Test Bank
for Primary Care
The Art and Science of Advanced Practice Nursing-
An Interprofessional Approach
6th Edition
By Dunphy, Winland-Brown, Porter, Thomas
,Table of Contents
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
Chapter 2. Caring and the Advanced Practice Nurse
Chapter 3. Health Promotion
Chapter 4. The Art of Diagnosis and Treatment
Chapter 5. Evidence-Based Care
Chapter 6. Common Neurological Complaints
Chapter 7. Seizure Disorders
Chapter 8. Degenerative Disorders
Chapter 9. Cerebrovascular Accident (Stroke)
Chapter 10. Infectious and Inflammatory Neurological Disorders
Chapter 11. Common Skin Complaints
Chapter 12. Parasitic Skin Infestations
Chapter 13. Fungal Skin Infections
Chapter 14. Bacterial Skin Infections
Chapter 15. Viral Skin Infections
Chapter 16. Dermatitis
Chapter 17. Skin Lesions
Chapter 18. Common Eye Complaints
Chapter 19. Lid and Conjunctival Pathology
Chapter 20. Visual Disturbances and Impaired Vision
Chapter 21. Common Ear, Nose, an Throat Complaints
Chapter 22. Hearing and Balance Disorders
Chapter 23. Inflammatory and Infectious Disorders of the Ear
Chapter 24. Inflammatory and Infectious Disorders of the Nose, Sinuses, Mouth, and Throat
Chapter 25. Epistaxis
Chapter 26. Temporomandibular Disorders
Chapter 27. Dysphonia
Chapter 28. Common Respiratory Complaints
Chapter 29. Sleep Apnea
Chapter 30. Infectious Respiratory Disorders
Chapter 31. Inflammatory Respiratory Disorders
Chapter 32. Lung Cancer
Chapter 33. Smoking Addiction
Chapter 34. Common Cardiovascular Complaints
Chapter 35. Cardiac and Associated Risk Disorders
Chapter 36. Dysrhythmias and Valvular Disorders
Chapter 37. Disorders of the Vascular System
Chapter 38. Common Abdominal Complaints
Chapter 39. Infectious Gastrointestinal Disorders
,Chapter 40. Gastric and Intestinal Disorders
Chapter 41. Gallbladder and Pancreatic Disorders
Chapter 42. Cirrhosis and Liver Failure
Chapter 43. Common Urinary Complaints
Chapter 44. Urinary Tract Disorders
Chapter 45. Kidney and Bladder Disorders
Chapter 46. Common Reproductive System Complaints
Chapter 47. Breast Disorders
Chapter 48. Vaginal, Uterine, and Ovarian Disorders
Chapter 49. Prostate Disorders
Chapter 50. Penile and Testicular Disorders
Chapter 51. Sexually Transmitted Infections
Chapter 52. Common Musculoskeletal Complaints
Chapter 53. Spinal Disorders
Chapter 54. Soft-Tissue Disorders
Chapter 55. Osteoarthritis and Osteoporosis
Chapter 56. Common Endocrine/Metabolic Complaints
Chapter 57. Glandular Disorders
Chapter 58. Diabetes Mellitus
Chapter 59. Metabolic Disorders
Chapter 60. Common Hematologic and Immunological Problems
Chapter 61. Hematologic Disorders
Chapter 62. Immunological Disorders
Chapter 63. Infectious Disorders
Chapter 64. Common Psychosocial Complaints
Chapter 65. Substance Use Disorders
Chapter 66. Schizophrenia Spectrum Disorders
Chapter 67. Mood Disorders
Chapter 68. Anxiety, Stress, and Trauma-Related Disorders
Chapter 69. Obsessive-Compulsive Disorders
Chapter 70. Behavioral Disorders Related to Physical/Physiological Disturbances
Chapter 71. Neurodevelopmental Disorders
Chapter 72. Common Urgent Care Complaints
Chapter 73. Common Injuries
Chapter 74. Toxic Exposures
Chapter 75. Environmental Exposures
Chapter 76. Sports Physicals
Chapter 77. Primary Care of Older Adults
Chapter 78. Palliative Care and Pain Management
Chapter 79. Ethical and Legal Issues of a Caring-Based Practice
Chapter 80. The Business of Advanced Practice Nursing
Chapter 81. The 15-Minute Hour: Practical Approaches to Behavioral Health for Primary Care
Chapter 82. Putting Caring into Practice: Caring for Self
, TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED
PRACTICE NURSING-AN INTERPROFESSIONAL APPROACH 6TH EDITION-
DUNPHY
Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional
Approach / Edition 6/ 6th edition TESTBANK
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 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
Feedback: The level of significance is the level at which the researcher believes that the study results
most likely represent a nonchance event. A level of significance of <0.01 indicates that there is less
than 1% probability that the result is due to chance.
2. A nurse has read a qualitative research study in order to understand the lived experience of parents
who have a neonatal loss. Which of the following questions should the nurse prioritize when
appraising the results of this study?
A) How well did the authors capture the personal experiences of these parents?
B) How well did the authors control for confounding variables that may have affected the findings?
C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
D) 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 are not dimensions of a
qualitative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming that
nursing research has little relevance to practice. How can the nurses colleague best defend the
importance of nursing research?
,A) The existence of nursing research means that nurses are now able to access federal grant money,
something that didn’t use to be the case.
B) Nursing research has allowed the development of masters and doctoral programs and has greatly
increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather than
simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing practice and patient
outcomes.
Ans: D
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
education programs, grant funding, or the public view of the profession.
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a busy
urban hospital. She has noticed that many new mothers abandon breast-feeding their babies when
they experience 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 a research project that tests an
intervention aimed at promoting breast-feeding?
A) Applying for grant funding for the research project
B) Posing the clinical problem to one or more nursing researchers
C) Planning the methodology of the research project
D) Carrying out the intervention and submitting the results for publication
Ans: B
Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
applications, methodological planning, and publication submission are normally carried out by
nurses 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 or his own role in the study. How should this patients nurse respond to this
revelation?
A) Explain the research process to the patient in greater detail.
B) 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.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical expertise
Ans: C, D, E
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-solving
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. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow to
heal and which now poses a threat of osteomyelitis. The wound care nurse who has been working
with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has proposed the use
of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the suggestion repugnant
and adamantly opposes this treatment despite the sizable body of evidence supporting it. How should
the nurse reconcile Mrs. Mayes views with the principles of EBP?
A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
B) The nurse should explain the evidence to the patient in greater detail.
for Primary Care
The Art and Science of Advanced Practice Nursing-
An Interprofessional Approach
6th Edition
By Dunphy, Winland-Brown, Porter, Thomas
,Table of Contents
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
Chapter 2. Caring and the Advanced Practice Nurse
Chapter 3. Health Promotion
Chapter 4. The Art of Diagnosis and Treatment
Chapter 5. Evidence-Based Care
Chapter 6. Common Neurological Complaints
Chapter 7. Seizure Disorders
Chapter 8. Degenerative Disorders
Chapter 9. Cerebrovascular Accident (Stroke)
Chapter 10. Infectious and Inflammatory Neurological Disorders
Chapter 11. Common Skin Complaints
Chapter 12. Parasitic Skin Infestations
Chapter 13. Fungal Skin Infections
Chapter 14. Bacterial Skin Infections
Chapter 15. Viral Skin Infections
Chapter 16. Dermatitis
Chapter 17. Skin Lesions
Chapter 18. Common Eye Complaints
Chapter 19. Lid and Conjunctival Pathology
Chapter 20. Visual Disturbances and Impaired Vision
Chapter 21. Common Ear, Nose, an Throat Complaints
Chapter 22. Hearing and Balance Disorders
Chapter 23. Inflammatory and Infectious Disorders of the Ear
Chapter 24. Inflammatory and Infectious Disorders of the Nose, Sinuses, Mouth, and Throat
Chapter 25. Epistaxis
Chapter 26. Temporomandibular Disorders
Chapter 27. Dysphonia
Chapter 28. Common Respiratory Complaints
Chapter 29. Sleep Apnea
Chapter 30. Infectious Respiratory Disorders
Chapter 31. Inflammatory Respiratory Disorders
Chapter 32. Lung Cancer
Chapter 33. Smoking Addiction
Chapter 34. Common Cardiovascular Complaints
Chapter 35. Cardiac and Associated Risk Disorders
Chapter 36. Dysrhythmias and Valvular Disorders
Chapter 37. Disorders of the Vascular System
Chapter 38. Common Abdominal Complaints
Chapter 39. Infectious Gastrointestinal Disorders
,Chapter 40. Gastric and Intestinal Disorders
Chapter 41. Gallbladder and Pancreatic Disorders
Chapter 42. Cirrhosis and Liver Failure
Chapter 43. Common Urinary Complaints
Chapter 44. Urinary Tract Disorders
Chapter 45. Kidney and Bladder Disorders
Chapter 46. Common Reproductive System Complaints
Chapter 47. Breast Disorders
Chapter 48. Vaginal, Uterine, and Ovarian Disorders
Chapter 49. Prostate Disorders
Chapter 50. Penile and Testicular Disorders
Chapter 51. Sexually Transmitted Infections
Chapter 52. Common Musculoskeletal Complaints
Chapter 53. Spinal Disorders
Chapter 54. Soft-Tissue Disorders
Chapter 55. Osteoarthritis and Osteoporosis
Chapter 56. Common Endocrine/Metabolic Complaints
Chapter 57. Glandular Disorders
Chapter 58. Diabetes Mellitus
Chapter 59. Metabolic Disorders
Chapter 60. Common Hematologic and Immunological Problems
Chapter 61. Hematologic Disorders
Chapter 62. Immunological Disorders
Chapter 63. Infectious Disorders
Chapter 64. Common Psychosocial Complaints
Chapter 65. Substance Use Disorders
Chapter 66. Schizophrenia Spectrum Disorders
Chapter 67. Mood Disorders
Chapter 68. Anxiety, Stress, and Trauma-Related Disorders
Chapter 69. Obsessive-Compulsive Disorders
Chapter 70. Behavioral Disorders Related to Physical/Physiological Disturbances
Chapter 71. Neurodevelopmental Disorders
Chapter 72. Common Urgent Care Complaints
Chapter 73. Common Injuries
Chapter 74. Toxic Exposures
Chapter 75. Environmental Exposures
Chapter 76. Sports Physicals
Chapter 77. Primary Care of Older Adults
Chapter 78. Palliative Care and Pain Management
Chapter 79. Ethical and Legal Issues of a Caring-Based Practice
Chapter 80. The Business of Advanced Practice Nursing
Chapter 81. The 15-Minute Hour: Practical Approaches to Behavioral Health for Primary Care
Chapter 82. Putting Caring into Practice: Caring for Self
, TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED
PRACTICE NURSING-AN INTERPROFESSIONAL APPROACH 6TH EDITION-
DUNPHY
Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional
Approach / Edition 6/ 6th edition TESTBANK
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 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
Feedback: The level of significance is the level at which the researcher believes that the study results
most likely represent a nonchance event. A level of significance of <0.01 indicates that there is less
than 1% probability that the result is due to chance.
2. A nurse has read a qualitative research study in order to understand the lived experience of parents
who have a neonatal loss. Which of the following questions should the nurse prioritize when
appraising the results of this study?
A) How well did the authors capture the personal experiences of these parents?
B) How well did the authors control for confounding variables that may have affected the findings?
C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
D) 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 are not dimensions of a
qualitative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming that
nursing research has little relevance to practice. How can the nurses colleague best defend the
importance of nursing research?
,A) The existence of nursing research means that nurses are now able to access federal grant money,
something that didn’t use to be the case.
B) Nursing research has allowed the development of masters and doctoral programs and has greatly
increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather than
simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing practice and patient
outcomes.
Ans: D
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
education programs, grant funding, or the public view of the profession.
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a busy
urban hospital. She has noticed that many new mothers abandon breast-feeding their babies when
they experience 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 a research project that tests an
intervention aimed at promoting breast-feeding?
A) Applying for grant funding for the research project
B) Posing the clinical problem to one or more nursing researchers
C) Planning the methodology of the research project
D) Carrying out the intervention and submitting the results for publication
Ans: B
Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
applications, methodological planning, and publication submission are normally carried out by
nurses 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 or his own role in the study. How should this patients nurse respond to this
revelation?
A) Explain the research process to the patient in greater detail.
B) 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.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical expertise
Ans: C, D, E
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-solving
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. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow to
heal and which now poses a threat of osteomyelitis. The wound care nurse who has been working
with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has proposed the use
of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the suggestion repugnant
and adamantly opposes this treatment despite the sizable body of evidence supporting it. How should
the nurse reconcile Mrs. Mayes views with the principles of EBP?
A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
B) The nurse should explain the evidence to the patient in greater detail.
