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Test Bank Complete_ Primary Care Art And Science Of Advanced Practice Nursing – An Interprofessional Approach 6th Edition, (2022) Debera J. Dunphy, Lynne M.; Winland-Brown, Jill E.; Porter, Brian Oscar; Thomas (Author) |Three Units| All Chapters 1-82

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Test Bank Complete_ Primary Care Art And Science Of Advanced Practice Nursing – An Interprofessional Approach 6th Edition, (2022) Debera J. Dunphy, Lynne M.; Winland-Brown, Jill E.; Porter, Brian Oscar; Thomas (Author) |Three Units| All Chapters 1-82 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 study results most likely represent a no chance 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 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? Ans: 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. 3. 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 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 didnt 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. Ans: 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. 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 Ans: 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 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. Ans: 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 who is managing consents to speak with concerned patients about the study, even after a patient has signed the consent forms. Multiple Selection 6. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP) among the nurses on a unit. A nurse who is implementing EBP integrates which of the following? (Select all that apply.) A) Interdisciplinary consensus B) Nursing tradition C) Research studies D) Patient preferences and values E) Clinical expertise Ans: C, D, E Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem- solving approach to the delivery of healthcare that integrates the best evidence from studies and patient care data with clinician expertise and patient preferences and values. Multiple Choice 7. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow to heal and which now poses a threat of osteomyelitis. The wound care nurse who has been working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the suggestion repugnant and adamantly opposes this treatment despite the sizable body of evidence supporting it. How should the nurse reconcile Mrs. Mayes views with the principles of EBP? A) The nurse should explain that reliable and valid research evidence overrides the patients opinion. B) The nurse should explain the evidence to the patient in greater detail. C) The nurse should integrate the patients preferences into the plan of care. D) The nurse should involve the patients family members in the decision-making process. Ans: C Feedback: Patient preferences should be integrated into EBP and considered alongside research evidence and the nurses clinical expertise; evidence does not trump the patients preferences. The family should be involved, but this is not an explicit dimension of EBP. Similarly, explaining the evidence in more detail is not a demonstration of EBP. 8. The administrators of a long-term care facility are considered the use of specialized, pressure- reducing mattresses in order to reduce the incidence of pressure ulcers among residents. They have sought input from the nurses on the unit, all of whom are aware of the need to implement the principles of evidence-based practice (EBP) in this decision. Which of the following evidence sources should the nurses prioritize? A) A qualitative study that explores the experience of living with a pressure ulcer B) A case study that describes the measures that nurses on a geriatric unit took to reduce pressure ulcers among patients C) Testimonials from experienced clinicians about the effectiveness of the mattress in question D) A randomized controlled trial that compared the pressure-reducing mattress with standard mattresses Ans: D Feedback: The most reliable evidence is considered RCTs. Qualitative studies, case studies, and expert opinion are low on the hierarchy of evidence.

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1




PRIMARY CARE ART AND SCIENCE OF
ADVANCED PRACTICE NURSING – AN
INTERPROFESSIONAL APPROACH 6TH EDITION
DUNPHY


Table of Contents
PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE NURSING – AN INTERPROFESSIONAL
APPROACH 6TH EDITION DUNPHY .......................................................................................................................... 4
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring ...................................................................... 4
Chapter 2. Caring and the Advanced Practice Nurse....................................................................................................... 15
Chapter 3. Health Promotion Multiple Choice ................................................................................................................ 26
Chapter 4. The Art of Diagnosis and Treatment MULTIPLE CHOICE ......................................................................... 29
Chapter 5. Evidence-Based Care ..................................................................................................................................... 45
Chapter 6. Common Neurological Complaints................................................................................................................ 50
Chapter 7. Seizure Disorders ........................................................................................................................................... 62
Chapter 8. Degenerative Disorders .................................................................................................................................. 68
Chapter 9. Cerebrovascular Accident (Stroke) MULTIPLE CHOICE ............................................................................ 74
Chapter 10. Infectious and Inflammatory Neurological Disorders .................................................................................. 89
Chapter 11.Common Skin Complaints ............................................................................................................................ 90
Chapter 12. Parasitic Skin Infestations .......................................................................................................................... 102
Chapter 13. Fungal Skin Infections ............................................................................................................................... 103
Chapter 14. Bacterial Skin Infections ............................................................................................................................ 105
Chapter 15. Viral Skin Infections .................................................................................................................................. 109
Chapter 16. Dermatitis .................................................................................................................................................. 111
Chapter 17. Skin Lesions .............................................................................................................................................. 114
Chapter 18. Common Eye Complaints MULTIPLE CHOICE ...................................................................................... 119
Chapter 19. Lid and Conjunctival Pathology................................................................................................................. 127
Chapter 20. Visual Disturbances and Impaired Vision MULTIPLE CHOICE.............................................................. 144
Chapter 21. Common Ear, Nose, and Throat Complaints ............................................................................................. 147
Chapter 22. Hearing and Balance Disorders MULTIPLE CHOICE ............................................................................. 158
Chapter 23. Inflammatory and Infectious Disorders of the EarMULTIPLE CHOICE ................................................. 166
Chapter 24. Inflammatory and Infectious Disorders of the Nose, Sinuses, Mouth, andThroat ..................................... 184
Chapter 25. Epistaxis..................................................................................................................................................... 191
Chapter 26. Temporomandibular Disorders .................................................................................................................. 192
Chapter 27. Dysphonia .................................................................................................................................................. 195
Chapter 28. Common Respiratory Complaints .............................................................................................................. 196
Chapter 29. Sleep Apnea ............................................................................................................................................... 209
Chapter 30. Infectious Respiratory DisordersMULTIPLE CHOICE ............................................................................ 211

, 2


Chapter 31. Inflammatory Respiratory Disorders .......................................................................................................... 219
Chapter 32. Lung CancerMULTIPLE CHOICE ........................................................................................................... 225
Chapter 33. Smoking Addiction.................................................................................................................................... 227
Chapter 34. Common Cardiovascular Complaints ........................................................................................................ 228
Chapter 35. Cardiac and Associated Risk DisordersMULTIPLE CHOICE ................................................................. 240
Chapter 36. Dysrhythmias and Valvular DisordersMULTIPLE CHOICE .................................................................... 247
Chapter 37. Disorders of the Vascular SystemMULTIPLE CHOICE ........................................................................... 255
Chapter 38. Common Abdominal Complaints Multiple Choice ................................................................................... 268
Chapter 39. Infectious Gastrointestinal DisordersMULTIPLE CHOICE ..................................................................... 278
Chapter 40. Gastric and Intestinal DisordersMULTIPLE CHOICE .............................................................................. 286
Chapter 41. Gallbladder and Pancreatic DisordersMULTIPLE CHOICE..................................................................... 294
Chapter 42. Cirrhosis and Liver FailureMULTIPLE CHOICE ..................................................................................... 302
Chapter 43. Common Urinary Complaints .................................................................................................................... 308
Chapter 44. Urinary Tract DisordersMULTIPLE CHOICE .......................................................................................... 316
Chapter 45. Kidney and Bladder DisordersMultiple Choice ......................................................................................... 324
Chapter 46. Common Reproductive System ComplaintsMULTIPLE CHOICE........................................................... 335
Chapter 47. Breast DisordersMULTIPLE CHOICE...................................................................................................... 343
Chapter 48. Vaginal, Uterine, and Ovarian Disorders ................................................................................................... 350
Chapter 49. Prostate Disorders Multiple Choice ........................................................................................................... 360
Chapter 50. Penile and Testicular DisordersMULTIPLE CHOICE .............................................................................. 368
Chapter 51. Sexually Transmitted Infections................................................................................................................. 375
Nursing Care of Patients With Sexually Transmitted InfectionsAnswer Section MULTIPLE CHOICE ..................... 385
Chapter 52. Common Musculoskeletal Complaints ...................................................................................................... 395
Chapter 53. Spinal Disorders ......................................................................................................................................... 407
Chapter 54. Soft-Tissue Disorders ................................................................................................................................. 410
Chapter 54. Soft-Tissue Disorders ................................................................................................................................. 421
Chapter 55. Osteoarthritis and Osteoporosis ................................................................................................................. 441
Chapter 56.Common Endocrine/Metabolic Complaints ................................................................................................ 447
Chapter 57. Glandular Disorders ................................................................................................................................... 459
Chapter 58. Diabetes Mellitus ....................................................................................................................................... 467
Chapter 59. Metabolic DisordersMULTIPLE CHOICE................................................................................................ 474
Chapter 60. Common Hematologic and Immunological ProblemsMultiple Choice ..................................................... 497
Chapter 61. Hematologic Disorders .............................................................................................................................. 509
Chapter 62. Immunological DisordersMULTIPLE CHOICE ....................................................................................... 530
Chapter 63. Infectious Disorders ................................................................................................................................... 544
Chapter 64. Common Psychosocial Complaints............................................................................................................ 562
Chapter 64. Common Psychosocial ComplaintsAnswer Section .................................................................................. 571
Chapter 66. Schizophrenia Spectrum Disorders ............................................................................................................ 589
Chapter 67. Mood Disorders ......................................................................................................................................... 605
Chapter 68. Anxiety, Stress, and Trauma-Related Disorders ........................................................................................ 612
Chapter 69. Obsessive-Compulsive Disorders .............................................................................................................. 623
Chapter 70. Behavioral Disorders Related to Physical/Physiological Disturbances ...................................................... 626
Chapter 71. Neurodevelopmental DisordersMULTIPLE CHOICE .............................................................................. 640

, 3


Chapter 72. Common Urgent Care ComplaintsMultiple Choice................................................................................... 657
Chapter 73. Common Injuries ....................................................................................................................................... 669
Chapter 74. Toxic Exposures......................................................................................................................................... 679
Chapter 75. Environmental Exposures .......................................................................................................................... 688
Chapter 76. Sports Physicals ......................................................................................................................................... 698
Chapter 77. Primary Care of Older AdultsMULTIPLE CHOICE ................................................................................. 713
Chapter 78. Palliative Care and Pain ManagementMultiple Choice ............................................................................. 726
Chapter 79. Ethical and Legal Issues of a Caring-Based Practice ................................................................................. 733
Chapter 80. The Business of Advanced Practice Nursing ............................................................................................. 740
Chapter 81. The 15-Minute Hour: Practical Approaches to Behavioral Health for PrimaryCare .................................. 746
Chapter 82. Putting Caring into Practice: Caring for Self ............................................................................................. 751




TEST BANK

, 4


PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE NURSING – AN
INTERPROFESSIONAL APPROACH 6TH 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
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.


Ans: B


Feedback: The level of significance is the level at which the researcher believes that the study
results most likely represent a no chance 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 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?

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