu uu uu uu uu




B) Nursing research has allowed the development of masters and doctoral programs and h
uu uu uu uu uu uu uu uu uu uu uu uu


as greatly increased the credibility of the profession.
uu uu uu uu uu uu uu




C) The growth of nursing research has caused nursing to be viewed as a true profession, rat
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


her than simply as a trade or a skill.
uu uu uu uu uu uu uu uu




D) The application of nursing research has the potential to improve nursing practice a
uu uu uu uu uu uu uu uu uu uu uu uu


nd patient outcomes.
uu uu




Ans: D uu




Feedback: The greatest value of nursing research lies in the potential to improve practice and, u
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


ltimately, to improve patient outcomes. This supersedes the contributions of nursing research to
uu uu uu uu uu uu uu uu uu uu uu uu u


ueducation programs, grant funding, or the public view of the profession.
uu uu uu uu uu uu uu uu uu uu




4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


a busy urban hospital. She has noticed that many new mothers abandon breast-
uu uu uu uu uu uu uu uu uu uu uu uu


feeding their babies when they experience early challenges and wonders what could be don
uu uu uu uu uu uu uu uu uu uu uu uu uu


e to encourage more women to continue breast-
uu uu uu uu uu uu uu


feeding. What role is Tracy most likely to play in a research project that tests an interventi
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


on aimed at promoting breast-feeding?
uu uu uu uu




A) Applying for grant funding for the research project uu uu uu uu uu uu uu




B) Posing the clinical problem to one or more nursing researchers
uu uu uu uu uu uu uu uu uu




C) Planning the methodology of the research project uu uu uu uu uu uu




D) Carrying out the intervention and submitting the results f
uu uu uu uu uu uu uu uu




or publication Ans: B
uu uu uu




Feedback: A major role for staff nurses is to identify questions or problems for research.
uu uu uu uu uu uu uu uu uu uu uu uu uu uu u u


Grant applications, methodological planning, and publication submission are normally car
uu uu uu uu uu uu uu uu u u


ried out by nurses who have advanced degrees in nursing.
uu uu uu uu uu uu uu uu uu




5. A patient signed the informed consent form for a drug trial that was explained to patie
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


nt by a research assistant. Later, the patient admitted to his nurse that he did not understand
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


the research assistants explanation or his own role in the study. How should this patients nur
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


se respond to this revelation?
uu uu uu uu




A) Explain the research process to the patient in greater detail.
uu uu uu uu uu uu uu uu uu




B) Describe the details of a randomized controlled trial for the patient.
uu uu uu uu uu uu uu uu uu uu

, C) Inform the research assistant that the patients consent is likely invalid.
uu uu uu uu uu uu uu uu uu uu




D) Explain to the patient that his written consent is now legally binding.
uu uu uu uu uu uu uu uu uu uu uu




Ans: C uu




Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse is not res
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu u u


ponsible for research consent. If patients who have agreed to participate exhibit ambivalence or u
uu uu uu uu uu uu uu uu uu uu uu uu uu uu


ncertainty about participating, do not try to convince them to participate. Ask the person f
uu uu uu uu uu uu uu uu uu uu uu uu uu uu


rom the research team who is managing consents to speak with concerned patients about the stud
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


y, even after a patient has signed the consent forms.
uu uu uu uu uu uu uu uu uu




Multiple Selection uu




6. A nurse leader is attempting to increase the awareness of evidence-
uu uu uu uu uu uu uu uu uu uu


based practice (EBP) among the nurses on a unit. A nurse who is implementing EBP integrates
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


which of the following? (Select all that apply.)
uu uu uu uu uu uu uu




A) Interdisciplinary consensus uu




B) Nursing tradition uu




C) Research studies uu




D) Patient preferences and values uu uu uu




E) Clinical expertise uu u




uAns: C, D, E uu uu uu




Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-
uu uu uu uu uu uu uu uu uu uu


solving approach to the delivery of healthcare that integrates the best evidence from studies an
uu uu uu uu uu uu uu uu uu uu uu uu uu uu


d patient care data with clinician expertise and patient preferences and values.
uu uu uu uu uu uu uu uu uu uu uu




Multiple Choice uu




7. Mrs. Mayes is a 73-year- uu uu uu uu


old woman who has a diabetic foot ulcer that has been extremely slow to heal and which now
uu uu uu uu uu uu uu uu uu uu uu uu u u uu uu uu uu uu


poses a threat of osteomyelitis. The wound care nurse who has been working with Mrs. Mayes
uu uu uu uu uu uu uu uu uu uu uu u u uu uu uu uu


applies evidence- uu


based practice (EBP) whenever possible and has proposed the use of maggot therapy to debride
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


necrotic tissue. Mrs. Mayes, however, finds the suggestion repugnant and adamantly opposes thi
uu uu uu uu uu uu uu uu uu uu uu uu


s treatment despite the sizable body of evidence supporting it. How should the nurse reconcile
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu


Mrs. Mayes views with the principles of EBP?
uu uu uu uu uu uu uu




A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
uu uu uu uu uu uu uu uu uu uu uu uu uu




B) The nurse should explain the evidence to the patient in greater detail.
uu uu uu uu uu uu uu uu uu uu uu