NURS 580 EXAM 1 2026|ACTUAL EXAM 130
QUESTIONS AND ANSWERS|ALREADY GRADED A+
An elderly female client who resides in the community tends to defer decisions
regarding her care to her eldest son. How should the community health nurse
respond to the clients reluctance to make independent decisions?
A) Discuss this observation with the client and her son in an open manner and
explore alternatives.
B) Organize care so that it takes place at times when the son is not present in
the home.
C) Accommodate this aspect of the clients family dynamics when planning and
carrying out care.
D) Teach the client assertiveness skills that she can apply in her interactions
with her son.
C) Accommodate this aspect of the clients family dynamics when planning and
carrying out care.
Rationale: The nurse should respect the clients desire to organize her care in
the way that she prefers. It is not the responsibility of the nurse to reorganize
or overcome this familys dynamics.
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.
B) the findings of the study have less than 1% chance of being attributable to
chance.
Rationale: 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
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 the 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 questions?
D) Were the instruments that the researchers used statistically valid and
reliable?
A) How well did the authors capture the personnel experiences of these
parents?
Rationale: 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.
,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 nurse colleague best defend the importance of nursing research?
A) The existence of nursing research means that nurses are not able to access
federal grant money, something that didn't 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.
D) The application of nursing research has the potential to improve nursing
practice and patient outcomes
Rationale: 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.
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
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
B) Posing the clinical problem to one or more nursing researchers
Rationale: A major role for staff nurses is to identify questions or problems for
research. Grant applications, methodological planning, and publication
submission are normally carried out by nurses who have advanced degrees in
nursing.
A patient signed the informed consent form for a drug trial that was explained
to patient by a research assistant. Later, the patient admitted to his nurse that
he did not understand the research assistants explanation or his own role in
the study. How should this patients nurse respond to this revelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
C) Inform the research assistant that the patients consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding
C) Inform the research assistant that the patients consent is likely invalid.
Rationale: Just as the staff nurse is not responsible for medical consent, the
staff nurse is not responsible for research consent. If patients who have agreed
to participate exhibit ambivalence or uncertainty about participating, do not
try to convince them to participate. Ask the person from the research team
who is managing consents to speak with concerned patients about the study,
even after a patient has signed the consent forms.
QUESTIONS AND ANSWERS|ALREADY GRADED A+
An elderly female client who resides in the community tends to defer decisions
regarding her care to her eldest son. How should the community health nurse
respond to the clients reluctance to make independent decisions?
A) Discuss this observation with the client and her son in an open manner and
explore alternatives.
B) Organize care so that it takes place at times when the son is not present in
the home.
C) Accommodate this aspect of the clients family dynamics when planning and
carrying out care.
D) Teach the client assertiveness skills that she can apply in her interactions
with her son.
C) Accommodate this aspect of the clients family dynamics when planning and
carrying out care.
Rationale: The nurse should respect the clients desire to organize her care in
the way that she prefers. It is not the responsibility of the nurse to reorganize
or overcome this familys dynamics.
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.
B) the findings of the study have less than 1% chance of being attributable to
chance.
Rationale: 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
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 the 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 questions?
D) Were the instruments that the researchers used statistically valid and
reliable?
A) How well did the authors capture the personnel experiences of these
parents?
Rationale: 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.
,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 nurse colleague best defend the importance of nursing research?
A) The existence of nursing research means that nurses are not able to access
federal grant money, something that didn't 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.
D) The application of nursing research has the potential to improve nursing
practice and patient outcomes
Rationale: 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.
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
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
B) Posing the clinical problem to one or more nursing researchers
Rationale: A major role for staff nurses is to identify questions or problems for
research. Grant applications, methodological planning, and publication
submission are normally carried out by nurses who have advanced degrees in
nursing.
A patient signed the informed consent form for a drug trial that was explained
to patient by a research assistant. Later, the patient admitted to his nurse that
he did not understand the research assistants explanation or his own role in
the study. How should this patients nurse respond to this revelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
C) Inform the research assistant that the patients consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding
C) Inform the research assistant that the patients consent is likely invalid.
Rationale: Just as the staff nurse is not responsible for medical consent, the
staff nurse is not responsible for research consent. If patients who have agreed
to participate exhibit ambivalence or uncertainty about participating, do not
try to convince them to participate. Ask the person from the research team
who is managing consents to speak with concerned patients about the study,
even after a patient has signed the consent forms.
