Test Bank Primary Care Art and Science of Advanc
g g g g g g g g
ed Practice Nursing -
g g g
An InterprofessionalApproach 5th Edition Lynne
g g g g g g g
M. Dunphy. All Chapters 1-
g g g g
82. 531 Pages Update 2023/2024
g g g g g
Primary Care: Art and Science of AdvancedP
g g g g g g g
ractice Nursing - g g
An Interprofessional Approach 5th edition D
g g g g g g
unphy Test Bank Update 2023/2024
g g g g
, PrimarygCare:gArtgandgSciencegofgAdvancedgPracticegNursingg-
gAngInterprofessionalgApproachg5thg editiongDunphygTestgBank
Chapterg1.gPrimarygCaregingthegTwenty-FirstgCentury:gAgCirclegofgCaring
1. Agnurseghasgconductedgagliteraturegreviewgingangeffortgtogidentifygthegeffectgofghandwashinggongthegin
cidencegofgnosocomialg(hospital-
acquired)ginfectionsgingacutegcaregsettings.gAngarticlegpresentedgfindingsgatg aglevelgofgsignificancegofg
<0.01.gThisgindicatesgthat
A) thegcontrolggroupgandgthegexperimentalggroupgweregmoregthang99%gsimilar.
B) thegfindingsgofgthegstudyghaveglessgthang1%gchancegofgbeinggattributablegtogchance.
C) thegeffectsgofgtheginterventiongweregnearlygzero.
D) thegclinicalgsignificancegofgthegfindingsgwasglessgthang1:100.
Ans:gB
Feedback:gTheglevelgofgsignificancegisgtheglevelgatgwhichgthegresearchergbelievesgthatgthegstudygresultsgm
ostglikelygrepresentgagnonchancegevent.gAglevelgofgsignificancegofg<0.01gindicatesgthatgtheregisglessgthan
g1%g probabilitygthatg thegresultg isgduegtogchance.
2. Agnurseghasgreadgagqualitativegresearchgstudygingordergtogunderstandgtheglivedgexperiencegofgparentsgw
hoghavegagneonatalgloss.gWhichgofgthegfollowinggquestionsgshouldgthegnursegprioritizegwhengappraisingg
thegresultsgofgthisgstudy?
A) Howgwellgdidgthegauthorsgcapturegthegpersonalgexperiencesgofgthesegparents?
B) Howgwellgdidgthegauthorsgcontrolgforgconfoundinggvariablesgthatgmayghavegaffectedgthegfindings?
C) Didgthegauthorsgusegstatisticalgmeasuresgthatgweregappropriategtogthegphenomenongingquestion?
D) Weregtheginstrumentsgthatgthegresearchersgusedgstatisticallygvalidgandgreliable?
Ans:gA
Feedback:gQualitativegstudiesgaregjudgedgongthegbasisgofghowgwellgtheygcapturegandgconveygthegsubject
ivegexperiencesgofgindividuals.gStatisticalgmeasuresgandgvariablesgaregnotgdimensionsgofgagqualitativegm
ethodology.
3. Tracygisgagnursegwithgagbaccalaureategdegreegwhogworksgingtheglaborgandgdeliverygunitgofgagbusygur
banghospital.gSheghasgnoticedgthatgmanygnewgmothersgabandongbreast-
feedinggtheirgbabiesgwhengtheygexperiencegearlygchallengesgandgwondersgwhatgcouldgbegdonegtogenc
ouragegmoregwomengtogcontinuegbreast-
feeding.gWhatgrolegisgTracygmostglikelygtogplaygingagresearchgprojectgthatgtestsganginterventiongaime
dgatgpromotinggbreast-feeding?
A) Applyinggforggrantgfundinggforgthegresearchgproject
B) Posinggthegclinicalgproblemgtogonegorgmoregnursinggresearchers
,C) Planninggthegmethodologygofgthegresearchgproject
D) Carryinggoutgtheginterventiongandgsubmittinggthegresultsgforgpublicationg
Ans:gB
Feedback:gAgmajorgrolegforgstaffgnursesgisgtogidentifygquestionsgorgproblemsgforgresearch.gGrantga
pplications,gmethodologicalgplanning,gandgpublicationgsubmissiongaregnormallygcarriedgoutgbygn
ursesgwhoghavegadvancedgdegreesgingnursing.
4. Agnurseghasgexpressedgskepticismgtogagcolleaguegaboutgthegvaluegofgnursinggresearch,gclaiminggthatgn
ursinggresearchghasglittlegrelevancegtogpractice.gHowgcangthegnursesgcolleaguegbestgdefendgthegimportan
cegofgnursinggresearch?
A) Thegexistencegofgnursinggresearchgmeansgthatgnursesgaregnowgablegtogaccessgfederalggrantgmoney,gs
omethinggthatgdidntgusegtogbegthegcase.
B) Nursinggresearchghasgallowedgthegdevelopmentgofgmastersgandgdoctoralgprogramsgandghasggreatlygi
ncreasedgthegcredibilitygofgthegprofession.
C) Theggrowthgofgnursinggresearchghasgcausedgnursinggtogbegviewedgasgagtruegprofession,grathergthangsi
mplygasgagtradegorgagskill.
D) Thegapplicationgofgnursinggresearchghasgthegpotentialgtogimprovegnursinggpracticegandgpatientgo
utcomes.
Ans:gD
Feedback:gTheggreatestgvaluegofgnursinggresearchgliesgingthegpotentialgtogimprovegpracticegand,gultimat
ely,gtogimprovegpatientgoutcomes.gThisgsupersedesgthegcontributionsgofgnursinggresearchgtogeducationgpr
ograms,ggrantgfunding,gorgthegpublicgviewgofgthegprofession.
5. Agpatientgsignedgtheginformedgconsentgformgforgagdruggtrialgthatgwasgexplainedgtogpatientgbygagre
searchgassistant.gLater,gthegpatientgadmittedgtoghisgnursegthatghegdidgnotgunderstandgthegresearchgassi
stantsgexplanationgorghisgowngrolegingthegstudy.gHowgshouldgthisgpatientsgnursegrespondgtogthisgrevel
ation?
A) Explaingthegresearchgprocessgtogthegpatientginggreatergdetail.
B) Describegthegdetailsgofgagrandomizedgcontrolledgtrialgforgthegpatient.
, C) Informgthegresearchgassistantgthatgthegpatientsgconsentgisglikelyginvalid.
D) Explaingtogthegpatientgthatghisgwrittengconsentgisgnowglegallygbinding.
Ans:gC
Feedback:gJustgasgthegstaffgnursegisgnotgresponsiblegforgmedicalgconsent,gthegstaffgnursegisgnotgresponsib
legforgresearchgconsent.gIfgpatientsgwhoghavegagreedgtogparticipategexhibitgambivalencegorguncertaintyga
boutgparticipating,gdognotgtrygtogconvincegthemgtogparticipate.gAskgthegpersongfromgthegresearchgteamgw
hogisgmanaginggconsentsgtogspeakgwithgconcernedgpatientsgaboutgthegstudy,gevengaftergagpatientg hasgsign
edgthegconsentgforms.
MultiplegSelection
6. Agnursegleadergisgattemptinggtogincreasegthegawarenessgofgevidence-
basedgpracticeg(EBP)gamonggthegnursesgongagunit.gAgnursegwhog isgimplementinggEBPgintegratesgwhichg
ofgthegfollowing?g(Selectgallgthatgapply.)
A) Interdisciplinarygconsensus
B) Nursinggtradition
C) Researchgstudies
D) Patientgpreferencesgandgvalues
E) Clinicalgexpertiseg
Ans:gC,gD,gE
Feedback:gFineout-Overholt,gMelnyk,gStillwell,gandgWilliamsongdefinegEBPgasgagproblem-
solvinggapproachgtogthegdeliverygofghealthcaregthatgintegratesgthegbestgevidencegfromgstudiesgandgpatien
tgcaregdatagwithgcliniciangexpertisegandgpatientg preferencesgandg values.
MultiplegChoice
7. Mrs.gMayesgisgag73-year-
oldgwomangwhoghasgagdiabeticgfootgulcergthatghasgbeengextremelygslowgtoghealgandgwhichgnowgposesgagt
hreatgofgosteomyelitis.gThegwoundgcaregnursegwhoghasgbeengworkinggwithgMrs.gMayesgappliesgevidenc
e-
basedgpracticeg(EBP)gwhenevergpossiblegandghasgproposedgthegusegofgmaggotgtherapygtogdebridegnecroti
cgtissue.gMrs.gMayes,ghowever,gfindsgthegsuggestiongrepugnantgandgadamantlygopposesgthisgtreatmentgd
espitegthegsizablegbodygofgevidencegsupportinggit.gHowgshouldgthegnursegreconcilegMrs.gMayesgviewsgwi
thgthegprinciplesgofgEBP?
A) Thegnursegshouldgexplaingthatgreliablegandgvalidgresearchgevidencegoverridesgthegpatientsgopinion.
B) Thegnursegshouldgexplaingthegevidencegtogthegpatientginggreatergdetail.
g g g g g g g g
ed Practice Nursing -
g g g
An InterprofessionalApproach 5th Edition Lynne
g g g g g g g
M. Dunphy. All Chapters 1-
g g g g
82. 531 Pages Update 2023/2024
g g g g g
Primary Care: Art and Science of AdvancedP
g g g g g g g
ractice Nursing - g g
An Interprofessional Approach 5th edition D
g g g g g g
unphy Test Bank Update 2023/2024
g g g g
, PrimarygCare:gArtgandgSciencegofgAdvancedgPracticegNursingg-
gAngInterprofessionalgApproachg5thg editiongDunphygTestgBank
Chapterg1.gPrimarygCaregingthegTwenty-FirstgCentury:gAgCirclegofgCaring
1. Agnurseghasgconductedgagliteraturegreviewgingangeffortgtogidentifygthegeffectgofghandwashinggongthegin
cidencegofgnosocomialg(hospital-
acquired)ginfectionsgingacutegcaregsettings.gAngarticlegpresentedgfindingsgatg aglevelgofgsignificancegofg
<0.01.gThisgindicatesgthat
A) thegcontrolggroupgandgthegexperimentalggroupgweregmoregthang99%gsimilar.
B) thegfindingsgofgthegstudyghaveglessgthang1%gchancegofgbeinggattributablegtogchance.
C) thegeffectsgofgtheginterventiongweregnearlygzero.
D) thegclinicalgsignificancegofgthegfindingsgwasglessgthang1:100.
Ans:gB
Feedback:gTheglevelgofgsignificancegisgtheglevelgatgwhichgthegresearchergbelievesgthatgthegstudygresultsgm
ostglikelygrepresentgagnonchancegevent.gAglevelgofgsignificancegofg<0.01gindicatesgthatgtheregisglessgthan
g1%g probabilitygthatg thegresultg isgduegtogchance.
2. Agnurseghasgreadgagqualitativegresearchgstudygingordergtogunderstandgtheglivedgexperiencegofgparentsgw
hoghavegagneonatalgloss.gWhichgofgthegfollowinggquestionsgshouldgthegnursegprioritizegwhengappraisingg
thegresultsgofgthisgstudy?
A) Howgwellgdidgthegauthorsgcapturegthegpersonalgexperiencesgofgthesegparents?
B) Howgwellgdidgthegauthorsgcontrolgforgconfoundinggvariablesgthatgmayghavegaffectedgthegfindings?
C) Didgthegauthorsgusegstatisticalgmeasuresgthatgweregappropriategtogthegphenomenongingquestion?
D) Weregtheginstrumentsgthatgthegresearchersgusedgstatisticallygvalidgandgreliable?
Ans:gA
Feedback:gQualitativegstudiesgaregjudgedgongthegbasisgofghowgwellgtheygcapturegandgconveygthegsubject
ivegexperiencesgofgindividuals.gStatisticalgmeasuresgandgvariablesgaregnotgdimensionsgofgagqualitativegm
ethodology.
3. Tracygisgagnursegwithgagbaccalaureategdegreegwhogworksgingtheglaborgandgdeliverygunitgofgagbusygur
banghospital.gSheghasgnoticedgthatgmanygnewgmothersgabandongbreast-
feedinggtheirgbabiesgwhengtheygexperiencegearlygchallengesgandgwondersgwhatgcouldgbegdonegtogenc
ouragegmoregwomengtogcontinuegbreast-
feeding.gWhatgrolegisgTracygmostglikelygtogplaygingagresearchgprojectgthatgtestsganginterventiongaime
dgatgpromotinggbreast-feeding?
A) Applyinggforggrantgfundinggforgthegresearchgproject
B) Posinggthegclinicalgproblemgtogonegorgmoregnursinggresearchers
,C) Planninggthegmethodologygofgthegresearchgproject
D) Carryinggoutgtheginterventiongandgsubmittinggthegresultsgforgpublicationg
Ans:gB
Feedback:gAgmajorgrolegforgstaffgnursesgisgtogidentifygquestionsgorgproblemsgforgresearch.gGrantga
pplications,gmethodologicalgplanning,gandgpublicationgsubmissiongaregnormallygcarriedgoutgbygn
ursesgwhoghavegadvancedgdegreesgingnursing.
4. Agnurseghasgexpressedgskepticismgtogagcolleaguegaboutgthegvaluegofgnursinggresearch,gclaiminggthatgn
ursinggresearchghasglittlegrelevancegtogpractice.gHowgcangthegnursesgcolleaguegbestgdefendgthegimportan
cegofgnursinggresearch?
A) Thegexistencegofgnursinggresearchgmeansgthatgnursesgaregnowgablegtogaccessgfederalggrantgmoney,gs
omethinggthatgdidntgusegtogbegthegcase.
B) Nursinggresearchghasgallowedgthegdevelopmentgofgmastersgandgdoctoralgprogramsgandghasggreatlygi
ncreasedgthegcredibilitygofgthegprofession.
C) Theggrowthgofgnursinggresearchghasgcausedgnursinggtogbegviewedgasgagtruegprofession,grathergthangsi
mplygasgagtradegorgagskill.
D) Thegapplicationgofgnursinggresearchghasgthegpotentialgtogimprovegnursinggpracticegandgpatientgo
utcomes.
Ans:gD
Feedback:gTheggreatestgvaluegofgnursinggresearchgliesgingthegpotentialgtogimprovegpracticegand,gultimat
ely,gtogimprovegpatientgoutcomes.gThisgsupersedesgthegcontributionsgofgnursinggresearchgtogeducationgpr
ograms,ggrantgfunding,gorgthegpublicgviewgofgthegprofession.
5. Agpatientgsignedgtheginformedgconsentgformgforgagdruggtrialgthatgwasgexplainedgtogpatientgbygagre
searchgassistant.gLater,gthegpatientgadmittedgtoghisgnursegthatghegdidgnotgunderstandgthegresearchgassi
stantsgexplanationgorghisgowngrolegingthegstudy.gHowgshouldgthisgpatientsgnursegrespondgtogthisgrevel
ation?
A) Explaingthegresearchgprocessgtogthegpatientginggreatergdetail.
B) Describegthegdetailsgofgagrandomizedgcontrolledgtrialgforgthegpatient.
, C) Informgthegresearchgassistantgthatgthegpatientsgconsentgisglikelyginvalid.
D) Explaingtogthegpatientgthatghisgwrittengconsentgisgnowglegallygbinding.
Ans:gC
Feedback:gJustgasgthegstaffgnursegisgnotgresponsiblegforgmedicalgconsent,gthegstaffgnursegisgnotgresponsib
legforgresearchgconsent.gIfgpatientsgwhoghavegagreedgtogparticipategexhibitgambivalencegorguncertaintyga
boutgparticipating,gdognotgtrygtogconvincegthemgtogparticipate.gAskgthegpersongfromgthegresearchgteamgw
hogisgmanaginggconsentsgtogspeakgwithgconcernedgpatientsgaboutgthegstudy,gevengaftergagpatientg hasgsign
edgthegconsentgforms.
MultiplegSelection
6. Agnursegleadergisgattemptinggtogincreasegthegawarenessgofgevidence-
basedgpracticeg(EBP)gamonggthegnursesgongagunit.gAgnursegwhog isgimplementinggEBPgintegratesgwhichg
ofgthegfollowing?g(Selectgallgthatgapply.)
A) Interdisciplinarygconsensus
B) Nursinggtradition
C) Researchgstudies
D) Patientgpreferencesgandgvalues
E) Clinicalgexpertiseg
Ans:gC,gD,gE
Feedback:gFineout-Overholt,gMelnyk,gStillwell,gandgWilliamsongdefinegEBPgasgagproblem-
solvinggapproachgtogthegdeliverygofghealthcaregthatgintegratesgthegbestgevidencegfromgstudiesgandgpatien
tgcaregdatagwithgcliniciangexpertisegandgpatientg preferencesgandg values.
MultiplegChoice
7. Mrs.gMayesgisgag73-year-
oldgwomangwhoghasgagdiabeticgfootgulcergthatghasgbeengextremelygslowgtoghealgandgwhichgnowgposesgagt
hreatgofgosteomyelitis.gThegwoundgcaregnursegwhoghasgbeengworkinggwithgMrs.gMayesgappliesgevidenc
e-
basedgpracticeg(EBP)gwhenevergpossiblegandghasgproposedgthegusegofgmaggotgtherapygtogdebridegnecroti
cgtissue.gMrs.gMayes,ghowever,gfindsgthegsuggestiongrepugnantgandgadamantlygopposesgthisgtreatmentgd
espitegthegsizablegbodygofgevidencegsupportinggit.gHowgshouldgthegnursegreconcilegMrs.gMayesgviewsgwi
thgthegprinciplesgofgEBP?
A) Thegnursegshouldgexplaingthatgreliablegandgvalidgresearchgevidencegoverridesgthegpatientsgopinion.
B) Thegnursegshouldgexplaingthegevidencegtogthegpatientginggreatergdetail.
