Complete Test Bank
Primary Care: The Art and Science of Advanced Practice Nursing.
An Inter-Professional Approach.
6th Edition, By Debera J. Dunphy
,Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
1. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP)
among the nurses on a unit. A nurse who is implementing EBP integrates which of the following?
(Select all that apply.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical expertise
Answer: C, D, E
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-
solving approach to the delivery of healthcare that integrates the best evidence from studies and
patient care data with clinician expertise and patient preferences and values.
Multiple Choice
. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow
to heal and which now poses a threat of osteomyelitis. The wound care nurse who has been
working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the
suggestion repugnant and adamantly opposes this treatment despite the sizable body of evidence
supporting it. How should the nurse reconcile Mrs. Mayes views with the principles of EBP?
A) The nurse should explain that reliable and valid research evidence overrides the patients
opinion.
B) The nurse should explain the evidence to the patient in greater detail.
C) The nurse should integrate the patients preferences into the plan of care.
,D) The nurse should involve the patients family members in the decision-making process.
Answer: C
Feedback: Patient preferences should be integrated into EBP and considered alongside research
evidence and the nurses clinical expertise; evidence does not trump the patients preferences. The
family should be involved, but this is not an explicit dimension of EBP. Similarly, explaining the
evidence in more detail is not a demonstration of EBP.
1. A nurse has conducted a literature review in an effort to identify the effect of
handwashing on the incidence of nosocomial (hospital-acquired) infections in acute care settings.
An article presented findings at a level of significance 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.
Answer: B
Feedback: The level of significance is the level at which the researcher believes that the study
results most likely represent a nonchance event. A level of significance of <0.01 indicates 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 experience
of parents who have a neonatal loss. Which of the following questions should the nurse prioritize
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 the
findings?
, 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?
Answer: A
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
subjective experiences of individuals. Statistical measures and variables are not dimensions of a
qualitative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing research,
claiming that nursing research has little relevance to practice. How can the nurses colleague best
defend the importance of nursing research?
A) The existence of nursing research means that nurses are now able to access federal grant
money, something that didnt use to be the case.
B) Nursing research has allowed the development of masters and doctoral programs and has
greatly increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true profession,
rather than simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing practice and
patient outcomes.
Answer: D
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
education 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 of 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 encourage more
women to continue breast-feeding. What role is Tracy most likely to play in a research project
that tests an intervention aimed at promoting breast-feeding?
A) Applying for grant funding for the research project
Primary Care: The Art and Science of Advanced Practice Nursing.
An Inter-Professional Approach.
6th Edition, By Debera J. Dunphy
,Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
1. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP)
among the nurses on a unit. A nurse who is implementing EBP integrates which of the following?
(Select all that apply.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical expertise
Answer: C, D, E
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-
solving approach to the delivery of healthcare that integrates the best evidence from studies and
patient care data with clinician expertise and patient preferences and values.
Multiple Choice
. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow
to heal and which now poses a threat of osteomyelitis. The wound care nurse who has been
working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the
suggestion repugnant and adamantly opposes this treatment despite the sizable body of evidence
supporting it. How should the nurse reconcile Mrs. Mayes views with the principles of EBP?
A) The nurse should explain that reliable and valid research evidence overrides the patients
opinion.
B) The nurse should explain the evidence to the patient in greater detail.
C) The nurse should integrate the patients preferences into the plan of care.
,D) The nurse should involve the patients family members in the decision-making process.
Answer: C
Feedback: Patient preferences should be integrated into EBP and considered alongside research
evidence and the nurses clinical expertise; evidence does not trump the patients preferences. The
family should be involved, but this is not an explicit dimension of EBP. Similarly, explaining the
evidence in more detail is not a demonstration of EBP.
1. A nurse has conducted a literature review in an effort to identify the effect of
handwashing on the incidence of nosocomial (hospital-acquired) infections in acute care settings.
An article presented findings at a level of significance 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.
Answer: B
Feedback: The level of significance is the level at which the researcher believes that the study
results most likely represent a nonchance event. A level of significance of <0.01 indicates 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 experience
of parents who have a neonatal loss. Which of the following questions should the nurse prioritize
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 the
findings?
, 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?
Answer: A
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
subjective experiences of individuals. Statistical measures and variables are not dimensions of a
qualitative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing research,
claiming that nursing research has little relevance to practice. How can the nurses colleague best
defend the importance of nursing research?
A) The existence of nursing research means that nurses are now able to access federal grant
money, something that didnt use to be the case.
B) Nursing research has allowed the development of masters and doctoral programs and has
greatly increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true profession,
rather than simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing practice and
patient outcomes.
Answer: D
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
education 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 of 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 encourage more
women to continue breast-feeding. What role is Tracy most likely to play in a research project
that tests an intervention aimed at promoting breast-feeding?
A) Applying for grant funding for the research project
