Test Bank: Primary Care: The Art and Science of Advanced
Practice Nursing (6th Edition) by Dunphy – All Chapters
Complete Questions & Verified Answers – ISBN:
9781719644655
Chapter 1: Primary Care in the Twenty-First Century - A
Circle of Caring
Questions and Answers
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 expressed skepticism to a colleague about the value of nursing
research, claiming that nursing research has little relevance to practice. How can
the nurse's 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 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.
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 .
,3. 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 .
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
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
Answer: B
, Feedback: 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 .
5. A patient signed the informed consent form for a drug trial that was explained
to the patient by a research assistant. Later, the patient admitted to his nurse that
he did not understand the research assistant's explanation or his own role in the
study. How should this patient's 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 patient's consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding.
Answer: C
Feedback: 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 to clarify
the study .
6. A nurse has made plans to implement the University of North Carolina (UNC)
model of 5 As during the process of applying evidence-based practice (EBP) to a
practice problem. What is the final step that the nurse will take in applying this
model?
Practice Nursing (6th Edition) by Dunphy – All Chapters
Complete Questions & Verified Answers – ISBN:
9781719644655
Chapter 1: Primary Care in the Twenty-First Century - A
Circle of Caring
Questions and Answers
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 expressed skepticism to a colleague about the value of nursing
research, claiming that nursing research has little relevance to practice. How can
the nurse's 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 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.
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 .
,3. 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 .
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
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
Answer: B
, Feedback: 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 .
5. A patient signed the informed consent form for a drug trial that was explained
to the patient by a research assistant. Later, the patient admitted to his nurse that
he did not understand the research assistant's explanation or his own role in the
study. How should this patient's 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 patient's consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding.
Answer: C
Feedback: 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 to clarify
the study .
6. A nurse has made plans to implement the University of North Carolina (UNC)
model of 5 As during the process of applying evidence-based practice (EBP) to a
practice problem. What is the final step that the nurse will take in applying this
model?
