Primary Care: Art and Science of
Advanced Practice Nursing - An
Interprofessional Approach 5th
edition Dunphy Test Bank
Chapter j1. jPrimary jCare jin jthe jTwenty-First jCentury: jA jCircle jof
jCaring
1. A jnurse jhas jconducted ja jliterature jreview jin jan jeffort jto jidentify jthe jeffect jof jhandwashing jon
jthejincidence jof jnosocomial j(hospital-acquired) jinfections jin jacute jcare jsettings. jAn jarticle
jpresented jfindings jat ja jlevel jof jsignificance jof j<0.01. jThis jindicates jthat
A) the jcontrol jgroup jand jthe jexperimental jgroup jwere jmore jthan j99% jsimilar.
B) the jfindings jof jthe jstudy jhave jless jthan j1% jchance jof jbeing jattributable jto jchance.
C) the jeffects jof jthe jintervention jwere jnearly jzero.
D) the jclinical jsignificance jof jthe jfindings jwas jless jthan j1:100.
Ans: jB
Feedback: jThe jlevel jof jsignificance jis jthe jlevel jat jwhich jthe jresearcher jbelieves jthat jthe jstudy
jresultsjmost jlikely jrepresent ja jnonchance jevent. jA jlevel jof jsignificance jof j<0.01 jindicates jthat
jthere jis jless jthan j1% jprobability jthat jthe jresult jis jdue jto jchance.
2. A jnurse jhas jread ja jqualitative jresearch jstudy jin jorder jto junderstand jthe jlived jexperience jof
jparentsjwho jhave ja jneonatal jloss. jWhich jof jthe jfollowing jquestions jshould jthe jnurse jprioritize
jwhen jappraising jthe jresults jof jthis jstudy?
A) How jwell jdid jthe jauthors jcapture jthe jpersonal jexperiences jof jthese jparents?
B) How jwell jdid jthe jauthors jcontrol jfor jconfounding jvariables jthat jmay jhave jaffected jthe jfindings?
C) Did jthe jauthors juse jstatistical jmeasures jthat jwere jappropriate jto jthe jphenomenon jin jquestion?
D) Were jthe jinstruments jthat jthe jresearchers jused jstatistically jvalid jand jreliable?
Ans: jA
,Feedback: jQualitative jstudies jare jjudged jon jthe jbasis jof jhow jwell jthey jcapture jand jconvey
jthe jsubjective jexperiences jof jindividuals. jStatistical jmeasures jand jvariables jare jnot
jdimensions jof jajqualitative jmethodology.
3. A jnurse jhas jexpressed jskepticism jto ja jcolleague jabout jthe jvalue jof jnursing jresearch, jclaiming
jthatjnursing jresearch jhas jlittle jrelevance jto jpractice. jHow jcan jthe jnurses jcolleague jbest jdefend
jthe jimportance jof jnursing jresearch?
,A) The jexistence jof jnursing jresearch jmeans jthat jnurses jare jnow jable jto jaccess jfederal jgrant
jmoney,jsomething jthat jdidnt juse jto jbe jthe jcase.
B) Nursing jresearch jhas jallowed jthe jdevelopment jof jmasters jand jdoctoral jprograms jand jhas
jgreatlyjincreased jthe jcredibility jof jthe jprofession.
C) The jgrowth jof jnursing jresearch jhas jcaused jnursing jto jbe jviewed jas ja jtrue jprofession, jrather
jthanjsimply jas ja jtrade jor ja jskill.
D) The japplication jof jnursing jresearch jhas jthe jpotential jto jimprove jnursing jpractice jand
jpatientjoutcomes.
Ans: jD
Feedback: jThe jgreatest jvalue jof jnursing jresearch jlies jin jthe jpotential jto jimprove jpractice
jand, jultimately, jto jimprove jpatient joutcomes. jThis jsupersedes jthe jcontributions jof jnursing
jresearch jtojeducation jprograms, jgrant jfunding, jor jthe jpublic jview jof jthe jprofession.
4. Tracy jis ja jnurse jwith ja jbaccalaureate jdegree jwho jworks jin jthe jlabor jand jdelivery junit jof ja
jbusyjurban jhospital. jShe jhas jnoticed jthat jmany jnew jmothers jabandon jbreast-feeding jtheir
jbabies jwhenjthey jexperience jearly jchallenges jand jwonders jwhat jcould jbe jdone jto jencourage
jmore jwomen jto jcontinue jbreast-feeding. jWhat jrole jis jTracy jmost jlikely jto jplay jin ja jresearch
jproject jthat jtests jan jintervention jaimed jat jpromoting jbreast-feeding?
A) Applying jfor jgrant jfunding jfor jthe jresearch jproject
B) Posing jthe jclinical jproblem jto jone jor jmore jnursing jresearchers
C) Planning jthe jmethodology jof jthe jresearch jproject
D) Carrying jout jthe jintervention jand jsubmitting jthe jresults jfor
jpublicationjAns: jB
Feedback: jA jmajor jrole jfor jstaff jnurses jis jto jidentify jquestions jor jproblems jfor jresearch.
jGrant japplications, jmethodological jplanning, jand jpublication jsubmission jare jnormally
jcarried jout jbyjnurses jwho jhave jadvanced jdegrees jin jnursing.
5. A jpatient jsigned jthe jinformed jconsent jform jfor ja jdrug jtrial jthat jwas jexplained jto jpatient
jby ja jresearch jassistant. jLater, jthe jpatient jadmitted jto jhis jnurse jthat jhe jdid jnot junderstand jthe
jresearch jassistants jexplanation jor jhis jown jrole jin jthe jstudy. jHow jshould jthis jpatients jnurse
jrespond jto jthisjrevelation?
A) Explain jthe jresearch jprocess jto jthe jpatient jin jgreater jdetail.
B) Describe jthe jdetails jof ja jrandomized jcontrolled jtrial jfor jthe jpatient.
, C) Inform jthe jresearch jassistant jthat jthe jpatients jconsent jis jlikely jinvalid.
D) Explain jto jthe jpatient jthat jhis jwritten jconsent jis jnow jlegally jbinding.
Ans: jC
Feedback: jJust jas jthe jstaff jnurse jis jnot jresponsible jfor jmedical jconsent, jthe jstaff jnurse jis jnot
jresponsible jfor jresearch jconsent. jIf jpatients jwho jhave jagreed jto jparticipate jexhibit jambivalence
jor juncertainty jabout jparticipating, jdo jnot jtry jto jconvince jthem jto jparticipate. jAsk jthe jperson
jfrom jthe jresearch jteam jwho jis jmanaging jconsents jto jspeak jwith jconcerned jpatients jabout jthe
jstudy, jeven jafterja jpatient jhas jsigned jthe jconsent jforms.
Multiple jSelection
6. A jnurse jleader jis jattempting jto jincrease jthe jawareness jof jevidence-based jpractice j(EBP)
jamong jthe jnurses jon ja junit. jA jnurse jwho jis jimplementing jEBP jintegrates jwhich jof jthe
jfollowing? j(Select jalljthat japply.)
A) Interdisciplinary jconsensus
B) Nursing jtradition
C) Research jstudies
D) Patient jpreferences jand jvalues
E) Clinical
jexpertisejAns: jC,
jD, jE
Feedback: jFineout-Overholt, jMelnyk, jStillwell, jand jWilliamson jdefine jEBP jas ja jproblem-
solving japproach jto jthe jdelivery jof jhealthcare jthat jintegrates jthe jbest jevidence jfrom jstudies jand
jpatient jcarejdata jwith jclinician jexpertise jand jpatient jpreferences jand jvalues.
Multiple jChoice
7. Mrs. jMayes jis ja j73-year-old jwoman jwho jhas ja jdiabetic jfoot julcer jthat jhas jbeen jextremely
jslow jto jheal jand jwhich jnow jposes ja jthreat jof josteomyelitis. jThe jwound jcare jnurse jwho jhas
jbeen jworking jwith jMrs. jMayes japplies jevidence-based jpractice j(EBP) jwhenever jpossible jand
jhas jproposed jthe jusejof jmaggot jtherapy jto jdebride jnecrotic jtissue. jMrs. jMayes, jhowever, jfinds
jthe jsuggestion jrepugnant jand jadamantly jopposes jthis jtreatment jdespite jthe jsizable jbody jof
jevidence jsupporting jit. jHow jshouldjthe jnurse jreconcile jMrs. jMayes jviews jwith jthe jprinciples jof
jEBP?
A) The jnurse jshould jexplain jthat jreliable jand jvalid jresearch jevidence joverrides jthe jpatients jopinion.
B) The jnurse jshould jexplain jthe jevidence jto jthe jpatient jin jgreater jdetail.
Advanced Practice Nursing - An
Interprofessional Approach 5th
edition Dunphy Test Bank
Chapter j1. jPrimary jCare jin jthe jTwenty-First jCentury: jA jCircle jof
jCaring
1. A jnurse jhas jconducted ja jliterature jreview jin jan jeffort jto jidentify jthe jeffect jof jhandwashing jon
jthejincidence jof jnosocomial j(hospital-acquired) jinfections jin jacute jcare jsettings. jAn jarticle
jpresented jfindings jat ja jlevel jof jsignificance jof j<0.01. jThis jindicates jthat
A) the jcontrol jgroup jand jthe jexperimental jgroup jwere jmore jthan j99% jsimilar.
B) the jfindings jof jthe jstudy jhave jless jthan j1% jchance jof jbeing jattributable jto jchance.
C) the jeffects jof jthe jintervention jwere jnearly jzero.
D) the jclinical jsignificance jof jthe jfindings jwas jless jthan j1:100.
Ans: jB
Feedback: jThe jlevel jof jsignificance jis jthe jlevel jat jwhich jthe jresearcher jbelieves jthat jthe jstudy
jresultsjmost jlikely jrepresent ja jnonchance jevent. jA jlevel jof jsignificance jof j<0.01 jindicates jthat
jthere jis jless jthan j1% jprobability jthat jthe jresult jis jdue jto jchance.
2. A jnurse jhas jread ja jqualitative jresearch jstudy jin jorder jto junderstand jthe jlived jexperience jof
jparentsjwho jhave ja jneonatal jloss. jWhich jof jthe jfollowing jquestions jshould jthe jnurse jprioritize
jwhen jappraising jthe jresults jof jthis jstudy?
A) How jwell jdid jthe jauthors jcapture jthe jpersonal jexperiences jof jthese jparents?
B) How jwell jdid jthe jauthors jcontrol jfor jconfounding jvariables jthat jmay jhave jaffected jthe jfindings?
C) Did jthe jauthors juse jstatistical jmeasures jthat jwere jappropriate jto jthe jphenomenon jin jquestion?
D) Were jthe jinstruments jthat jthe jresearchers jused jstatistically jvalid jand jreliable?
Ans: jA
,Feedback: jQualitative jstudies jare jjudged jon jthe jbasis jof jhow jwell jthey jcapture jand jconvey
jthe jsubjective jexperiences jof jindividuals. jStatistical jmeasures jand jvariables jare jnot
jdimensions jof jajqualitative jmethodology.
3. A jnurse jhas jexpressed jskepticism jto ja jcolleague jabout jthe jvalue jof jnursing jresearch, jclaiming
jthatjnursing jresearch jhas jlittle jrelevance jto jpractice. jHow jcan jthe jnurses jcolleague jbest jdefend
jthe jimportance jof jnursing jresearch?
,A) The jexistence jof jnursing jresearch jmeans jthat jnurses jare jnow jable jto jaccess jfederal jgrant
jmoney,jsomething jthat jdidnt juse jto jbe jthe jcase.
B) Nursing jresearch jhas jallowed jthe jdevelopment jof jmasters jand jdoctoral jprograms jand jhas
jgreatlyjincreased jthe jcredibility jof jthe jprofession.
C) The jgrowth jof jnursing jresearch jhas jcaused jnursing jto jbe jviewed jas ja jtrue jprofession, jrather
jthanjsimply jas ja jtrade jor ja jskill.
D) The japplication jof jnursing jresearch jhas jthe jpotential jto jimprove jnursing jpractice jand
jpatientjoutcomes.
Ans: jD
Feedback: jThe jgreatest jvalue jof jnursing jresearch jlies jin jthe jpotential jto jimprove jpractice
jand, jultimately, jto jimprove jpatient joutcomes. jThis jsupersedes jthe jcontributions jof jnursing
jresearch jtojeducation jprograms, jgrant jfunding, jor jthe jpublic jview jof jthe jprofession.
4. Tracy jis ja jnurse jwith ja jbaccalaureate jdegree jwho jworks jin jthe jlabor jand jdelivery junit jof ja
jbusyjurban jhospital. jShe jhas jnoticed jthat jmany jnew jmothers jabandon jbreast-feeding jtheir
jbabies jwhenjthey jexperience jearly jchallenges jand jwonders jwhat jcould jbe jdone jto jencourage
jmore jwomen jto jcontinue jbreast-feeding. jWhat jrole jis jTracy jmost jlikely jto jplay jin ja jresearch
jproject jthat jtests jan jintervention jaimed jat jpromoting jbreast-feeding?
A) Applying jfor jgrant jfunding jfor jthe jresearch jproject
B) Posing jthe jclinical jproblem jto jone jor jmore jnursing jresearchers
C) Planning jthe jmethodology jof jthe jresearch jproject
D) Carrying jout jthe jintervention jand jsubmitting jthe jresults jfor
jpublicationjAns: jB
Feedback: jA jmajor jrole jfor jstaff jnurses jis jto jidentify jquestions jor jproblems jfor jresearch.
jGrant japplications, jmethodological jplanning, jand jpublication jsubmission jare jnormally
jcarried jout jbyjnurses jwho jhave jadvanced jdegrees jin jnursing.
5. A jpatient jsigned jthe jinformed jconsent jform jfor ja jdrug jtrial jthat jwas jexplained jto jpatient
jby ja jresearch jassistant. jLater, jthe jpatient jadmitted jto jhis jnurse jthat jhe jdid jnot junderstand jthe
jresearch jassistants jexplanation jor jhis jown jrole jin jthe jstudy. jHow jshould jthis jpatients jnurse
jrespond jto jthisjrevelation?
A) Explain jthe jresearch jprocess jto jthe jpatient jin jgreater jdetail.
B) Describe jthe jdetails jof ja jrandomized jcontrolled jtrial jfor jthe jpatient.
, C) Inform jthe jresearch jassistant jthat jthe jpatients jconsent jis jlikely jinvalid.
D) Explain jto jthe jpatient jthat jhis jwritten jconsent jis jnow jlegally jbinding.
Ans: jC
Feedback: jJust jas jthe jstaff jnurse jis jnot jresponsible jfor jmedical jconsent, jthe jstaff jnurse jis jnot
jresponsible jfor jresearch jconsent. jIf jpatients jwho jhave jagreed jto jparticipate jexhibit jambivalence
jor juncertainty jabout jparticipating, jdo jnot jtry jto jconvince jthem jto jparticipate. jAsk jthe jperson
jfrom jthe jresearch jteam jwho jis jmanaging jconsents jto jspeak jwith jconcerned jpatients jabout jthe
jstudy, jeven jafterja jpatient jhas jsigned jthe jconsent jforms.
Multiple jSelection
6. A jnurse jleader jis jattempting jto jincrease jthe jawareness jof jevidence-based jpractice j(EBP)
jamong jthe jnurses jon ja junit. jA jnurse jwho jis jimplementing jEBP jintegrates jwhich jof jthe
jfollowing? j(Select jalljthat japply.)
A) Interdisciplinary jconsensus
B) Nursing jtradition
C) Research jstudies
D) Patient jpreferences jand jvalues
E) Clinical
jexpertisejAns: jC,
jD, jE
Feedback: jFineout-Overholt, jMelnyk, jStillwell, jand jWilliamson jdefine jEBP jas ja jproblem-
solving japproach jto jthe jdelivery jof jhealthcare jthat jintegrates jthe jbest jevidence jfrom jstudies jand
jpatient jcarejdata jwith jclinician jexpertise jand jpatient jpreferences jand jvalues.
Multiple jChoice
7. Mrs. jMayes jis ja j73-year-old jwoman jwho jhas ja jdiabetic jfoot julcer jthat jhas jbeen jextremely
jslow jto jheal jand jwhich jnow jposes ja jthreat jof josteomyelitis. jThe jwound jcare jnurse jwho jhas
jbeen jworking jwith jMrs. jMayes japplies jevidence-based jpractice j(EBP) jwhenever jpossible jand
jhas jproposed jthe jusejof jmaggot jtherapy jto jdebride jnecrotic jtissue. jMrs. jMayes, jhowever, jfinds
jthe jsuggestion jrepugnant jand jadamantly jopposes jthis jtreatment jdespite jthe jsizable jbody jof
jevidence jsupporting jit. jHow jshouldjthe jnurse jreconcile jMrs. jMayes jviews jwith jthe jprinciples jof
jEBP?
A) The jnurse jshould jexplain jthat jreliable jand jvalid jresearch jevidence joverrides jthe jpatients jopinion.
B) The jnurse jshould jexplain jthe jevidence jto jthe jpatient jin jgreater jdetail.
