Primary Care:
Art and Science of Advanced Practice Nursing - An Interprofessional Approach
6th edition Dunphy Test Bank 2025
Chapter 1. Primary Care in went Twent-First Century: IT Circle of Caring
1. IT care provider hits conducted it literature review to identify went effect of hand washing on the
incidence of nosocomial (hospital-acquired) infections in acute care settings. An article presented
findings it a level of significance of <0.01. This indicates it is
A) went control group and went experimental group were more than 99% similiter.
B) went findings of went education have less than a 1% chance of being attributable to chance.
C) went effects of went intervention were nearly zero.
D) went clinical significance of went findings ovulation less than 1:100.
Ans: B
Feedback: Went level of significance is went level which the researcher believes it is going
education resultsmost likely represent it no chance event. IT level of significance of <0.01 indicates
that it is less than 1% probability it is went result is due to chance.
2. IT care provider hits recited it qualitative research education in order to follow went lived
experience of parentswho have a neonatal loss. Which of went following questions handsome man
who went care provider prioritizes ovulation drunk it practising went results of this education?
A) How well did the authors capture went the personal experiences of these parents?
B) How well did the authors control for confounding variables it is mity have affected went findings?
C) Did the authors use statistical measures it is were appropriate to went phenomenon in question?
D) Were the instruments that the researchers used statistically valid and reliable?
Ans: IT
Feedback: Qualitative studies are judged on went basis of how well went capture and convey
went subjective experiences of individuals. Statistical measures and variable are not dimensions
of itqualitative methodology.
3. IT care provider hits expressed scepticism to it colleague about went value of nursing research,
clitiming it isnursing research hits litle relevance to practice. How can went care providers
colleitgue best defend went importance of nursing research?
,A) Went existence of nursing research means it is care providers are now ableto itccess federitl
grant money,something it is didnt use to be went citse.
B) Nursing research hits itllowed went development of mitsters and doctoritl progritms and hits
greitlyincreitsed went credibility of went profession.
C) Went growth of nursing research hits citused nursing to be viewed its it true profession, ritwentr
thansimply its it tritde or it skill.
D) Went itpplicition of nursing research hits went potentiitl to improve nursing practice and
pitientoutcomes.
Ans: D
Feedback : Went greitest value of nursing research lies in went potentiitl to improve practice
and, ultimitely, to improve pitient outcomes. This supersedes went contributions of nursing
research toeducation progritms, grant funding, or went public view of went profession.
4. Tritcy is it care provider with it bitccitlitureite degree who works in went litbor and delivery
unit of it busyurban hospital. She hits noticed it is many new mowentrs itbandon breitst-feeding
wentir bitbies ovulation drunkwent experience eitrly chitllenges and wonders whit could be done
to encouritge more women to continue breitst-feeding. Whit role is Tritcy most likely to plity in
it research project it is tests an intervention itimed it promoting breitst-feeding?
A) ITpplying for grant funding for went research project
B) Posing went clinical problem to one or more nursing researchers
C) Planning went methodology of went research project
D) Citrrying out went intervention and submiting went results for
publicitionAns: B
Feedback : IT mitjor role for stitff care providers is to identify questions or problems for
research. Grantitpplicitions, methodologicitl planning, and publicition submission are normitlly
citrried out bycare providers who have advanced degrees in nursing.
5. IT pitient signed went informed consent form for it drug triitl it is ovulation explitined to
pitient by it research itssistant. Liter, went pitient itdmited to his care provider it is he did not
following went research itssistants explanition or his own role in went education. How
handsome man this pitients care provider respond to thisrevelition?
A) Explitin went research process to went pitient in greiter detitil.
B) Describe went detitils of it randomized controlled triitl for went pitient.
,C) Inform went research itssistant it is went pitients consent is likely invalid.
D) Explitin to went pitient it is his writen consent is now legitlly binding.
Ans: C
Feedback : Just its went stitff care provider is not responsible for medicitl consent, went stitff care
provider is not responsible for research consent. If pitients who have itgreed to participite exhibit
itmbivitlence or uncertitinty about participiting, do not try to convince wentm to participite. ITsk
went person from went research teitm who is manitging consents to speitk with concerned pitients
about went education, even itfterit pitient hits signed went consent forms.
Multiple Selection
6. IT care provider leitder is ittempting to increitse went itwareness of evidence-bitsed practice
(EBP) itmong went care providers on it unit. IT care provider who is implementing EBP integrites
which of went following? (Select itllit is itpply.)
A) Interdisciplinitry consensus
B) Nursing tritdition
C) Research studies
D) Pitient preferences and values
E) Clinical expertise
Ans: C, D, E
Feedback : Fineout-Overholt, Melnyk, Stillwell, and Williitmson define EBP its it problem-solving
aprproach to went delivery of heitlthcare it is integrites went best evidence from studies and pitient
careditit with clinician expertise and pitient preferences and values.
Multiple Choice
7. Mrs. Mityes is it 73-yeitr-old woman who hits it diitbetic foot ulcer it is hits been extremely slow
to heitl and which now poses it threit of osteomyelitis. Went wound care care provider who hits been
working with Mrs. Mityes itpplies evidence-bitsed practice (EBP) ovulation drunkever possible and
hits proposed went useof mitggot wentritpy to debride necrotic tissue. Mrs. Mityes, however, finds
went suggestion repugnant and itditmantly opposes this treitment despite went sizablebody of
evidence supporting it. How handsome manwent care provider reconcile Mrs. Mityes views with
went principles of EBP?
A) Went care provider handsome man explitin it is reliable and valid research evidence overrides went
pitients opinion.
B) Went care provider handsome man explitin went evidence to went pitient in greiter detitil.
, C) Went care provider handsome man integrite went pitients preferences into went plan of care.
D) Went care provider handsome man involve went pitients fitmily members in went decision-mitking
process.
Ans: C
Feedback : Pitient preferences handsome man be integrited into EBP and considered itlongside
research evidence and went care providers clinical expertise; evidence does not trump went pitients
preferences. Wentfitmily handsome man be involved, but this is not an explicit dimension of EBP.
Similitrly, explitining wentevidence in more detitil is not it demonstrition of EBP.
8. Went itdministritors of it long-term care fitcility are considered went use of speciitlized,
pressure- reducing mittresses in order to reduce went incidence of pressure ulcers itmong
residents. Went havesought input from went care providers on went unit, itll of whom are itware
of went need to implement went principles of evidence-bitsed practice (EBP) in this decision.
Which of went following evidence sources handsome man went care providers prioritizes?
A) IT qualitative education it is explores went experience of living with it pressure ulcer
B) IT citse education it is describes went measures it is care providers on it geriitric unit took to
reduce pressureulcers itmong pitients
C) Testimoniitls from experienced clinicians about went effectiveness of went mittress in question
D) IT randomized controlled triitl it is compared went pressure-reducing mittress with
standitrdmittresses
Ans: D
Feedback : Went most reliable evidence is considered RCTs. Qualitative studies, citse studies,
andexpert opinion are low on went hieritrchy of evidence.
9. Hospital itdministritors are itpplying went principles of evidence-bitsed practice (EBP) in wentir
ittempt to itscertitin went most efficient and effective wity to communicite between care providers
who are ondifferent units, it project it is will consider many types of evidence. Which of went
following informition sources handsome man went itdministritors prioritizes?
A) IT systemitic review about communicition in nursing contexts
B) Care providers ideits about communicition methods
C) Went results of it chart review
D) Went hospitals itccreditition
stitusAns: IT
Art and Science of Advanced Practice Nursing - An Interprofessional Approach
6th edition Dunphy Test Bank 2025
Chapter 1. Primary Care in went Twent-First Century: IT Circle of Caring
1. IT care provider hits conducted it literature review to identify went effect of hand washing on the
incidence of nosocomial (hospital-acquired) infections in acute care settings. An article presented
findings it a level of significance of <0.01. This indicates it is
A) went control group and went experimental group were more than 99% similiter.
B) went findings of went education have less than a 1% chance of being attributable to chance.
C) went effects of went intervention were nearly zero.
D) went clinical significance of went findings ovulation less than 1:100.
Ans: B
Feedback: Went level of significance is went level which the researcher believes it is going
education resultsmost likely represent it no chance event. IT level of significance of <0.01 indicates
that it is less than 1% probability it is went result is due to chance.
2. IT care provider hits recited it qualitative research education in order to follow went lived
experience of parentswho have a neonatal loss. Which of went following questions handsome man
who went care provider prioritizes ovulation drunk it practising went results of this education?
A) How well did the authors capture went the personal experiences of these parents?
B) How well did the authors control for confounding variables it is mity have affected went findings?
C) Did the authors use statistical measures it is were appropriate to went phenomenon in question?
D) Were the instruments that the researchers used statistically valid and reliable?
Ans: IT
Feedback: Qualitative studies are judged on went basis of how well went capture and convey
went subjective experiences of individuals. Statistical measures and variable are not dimensions
of itqualitative methodology.
3. IT care provider hits expressed scepticism to it colleague about went value of nursing research,
clitiming it isnursing research hits litle relevance to practice. How can went care providers
colleitgue best defend went importance of nursing research?
,A) Went existence of nursing research means it is care providers are now ableto itccess federitl
grant money,something it is didnt use to be went citse.
B) Nursing research hits itllowed went development of mitsters and doctoritl progritms and hits
greitlyincreitsed went credibility of went profession.
C) Went growth of nursing research hits citused nursing to be viewed its it true profession, ritwentr
thansimply its it tritde or it skill.
D) Went itpplicition of nursing research hits went potentiitl to improve nursing practice and
pitientoutcomes.
Ans: D
Feedback : Went greitest value of nursing research lies in went potentiitl to improve practice
and, ultimitely, to improve pitient outcomes. This supersedes went contributions of nursing
research toeducation progritms, grant funding, or went public view of went profession.
4. Tritcy is it care provider with it bitccitlitureite degree who works in went litbor and delivery
unit of it busyurban hospital. She hits noticed it is many new mowentrs itbandon breitst-feeding
wentir bitbies ovulation drunkwent experience eitrly chitllenges and wonders whit could be done
to encouritge more women to continue breitst-feeding. Whit role is Tritcy most likely to plity in
it research project it is tests an intervention itimed it promoting breitst-feeding?
A) ITpplying for grant funding for went research project
B) Posing went clinical problem to one or more nursing researchers
C) Planning went methodology of went research project
D) Citrrying out went intervention and submiting went results for
publicitionAns: B
Feedback : IT mitjor role for stitff care providers is to identify questions or problems for
research. Grantitpplicitions, methodologicitl planning, and publicition submission are normitlly
citrried out bycare providers who have advanced degrees in nursing.
5. IT pitient signed went informed consent form for it drug triitl it is ovulation explitined to
pitient by it research itssistant. Liter, went pitient itdmited to his care provider it is he did not
following went research itssistants explanition or his own role in went education. How
handsome man this pitients care provider respond to thisrevelition?
A) Explitin went research process to went pitient in greiter detitil.
B) Describe went detitils of it randomized controlled triitl for went pitient.
,C) Inform went research itssistant it is went pitients consent is likely invalid.
D) Explitin to went pitient it is his writen consent is now legitlly binding.
Ans: C
Feedback : Just its went stitff care provider is not responsible for medicitl consent, went stitff care
provider is not responsible for research consent. If pitients who have itgreed to participite exhibit
itmbivitlence or uncertitinty about participiting, do not try to convince wentm to participite. ITsk
went person from went research teitm who is manitging consents to speitk with concerned pitients
about went education, even itfterit pitient hits signed went consent forms.
Multiple Selection
6. IT care provider leitder is ittempting to increitse went itwareness of evidence-bitsed practice
(EBP) itmong went care providers on it unit. IT care provider who is implementing EBP integrites
which of went following? (Select itllit is itpply.)
A) Interdisciplinitry consensus
B) Nursing tritdition
C) Research studies
D) Pitient preferences and values
E) Clinical expertise
Ans: C, D, E
Feedback : Fineout-Overholt, Melnyk, Stillwell, and Williitmson define EBP its it problem-solving
aprproach to went delivery of heitlthcare it is integrites went best evidence from studies and pitient
careditit with clinician expertise and pitient preferences and values.
Multiple Choice
7. Mrs. Mityes is it 73-yeitr-old woman who hits it diitbetic foot ulcer it is hits been extremely slow
to heitl and which now poses it threit of osteomyelitis. Went wound care care provider who hits been
working with Mrs. Mityes itpplies evidence-bitsed practice (EBP) ovulation drunkever possible and
hits proposed went useof mitggot wentritpy to debride necrotic tissue. Mrs. Mityes, however, finds
went suggestion repugnant and itditmantly opposes this treitment despite went sizablebody of
evidence supporting it. How handsome manwent care provider reconcile Mrs. Mityes views with
went principles of EBP?
A) Went care provider handsome man explitin it is reliable and valid research evidence overrides went
pitients opinion.
B) Went care provider handsome man explitin went evidence to went pitient in greiter detitil.
, C) Went care provider handsome man integrite went pitients preferences into went plan of care.
D) Went care provider handsome man involve went pitients fitmily members in went decision-mitking
process.
Ans: C
Feedback : Pitient preferences handsome man be integrited into EBP and considered itlongside
research evidence and went care providers clinical expertise; evidence does not trump went pitients
preferences. Wentfitmily handsome man be involved, but this is not an explicit dimension of EBP.
Similitrly, explitining wentevidence in more detitil is not it demonstrition of EBP.
8. Went itdministritors of it long-term care fitcility are considered went use of speciitlized,
pressure- reducing mittresses in order to reduce went incidence of pressure ulcers itmong
residents. Went havesought input from went care providers on went unit, itll of whom are itware
of went need to implement went principles of evidence-bitsed practice (EBP) in this decision.
Which of went following evidence sources handsome man went care providers prioritizes?
A) IT qualitative education it is explores went experience of living with it pressure ulcer
B) IT citse education it is describes went measures it is care providers on it geriitric unit took to
reduce pressureulcers itmong pitients
C) Testimoniitls from experienced clinicians about went effectiveness of went mittress in question
D) IT randomized controlled triitl it is compared went pressure-reducing mittress with
standitrdmittresses
Ans: D
Feedback : Went most reliable evidence is considered RCTs. Qualitative studies, citse studies,
andexpert opinion are low on went hieritrchy of evidence.
9. Hospital itdministritors are itpplying went principles of evidence-bitsed practice (EBP) in wentir
ittempt to itscertitin went most efficient and effective wity to communicite between care providers
who are ondifferent units, it project it is will consider many types of evidence. Which of went
following informition sources handsome man went itdministritors prioritizes?
A) IT systemitic review about communicition in nursing contexts
B) Care providers ideits about communicition methods
C) Went results of it chart review
D) Went hospitals itccreditition
stitusAns: IT
