Test Bank For Primary Care Art And Science Of Advanced Practice Nursing – An
Interprofessional Approach 5th Edition Dunphy 1
,Test Bank For Primary Care Art And Science Of Advanced Practice Nursing – An
Interprofessional Approach 5th Edition Dunphy 2
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. Evidence-based practice (EBP) is best defined as the integration of
A. Research evidence, clinician expertise, and patient values
B. Nursing tradition and physician consensus
C. Institutional policies and expert opinion
D. Randomized clinical trials only
Answer: A
Rationale: EBP merges the best available research, the clinician’s professional judgment, and the
patient’s individual preferences to guide decision-making. It moves beyond tradition or
hierarchy-based practice.
2. A significance level of p < 0.01 in a study examining infection rates indicates that
A. There is a 99% likelihood the result is due to chance
B. The result has less than 1% probability of occurring by chance
C. The control and experimental groups are 99% identical
D. Clinical relevance equals 1 in 100
Answer: B
Rationale: A p value < 0.01 implies a < 1% chance the observed difference is random,
supporting a true intervention effect.
3. When appraising a qualitative study on parental grief, the nurse should focus primarily on
A. How well authors capture the parents’ lived experiences
B. Statistical power of the sample
C. Control of confounders
D. Reliability coefficients of instruments
Answer: A
Rationale: Qualitative rigor depends on credibility and depth of description, not on quantitative
validity metrics.
4. The ultimate goal of nursing research is to
A. Increase federal funding
B. Elevate the profession’s academic status
,Test Bank For Primary Care Art And Science Of Advanced Practice Nursing – An
Interprofessional Approach 5th Edition Dunphy 3
C. Improve practice and patient outcomes
D. Support curriculum development
Answer: C
Rationale: Research is most valuable when findings translate into better care and measurable
health outcomes.
5. A staff nurse noticing low breastfeeding continuation rates best contributes to research by
A. Writing the grant proposal
B. Identifying the clinical problem and sharing it with researchers
C. Designing methodology
D. Submitting findings for publication
Answer: B
Rationale: Clinical nurses often generate researchable questions; advanced researchers refine
design and analysis.
6. A patient who signed consent for a trial later admits confusion about its purpose. The nurse
should
A. Re-explain the study in detail
B. Tell him consent is binding
C. Notify the research team to reassess consent validity
D. Withdraw the patient immediately
Answer: C
Rationale: The investigator, not the staff nurse, must ensure informed consent. The nurse’s duty
is to alert the team.
7. Components integrated into EBP include which of the following? (Select all that apply)
A. Clinical expertise B. Patient values C. Best research evidence D. Organizational culture
Answer: A, B, C
Rationale: EBP merges evidence, clinician experience, and patient preferences; culture may
influence but is not a core element.
8. In EBP, patient preferences such as refusal of maggot therapy should be handled by
A. Prioritizing evidence over the patient’s wishes
, Test Bank For Primary Care Art And Science Of Advanced Practice Nursing – An
Interprofessional Approach 5th Edition Dunphy 4
B. Educating until the patient agrees
C. Integrating patient preferences into care decisions
D. Involving family to override the decision
Answer: C
Rationale: Respect for autonomy is central; evidence guides but never overrides patient values.
9. The strongest single source of evidence when evaluating a new pressure-relief mattress is
A. A randomized controlled trial (RCT) comparing mattress types
B. A qualitative study of patient comfort
C. Clinician testimonials
D. A case study on one unit
Answer: A
Rationale: RCTs minimize bias and provide the highest-level evidence for interventions.
10. The first step in implementing EBP on a unit is to
A. Gather supporting evidence
B. Formulate a focused, answerable question
C. Conduct a pilot change
D. Train all staff
Answer: B
Rationale: EBP begins with asking a well-structured question, often in PICOT format.
11. Which question best represents the PICOT framework?
A. “Does meditation help anxiety?”
B. “Among postoperative adults, how does meditation versus benzodiazepines affect anxiety
during the first 48 hours?”
C. “Is meditation better for anxiety?”
D. “How anxious are patients after surgery?”
Answer: B
Rationale: Includes all five elements—Population, Intervention, Comparison, Outcome, Time.
12. In the UNC model of the 5 A’s for EBP, the final step is to
A. Adopt the change
B. Advocate for policy revision
Interprofessional Approach 5th Edition Dunphy 1
,Test Bank For Primary Care Art And Science Of Advanced Practice Nursing – An
Interprofessional Approach 5th Edition Dunphy 2
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. Evidence-based practice (EBP) is best defined as the integration of
A. Research evidence, clinician expertise, and patient values
B. Nursing tradition and physician consensus
C. Institutional policies and expert opinion
D. Randomized clinical trials only
Answer: A
Rationale: EBP merges the best available research, the clinician’s professional judgment, and the
patient’s individual preferences to guide decision-making. It moves beyond tradition or
hierarchy-based practice.
2. A significance level of p < 0.01 in a study examining infection rates indicates that
A. There is a 99% likelihood the result is due to chance
B. The result has less than 1% probability of occurring by chance
C. The control and experimental groups are 99% identical
D. Clinical relevance equals 1 in 100
Answer: B
Rationale: A p value < 0.01 implies a < 1% chance the observed difference is random,
supporting a true intervention effect.
3. When appraising a qualitative study on parental grief, the nurse should focus primarily on
A. How well authors capture the parents’ lived experiences
B. Statistical power of the sample
C. Control of confounders
D. Reliability coefficients of instruments
Answer: A
Rationale: Qualitative rigor depends on credibility and depth of description, not on quantitative
validity metrics.
4. The ultimate goal of nursing research is to
A. Increase federal funding
B. Elevate the profession’s academic status
,Test Bank For Primary Care Art And Science Of Advanced Practice Nursing – An
Interprofessional Approach 5th Edition Dunphy 3
C. Improve practice and patient outcomes
D. Support curriculum development
Answer: C
Rationale: Research is most valuable when findings translate into better care and measurable
health outcomes.
5. A staff nurse noticing low breastfeeding continuation rates best contributes to research by
A. Writing the grant proposal
B. Identifying the clinical problem and sharing it with researchers
C. Designing methodology
D. Submitting findings for publication
Answer: B
Rationale: Clinical nurses often generate researchable questions; advanced researchers refine
design and analysis.
6. A patient who signed consent for a trial later admits confusion about its purpose. The nurse
should
A. Re-explain the study in detail
B. Tell him consent is binding
C. Notify the research team to reassess consent validity
D. Withdraw the patient immediately
Answer: C
Rationale: The investigator, not the staff nurse, must ensure informed consent. The nurse’s duty
is to alert the team.
7. Components integrated into EBP include which of the following? (Select all that apply)
A. Clinical expertise B. Patient values C. Best research evidence D. Organizational culture
Answer: A, B, C
Rationale: EBP merges evidence, clinician experience, and patient preferences; culture may
influence but is not a core element.
8. In EBP, patient preferences such as refusal of maggot therapy should be handled by
A. Prioritizing evidence over the patient’s wishes
, Test Bank For Primary Care Art And Science Of Advanced Practice Nursing – An
Interprofessional Approach 5th Edition Dunphy 4
B. Educating until the patient agrees
C. Integrating patient preferences into care decisions
D. Involving family to override the decision
Answer: C
Rationale: Respect for autonomy is central; evidence guides but never overrides patient values.
9. The strongest single source of evidence when evaluating a new pressure-relief mattress is
A. A randomized controlled trial (RCT) comparing mattress types
B. A qualitative study of patient comfort
C. Clinician testimonials
D. A case study on one unit
Answer: A
Rationale: RCTs minimize bias and provide the highest-level evidence for interventions.
10. The first step in implementing EBP on a unit is to
A. Gather supporting evidence
B. Formulate a focused, answerable question
C. Conduct a pilot change
D. Train all staff
Answer: B
Rationale: EBP begins with asking a well-structured question, often in PICOT format.
11. Which question best represents the PICOT framework?
A. “Does meditation help anxiety?”
B. “Among postoperative adults, how does meditation versus benzodiazepines affect anxiety
during the first 48 hours?”
C. “Is meditation better for anxiety?”
D. “How anxious are patients after surgery?”
Answer: B
Rationale: Includes all five elements—Population, Intervention, Comparison, Outcome, Time.
12. In the UNC model of the 5 A’s for EBP, the final step is to
A. Adopt the change
B. Advocate for policy revision
