TEST BANK for Primary Care The Art and Science of Advanced Practice Nursing – An Interprofessional Approach 6th Edition by Debera J. Dunphy

, Primary Care The Art and Science of Advanced Practice ss ss ss ss ss ss ss ss


ss Nursing anInterprofessional Approach 6th Edition Dunphy Test
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Bank s s




Table of ss s s s s Contents

Chapter 1. Primary Care in ss s s s s the Twenty-First s s s s Century: s s A
Circle s s of Caring ss




1. A nurse has conducted a literature review in an
ss effort to
ss identify the ss ss ss ss ss ss s s s s s s s s


s effects of handwashing on theincidence of nosocomial (hospital-acquired)
s s ss ss s s ss ss ss


infections in acute care settings. An article presented findings at
ss ss a level ofss s s ss ss s s ss ss ss s s s s ss


s significance of <0.01.
s This indicatesthat s s s s s s ss




A) the control group and the ss ss ss ss ss s s ss ss experimental group were more than n99% similar ss ss s s ss ss ss ss d s s


B) the findings of the study ss ss ss s s ss ss ss ss have less than 1% chance of being attributable
ss ss ss ss ss ss ss ss ss ss ss ss d s s


to chance.ss ss ss




C) the s s effects of the intervention were nearly
ss s s s s ss ss ss ss


D) the s s clinical significance of the findings was ss ss ss ss s s ss ss ss ss ss ss less ssd s s than ss ss 1:100.

Ans: ss ss B

Feedback: The level of significance is the level nat which the researcher believes
ss ss ss ss ss ss s s d s
d ss s s s s


that thestudy resultsmost likely represent a nonchance event. A level of
s s ss s s ss s s ss ss ss ss s s ss


significance of
s s ss


<0.01 indicates that there is less than 1% nprobability that the result is due
ss ss ss ss s s ss ss ss d s s ss ss ss ss ss ss ss ss to chance.
ss




2. A ss nurse has read a qualitative research
s s study in order to understand
ss ss s s ss d s s s s s s s s s s s s


the
s lived experienceof parentswho have a neonatal loss. Which of the following
s s s ss ss ss d ss s s ss ss ss ss


questions should the nurse prioritize when appraising the results of this
ss s s s s ss ss ss ss ssd s s s s s s s s


study?
s s




A) How well did the authors capture the
s spersonal experiences of s s s s ssd s s s s s s s s s s s s


these parHow well did
s s theauthors control for confounding
s variables
s s s ss s s s s s s s s s s


that may have affected the findings?
s s s s s s ss ss ss




B) Did the atuhors use statistical s s ss ss s s s s measures s s that s s were s s appropriate s s to s s the
phenomenon in question?
s s s s ss




C) Were s s the instruments ss s s that the ss ss ss researchers ss ss used s s statistically s s valid ss ss and s s reliable?

Ans: ss ss A

Feedback: Qualitative studies are judged on the basis of how well they capture
ss ss ss ss ss ss s s s s s s s s s s s s


and convey the subjective experiences of individuals. Statistical measures and
s s ss ss ss ss ss s s s s s s s s


variables arenot dimensions of aqualitative methodology.
s s ss ss ss s s s s




3. A nurse has expressed skepticism to a
ss colleague about ss the value of ss ss ss ss s s s s s s s s s s


s nursing
s research, claiming thatnursing research has little relevance to practice.
s s ss s s s s ss ss s s ss ss


How can the nurses colleaguebest defend the importance of nursing research?
ss s s ss s s ss s s ss ss ss s s s s

,A) The existence of nursing research means that nurses are now able to
ss ss ss ss ss ss ss ss s s s s s s


access federalgrant money,something that didnt use to
s s ss be the case. ss ss s s ss s s s s s s ss




B) Nursing research has allowed the development of masters and s s ss s s s s s s s s s s s s s s doctoral
programs and hasgreatlyincreased the credibility of the profession.
s s ss s s ss ss s s ss s s




C) The growth of nursing research has caused nursing to be
ss ss ss ss ss ss ss ss ss s s viewed as s s


a true profession,rather thansimply as a trade or
s s s s ss ss s s ss s s ss s s a skill. s s




D) The application of nursing research has
s s s s s s s s s s s s the s s potential s s to
improve
s nursing practice andpatientoutcomes.
s s s ss s s




Ans: ss ss D

Feedback: The greatest value of nursing research lies in the potential to
ss ss ss ss ss ss s s s s s s s s d s s


improve practiceand,
s s ultimately, to improve patient outcomes.
ss s s s s s s s s s s


This s supersedes
s the contributions of nursing research toeducation
s s s s ss s s ss ss ss


programs, grant funding, or the public view of the profession.
s s s s ssd s s s s s s s s s s s s s s ss




4. Tracy is a nurse with a baccalaureate degree
s s who nworks in the
s s labor s s ss s s ss ss s s d s s s s s s


s sand delivery unit of a busyurban hospital. She has noticed that many nnew mothers
s s ss d ss ss ss ss ss ss ss s s d s s


s abandon breast- feedingtheir babies whenthey experience early challenges and
s s s ss ss ss ss ss ss s s


sswonders what could be done to encourage more ss women to continue breast-
ss ss ss ss ss ss s s s s s s s s


feeding. What role is Tracy most s likely to play in a
s research project s s s s s s s s s s ss ss s s ss s s ss


ssthat tests an intervention aimed
s s at promoting breast- feeding?s s ss s s s s ss s s ss




A) Applying s s for grant ss ss ss funding ss ss for ssd s s the research s s ss ss project

B) Posing s s the clinical ss ss ss problem nto none or d d s s s s more s s nursing s s researchers

C) Planning s s the ss ss methodology of ss s s the ss ss research project ss




D) Carrying out the nintervention and submitting the ss ss d ss ss ss




ss results forpublication Ans: B ss d s s




Feedback: nA major role for staff nurses is to
ss identify questions or
ss ss s s s s s s s s s s s s s s s s


problems for research. Grant applications, methodological planning, and publication
s s s s ss s s ss ss ss ss ss


submission are normally
ss carried out bynurses who have advanced degrees in
ss ss s s ss ss ss s s ss ss ss


nursing.
ss




5. A patient signed the
ss informed consent form forss a drug trial that ss s s s s s s s s s s s s s s s s


was
s explained to patient by a research assistant. Later, the patient admitted to his
s s s ss ss ss ss ss ss ss ss ss ss ss ss


nurse that he did not understand the research assistants explanation or
ss ss ss hisss own s s ss ss ss ss ss ss s s s s


role
s in
s the study. How shouldthis patients nurse respond to thisrevelation?
s s s s s s s s ss ss ss ss ss ss




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




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

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

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

Ans: ss ss C

Feedback: Just as the staff nurse
ss is not responsible sfor medical
s s s s s s s s s s s s s s s s s


consent,
s s the staff nurse is not responsible for research consent. If patients who
s s s s ss s s ss ss ss ss ss ss ss ss


have agreed to participate exhibit ambivalence or uncertainty about
ss ss ss participating,
ss do s s ss ss ss ss s s s s


not
s try to
s convince s thems to participate. Ask the person from the research
s s s s s s s s ss ss ss ss ss ss ss


team who is managing consents to speak with concernedpatients
ss ss ss ss about the study, ss ss ss s s ss s s s s s s


even
ss after a patient has
s s signed the consent forms.
ss s s s s s s s s s s s s




Multiple s s Selection

6. A nurse leader is attempting to increase the awareness of evidence-based practice
ss ss ss ss ss ss ss ss ss ss s s


(EBP)among the nurses on a unit. A nurse who is implementing EBP integrates which of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss


the following? (Select allthat apply.)
s s ss ss ss ss




A) Interdisciplinary s s consensus

B) Nursing s s tradition

C) Research s s studies

D) Patient s s preferences ss ss and ss ss values

E) Clinical

ss expertiseAns

:

C,D, E ss




Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a
ss ss ss ss ss ss ss s s s s


s problem- solving approach to the delivery of
s healthcare
ss that integrates the best ss ss ss ss ss s s s s s s s s s s


s evidence
s from studiesand patient caredata with clinician
s s expertise and patient ss ss s s ss s s s s s s ss


s preferences and values.
s ss ss




Multiple s s Choice

7. Mrs. Mayes is ass 73-year-old woman who has a s diabetic sfoot s s s s s s s s s s s s s s s s


ulcer
s sthat has been extremely slow to heal
s s and which now poses
s as s s ss ss ss ss s s s s s s s s s s


threat
s s of osteomyelitis. The wound care nurse who has been working
s s s with
s s s s s ss ss ss ss ss ss s s


Mrs.
s Mayes
s applies evidence-based
s s practice (EBP) whenever possible and has s s s s s s s s ss ss ss ss


proposed
s s the use of maggot therapy to debride necrotic tissue. Mrs.
s s s s ss s s s s s s s s ss s s ss


Mayes, however, finds the suggestion repugnant and adamantly opposes this
ss ss ss ss ss ss ss ss ss ss


treatment despite the sizable body of evidence supporting it. How shouldthe
ss d ss ss ss s s s s s s s s s s s s


nurse reconcile Mrs. Mayes views with the principles of EBP?
s s s s s s ss ss ss s s s s ss s s