,
, Primary Care The Art and Science of Advanced Practice Nursing an
Interprofessional Approach 6th Edition Dunphy Test Bank
Table of Contents
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 theincidence of nosocomial (hospital-acquired) infections in acute care
settings. An article presented findings at a level of significance of <0.01. This
indicatesthat
A) the control group and the experimental group were more s than 99% similar
B) the findings of the study have less than 1% chance of s being attributable to chance
C) the effects of the intervention were nearly
D) the clinical significance of the findings was less s than 1:100.
Ans: B
Feedback: The level of significance is the levelsnat which the researcher believes
that thestudy resultsmost likely represent sa nonchance event. A level of
significance of <0.01 indicates that sthere sis s less than 1% probability that the
result is due to chance.
2. A nurse has read a qualitativesnresearch study in order to understand the lived
experienceof parentswho have sa sneonatal loss. Which of the following questions should
the nurse prioritize when appraising the results of this study?
A) How well did the s authors capture the personal experiences of these parHow
well did thesauthors control for confounding variables that may have affected
the findings?
B) Did the satuhors use statistical measures that were appropriate to the phenomenon in
question?
C) 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 arenot dimensions of aqualitative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing
research, claiming thatnursing research has little relevance to practice. How can the
nurses colleaguebest defend the importance of nursing research?
, A) The existence of nursing research means that nurses are now able to access
federalgrant money, something that didnt use to be the case.
B) Nursing research has allowed the development of masters and doctoral programs
and hasgreatlyincreased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true
profession,rather thansimply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing
practice andpatientoutcomes.
Ans: D
Feedback: The greatest value of nursing research lies in the potential to improve
practiceand, ultimately, to improve patient outcomes. This s supersedes the
contributions of nursing research toeducation programs, s grant funding, or the
public view of the profession.
4. Tracy is a nurse with a baccalaureate degree s whosnworks in the labor and
delivery unitof a busyurban hospital. She has noticed sthat many new mothers
abandon breast-feedingtheir babies whenthey sexperience 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 sa s research project that tests an
intervention aimed at promoting s breast-feeding?
A) Applying for grant funding s for s the research project
B) Posing the clinical problemsnto one or more nursing researchers
C) Planning the methodology of the research project
D) Carrying out the snintervention and submitting the results for
publicationsAns:snB
Feedback: snA major role for staff nurses is to identify questions or problems
for research. Grant applications, methodological planning, and publication submission
are normally carried out bynurses 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 orhis own role in
the study. How shouldthis patients nurse respond to thisrevelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
, Primary Care The Art and Science of Advanced Practice Nursing an
Interprofessional Approach 6th Edition Dunphy Test Bank
Table of Contents
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 theincidence of nosocomial (hospital-acquired) infections in acute care
settings. An article presented findings at a level of significance of <0.01. This
indicatesthat
A) the control group and the experimental group were more s than 99% similar
B) the findings of the study have less than 1% chance of s being attributable to chance
C) the effects of the intervention were nearly
D) the clinical significance of the findings was less s than 1:100.
Ans: B
Feedback: The level of significance is the levelsnat which the researcher believes
that thestudy resultsmost likely represent sa nonchance event. A level of
significance of <0.01 indicates that sthere sis s less than 1% probability that the
result is due to chance.
2. A nurse has read a qualitativesnresearch study in order to understand the lived
experienceof parentswho have sa sneonatal loss. Which of the following questions should
the nurse prioritize when appraising the results of this study?
A) How well did the s authors capture the personal experiences of these parHow
well did thesauthors control for confounding variables that may have affected
the findings?
B) Did the satuhors use statistical measures that were appropriate to the phenomenon in
question?
C) 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 arenot dimensions of aqualitative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing
research, claiming thatnursing research has little relevance to practice. How can the
nurses colleaguebest defend the importance of nursing research?
, A) The existence of nursing research means that nurses are now able to access
federalgrant money, something that didnt use to be the case.
B) Nursing research has allowed the development of masters and doctoral programs
and hasgreatlyincreased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true
profession,rather thansimply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing
practice andpatientoutcomes.
Ans: D
Feedback: The greatest value of nursing research lies in the potential to improve
practiceand, ultimately, to improve patient outcomes. This s supersedes the
contributions of nursing research toeducation programs, s grant funding, or the
public view of the profession.
4. Tracy is a nurse with a baccalaureate degree s whosnworks in the labor and
delivery unitof a busyurban hospital. She has noticed sthat many new mothers
abandon breast-feedingtheir babies whenthey sexperience 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 sa s research project that tests an
intervention aimed at promoting s breast-feeding?
A) Applying for grant funding s for s the research project
B) Posing the clinical problemsnto one or more nursing researchers
C) Planning the methodology of the research project
D) Carrying out the snintervention and submitting the results for
publicationsAns:snB
Feedback: snA major role for staff nurses is to identify questions or problems
for research. Grant applications, methodological planning, and publication submission
are normally carried out bynurses 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 orhis own role in
the study. How shouldthis patients nurse respond to thisrevelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
