nAnnInterprofessionalnApproachn5thnEditionnDunphy 1
,TestnBanknFornPrimarynCarenArtnAndnSciencenOfnAdvancednPracticenNursingn–
nAnnInterprofessionalnApproachn5thnEditionnDunphy 2
TESTnBANKnFORnPRIMARYnCAREnARTnANDnSCIENCEnOFnADVANCEDnPRACTICEn
NURSINGn–nANnINTERPROFESSIONALnAPPROACHn5THnEDITIONnDUNPHY
Chaptern1.nPrimarynCareninnthenTwenty-FirstnCentury:nAnCirclenofnCaring
1. Annursenhasnconductednanliteraturenreviewninnanneffortntonidentifyntheneffectnofnhandwashingn
onnthenincidencenofnnosocomialn(hospital-
acquired)ninfectionsninnacutencarensettings.nAnnarticlenpresentednfindingsnatnanlevelnofnsignificancenof
n<0.01.nThisnindicatesnthat
A) Thencontrolngroupnandnthenexperimentalngroupnwerenmorenthann99%nsimilar.
B) Thenfindingsnofnthenstudynhavenlessnthann1%nchancenofnbeingnattributablentonchance.
C) Theneffectsnofntheninterventionnwerennearlynzero.
D) Thenclinicalnsignificancenofnthenfindingsnwasnlessnthann1:100.
Ans:nB
Feedback:nThenlevelnofnsignificancenisnthenlevelnatnwhichnthenresearchernbelievesnthatnthenstudynr
esultsnmostnlikelynrepresentnannonchancenevent.nAnlevelnofnsignificancenofn<0.01nindicatesnthatnth
erenisnlessnthann1%nprobabilitynthatnthenresultnisnduentonchance.
2. Annursenhasnreadnanqualitativenresearchnstudyninnorderntonunderstandnthenlivednexperiencenof
nparentsnwhonhavenanneonatalnloss.nWhichnofnthenfollowingnquestionsnshouldnthennursenprioritizenwh
ennappraisingnthenresultsnofnthisnstudy?
A) Hownwellndidnthenauthorsncapturenthenpersonalnexperiencesnofnthesenparents?
B) Hownwellndidnthenauthorsncontrolnfornconfoundingnvariablesnthatnmaynhavenaffectednthenf
indings?
,TestnBanknFornPrimarynCarenArtnAndnSciencenOfnAdvancednPracticenNursingn–
nAnnInterprofessionalnApproachn5thnEditionnDunphy 3
C) Didnthenauthorsnusenstatisticalnmeasuresnthatnwerenappropriatentonthenphenomenonninnq
uestion?
D) Werentheninstrumentsnthatnthenresearchersnusednstatisticallynvalidnandnreliable?
Ans:nA
Feedback:nQualitativenstudiesnarenjudgednonnthenbasisnofnhownwellntheyncapturenandnconveynthensu
bjectivenexperiencesnofnindividuals.nStatisticalnmeasuresnandnvariablesnarennotndimensionsnofnanqua
litativenmethodology.
3. Annursenhasnexpressednskepticismntonancolleaguenaboutnthenvaluenofnnursingnresearch,nclai
mingnthatnnursingnresearchnhasnlittlenrelevancentonpractice.nHowncannthennursesncolleaguenbestndefe
ndnthenimportancenofnnursingnresearch?
A) Thenexistencenofnnursingnresearchnmeansnthatnnursesnarennownablentonaccessnfederalngrantn
money,nsomethingnthatndidntnusentonbenthencase.
B) Nursingnresearchnhasnallowednthendevelopmentnofnmastersnandndoctoralnprogramsnandnhasng
reatlynincreasednthencredibilitynofnthenprofession.
C) Thengrowthnofnnursingnresearchnhasncausednnursingntonbenviewednasnantruenprofession,nr
athernthannsimplynasnantradenornanskill.
D) Thenapplicationnofnnursingnresearchnhasnthenpotentialntonimprovennursingnpracticenandnp
atientnoutcomes.
, TestnBanknFornPrimarynCarenArtnAndnSciencenOfnAdvancednPracticenNursingn–
nAnnInterprofessionalnApproachn5thnEditionnDunphy 4
Ans:nD
Feedback:nThengreatestnvaluenofnnursingnresearchnliesninnthenpotentialntonimprovenpracticenand,nulti
mately,ntonimprovenpatientnoutcomes.nThisnsupersedesnthencontributionsnofnnursingnresearchntoneduc
ationnprograms,ngrantnfunding,nornthenpublicnviewnofnthenprofession.
4. Tracynisnannursenwithnanbaccalaureatendegreenwhonworksninnthenlabornandndeliverynunitnofnanb
usynurbannhospital.nShenhasnnoticednthatnmanynnewnmothersnabandonnbreast-
feedingntheirnbabiesnwhenntheynexperiencenearlynchallengesnandnwondersnwhatncouldnbendonentonenc
ouragenmorenwomenntoncontinuenbreast-
feeding.nWhatnrolenisnTracynmostnlikelyntonplayninnanresearchnprojectnthatntestsnanninterventionnaime
dnatnpromotingnbreast-feeding?
A) Applyingnforngrantnfundingnfornthenresearchnproject
B) Posingnthenclinicalnproblemntononenornmorennursingnresearchers
C) Planningnthenmethodologynofnthenresearchnproject
D) CarryingnoutntheninterventionnandnsubmittingnthenresultsnfornpublicationnAns:nB
Feedback:nAnmajornrolenfornstaffnnursesnisntonidentifynquestionsnornproblemsnfornresearch.nGrantna
pplications,nmethodologicalnplanning,nandnpublicationnsubmissionnarennormallyncarriednoutnbynn
ursesnwhonhavenadvancedndegreesninnnursing.
5. Anpatientnsignedntheninformednconsentnformnfornandrugntrialnthatnwasnexplainedntonpatientnb
ynanresearchnassistant.nLater,nthenpatientnadmittedntonhisnnursenthatnhendidnnotnunderstandnthenresea
rchnassistantsnexplanationnornhisnownnroleninnthenstudy.nHownshouldnthisnpatientsnnursenrespondnto
nthisnrevelation?
A) Explainnthenresearchnprocessntonthenpatientninngreaterndetail.
B) Describenthendetailsnofnanrandomizedncontrolledntrialnfornthenpatient.