CARE THE ART AND SCIENCE
OF ADVANCED PRACTICE
NURSING – AN
INTERPROFESSIONAL
APPROACH 6TH EDITION BY
DEBERA J. DUNPHY EXAM
QUESTIONS AND COMPLETE
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, Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
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?
Explain the research process to the patient in greater detail.
, 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.)
Interdisciplinary consensus
Nursing tradition
C) Research
studies
D) Patient preferences and
values
E)Ans: C, D, E Clinical
expertise
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define
EBP as a problemsolving 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. 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