Primary Care: Art and Science of Advanced Practice Nursing An Interprofessional Approach 6th Editio
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n
,Primary Care: Art and Science of Advanced Practice Nursing An Interprofessional Approach 6th Editio
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n
CONTENTS:
I.p!CARING-BASEDp!NURSING:p!THEp!ART
Chapterp!1.p!Primaryp!Carep!inp!thep!Twenty-Firstp!Century:p!Ap!Circlep!ofp!Caring
Chapterp!2.p!Caringp!andp!thep!Advancedp!Practicep!Nurse
Chapterp!3.p!Healthp!Promotion
Chapterp!4.p!Thep!Artp!ofp!Diagnosisp!andp!Treatment
Chapterp!5.p!Evidence-Basedp!Practice
II.p ! CARING-BASEDp ! NURSING:p ! THEp ! SCIENCE
Sectionp!1.p!Neurologicalp!Problems
Chapterp!6.p!Commonp!Neurologicalp!Complaints
Chapterp!7.p!Seizurep!Disorders
Chapterp!8.p!Degenerativep!Disorders
Chapterp!9.p!Cerebrovascularp!Accidentp!(Stroke)
Chapterp!10.p!Infectiousp!andp!Inflammatoryp!Neurologicalp!Disorders
Sectionp!2.p!Skinp!Problems
Chapterp!11.p!Commonp!Skinp!Complaints
Chapterp ! 12.p ! Parasiticp ! Skinp ! Infestations
Chapterp!13.p!Fungalp!Skinp!Infections
Chapterp!14.p!Bacterialp!Skinp!Infections
Chapterp!15.p!Viralp!Skinp!Infections
Chapterp!16.p!Dermatitis
Chapterp!17.p!Skinp!Lesions
Sectionp!3.p!Eyep!Problems
Chapterp!18.p!Commonp!Eyep!Complaints
Chapterp!19.p!Lidp!andp!Conjunctivalp!Pathology
Chapterp!20.p!Visualp!Disturbancesp!andp!Impairedp!Vision
Sectionp!4.p!Ear,p!Nose,p!andp!Throatp!Problems
Chapterp!21.p!Commonp!Ear,p!Nose,p!andp!Throatp!Complaints
Chapterp!22.p!Hearingp!andp!Balancep!Disorders
Chapterp ! 23.p ! Inflammatoryp ! andp ! Infectiousp ! Disordersp ! ofp ! thep ! Ear
Chapterp!24.p!Inflammatoryp!andp!Infectiousp!Disordersp!ofp!thep!Nose,p!Sinuses,p!Mouth,p!andp!Throat
Chapterp!25.p!Epistaxis
Chapterp! 26.p! Temporomandibularp!Disorders
Chapterp!27.p!Dysphonia
Sectionp ! 5.p ! Respiratoryp ! Problems
Chapterp!28.p!Commonp!Respiratoryp!Complaints
Chapterp!29.p!Sleepp!Apnea
Chapterp ! 30.p ! Infectiousp ! Respiratoryp ! Disorders
Chapterp ! 31.p ! Inflammatoryp ! Respiratoryp ! Disorders
Chapterp!32.p!Lungp!Cancer
Chapterp!33.p!Smokingp!Addiction
Sectionp!6.p!Cardiovascularp!Problems
Chapterp!34.p!Commonp!Cardiovascularp!Complaints
Chapterp!35.p!Cardiacp!andp!Associatedp!Riskp!Disorders
Chapterp!36.p!Dysrhythmiasp!andp!Valvularp!Disorders
Chapterp!37.p!Disordersp!ofp!thep!Vascularp!System
Sectionp!7.p!Abdominalp!Problems
Chapterp!38.p!Commonp!Abdominalp!Complaints
Chapterp ! 39.p ! Infectiousp ! Gastrointestinalp ! Disorders
Chapterp!40.p!Gastricp!andp!Intestinalp!Disorders
Chapterp!41.p!Gallbladderp!andp!Pancreaticp!Disorders
Chapterp!42.p!Cirrhosisp!andp!Liverp!Failure
Sectionp!8.p!Renalp!Problems
,Primary Care: Art and Science of Advanced Practice Nursing An Interprofessional Approach 6th Editio
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n
Chapterp!43.p!Commonp!Urinaryp!Complaints
Chapterp! 44.p ! Urinaryp ! Tractp ! Disorders
Chapterp!45.p!Kidneyp!andp!Bladderp!Disorders
Chapterp!Sectionp!9.p!Gender-Relatedp!Healthp!Problems
Chapterp!46.p!Commonp!Reproductivep!Systemp!Complaints
Chapterp!47.p!Breastp!Disorders
Chapterp!48.p!Vaginal,p!Uterine,p!andp!Ovarianp!Disorders
Chapterp ! 49.p ! Prostatep ! Disorders
Chapterp!50.p!Penilep!andp!Testicularp!Disorders
Chapterp ! 51.p ! Sexuallyp ! Transmittedp ! Infections
Sectionp!10.p!Musculoskeletalp!Problems
Chapterp!52.p!Commonp!Musculoskeletalp!Complaints
Chapterp!53.p!Spinalp!Disorders
Chapterp!54.p!Soft-Tissuep!Disorders
Chapterp!55.p!Osteoarthritisp!andp!Osteoporosis
Sectionp!11.p!Endocrinep!andp!Metabolicp!Problems
Chapterp!56.p!Commonp!Endocrinep!andp!Metabolicp!Complaints
Chapterp!57.p!Glandularp!Disorders
Chapterp!58.p!Diabetesp!Mellitus
Chapterp!59.p!Metabolicp!Disorders
Sectionp!12.p!Hematologicalp!andp!Immunologicalp!Problems
Chapterp!60.p!Commonp!Hematologicalp!andp!Immunologicalp!Complaints
Chapterp!61.p!Hematologicp!Disorders
Chapterp!62.p!Immunologicalp!Disorders
Chapterp ! 63.p ! Infectiousp ! Disorders
Sectionp!13.p!Psychosocialp!Problems
Chapterp!64.p!Commonp!Psychosocialp!Complaints
Chapterp!65.p!Substancep!Usep!Disorders
Chapterp!66.p!Schizophreniap! Spectrump!Disorders
Chapterp!67.p!Moodp!Disorders
Chapterp!68.p!Anxiety,p!Stress,p!andp!Trauma-Relatedp!Disorders
Chapterp!69.p!Obsessive-Compulsivep!Disorders
Chapterp!70.p!Behavioralp!Disordersp!Relatedp!top!Physical/Physiologicalp!Disturbances
Chapterp!71.p!Neurodevelopmentalp!Disorders
Sectionp!14.p!Urgentp!Carep!Problems
Chapterp!72.p!Commonp!Urgentp!Carep!Complaints
Chapterp!73.p!Commonp!Injuries
Chapterp!74.p!Toxicp!Exposures
Chapterp!75.p!Environmentalp!Exposures
III.p ! CARING-BASEDp ! NURSING:p ! THEp ! PRACTICE
Chapterp ! 76.p ! Sportsp ! Physicals
Chapterp!77.p!Primaryp!Carep!ofp!Olderp!Adults
Chapterp!78.p!Palliativep!Carep!andp!Painp!Management
Chapterp!79.p!Ethicalp!andp!Legalp!Issuesp!ofp!ap!Caring-Basedp!Practice
Chapterp!80.p!Thep!Businessp!ofp!Advancedp!Practicep!Nursing
Chapterp!81.p!Thep!15-Minutep!Hour:p!Practicalp!Approachesp!top!Behavioralp!Healthp!forp!Primaryp!Care
Chapterp!82.p!Puttingp!Caringp!Intop!Practice:p!Caringp!forp!Self
, Primary Care: Art and Science of Advanced Practice Nursing An Inter-
p! p! p! p! p! p! p! p! p! p!
professionalApproach 6th Edition Dunphy Test Bank p! p! p! p! p!
Chapter 01. Primary Care in the Twenty-First Century: A Circle of Caring
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1. A nurse has conducted a literature review in an effort to identify the effect of hand washing on
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
theincidence of nosocomial (hospital-
p! p! p! p!
acquired) infections in acute care settings. An article presented findings at a level of significanc
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e of <0.01. This indicates that
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A) the control group and the experimental group were more than 99% similar.
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B) the findings of the study have less than 1% chance of being attributable to chance.
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C) the effects of the intervention were nearly zero.
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D) the clinical significance of the findings was less than 1:100.
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Ans: B p!
Feedback: The level of significance is the level at which the researcher believes that the study results
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most likely represent a nonchance event. A level of significance of <0.01 indicates that there is les
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s than 1% probability that the result is due to chance.
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2. A nurse has read a qualitative research study in order to understand the lived experience of parents
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who have a neonatal loss. Which of the following questions should the nurse prioritize when appra
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
ising the results of this study?
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A) How well did the authors capture the personal experiences of these parents?
p! p! p! p! p! p! p! p! p! p! p!
B) How well did the authors control for confounding variables that may have affected the findings?
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C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
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D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A p!
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the subj
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
ective experiences of individuals. Statistical measures and variables are not dimensions of a qualitati
p! p! p! p! p! p! p! p! p! p! p! p! p!
ve methodology.
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3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming that
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
nursing research has little relevance to practice. How can the nurses colleague best defend the imp
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
ortance of nursing research? p! p! p!
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n
,Primary Care: Art and Science of Advanced Practice Nursing An Interprofessional Approach 6th Editio
p! p! p! p! p! p! p! p! p! p! p! p! p!
n
CONTENTS:
I.p!CARING-BASEDp!NURSING:p!THEp!ART
Chapterp!1.p!Primaryp!Carep!inp!thep!Twenty-Firstp!Century:p!Ap!Circlep!ofp!Caring
Chapterp!2.p!Caringp!andp!thep!Advancedp!Practicep!Nurse
Chapterp!3.p!Healthp!Promotion
Chapterp!4.p!Thep!Artp!ofp!Diagnosisp!andp!Treatment
Chapterp!5.p!Evidence-Basedp!Practice
II.p ! CARING-BASEDp ! NURSING:p ! THEp ! SCIENCE
Sectionp!1.p!Neurologicalp!Problems
Chapterp!6.p!Commonp!Neurologicalp!Complaints
Chapterp!7.p!Seizurep!Disorders
Chapterp!8.p!Degenerativep!Disorders
Chapterp!9.p!Cerebrovascularp!Accidentp!(Stroke)
Chapterp!10.p!Infectiousp!andp!Inflammatoryp!Neurologicalp!Disorders
Sectionp!2.p!Skinp!Problems
Chapterp!11.p!Commonp!Skinp!Complaints
Chapterp ! 12.p ! Parasiticp ! Skinp ! Infestations
Chapterp!13.p!Fungalp!Skinp!Infections
Chapterp!14.p!Bacterialp!Skinp!Infections
Chapterp!15.p!Viralp!Skinp!Infections
Chapterp!16.p!Dermatitis
Chapterp!17.p!Skinp!Lesions
Sectionp!3.p!Eyep!Problems
Chapterp!18.p!Commonp!Eyep!Complaints
Chapterp!19.p!Lidp!andp!Conjunctivalp!Pathology
Chapterp!20.p!Visualp!Disturbancesp!andp!Impairedp!Vision
Sectionp!4.p!Ear,p!Nose,p!andp!Throatp!Problems
Chapterp!21.p!Commonp!Ear,p!Nose,p!andp!Throatp!Complaints
Chapterp!22.p!Hearingp!andp!Balancep!Disorders
Chapterp ! 23.p ! Inflammatoryp ! andp ! Infectiousp ! Disordersp ! ofp ! thep ! Ear
Chapterp!24.p!Inflammatoryp!andp!Infectiousp!Disordersp!ofp!thep!Nose,p!Sinuses,p!Mouth,p!andp!Throat
Chapterp!25.p!Epistaxis
Chapterp! 26.p! Temporomandibularp!Disorders
Chapterp!27.p!Dysphonia
Sectionp ! 5.p ! Respiratoryp ! Problems
Chapterp!28.p!Commonp!Respiratoryp!Complaints
Chapterp!29.p!Sleepp!Apnea
Chapterp ! 30.p ! Infectiousp ! Respiratoryp ! Disorders
Chapterp ! 31.p ! Inflammatoryp ! Respiratoryp ! Disorders
Chapterp!32.p!Lungp!Cancer
Chapterp!33.p!Smokingp!Addiction
Sectionp!6.p!Cardiovascularp!Problems
Chapterp!34.p!Commonp!Cardiovascularp!Complaints
Chapterp!35.p!Cardiacp!andp!Associatedp!Riskp!Disorders
Chapterp!36.p!Dysrhythmiasp!andp!Valvularp!Disorders
Chapterp!37.p!Disordersp!ofp!thep!Vascularp!System
Sectionp!7.p!Abdominalp!Problems
Chapterp!38.p!Commonp!Abdominalp!Complaints
Chapterp ! 39.p ! Infectiousp ! Gastrointestinalp ! Disorders
Chapterp!40.p!Gastricp!andp!Intestinalp!Disorders
Chapterp!41.p!Gallbladderp!andp!Pancreaticp!Disorders
Chapterp!42.p!Cirrhosisp!andp!Liverp!Failure
Sectionp!8.p!Renalp!Problems
,Primary Care: Art and Science of Advanced Practice Nursing An Interprofessional Approach 6th Editio
p! p! p! p! p! p! p! p! p! p! p! p! p!
n
Chapterp!43.p!Commonp!Urinaryp!Complaints
Chapterp! 44.p ! Urinaryp ! Tractp ! Disorders
Chapterp!45.p!Kidneyp!andp!Bladderp!Disorders
Chapterp!Sectionp!9.p!Gender-Relatedp!Healthp!Problems
Chapterp!46.p!Commonp!Reproductivep!Systemp!Complaints
Chapterp!47.p!Breastp!Disorders
Chapterp!48.p!Vaginal,p!Uterine,p!andp!Ovarianp!Disorders
Chapterp ! 49.p ! Prostatep ! Disorders
Chapterp!50.p!Penilep!andp!Testicularp!Disorders
Chapterp ! 51.p ! Sexuallyp ! Transmittedp ! Infections
Sectionp!10.p!Musculoskeletalp!Problems
Chapterp!52.p!Commonp!Musculoskeletalp!Complaints
Chapterp!53.p!Spinalp!Disorders
Chapterp!54.p!Soft-Tissuep!Disorders
Chapterp!55.p!Osteoarthritisp!andp!Osteoporosis
Sectionp!11.p!Endocrinep!andp!Metabolicp!Problems
Chapterp!56.p!Commonp!Endocrinep!andp!Metabolicp!Complaints
Chapterp!57.p!Glandularp!Disorders
Chapterp!58.p!Diabetesp!Mellitus
Chapterp!59.p!Metabolicp!Disorders
Sectionp!12.p!Hematologicalp!andp!Immunologicalp!Problems
Chapterp!60.p!Commonp!Hematologicalp!andp!Immunologicalp!Complaints
Chapterp!61.p!Hematologicp!Disorders
Chapterp!62.p!Immunologicalp!Disorders
Chapterp ! 63.p ! Infectiousp ! Disorders
Sectionp!13.p!Psychosocialp!Problems
Chapterp!64.p!Commonp!Psychosocialp!Complaints
Chapterp!65.p!Substancep!Usep!Disorders
Chapterp!66.p!Schizophreniap! Spectrump!Disorders
Chapterp!67.p!Moodp!Disorders
Chapterp!68.p!Anxiety,p!Stress,p!andp!Trauma-Relatedp!Disorders
Chapterp!69.p!Obsessive-Compulsivep!Disorders
Chapterp!70.p!Behavioralp!Disordersp!Relatedp!top!Physical/Physiologicalp!Disturbances
Chapterp!71.p!Neurodevelopmentalp!Disorders
Sectionp!14.p!Urgentp!Carep!Problems
Chapterp!72.p!Commonp!Urgentp!Carep!Complaints
Chapterp!73.p!Commonp!Injuries
Chapterp!74.p!Toxicp!Exposures
Chapterp!75.p!Environmentalp!Exposures
III.p ! CARING-BASEDp ! NURSING:p ! THEp ! PRACTICE
Chapterp ! 76.p ! Sportsp ! Physicals
Chapterp!77.p!Primaryp!Carep!ofp!Olderp!Adults
Chapterp!78.p!Palliativep!Carep!andp!Painp!Management
Chapterp!79.p!Ethicalp!andp!Legalp!Issuesp!ofp!ap!Caring-Basedp!Practice
Chapterp!80.p!Thep!Businessp!ofp!Advancedp!Practicep!Nursing
Chapterp!81.p!Thep!15-Minutep!Hour:p!Practicalp!Approachesp!top!Behavioralp!Healthp!forp!Primaryp!Care
Chapterp!82.p!Puttingp!Caringp!Intop!Practice:p!Caringp!forp!Self
, Primary Care: Art and Science of Advanced Practice Nursing An Inter-
p! p! p! p! p! p! p! p! p! p!
professionalApproach 6th Edition Dunphy Test Bank p! p! p! p! p!
Chapter 01. Primary Care in the Twenty-First Century: A Circle of Caring
p! p! p! p! p! p! p! p! p! p! p!
1. A nurse has conducted a literature review in an effort to identify the effect of hand washing on
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
theincidence of nosocomial (hospital-
p! p! p! p!
acquired) infections in acute care settings. An article presented findings at a level of significanc
p! p! p! p! p! p! p! p! p! p! p! p! p! p!
e of <0.01. This indicates that
p! p! p! p! p!
A) the control group and the experimental group were more than 99% similar.
p! p! p! p! p! p! p! p! p! p! p!
B) the findings of the study have less than 1% chance of being attributable to chance.
p! p! p! p! p! p! p! p! p! p! p! p! p! p!
C) the effects of the intervention were nearly zero.
p! p! p! p! p! p! p!
D) the clinical significance of the findings was less than 1:100.
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Ans: B p!
Feedback: The level of significance is the level at which the researcher believes that the study results
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
most likely represent a nonchance event. A level of significance of <0.01 indicates that there is les
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
s than 1% probability that the result is due to chance.
p! p! p! p! p! p! p! p! p! p!
2. A nurse has read a qualitative research study in order to understand the lived experience of parents
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
who have a neonatal loss. Which of the following questions should the nurse prioritize when appra
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
ising the results of this study?
p! p! p! p! p!
A) How well did the authors capture the personal experiences of these parents?
p! p! p! p! p! p! p! p! p! p! p!
B) How well did the authors control for confounding variables that may have affected the findings?
p! p! p! p! p! p! p! p! p! p! p! p! p! p!
C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
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D) Were the instruments that the researchers used statistically valid and reliable?
p! p! p! p! p! p! p! p! p! p!
Ans: A p!
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the subj
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
ective experiences of individuals. Statistical measures and variables are not dimensions of a qualitati
p! p! p! p! p! p! p! p! p! p! p! p! p!
ve methodology.
p!
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming that
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
nursing research has little relevance to practice. How can the nurses colleague best defend the imp
p! p! p! p! p! p! p! p! p! p! p! p! p! p! p! p!
ortance of nursing research? p! p! p!
