TEST BANK FOR PRIMARY CARE
m m m m m
ART AND SCIENCE OF ADVANCED
m m m m mm
PRACTICE NURSING – m m
AN INTERPROFESSIONAL APPROA
m mm m
CH 6TH EDITION DUNPHY ALL CH
mm m m m mm
APTERS-2023-2024
, PrimarymCare:mArtmandmSciencemof mAdvancedmPracticemNursingm-
th
mAnmInterprofessionalmApproach m5 meditionmDunphymTestmBank
Chapterm1.mPrimarymCareminmthemTwenty-FirstmCentury:mA mCirclemof mCaring
1. Amnursemhasmconducted mamliteraturemreview minmanmeffort mtomidentifymthemeffectmofmhandwashingmonm
themincidencemof mnosocomialm(hospital-
acquired)minfectionsminmacutemcaremsettings.mAnmarticlempresented mfindingsmat mamlevelmof msignificance
mof m<0.01.mThismindicatesmthat
A) themcontrolmgroupmand mthemexperimentalmgroupmweremmoremthanm99%msimilar.
B) themfindingsmof mthemstudymhavemlessmthanm1%mchancemof mbeingmattributablemtomchance.
C) themeffectsmof mtheminterventionmweremnearlymzero.
D) themclinicalmsignificancemof mthemfindingsmwasmlessmthanm1:100.
Ans:mB
Feedback:mThemlevelmof msignificancemismthemlevelmat mwhichmthemresearchermbelievesmthat mthemstudymresu
ltsmmost mlikelymrepresent mamnonchancemevent.mAmlevelmof msignificancemof m<0.01mindicatesmthat mtheremis
mlessmthanm1%mprobabilitymthat mthemresult mismduemtomchance.
2. Amnursemhasmread mamqualitativemresearchmstudyminmordermtomunderstand mthemlived mexperiencemof mpare
ntsmwhomhavemamneonatalmloss.mWhichmof mthemfollowingmquestionsmshould mthemnursemprioritizemwhenma
ppraisingmthemresultsmof mthismstudy?
A) How mwellmdid mthemauthorsmcapturemthempersonalmexperiencesmof mthesemparents?
B) How mwellmdid mthemauthorsmcontrolmformconfoundingmvariablesmthat mmaymhavemaffected mthemfindings?
C) Did mthemauthorsmusemstatisticalmmeasuresmthat mweremappropriatemtomthemphenomenonminmquestion?
D) Weremtheminstrumentsmthat mthemresearchersmused mstatisticallymvalid mand mreliable?
Ans:mA
Feedback:mQualitativemstudiesmaremjudged monmthembasismof mhow mwellmtheymcapturemand mconveymthemsu
bjectivemexperiencesmof mindividuals.mStatisticalmmeasuresmand mvariablesmaremnot mdimensionsmof mamqual
itativemmethodology.
3. Amnursemhasmexpressed mskepticismmtomamcolleaguemabout mthemvaluemof mnursingmresearch,mclaimingmt
hat mnursingmresearchmhasmlittlemrelevancemtompractice.mHow mcanmthemnursesmcolleague mbest mdefend mthe
mimportancemof mnursingmresearch?
,A) Themexistencemof mnursingmresearchmmeansmthat mnursesmaremnowmablemtomaccessmfederalmgrant mmon
ey,msomethingmthat mdidnt musemtombemthemcase.
B) Nursingmresearchmhasmallowed mthemdevelopment mof mmastersmand mdoctoralmprogramsmand mhasmgreat
lymincreased mthemcredibilitymof mthemprofession.
C) Themgrowthmof mnursingmresearchmhasmcaused mnursingmtombemviewed masmamtruemprofession,mrathermt
hanmsimplymasmamtrademormamskill.
D) Themapplicationmof mnursingmresearchmhasmthempotentialmtomimprovemnursingmpracticemand mpati
ent moutcomes.
Ans:mD
Feedback:mThemgreatest mvaluemof mnursingmresearchmlies minmthempotentialmtomimprovempracticemand,multi
mately,mtomimprovempatient moutcomes.mThismsupersedesmthemcontributionsmof mnursingmresearchmtomeduc
ationmprograms,mgrant mfunding,mormthempublicmview mof mthemprofession.
4. Tracymismamnursemwithmambaccalaureatemdegreemwhomworksminmthemlabormand mdeliverymunit mof mamb
usymurbanmhospital.mShemhasmnoticed mthat mmanymnew mmothersmabandonmbreast-
feedingmtheirmbabiesmwhenmtheymexperiencemearlymchallengesmand mwondersmwhat mcould mbemdonemto
mencouragemmoremwomenmtomcontinuembreast-
feeding.mWhat mrolemismTracymmost mlikelymtomplayminm amresearchmproject mthat mtestsmanminterventionm
aimed mat mpromotingmbreast-feeding?
A) Applyingmformgrant mfundingmformthemresearchmproject
B) Posingmthemclinicalmproblemmtomonemormmoremnursingmresearchers
C) Planningmthemmethodologymof mthemresearchmproject
D) Carryingmout mtheminterventionmand msubmittingmthemresultsmformpublicatio
nmAns:mB
Feedback:mAmmajormrolemformstaff mnursesmismtomidentifymquestionsmormproblemsmformresearch.mGr
ant mapplications,mmethodologicalmplanning,m and mpublicationmsubmissionmaremnormallymcarried m
out mbymnursesmwhomhavemadvanced mdegreesminmnursing.
5. Ampatient msigned mtheminformed mconsent mformmformamdrugmtrialmthat mwasmexplained mtompatient mby
mamresearchmassistant.mLater,mthempatient madmitted mtomhismnursemthat mhemdid mnot munderstand mthemres
earchmassistantsmexplanationmormhismownmroleminmthemstudy.mHow mshould mthismpatientsmnursemrespo
nd mtomthismrevelation?
A) Explainmthemresearchmprocessmtomthempatient minmgreatermdetail.
B) Describemthemdetailsmof mamrandomized mcontrolled mtrialmformthempatient.
, C) Informmthemresearchmassistant mthat mthempatientsmconsent mismlikelyminvalid.
D) Explainmtomthempatient mthat mhismwrittenmconsent mismnow mlegallymbinding.
Ans:mC
Feedback:mJust masmthemstaff mnursemismnot mresponsiblemformmedicalmconsent,mthemstaff mnursemismnot mresp
onsiblemformresearchmconsent.mIf mpatientsmwhomhavemagreed mtomparticipatemexhibit mambivalencemormunc
ertaintymabout mparticipating,mdomnot mtrymtomconvincemthemmtomparticipate.mAskmthempersonmfrommthemre
searchmteammwhomismmanagingmconsentsmtomspeakmwithmconcerned mpatientsmabout mthemstudy,mevenmafte
rmampatient mhasmsigned mthemconsent mforms.
MultiplemSelection
6. Amnursemleadermismattemptingmtomincreasemthemawarenessmof mevidence-
based mpracticem(EBP)mamongmthemnursesmonmamunit.mAmnursemwhomismimplementingmEBPmintegratesmw
hichmof mthemfollowing?m(Select mallmthat mapply.)
A) Interdisciplinarymconsensus
B) Nursingmtradition
C) Researchmstudies
D) Patient mpreferencesmand mvalues
E) Clinicalmexpertise
Ans:mC,mD,mE
m
Feedback:mFineout-Overholt,mMelnyk,mStillwell,mand mWilliamsonmdefinemEBPmasmamproblem-
solvingmapproachmtomthemdeliverymof mhealthcaremthat mintegratesmthembest mevidencemfrommstudiesmand mpa
tient mcaremdatamwithmclinicianmexpertisemand mpatient mpreferencesmand mvalues.
MultiplemChoice
7. Mrs.mMayesmismam73-year-
old mwomanmwhomhasmamdiabeticmfoot mulcermthat mhasmbeenmextremelymslow mtomhealmand mwhichmnowmpos
esmamthreat mof mosteomyelitis.mThemwound mcaremnursemwhomhasmbeenmworkingmwithmMrs.mMayesmapplie
smevidence-
based mpracticem(EBP)mwhenevermpossiblemand mhasmproposed mthemusemof mmaggot mtherapymtomdebridemne
croticmtissue.mMrs.mMayes,mhowever,mfindsmthemsuggestionmrepugnant mand madamantlymopposesmthismtre
atment mdespitemthemsizablembodymof mevidencemsupportingmit.mHow mshould mthemnursemreconcilemMrs.mM
ayesmviewsmwithmthemprinciplesmof mEBP?
A) Themnursemshould mexplainmthat mreliablemand mvalid mresearchmevidencemoverridesmthempatientsmopinion.
B) Themnursemshould mexplainmthemevidencemtomthempatient minmgreatermdetail.
m m m m m
ART AND SCIENCE OF ADVANCED
m m m m mm
PRACTICE NURSING – m m
AN INTERPROFESSIONAL APPROA
m mm m
CH 6TH EDITION DUNPHY ALL CH
mm m m m mm
APTERS-2023-2024
, PrimarymCare:mArtmandmSciencemof mAdvancedmPracticemNursingm-
th
mAnmInterprofessionalmApproach m5 meditionmDunphymTestmBank
Chapterm1.mPrimarymCareminmthemTwenty-FirstmCentury:mA mCirclemof mCaring
1. Amnursemhasmconducted mamliteraturemreview minmanmeffort mtomidentifymthemeffectmofmhandwashingmonm
themincidencemof mnosocomialm(hospital-
acquired)minfectionsminmacutemcaremsettings.mAnmarticlempresented mfindingsmat mamlevelmof msignificance
mof m<0.01.mThismindicatesmthat
A) themcontrolmgroupmand mthemexperimentalmgroupmweremmoremthanm99%msimilar.
B) themfindingsmof mthemstudymhavemlessmthanm1%mchancemof mbeingmattributablemtomchance.
C) themeffectsmof mtheminterventionmweremnearlymzero.
D) themclinicalmsignificancemof mthemfindingsmwasmlessmthanm1:100.
Ans:mB
Feedback:mThemlevelmof msignificancemismthemlevelmat mwhichmthemresearchermbelievesmthat mthemstudymresu
ltsmmost mlikelymrepresent mamnonchancemevent.mAmlevelmof msignificancemof m<0.01mindicatesmthat mtheremis
mlessmthanm1%mprobabilitymthat mthemresult mismduemtomchance.
2. Amnursemhasmread mamqualitativemresearchmstudyminmordermtomunderstand mthemlived mexperiencemof mpare
ntsmwhomhavemamneonatalmloss.mWhichmof mthemfollowingmquestionsmshould mthemnursemprioritizemwhenma
ppraisingmthemresultsmof mthismstudy?
A) How mwellmdid mthemauthorsmcapturemthempersonalmexperiencesmof mthesemparents?
B) How mwellmdid mthemauthorsmcontrolmformconfoundingmvariablesmthat mmaymhavemaffected mthemfindings?
C) Did mthemauthorsmusemstatisticalmmeasuresmthat mweremappropriatemtomthemphenomenonminmquestion?
D) Weremtheminstrumentsmthat mthemresearchersmused mstatisticallymvalid mand mreliable?
Ans:mA
Feedback:mQualitativemstudiesmaremjudged monmthembasismof mhow mwellmtheymcapturemand mconveymthemsu
bjectivemexperiencesmof mindividuals.mStatisticalmmeasuresmand mvariablesmaremnot mdimensionsmof mamqual
itativemmethodology.
3. Amnursemhasmexpressed mskepticismmtomamcolleaguemabout mthemvaluemof mnursingmresearch,mclaimingmt
hat mnursingmresearchmhasmlittlemrelevancemtompractice.mHow mcanmthemnursesmcolleague mbest mdefend mthe
mimportancemof mnursingmresearch?
,A) Themexistencemof mnursingmresearchmmeansmthat mnursesmaremnowmablemtomaccessmfederalmgrant mmon
ey,msomethingmthat mdidnt musemtombemthemcase.
B) Nursingmresearchmhasmallowed mthemdevelopment mof mmastersmand mdoctoralmprogramsmand mhasmgreat
lymincreased mthemcredibilitymof mthemprofession.
C) Themgrowthmof mnursingmresearchmhasmcaused mnursingmtombemviewed masmamtruemprofession,mrathermt
hanmsimplymasmamtrademormamskill.
D) Themapplicationmof mnursingmresearchmhasmthempotentialmtomimprovemnursingmpracticemand mpati
ent moutcomes.
Ans:mD
Feedback:mThemgreatest mvaluemof mnursingmresearchmlies minmthempotentialmtomimprovempracticemand,multi
mately,mtomimprovempatient moutcomes.mThismsupersedesmthemcontributionsmof mnursingmresearchmtomeduc
ationmprograms,mgrant mfunding,mormthempublicmview mof mthemprofession.
4. Tracymismamnursemwithmambaccalaureatemdegreemwhomworksminmthemlabormand mdeliverymunit mof mamb
usymurbanmhospital.mShemhasmnoticed mthat mmanymnew mmothersmabandonmbreast-
feedingmtheirmbabiesmwhenmtheymexperiencemearlymchallengesmand mwondersmwhat mcould mbemdonemto
mencouragemmoremwomenmtomcontinuembreast-
feeding.mWhat mrolemismTracymmost mlikelymtomplayminm amresearchmproject mthat mtestsmanminterventionm
aimed mat mpromotingmbreast-feeding?
A) Applyingmformgrant mfundingmformthemresearchmproject
B) Posingmthemclinicalmproblemmtomonemormmoremnursingmresearchers
C) Planningmthemmethodologymof mthemresearchmproject
D) Carryingmout mtheminterventionmand msubmittingmthemresultsmformpublicatio
nmAns:mB
Feedback:mAmmajormrolemformstaff mnursesmismtomidentifymquestionsmormproblemsmformresearch.mGr
ant mapplications,mmethodologicalmplanning,m and mpublicationmsubmissionmaremnormallymcarried m
out mbymnursesmwhomhavemadvanced mdegreesminmnursing.
5. Ampatient msigned mtheminformed mconsent mformmformamdrugmtrialmthat mwasmexplained mtompatient mby
mamresearchmassistant.mLater,mthempatient madmitted mtomhismnursemthat mhemdid mnot munderstand mthemres
earchmassistantsmexplanationmormhismownmroleminmthemstudy.mHow mshould mthismpatientsmnursemrespo
nd mtomthismrevelation?
A) Explainmthemresearchmprocessmtomthempatient minmgreatermdetail.
B) Describemthemdetailsmof mamrandomized mcontrolled mtrialmformthempatient.
, C) Informmthemresearchmassistant mthat mthempatientsmconsent mismlikelyminvalid.
D) Explainmtomthempatient mthat mhismwrittenmconsent mismnow mlegallymbinding.
Ans:mC
Feedback:mJust masmthemstaff mnursemismnot mresponsiblemformmedicalmconsent,mthemstaff mnursemismnot mresp
onsiblemformresearchmconsent.mIf mpatientsmwhomhavemagreed mtomparticipatemexhibit mambivalencemormunc
ertaintymabout mparticipating,mdomnot mtrymtomconvincemthemmtomparticipate.mAskmthempersonmfrommthemre
searchmteammwhomismmanagingmconsentsmtomspeakmwithmconcerned mpatientsmabout mthemstudy,mevenmafte
rmampatient mhasmsigned mthemconsent mforms.
MultiplemSelection
6. Amnursemleadermismattemptingmtomincreasemthemawarenessmof mevidence-
based mpracticem(EBP)mamongmthemnursesmonmamunit.mAmnursemwhomismimplementingmEBPmintegratesmw
hichmof mthemfollowing?m(Select mallmthat mapply.)
A) Interdisciplinarymconsensus
B) Nursingmtradition
C) Researchmstudies
D) Patient mpreferencesmand mvalues
E) Clinicalmexpertise
Ans:mC,mD,mE
m
Feedback:mFineout-Overholt,mMelnyk,mStillwell,mand mWilliamsonmdefinemEBPmasmamproblem-
solvingmapproachmtomthemdeliverymof mhealthcaremthat mintegratesmthembest mevidencemfrommstudiesmand mpa
tient mcaremdatamwithmclinicianmexpertisemand mpatient mpreferencesmand mvalues.
MultiplemChoice
7. Mrs.mMayesmismam73-year-
old mwomanmwhomhasmamdiabeticmfoot mulcermthat mhasmbeenmextremelymslow mtomhealmand mwhichmnowmpos
esmamthreat mof mosteomyelitis.mThemwound mcaremnursemwhomhasmbeenmworkingmwithmMrs.mMayesmapplie
smevidence-
based mpracticem(EBP)mwhenevermpossiblemand mhasmproposed mthemusemof mmaggot mtherapymtomdebridemne
croticmtissue.mMrs.mMayes,mhowever,mfindsmthemsuggestionmrepugnant mand madamantlymopposesmthismtre
atment mdespitemthemsizablembodymof mevidencemsupportingmit.mHow mshould mthemnursemreconcilemMrs.mM
ayesmviewsmwithmthemprinciplesmof mEBP?
A) Themnursemshould mexplainmthat mreliablemand mvalid mresearchmevidencemoverridesmthempatientsmopinion.
B) Themnursemshould mexplainmthemevidencemtomthempatient minmgreatermdetail.
