Test Bank Primary Care Art and Science of Advance
x x x x x x x xx
d Practice Nursing -
x x x
An Interprofessional Approach 5th Edition Lynne
x x xx x x x x
M. Dunphy. All Chapters 1-
x x xx x
x 82. 531 Pages Update 2023/2024
x x x x
Primary Care: Art and Science of Advanced P
x x x x x x x
ractice Nursing - x x
An Interprofessional Approach 5th edition D
x x xx x x x
unphy Test Bank Update 2023/2024
x x xx x
, PrimaryxCare:xArtxandxSciencexofxAdvancedxPracticexNursingx-
thx
xAnxInterprofessionalxApproachx5 editionxDunphyxTestxBank
Chapterx1.xPrimaryxCarexinxthexTwenty-FirstxCentury:xAxCirclexofxCaring
1. Axnursexhasxconductedxaxliteraturexreviewxinxanxeffortxtoxidentifyxthexeffectxofxhandwashingxonxthexi
ncidencexofxnosocomialx(hospital-
acquired)xinfectionsxinxacutexcarexsettings.xAnxarticlexpresentedxfindingsxatxaxlevelxofxsignificancexofx
<0.01.xThisxindicatesxthat
A) thexcontrolxgroupxandxthexexperimentalxgroupxwerexmorexthanx99%xsimilar.
B) thexfindingsxofxthexstudyxhavexlessxthanx1%xchancexofxbeingxattributablextoxchance.
C) thexeffectsxofxthexinterventionxwerexnearlyxzero.
D) thexclinicalxsignificancexofxthexfindingsxwasxlessxthanx1:100.
Ans:xB
Feedback:xThexlevelxofxsignificancexisxthexlevelxatxwhichxthexresearcherxbelievesxthatxthexstudyxresultsxm
ostxlikelyxrepresentxaxnonchancexevent.xAxlevelxofxsignificancexofx<0.01xindicatesxthatxtherexisxlessxthan
x1%xprobabilityxthatxthexresultxisxduextoxchance.
2. Axnursexhasxreadxaxqualitativexresearchxstudyxinxorderxtoxunderstandxthexlivedxexperiencexofxparentsx
whoxhavexaxneonatalxloss.xWhichxofxthexfollowingxquestionsxshouldxthexnursexprioritizexwhenxappraisi
ngxthexresultsxofxthisxstudy?
A) Howxwellxdidxthexauthorsxcapturexthexpersonalxexperiencesxofxthesexparents?
B) Howxwellxdidxthexauthorsxcontrolxforxconfoundingxvariablesxthatxmayxhavexaffectedxthexfindings?
C) Didxthexauthorsxusexstatisticalxmeasuresxthatxwerexappropriatextoxthexphenomenonxinxquestion?
D) Werexthexinstrumentsxthatxthexresearchersxusedxstatisticallyxvalidxandxreliable?
Ans:xA
Feedback:xQualitativexstudiesxarexjudgedxonxthexbasisxofxhowxwellxtheyxcapturexandxconveyxthexsubject
ivexexperiencesxofxindividuals.xStatisticalxmeasuresxandxvariablesxarexnotxdimensionsxofxaxqualitativexm
ethodology.
3. Tracyxisxaxnursexwithxaxbaccalaureatexdegreexwhoxworksxinxthexlaborxandxdeliveryxunitxofxaxbusyxu
rbanxhospital.xShexhasxnoticedxthatxmanyxnewxmothersxabandonxbreast-
feedingxtheirxbabiesxwhenxtheyxexperiencexearlyxchallengesxandxwondersxwhatxcouldxbexdonextoxenc
ouragexmorexwomenxtoxcontinuexbreast-
feeding.xWhatxrolexisxTracyxmostxlikelyxtoxplayxinxaxresearchxprojectxthatxtestsxanxinterventionxaime
dxatxpromotingxbreast-feeding?
A) Applyingxforxgrantxfundingxforxthexresearchxproject
B) Posingxthexclinicalxproblemxtoxonexorxmorexnursingx researchers
,C) Planningxthexmethodologyxofxthexresearchxproject
D) Carryingxoutxthexinterventionxandxsubmittingxthexresultsxforxpublicationx
Ans:xB
Feedback:xAxmajorxrolexforxstaffxnursesxisxtoxidentifyxquestionsxorxproblemsxforxresearch.xGrantxa
pplications,xmethodologicalxplanning,xandxpublicationxsubmissionxarexnormallyxcarriedxoutxbyxn
ursesxwhoxhavexadvancedxdegreesxinxnursing.
4. Axnursexhasxexpressedxskepticismxtoxaxcolleaguexaboutxthexvaluexofxnursingxresearch,xclaimingxthatxn
ursingxresearchxhasxlittlexrelevancextoxpractice.xHowxcanxthexnursesxcolleaguexbestxdefendxtheximportan
cexofxnursingxresearch?
A) Thexexistencexofxnursingxresearchxmeansxthatxnursesxarexnowxablextoxaccessxfederalxgrantxmoney,xs
omethingxthatxdidntxusextoxbexthexcase.
B) Nursingxresearchxhasxallowedxthexdevelopmentxofxmastersxandxdoctoralxprogramsxandxhasxgreatlyxi
ncreasedxthexcredibilityxofxthexprofession.
C) Thexgrowthxofxnursingxresearchxhasxcausedxnursingxtoxbexviewedxasxaxtruexprofession,xratherxthanxs
implyxasxaxtradexorxaxskill.
D) Thexapplicationxofxnursingxresearchxhasxthexpotentialxtoximprovexnursingxpracticexandxpatientxo
utcomes.
Ans:xD
Feedback:xThexgreatestxvaluexofxnursingxresearchxliesxinxthexpotentialxtoximprovexpracticexand,xultimate
ly,xtoximprovexpatientxoutcomes.xThisxsupersedesxthexcontributionsxofxnursingxresearchxtoxeducationxpro
grams,xgrantxfunding,xorxthexpublicxviewxofxthexprofession.
5. Axpatientxsignedxthexinformedxconsentxformxforxaxdrugxtrialxthatxwasxexplainedxtoxpatientxbyxaxre
searchxassistant.xLater,xthexpatientxadmittedxtoxhisxnursexthatxhexdidxnotxunderstandxthexresearchxass
istantsxexplanationxorxhisxownxrolexinxthexstudy.xHowxshouldxthisxpatientsxnursexrespondxtoxthisxreve
lation?
A) Explainxthexresearchxprocessxtoxthexpatientxinxgreaterxdetail.
B) Describexthexdetailsxofxaxrandomizedxcontrolledxtrialxforxthexpatient.
, C) Informxthexresearchxassistantxthatxthexpatientsxconsentxisxlikelyxinvalid.
D) Explainxtoxthexpatientxthatxhisxwrittenxconsentxisxnowxlegallyxbinding.
Ans:xC
Feedback:xJustxasxthexstaffxnursexisxnotxresponsiblexforxmedicalxconsent,xthexstaffxnursexisxnotxresponsib
lexforxresearchxconsent.xIfxpatientsxwhoxhavexagreedxtoxparticipatexexhibitxambivalencexorxuncertaintyxa
boutxparticipating,xdoxnotxtryxtoxconvincexthemxtoxparticipate.xAskxthexpersonxfromxthexresearchxteamxw
hoxisxmanagingxconsentsxtoxspeakxwithxconcernedxpatientsxaboutxthexstudy,xevenxafterxaxpatientxhasxsign
edxthexconsentxforms.
MultiplexSelection
6. Axnursexleaderxisxattemptingxtoxincreasexthexawarenessxofxevidence-
basedxpracticex(EBP)xamongxthexnursesxonxaxunit.xAxnursexwhoxisximplementingxEBPxintegratesxwhichx
ofxthexfollowing?x(Selectxallxthatxapply.)
A) Interdisciplinaryx consensus
B) Nursingxtradition
C) Researchxstudies
D) Patientxpreferencesxandxvalues
E) Clinicalxexpertisex
Ans:xC,xD,xE
Feedback:xFineout-Overholt,xMelnyk,xStillwell,xandxWilliamsonxdefinexEBPxasxaxproblem-
solvingxapproachxtoxthexdeliveryxofxhealthcarexthatxintegratesxthexbestxevidencexfromxstudiesxandxpatient
xcarexdataxwithxclinicianxexpertisexandxpatientxpreferencesxandxvalues.
MultiplexChoice
7. Mrs.xMayesxisxax73-year-
oldxwomanxwhoxhasxaxdiabeticxfootxulcerxthatxhasxbeenxextremelyxslowxtoxhealxandxwhichxnowxposesxaxt
hreatxofxosteomyelitis.xThexwoundxcarexnursexwhoxhasxbeenxworkingxwithxMrs.xMayesxappliesxevidenc
e-
basedxpracticex(EBP)xwheneverxpossiblexandxhasxproposedxthexusexofxmaggotxtherapyxtoxdebridexnecrot
icxtissue.xMrs.xMayes,xhowever,xfindsxthexsuggestionxrepugnantxandxadamantlyxopposesxthisxtreatmentx
despitexthexsizablexbodyxofxevidencexsupportingxit.xHowxshouldxthexnursexreconcilexMrs.xMayesxviewsx
withxthexprinciplesxofxEBP?
A) Thexnursexshouldxexplainxthatxreliablexandxvalidxresearchxevidencexoverridesxthexpatientsxopinion.
B) Thexnursexshouldxexplainxthexevidencextoxthexpatientxinxgreaterxdetail.
x x x x x x x xx
d Practice Nursing -
x x x
An Interprofessional Approach 5th Edition Lynne
x x xx x x x x
M. Dunphy. All Chapters 1-
x x xx x
x 82. 531 Pages Update 2023/2024
x x x x
Primary Care: Art and Science of Advanced P
x x x x x x x
ractice Nursing - x x
An Interprofessional Approach 5th edition D
x x xx x x x
unphy Test Bank Update 2023/2024
x x xx x
, PrimaryxCare:xArtxandxSciencexofxAdvancedxPracticexNursingx-
thx
xAnxInterprofessionalxApproachx5 editionxDunphyxTestxBank
Chapterx1.xPrimaryxCarexinxthexTwenty-FirstxCentury:xAxCirclexofxCaring
1. Axnursexhasxconductedxaxliteraturexreviewxinxanxeffortxtoxidentifyxthexeffectxofxhandwashingxonxthexi
ncidencexofxnosocomialx(hospital-
acquired)xinfectionsxinxacutexcarexsettings.xAnxarticlexpresentedxfindingsxatxaxlevelxofxsignificancexofx
<0.01.xThisxindicatesxthat
A) thexcontrolxgroupxandxthexexperimentalxgroupxwerexmorexthanx99%xsimilar.
B) thexfindingsxofxthexstudyxhavexlessxthanx1%xchancexofxbeingxattributablextoxchance.
C) thexeffectsxofxthexinterventionxwerexnearlyxzero.
D) thexclinicalxsignificancexofxthexfindingsxwasxlessxthanx1:100.
Ans:xB
Feedback:xThexlevelxofxsignificancexisxthexlevelxatxwhichxthexresearcherxbelievesxthatxthexstudyxresultsxm
ostxlikelyxrepresentxaxnonchancexevent.xAxlevelxofxsignificancexofx<0.01xindicatesxthatxtherexisxlessxthan
x1%xprobabilityxthatxthexresultxisxduextoxchance.
2. Axnursexhasxreadxaxqualitativexresearchxstudyxinxorderxtoxunderstandxthexlivedxexperiencexofxparentsx
whoxhavexaxneonatalxloss.xWhichxofxthexfollowingxquestionsxshouldxthexnursexprioritizexwhenxappraisi
ngxthexresultsxofxthisxstudy?
A) Howxwellxdidxthexauthorsxcapturexthexpersonalxexperiencesxofxthesexparents?
B) Howxwellxdidxthexauthorsxcontrolxforxconfoundingxvariablesxthatxmayxhavexaffectedxthexfindings?
C) Didxthexauthorsxusexstatisticalxmeasuresxthatxwerexappropriatextoxthexphenomenonxinxquestion?
D) Werexthexinstrumentsxthatxthexresearchersxusedxstatisticallyxvalidxandxreliable?
Ans:xA
Feedback:xQualitativexstudiesxarexjudgedxonxthexbasisxofxhowxwellxtheyxcapturexandxconveyxthexsubject
ivexexperiencesxofxindividuals.xStatisticalxmeasuresxandxvariablesxarexnotxdimensionsxofxaxqualitativexm
ethodology.
3. Tracyxisxaxnursexwithxaxbaccalaureatexdegreexwhoxworksxinxthexlaborxandxdeliveryxunitxofxaxbusyxu
rbanxhospital.xShexhasxnoticedxthatxmanyxnewxmothersxabandonxbreast-
feedingxtheirxbabiesxwhenxtheyxexperiencexearlyxchallengesxandxwondersxwhatxcouldxbexdonextoxenc
ouragexmorexwomenxtoxcontinuexbreast-
feeding.xWhatxrolexisxTracyxmostxlikelyxtoxplayxinxaxresearchxprojectxthatxtestsxanxinterventionxaime
dxatxpromotingxbreast-feeding?
A) Applyingxforxgrantxfundingxforxthexresearchxproject
B) Posingxthexclinicalxproblemxtoxonexorxmorexnursingx researchers
,C) Planningxthexmethodologyxofxthexresearchxproject
D) Carryingxoutxthexinterventionxandxsubmittingxthexresultsxforxpublicationx
Ans:xB
Feedback:xAxmajorxrolexforxstaffxnursesxisxtoxidentifyxquestionsxorxproblemsxforxresearch.xGrantxa
pplications,xmethodologicalxplanning,xandxpublicationxsubmissionxarexnormallyxcarriedxoutxbyxn
ursesxwhoxhavexadvancedxdegreesxinxnursing.
4. Axnursexhasxexpressedxskepticismxtoxaxcolleaguexaboutxthexvaluexofxnursingxresearch,xclaimingxthatxn
ursingxresearchxhasxlittlexrelevancextoxpractice.xHowxcanxthexnursesxcolleaguexbestxdefendxtheximportan
cexofxnursingxresearch?
A) Thexexistencexofxnursingxresearchxmeansxthatxnursesxarexnowxablextoxaccessxfederalxgrantxmoney,xs
omethingxthatxdidntxusextoxbexthexcase.
B) Nursingxresearchxhasxallowedxthexdevelopmentxofxmastersxandxdoctoralxprogramsxandxhasxgreatlyxi
ncreasedxthexcredibilityxofxthexprofession.
C) Thexgrowthxofxnursingxresearchxhasxcausedxnursingxtoxbexviewedxasxaxtruexprofession,xratherxthanxs
implyxasxaxtradexorxaxskill.
D) Thexapplicationxofxnursingxresearchxhasxthexpotentialxtoximprovexnursingxpracticexandxpatientxo
utcomes.
Ans:xD
Feedback:xThexgreatestxvaluexofxnursingxresearchxliesxinxthexpotentialxtoximprovexpracticexand,xultimate
ly,xtoximprovexpatientxoutcomes.xThisxsupersedesxthexcontributionsxofxnursingxresearchxtoxeducationxpro
grams,xgrantxfunding,xorxthexpublicxviewxofxthexprofession.
5. Axpatientxsignedxthexinformedxconsentxformxforxaxdrugxtrialxthatxwasxexplainedxtoxpatientxbyxaxre
searchxassistant.xLater,xthexpatientxadmittedxtoxhisxnursexthatxhexdidxnotxunderstandxthexresearchxass
istantsxexplanationxorxhisxownxrolexinxthexstudy.xHowxshouldxthisxpatientsxnursexrespondxtoxthisxreve
lation?
A) Explainxthexresearchxprocessxtoxthexpatientxinxgreaterxdetail.
B) Describexthexdetailsxofxaxrandomizedxcontrolledxtrialxforxthexpatient.
, C) Informxthexresearchxassistantxthatxthexpatientsxconsentxisxlikelyxinvalid.
D) Explainxtoxthexpatientxthatxhisxwrittenxconsentxisxnowxlegallyxbinding.
Ans:xC
Feedback:xJustxasxthexstaffxnursexisxnotxresponsiblexforxmedicalxconsent,xthexstaffxnursexisxnotxresponsib
lexforxresearchxconsent.xIfxpatientsxwhoxhavexagreedxtoxparticipatexexhibitxambivalencexorxuncertaintyxa
boutxparticipating,xdoxnotxtryxtoxconvincexthemxtoxparticipate.xAskxthexpersonxfromxthexresearchxteamxw
hoxisxmanagingxconsentsxtoxspeakxwithxconcernedxpatientsxaboutxthexstudy,xevenxafterxaxpatientxhasxsign
edxthexconsentxforms.
MultiplexSelection
6. Axnursexleaderxisxattemptingxtoxincreasexthexawarenessxofxevidence-
basedxpracticex(EBP)xamongxthexnursesxonxaxunit.xAxnursexwhoxisximplementingxEBPxintegratesxwhichx
ofxthexfollowing?x(Selectxallxthatxapply.)
A) Interdisciplinaryx consensus
B) Nursingxtradition
C) Researchxstudies
D) Patientxpreferencesxandxvalues
E) Clinicalxexpertisex
Ans:xC,xD,xE
Feedback:xFineout-Overholt,xMelnyk,xStillwell,xandxWilliamsonxdefinexEBPxasxaxproblem-
solvingxapproachxtoxthexdeliveryxofxhealthcarexthatxintegratesxthexbestxevidencexfromxstudiesxandxpatient
xcarexdataxwithxclinicianxexpertisexandxpatientxpreferencesxandxvalues.
MultiplexChoice
7. Mrs.xMayesxisxax73-year-
oldxwomanxwhoxhasxaxdiabeticxfootxulcerxthatxhasxbeenxextremelyxslowxtoxhealxandxwhichxnowxposesxaxt
hreatxofxosteomyelitis.xThexwoundxcarexnursexwhoxhasxbeenxworkingxwithxMrs.xMayesxappliesxevidenc
e-
basedxpracticex(EBP)xwheneverxpossiblexandxhasxproposedxthexusexofxmaggotxtherapyxtoxdebridexnecrot
icxtissue.xMrs.xMayes,xhowever,xfindsxthexsuggestionxrepugnantxandxadamantlyxopposesxthisxtreatmentx
despitexthexsizablexbodyxofxevidencexsupportingxit.xHowxshouldxthexnursexreconcilexMrs.xMayesxviewsx
withxthexprinciplesxofxEBP?
A) Thexnursexshouldxexplainxthatxreliablexandxvalidxresearchxevidencexoverridesxthexpatientsxopinion.
B) Thexnursexshouldxexplainxthexevidencextoxthexpatientxinxgreaterxdetail.
