Solution Manual for
ff fff
Statistics for Nursing
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f Research AWorkbook for
fffffff f ff
f Evidence-Based Practice f ff
f 3rd Edition Susan Grove
ff ff ff
f Daisha
, AnswerGuidelinesforQuestionstoBeGraded f f f f f f
f
Measurement:Nominal,
f f
f
f
1
The questions are in bold followed by answers.
ff ff ff ff ff ff ff
1. In Table 1, identify the level of measurement for the current therapy variable. Provide a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
rationale for your answer.
ff ff ff ff
Answer: The current therapy variable was measured at the nominal level. These drug categories
ff ff ff ff ff ff ff ff ff ff ff ff ff
were probably developed to be exhaustive for this study and included the categories of drugs the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
subjects were receiving. However, the categories are not exclusive, since patients are usually on
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
more than one category of these drugs to manage their health problems. The current therapies
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
are not measured at the ordinal level because they cannot be rank ordered, since no drug category can
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
be considered more or less beneficial than another drug category (see Figure 1-1; Grove &
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
Gray, 2019).
ff ff
2. What is the mode for the current therapy variable in this study? Provide a rationale for
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
your answer.
f f ff
Answer: The mode for current therapy was β blocker. A total of 100 (94%) of the cardiac patients
ff ff ff ff ff ff ff f ff ff ff ff ff ff ff ff ff
were receiving this category of drug, which was the most common prescribed drug for
f f f f f f f f f f f f f f f f f f f f f f f f f f
this sample.
f f ff
3. What statistics were conducted to describe the BMI of the cardiac patients in this sample?
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
Discuss whether these analysis techniques were appropriate or inappropriate.
ff ff ff ff ff ff ff ff ff
Answer: BMI was described with a mean and standard deviation (SD). BMI measurement resulted in
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ratio-level data with continuous values and an absolute zero (Stone & Frazier, 2017). Ratio-
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
level data should be analyzed with parametric statistics such as the mean and SD (Grove & Gray,
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
2017; Knapp, 2017).
ff ff ff
4. Researchers used the following item to measure registered nurses’ (RNs) income in a study:
ff ff ff ff ff ff ff ff ff ff ff ff ff
f What category identifies your current income as an RN?
f ff ff ff ff ff ff ff ff
a. Less than $50,000 ff ff
b. $50,000 to 59,999 ff ff
c. $60,000 to 69,999 ff ff
d. $70,000 to 80,000 ff ff
e. $80,000 or greater ff ff
What level of measurement is this income variable? Does the income variable follow the
ff ff ff ff ff ff ff ff ff ff ff ff ff
rules outlined in Figure 1-1? Provide a rationale for your answer.
ff ff ff ff ff ff ff ff ff ff ff
Answer: In this example, the income variable is measured at the ordinal level. The income catego-
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ries are exhaustive, ranging from less than $50,000 to greater than $80,000. The two open-
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ended
AG 1-1 ff
,AG 1-2 ff Answer Guidelines for Questions to Be Graded ff ff ff ff ff ff
categories ensure that all salary levels are covered. The categories are not exclusive, since catego- ries
ff f f ff f ff ff ff ff ff ff ff ff f ff
(d) and (e) include an $80,000 salary, so study participants making $80,000 might mark either
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
(d) or (e) or both categories, resulting in erroneous data. Category (e) could be changed to
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff f f
greater than $80,000, making the categories exclusive. The categories can be rank ordered
ff ff ff ff ff ff ff ff ff ff ff ff ff
from the lowest salary to the highest salary, which is consistent with ordinal data (Grove &
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
Gray, 2019; Waltz et al., 2017).
ff ff ff ff ff ff
5. What level of measurement is the CDS score? Provide a rationale for your answer.
ff ff ff ff ff ff ff ff ff ff ff ff ff
Answer: The CDS score is at the interval level of measurement. The CDS is a 26-item Likert
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
scale developed to measure depression in cardiac patients. Study participants rated their symp-
ff ff ff ff ff ff ff ff ff ff ff ff ff
toms on a scale of 1 to 7, with higher numbers indicating increased severity in the depression
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
symptoms. The total scores for each subject obtained from this multi-item scale are considered
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
to be at the interval level of measurement (Gray et al., 2017; Waltz et al., 2017).
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
5. Were nonparametric or parametric analysis techniques used to analyze the CDS scores for
f f ff ff ff ff ff ff ff ff ff ff ff ff
the cardiac patients in this study? Provide a rationale for your answer.
ff ff ff ff ff ff ff ff ff ff ff ff
Answer: Parametric statistics, such as mean and SD, were conducted to describe CDS scores
ff ff ff ff ff ff ff ff ff ff ff ff ff
for study participants (see Table 1). CDS scores are interval-level data as indicated in Questions 5,
f f ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
so parametric statistics are appropriate for this level of data (Gray et al., 2017; Kim & Mallory,
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
2017). ff
7. Is the prevalence of depression linked to the NYHA class? Discuss the clinical
f f ff ff ff ff ff ff ff ff ff ff ff ff
importance of this result.
ff ff ff ff
Answer: The study narrative indicated that the prevalence of depression increased with the
ff ff ff ff ff ff ff ff ff ff ff ff
greater NYHA class. In NYHA class III, 64% of the subjects were depressed, whereas 11% of the
ff f ff f ff f ff f ff ff f ff f ff ff ff ff
subjects were depressed in NYHA class I. Thus, as the NYHA class increased, the number of sub-
ff f ff f ff ff ff ff ff ff ff ff f ff ff ff ff
jects with depression increased. This is an expected finding because as the NYHA class increases,
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
cardiac patients have more severe physical symptoms, which usually result in emotional distress,
ff ff ff ff ff ff ff ff ff ff ff ff ff
such as depression. Nurses need to actively assess cardiac patients for depression, especially those
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
in higher NYHA classes, so they might be diagnosed and treated as needed.
f f ff ff ff ff ff ff ff ff ff ff ff ff
8. What frequency and percent of cardiac patients in this study were not being treated with
f f ff ff ff ff ff ff ff ff ff ff ff ff ff ff
an antidepressant? Show your calculations and round your answer to the nearest whole
ff ff ff ff ff ff ff ff ff ff ff ff ff
percent (%).
ff ff
Answer: A total of 106 cardiac patients participated in this study. The sample
f f f f f f f f f f f f f f f f f f f f f f f f
included
f f 15 patients who were receiving an antidepressant (see Table 1). The f f f f f f f f f f f f f f f f f f f f f f
number of cardiac patients not treated for depression was 91 (106 – 15 = 91). The
f f f f f f ff f f f f f f f f f f f f f f f f f f f f ff f f
group percent is calculated by the following formula: (group frequency ÷ total
f f f f f f f f ff f f f f f f f f f f f f ff
sample size) × 100%. For this study, (91 patients ÷ 106 sample size) × 100%
f f f f f f ff f f f f f f ff f f f f ff f f f f f f ff
= 0.858 × 100% = 85.8% = 86%. The final answer is rounded to the nearest
f f ff f f ff f f ff f f ff f f f f ff f f f f f f f f f f
whole percent as directed in the question. You could have also subtracted the 14% of
f f f f f f f f f f f f f f f f f f f f ff ff ff ff ff
patients treated with antidepressants from 100% and obtained the 86% who were not treated
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
with an antidepressant.
ff ff ff
t. What was the purpose of the 5-minute walk test (5MWT)? Would the 5MWT be useful in
f f ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
clinical practice?
ff ff
Answer: Ha et al. (2018) stated, ―The 6-min walk test (6MWT) is a measure of the submaximal,
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
steady-state functional capacity‖ of cardiac patients. This test would be a quick, easy way to
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
determine a cardiac patient’s functional status in a clinical setting. This
ff f f f f f f f f f f f f f f f f f f f f
functional status score could be used to determine the treatment plan to promote or
f f f f ff ff ff ff ff ff ff ff ff ff ff ff
maintain functional status of cardiac patients.
ff ff ff ff ff ff
, Answer Guidelines for Questions to Be Graded
ff ff ff ff ff ff AG 1-3
ff
10. How was exercise confidence measured in this study? What was the level of measurement
f f ff ff ff ff ff ff ff ff ff ff ff ff ff
for the exercise confidence variable in this study? Provide a rationale for your answer.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
Answer: Exercise confidence of the patients with heart failure (HF) in this study was measured
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
with the Exercise Confidence Scale that included four subscales focused on walking, climbing,
ff ff ff ff ff ff ff ff ff ff ff ff ff
lifting objects of graded weight, and running (see the study narrative). This was a rating scale
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
with values ranging from 0 to 100. The patients’ scores for the Total Exercise Confidence scale
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
and the subscales were considered interval-level data and analyzed with parametric statistics,
ff ff ff ff ff ff ff ff ff ff ff ff
such as means and SDs (see the study narrative; Waltz et al., 2017).
ff ff ff ff ff ff ff ff ff ff ff ff ff
ff fff
Statistics for Nursing
fff f
f Research AWorkbook for
fffffff f ff
f Evidence-Based Practice f ff
f 3rd Edition Susan Grove
ff ff ff
f Daisha
, AnswerGuidelinesforQuestionstoBeGraded f f f f f f
f
Measurement:Nominal,
f f
f
f
1
The questions are in bold followed by answers.
ff ff ff ff ff ff ff
1. In Table 1, identify the level of measurement for the current therapy variable. Provide a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
rationale for your answer.
ff ff ff ff
Answer: The current therapy variable was measured at the nominal level. These drug categories
ff ff ff ff ff ff ff ff ff ff ff ff ff
were probably developed to be exhaustive for this study and included the categories of drugs the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
subjects were receiving. However, the categories are not exclusive, since patients are usually on
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
more than one category of these drugs to manage their health problems. The current therapies
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
are not measured at the ordinal level because they cannot be rank ordered, since no drug category can
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
be considered more or less beneficial than another drug category (see Figure 1-1; Grove &
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
Gray, 2019).
ff ff
2. What is the mode for the current therapy variable in this study? Provide a rationale for
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
your answer.
f f ff
Answer: The mode for current therapy was β blocker. A total of 100 (94%) of the cardiac patients
ff ff ff ff ff ff ff f ff ff ff ff ff ff ff ff ff
were receiving this category of drug, which was the most common prescribed drug for
f f f f f f f f f f f f f f f f f f f f f f f f f f
this sample.
f f ff
3. What statistics were conducted to describe the BMI of the cardiac patients in this sample?
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
Discuss whether these analysis techniques were appropriate or inappropriate.
ff ff ff ff ff ff ff ff ff
Answer: BMI was described with a mean and standard deviation (SD). BMI measurement resulted in
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ratio-level data with continuous values and an absolute zero (Stone & Frazier, 2017). Ratio-
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
level data should be analyzed with parametric statistics such as the mean and SD (Grove & Gray,
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
2017; Knapp, 2017).
ff ff ff
4. Researchers used the following item to measure registered nurses’ (RNs) income in a study:
ff ff ff ff ff ff ff ff ff ff ff ff ff
f What category identifies your current income as an RN?
f ff ff ff ff ff ff ff ff
a. Less than $50,000 ff ff
b. $50,000 to 59,999 ff ff
c. $60,000 to 69,999 ff ff
d. $70,000 to 80,000 ff ff
e. $80,000 or greater ff ff
What level of measurement is this income variable? Does the income variable follow the
ff ff ff ff ff ff ff ff ff ff ff ff ff
rules outlined in Figure 1-1? Provide a rationale for your answer.
ff ff ff ff ff ff ff ff ff ff ff
Answer: In this example, the income variable is measured at the ordinal level. The income catego-
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ries are exhaustive, ranging from less than $50,000 to greater than $80,000. The two open-
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ended
AG 1-1 ff
,AG 1-2 ff Answer Guidelines for Questions to Be Graded ff ff ff ff ff ff
categories ensure that all salary levels are covered. The categories are not exclusive, since catego- ries
ff f f ff f ff ff ff ff ff ff ff ff f ff
(d) and (e) include an $80,000 salary, so study participants making $80,000 might mark either
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
(d) or (e) or both categories, resulting in erroneous data. Category (e) could be changed to
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff f f
greater than $80,000, making the categories exclusive. The categories can be rank ordered
ff ff ff ff ff ff ff ff ff ff ff ff ff
from the lowest salary to the highest salary, which is consistent with ordinal data (Grove &
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
Gray, 2019; Waltz et al., 2017).
ff ff ff ff ff ff
5. What level of measurement is the CDS score? Provide a rationale for your answer.
ff ff ff ff ff ff ff ff ff ff ff ff ff
Answer: The CDS score is at the interval level of measurement. The CDS is a 26-item Likert
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
scale developed to measure depression in cardiac patients. Study participants rated their symp-
ff ff ff ff ff ff ff ff ff ff ff ff ff
toms on a scale of 1 to 7, with higher numbers indicating increased severity in the depression
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
symptoms. The total scores for each subject obtained from this multi-item scale are considered
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
to be at the interval level of measurement (Gray et al., 2017; Waltz et al., 2017).
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
5. Were nonparametric or parametric analysis techniques used to analyze the CDS scores for
f f ff ff ff ff ff ff ff ff ff ff ff ff
the cardiac patients in this study? Provide a rationale for your answer.
ff ff ff ff ff ff ff ff ff ff ff ff
Answer: Parametric statistics, such as mean and SD, were conducted to describe CDS scores
ff ff ff ff ff ff ff ff ff ff ff ff ff
for study participants (see Table 1). CDS scores are interval-level data as indicated in Questions 5,
f f ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
so parametric statistics are appropriate for this level of data (Gray et al., 2017; Kim & Mallory,
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
2017). ff
7. Is the prevalence of depression linked to the NYHA class? Discuss the clinical
f f ff ff ff ff ff ff ff ff ff ff ff ff
importance of this result.
ff ff ff ff
Answer: The study narrative indicated that the prevalence of depression increased with the
ff ff ff ff ff ff ff ff ff ff ff ff
greater NYHA class. In NYHA class III, 64% of the subjects were depressed, whereas 11% of the
ff f ff f ff f ff f ff ff f ff f ff ff ff ff
subjects were depressed in NYHA class I. Thus, as the NYHA class increased, the number of sub-
ff f ff f ff ff ff ff ff ff ff ff f ff ff ff ff
jects with depression increased. This is an expected finding because as the NYHA class increases,
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
cardiac patients have more severe physical symptoms, which usually result in emotional distress,
ff ff ff ff ff ff ff ff ff ff ff ff ff
such as depression. Nurses need to actively assess cardiac patients for depression, especially those
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
in higher NYHA classes, so they might be diagnosed and treated as needed.
f f ff ff ff ff ff ff ff ff ff ff ff ff
8. What frequency and percent of cardiac patients in this study were not being treated with
f f ff ff ff ff ff ff ff ff ff ff ff ff ff ff
an antidepressant? Show your calculations and round your answer to the nearest whole
ff ff ff ff ff ff ff ff ff ff ff ff ff
percent (%).
ff ff
Answer: A total of 106 cardiac patients participated in this study. The sample
f f f f f f f f f f f f f f f f f f f f f f f f
included
f f 15 patients who were receiving an antidepressant (see Table 1). The f f f f f f f f f f f f f f f f f f f f f f
number of cardiac patients not treated for depression was 91 (106 – 15 = 91). The
f f f f f f ff f f f f f f f f f f f f f f f f f f f f ff f f
group percent is calculated by the following formula: (group frequency ÷ total
f f f f f f f f ff f f f f f f f f f f f f ff
sample size) × 100%. For this study, (91 patients ÷ 106 sample size) × 100%
f f f f f f ff f f f f f f ff f f f f ff f f f f f f ff
= 0.858 × 100% = 85.8% = 86%. The final answer is rounded to the nearest
f f ff f f ff f f ff f f ff f f f f ff f f f f f f f f f f
whole percent as directed in the question. You could have also subtracted the 14% of
f f f f f f f f f f f f f f f f f f f f ff ff ff ff ff
patients treated with antidepressants from 100% and obtained the 86% who were not treated
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
with an antidepressant.
ff ff ff
t. What was the purpose of the 5-minute walk test (5MWT)? Would the 5MWT be useful in
f f ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
clinical practice?
ff ff
Answer: Ha et al. (2018) stated, ―The 6-min walk test (6MWT) is a measure of the submaximal,
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
steady-state functional capacity‖ of cardiac patients. This test would be a quick, easy way to
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
determine a cardiac patient’s functional status in a clinical setting. This
ff f f f f f f f f f f f f f f f f f f f f
functional status score could be used to determine the treatment plan to promote or
f f f f ff ff ff ff ff ff ff ff ff ff ff ff
maintain functional status of cardiac patients.
ff ff ff ff ff ff
, Answer Guidelines for Questions to Be Graded
ff ff ff ff ff ff AG 1-3
ff
10. How was exercise confidence measured in this study? What was the level of measurement
f f ff ff ff ff ff ff ff ff ff ff ff ff ff
for the exercise confidence variable in this study? Provide a rationale for your answer.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
Answer: Exercise confidence of the patients with heart failure (HF) in this study was measured
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
with the Exercise Confidence Scale that included four subscales focused on walking, climbing,
ff ff ff ff ff ff ff ff ff ff ff ff ff
lifting objects of graded weight, and running (see the study narrative). This was a rating scale
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
with values ranging from 0 to 100. The patients’ scores for the Total Exercise Confidence scale
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
and the subscales were considered interval-level data and analyzed with parametric statistics,
ff ff ff ff ff ff ff ff ff ff ff ff
such as means and SDs (see the study narrative; Waltz et al., 2017).
ff ff ff ff ff ff ff ff ff ff ff ff ff