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Primary Care: Art And Science Of Advanced Practice Nursing - An Interprofessional Approach 5Th Edition Dunphy Test Bank

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Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th edition Dunphy Test Bank 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 didnt 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.

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PRIMARY CARE: ART AND SCIENCE OF
ADVANCED PRACTICE NURSING - AN
INTERPROFESSIONAL APPROACH 5TH
EDITION DUNPHY TEST BANK

, Chapterq1.qPrimaryqCareqinqtheqTwenty-FirstqCentury:qAqCircleqofqCaring

1. Aqnurseqhasqconductedqaqliteratureqreviewqinqanqeffortqtoqidentifyqtheqeffectqofqhandwashingqonqtheqin
cidenceqofqnosocomialq(hospital-
acquired)qinfectionsqinqacuteqcareqsettings.qAnqarticleqpresentedqfindingsqatqaqlevelqofqsignificanceqofq<
0.01.qThisqindicatesqthat

A) theqcontrolqgroupqandqtheqexperimentalqgroupqwereqmoreqthanq99%qsimilar.

B) theqfindingsqofqtheqstudyqhaveqlessqthanq1%qchanceqofqbeingqattributableqtoqchance.

C) theqeffectsqofqtheqinterventionqwereqnearlyqzero.

D) theqclinicalqsignificanceqofqtheqfindingsqwasqlessqthanq1:100.

Ans:qB

Feedback:qTheqlevelqofqsignificanceqisqtheqlevelqatqwhichqtheqresearcherqbelievesqthatqtheqstudyqresultsq
mostqlikelyqrepresentqaqnonchanceqevent.qAqlevelqofqsignificanceqofq<0.01qindicatesqthatqthereqisqlessqth
anq1%qprobabilityqthatqtheqresultqisqdueqtoqchance.

2. Aqnurseqhasqreadqaqqualitativeqresearchqstudyqinqorderqtoqunderstandqtheqlivedqexperienceqofqparentsqw
hoqhaveqaqneonatalqloss.qWhichqofqtheqfollowingqquestionsqshouldqtheqnurseqprioritizeqwhenqappraisingq
theqresultsqofqthisqstudy?

A) Howqwellqdidqtheqauthorsqcaptureqtheqpersonalqexperiencesqofqtheseqparents?

B) Howqwellqdidqtheqauthorsqcontrolqforqconfoundingqvariablesqthatqmayqhaveqaffectedqtheqfindings?

C) Didqtheqauthorsquseqstatisticalqmeasuresqthatqwereqappropriateqtoqtheqphenomenonqinqquestion?

D) Wereqtheqinstrumentsqthatqtheqresearchersqusedqstatisticallyqvalidqandqreliable?

Ans:qA

Feedback:qQualitativeqstudiesqareqjudgedqonqtheqbasisqofqhowqwellqtheyqcaptureqandqconveyqtheqsu
bjectiveqexperiencesqofqindividuals.qStatisticalqmeasuresqandqvariablesqareqnotqdimensionsqofqaqqua
litativeqmethodology.

3. Aqnurseqhasqexpressedqskepticismqtoqaqcolleagueqaboutqtheqvalueqofqnursingqresearch,qclaimingqthatqn
ursingqresearchqhasqlittleqrelevanceqtoqpractice.qHowqcanqtheqnursesqcolleagueqbestqdefendqtheqimportan
ceqofqnursingqresearch?

,A) Theqexistenceqofqnursingqresearchqmeansqthatqnursesqareqnowqableqtoqaccessqfederalqgrantqmoney,qs
omethingqthatqdidntquseqtoqbeqtheqcase.

B) Nursingqresearchqhasqallowedqtheqdevelopmentqofqmastersqandqdoctoralqprogramsqandqhasqgreatlyqi
ncreasedqtheqcredibilityqofqtheqprofession.

C) Theqgrowthqofqnursingqresearchqhasqcausedqnursingqtoqbeqviewedqasqaqtrueqprofession,qratherqthanqsi
mplyqasqaqtradeqorqaqskill.

D) Theqapplicationqofqnursingqresearchqhasqtheqpotentialqtoqimproveqnursingqpracticeqandqpatientqo
utcomes.

Ans:qD

Feedback:qTheqgreatestqvalueqofqnursingqresearchqliesqinqtheqpotentialqtoqimproveqpracticeqand,qulti
mately,qtoqimproveqpatientqoutcomes.qThisqsupersedesqtheqcontributionsqofqnursingqresearchqtoqeduc
ationqprograms,qgrantqfunding,qorqtheqpublicqviewqofqtheqprofession.

4. Tracyqisqaqnurseqwithqaqbaccalaureateqdegreeqwhoqworksqinqtheqlaborqandqdeliveryqunitqofqaqbusyqur
banqhospital.qSheqhasqnoticedqthatqmanyqnewqmothersqabandonqbreast-
feedingqtheirqbabiesqwhenqtheyqexperienceqearlyqchallengesqandqwondersqwhatqcouldqbeqdoneqtoqenc
ourageqmoreqwomenqtoqcontinueqbreast-
feeding.qWhatqroleqisqTracyqmostqlikelyqtoqplayqinqaqresearchqprojectqthatqtestsqanqinterventionqaimed
qatqpromotingqbreast-feeding?




A) Applyingqforqgrantqfundingqforqtheqresearchqproject

B) Posingqtheqclinicalqproblemqtoqoneqorqmoreqnursingqresearchers

C) Planningqtheqmethodologyqofqtheqresearchqproject

D) Carryingqoutqtheqinterventionqandqsubmittingqtheqresultsqforqpublicationq

Ans:qB

Feedback:qAqmajorqroleqforqstaffqnursesqisqtoqidentifyqquestionsqorqproblemsqforqresearch.qGrantqa
pplications,qmethodologicalqplanning,qandqpublicationqsubmissionqareqnormallyqcarriedqoutqbyqn
ursesqwhoqhaveqadvancedqdegreesqinqnursing.

5. Aqpatientqsignedqtheqinformedqconsentqformqforqaqdrugqtrialqthatqwasqexplainedqtoqpatientqbyqaqres
earchqassistant.qLater,qtheqpatientqadmittedqtoqhisqnurseqthatqheqdidqnotqunderstandqtheqresearchqassi
stantsqexplanationqorqhisqownqroleqinqtheqstudy.qHowqshouldqthisqpatientsqnurseqrespondqtoqthisqrevel
ation?

A) Explainqtheqresearchqprocessqtoqtheqpatientqinqgreaterqdetail.

B) Describeqtheqdetailsqofqaqrandomizedqcontrolledqtrialqforqtheqpatient.

, C) Informqtheqresearchqassistantqthatqtheqpatientsqconsentqisqlikelyqinvalid.

D) Explainqtoqtheqpatientqthatqhisqwrittenqconsentqisqnowqlegallyqbinding.

Ans:qC

Feedback:qJustqasqtheqstaffqnurseqisqnotqresponsibleqforqmedicalqconsent,qtheqstaffqnurseqisqnotqresponsib
leqforqresearchqconsent.qIfqpatientsqwhoqhaveqagreedqtoqparticipateqexhibitqambivalenceqorquncertaintyqa
boutqparticipating,qdoqnotqtryqtoqconvinceqthemqtoqparticipate.qAskqtheqpersonqfromqtheqresearchqteamqw
hoqisqmanagingqconsentsqtoqspeakqwithqconcernedqpatientsqaboutqtheqstudy,qevenqafterqaqpatientqhasqsign
edqtheqconsentqforms.

MultipleqSelection

6. Aqnurseqleaderqisqattemptingqtoqincreaseqtheqawarenessqofqevidence-
basedqpracticeq(EBP)qamongqtheqnursesqonqaqunit.qAqnurseqwhoqisqimplementingqEBPqintegratesqwhichq
ofqtheqfollowing?q(Selectqallqthatqapply.)

A) Interdisciplinaryqconsensus

B) Nursingqtradition

C) Researchqstudies

D) Patientqpreferencesqandqvalues

E) Clinicalqexpertiseq

Ans:qC,qD,qE

Feedback:qFineout-Overholt,qMelnyk,qStillwell,qandqWilliamsonqdefineqEBPqasqaqproblem-
solvingqapproachqtoqtheqdeliveryqofqhealthcareqthatqintegratesqtheqbestqevidenceqfromqstudiesqandqpatie
ntqcareqdataqwithqclinicianqexpertiseqandqpatientqpreferencesqandqvalues.

MultipleqChoice

7. Mrs.qMayesqisqaq73-year-
oldqwomanqwhoqhasqaqdiabeticqfootqulcerqthatqhasqbeenqextremelyqslowqtoqhealqandqwhichqnowqposesqaqt
hreatqofqosteomyelitis.qTheqwoundqcareqnurseqwhoqhasqbeenqworkingqwithqMrs.qMayesqappliesqevidenc
e-
basedqpracticeq(EBP)qwheneverqpossibleqandqhasqproposedqthequseqofqmaggotqtherapyqtoqdebrideqnecroti
cqtissue.qMrs.qMayes,qhowever,qfindsqtheqsuggestionqrepugnantqandqadamantlyqopposesqthisqtreatmentqd
espiteqtheqsizableqbodyqofqevidenceqsupportingqit.qHowqshouldqtheqnurseqreconcileqMrs.qMayesqviewsqwi
thqtheqprinciplesqofqEBP?

A) Theqnurseqshouldqexplainqthatqreliableqandqvalidqresearchqevidenceqoverridesqtheqpatientsqopinion.

B) Theqnurseqshouldqexplainqtheqevidenceqtoqtheqpatientqinqgreaterqdetail.
Connected book
image
Lynne M. Dunphy, Jill E. Winland-Brown, Brian Oscar Porter, Debera J. Thomas Primary Care
Publisher: 2019 ISBN: 9780803667181 Edition: Unknown

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