PRIMARY CARE ART
AND SCIENCE OF
ADVANCED
PRACTICENURSING-
AN
INTERPROFESSIONAL
APPROACH 6TH
EDITION- DUNPHY
LATEST
,TEST_BANK_FOR_PRIMARY_CARE_ART_AND_SCIENCE_OF_ADVANCED_PRACTIC
E_NURSING_–_AN_INTERPROFESSIONAL_APPROACH_5TH_EDITION_DUNPHY
Chapter_1._Primary_Care_in_the_Twenty-First_Century:_A_Circle_of_Caring
1. A_nurse_has_conducted_a_literature_review_in_an_effort_to_identify_the_effect_of_hand_
washing_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.
Ans:_B
Feedback:_The_level_of_significance_is_the_level_at_which_the_researcher_believes_that_the_st
udy_results_most_likely_represent_a_no_chance_event._A_level_of_significance_of_<0.01_indica
tes_that_there_is_less_than_1%_probability_that_the_result_is_due_to_chance.
2. 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_b
est_defend_the_importance_of_nursing_research?
A) The_existence_of_nursing_research_means_that_nurses_are_now_able_to_access_federal_gr
ant_money,_something_that_didnt_use_to_be_the_case.
,B) Nursing_research_has_allowed_the_development_of_masters_and_doctoral_programs_and_h
as_greatly_increased_the_credibility_of_the_profession.
C) The_growth_of_nursing_research_has_caused_nursing_to_be_viewed_as_a_true_professi
on,_rather_than_simply_as_a_trade_or_a_skill.
D) The_application_of_nursing_research_has_the_potential_to_improve_nursing_practice_a
nd_patient_outcomes.
Ans:_D
Feedback:_The_greatest_value_of_nursing_research_lies_in_the_potential_to_improve_practice_and,_ulti
mately,_to_improve_patient_outcomes._This_supersedes_the_contributions_of_nursing_research_to_educ
ation_programs,_grant_funding,_or_the_public_view_of_the_profession.
3. A_nurse_has_read_a_qualitative_research_study_in_order_to_understand_the_lived_experien
ce_of_parents_who_have_a_neonatal_loss._Which_of_the_following_questions_should_the_nurse_pri
oritize_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_t
he_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?
Ans:_A
Feedback:_Qualitative_studies_are_judged_on_the_basis_of_how_well_they_capture_and_convey_the_su
bjective_experiences_of_individuals._Statistical_measures_and_variables_are_not_dimensions_of_a_qual
itative_methodology.
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_t
o_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
B) Posing_the_clinical_problem_to_one_or_more_nursing_researchers
C) Planning_the_methodology_of_the_research_project
D) Carrying_out_the_intervention_and_submitting_the_results_for_publication_Ans:_B
Feedback:_A_major_role_for_staff_nurses_is_to_identify_questions_or_problems_for_research._Gr
ant_applications,_methodological_planning,_and_publication_submission_are_normally_carried_
out_by_nurses_who_have_advanced_degrees_in_nursing.
5. A_patient_signed_the_informed_consent_form_for_a_drug_trial_that_was_explained_to_pati
ent_by_a_research_assistant._Later,_the_patient_admitted_to_his_nurse_that_he_did_not_understan
d_the_research_assistants_explanation_or_his_own_role_in_the_study._How_should_this_patients_