Test Bank for Primary Care: The Art and Science of Advanced Practice Nursing – An Interprofessional Approach, 6th Edition by Lynne M. Dunphy, Jill E. Winland-Brown, Brian O. Porter, Debera J. Thomas, Deborah S. Goldsmith, and Merrily A. Dunn

Test Bank For Primary Care Art And Science Of Advanced Practice Nursing –
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An Interprofessional Approach 6th Edition Dunphy
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TEST BANK FOR gi gi




PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE NURSING –
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AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY
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Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
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1. A nurse has conducted a literature review in an effort to identify the effect of handwashi
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ng on the incidence of nosocomial (hospital-
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acquired) infections in acute care settings. An article presented findings at a level of significance
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of <0.01. This indicates that
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A) The control group and the experimental group were more than 99% similar.
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B) The findings of the study have less than 1% chance of being attributable to chance.
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C) The effects of the intervention were nearly zero.
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D) The clinical significance of the findings was less than 1:100.
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Ans: B gi




Feedback: The level of significance is the level at which the researcher believes that the study
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results most likely represent a no chance event. A level of significance of <0.01 indicates that
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there is less than 1% probability that the result is due to chance.
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2. A nurse has read a qualitative research study in order to understand the lived experience
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of parents who have a neonatal loss. Which of the following questions should the nurse prioritize
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when appraising the results of this study?
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A) How well did the authors capture the personal experiences of these parents?
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B) How well did the authors control for confounding variables that may have affected the
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findings?

,Test Bank For Primary Care Art And Science Of Advanced Practice Nursing –
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An Interprofessional Approach 6th Edition Dunphy
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C) Did the authors use statistical measures that were appropriate to the phenomenon in
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question?


D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A gi




Feedback: Qualitative studies are judged on the basis of how well they capture and convey the su
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bjective experiences of individuals. Statistical measures and variables are not dimensions of a quali
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tative methodology.
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3. A nurse has expressed skepticism to a colleague about the value of nursing research, cla
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iming that nursing research has little relevance to practice. How can the nurses colleague best de
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fend the importance of nursing research?
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A) The existence of nursing research means that nurses are now able to access federal grant
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money, something that didnt use to be the case.
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B) Nursing research has allowed the development of masters and doctoral programs and has
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greatly increased the credibility of the profession.
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C) The growth of nursing research has caused nursing to be viewed as a true profession,
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rather than simply as a trade or a skill.
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D) The application of nursing research has the potential to improve nursing practice and
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patient outcomes. gi

,Test Bank For Primary Care Art And Science Of Advanced Practice Nursing –
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An Interprofessional Approach 6th Edition Dunphy
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Ans: D gi




Feedback: The greatest value of nursing research lies in the potential to improve practice and, ulti
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mately, to improve patient outcomes. This supersedes the contributions of nursing research to educ
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ation programs, grant funding, or the public view of the profession.
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4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
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busy urban hospital. She has noticed that many new mothers abandon breast-
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feeding their babies when they experience early challenges and wonders what could be done to e
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ncourage more women to continue breast- gi gi gi gi gi


feeding. What role is Tracy most likely to play in a research project that tests an intervention ai
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med at promoting breast-feeding?
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A) Applying for grant funding for the research project gi gi gi gi gi gi gi




B) Posing the clinical problem to one or more nursing researchers
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C) Planning the methodology of the research project gi gi gi gi gi gi




D) Carrying out the intervention and submitting the results for publication Ans: B
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Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
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applications, methodological planning, and publication submission are normally carried out by
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nurses who have advanced degrees in nursing.
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5. A patient signed the informed consent form for a drug trial that was explained to patient
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by a research assistant. Later, the patient admitted to his nurse that he did not understand the re
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search assistants explanation or his own role in the study. How should this patients nurse respo
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nd to this revelation?
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A) Explain the research process to the patient in greater detail.
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B) Describe the details of a randomized controlled trial for the patient.
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, Test Bank For Primary Care Art And Science Of Advanced Practice Nursing –
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An Interprofessional Approach 6th Edition Dunphy
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C) Inform the research assistant that the patients consent is likely invalid.
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D) Explain to the patient that his written consent is now legally binding.
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Ans: C gi




Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse is not res
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ponsible for research consent. If patients who have agreed to participate exhibit ambivalence or u
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ncertainty about participating, do not try to convince them to participate. Ask the person from th
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e research team who is managing consents to speak with concerned patients about the study, eve
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n after a patient has signed the consent forms.
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Multiple Selection gi




6. A nurse leader is attempting to increase the awareness of evidence-
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based practice (EBP) among the nurses on a unit. A nurse who is implementing EBP integrates
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which of the following? (Select all that apply.)
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A) Interdisciplinary consensus gi




B) Nursing tradition gi




C) Research studies gi




D) Patient preferences and values
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