TEST BANK Primary Care The Art and Science of
nn nn nn nn nn nn nn nn
Advanced Practice Nursing – An Interprofessional
nn nn nn nn nn n n
Approach 6th Edition by Debera J. Dunphy| Complete
n n nn nn nn nn nn nn nn
Guide Chapter 1-82
nn nn nn
•
Primary nnCare: nnArt nnand nnScience nnof nnAdvanced nnPractice nnNursing nn- nnAn
th n n
nnInterprofessional nnApproach nn5 edition nnDunphy nnTest nnBank
Chapter nn1. nnPrimary nnCare nnin nnthe nnTwenty-First nnCentury: nnA nnCircle nnof nnCaring
. nnA nnnurse nnleader nnis nnattempting nnto nnincrease nnthe nnawareness nnof nnevidence-based nnpractice nn(EBP)
nnamong nnthe nnnurses nnon nna nnunit. nnA nnnurse nnwho nnis nnimplementing nnEBP nnintegrates nnwhich nnof
nnthe nnfollowing? nn(Select nnall nnthat nnapply.)
A) Interdisciplinary nnconsensus
B) Nursing nntradition
C) Research nnstudies
D) Patient nnpreferences nnand nnvalues
E) Clinical
expertise nnAns: nnC,
nn
nn D, nnE
Feedback: nnFineout-Overholt, nnMelnyk, nnStillwell, nnand nnWilliamson nndefine nnEBP nnas nna nnproblem-
solving nnapproach nnto nnthe nndelivery nnof nnhealthcare nnthat nnintegrates nnthe nnbest nnevidence nnfrom
nnstudies nnand nnpatient nncare nndata nnwith nnclinician nnexpertise nnand nnpatient nnpreferences nnand nnvalues.
Multiple nnChoice
. nnMrs. nnMayes nnis nna nn73-year-old nnwoman nnwho nnhas nna nndiabetic nnfoot nnulcer nnthat nnhas nnbeen
nnextremely nnslow nnto nnheal nnand nnwhich nnnow nnposes nna nnthreat nnof nnosteomyelitis. nnThe nnwound nncare
nnnurse nnwho nnhas nnbeen nnworking nnwith nnMrs. nnMayes nnapplies nnevidence-based nnpractice nn(EBP)
nnwhenever nnpossible nnand nnhas nnproposed nnthe nnuse nnof nnmaggot nntherapy nnto nndebride nnnecrotic
nntissue. nnMrs. nnMayes, nnhowever, nnfinds nnthe nnsuggestion nnrepugnant nnand nnadamantly nnopposes nnthis
nntreatment nndespite nnthe nnsizable nnbody nnof nnevidence nnsupporting nnit. nnHow nnshould nnthe nnnurse
nnreconcile nnMrs. nnMayes nnviews nnwith nnthe nnprinciples nnof nnEBP?
,A) The nnnurse nnshould nnexplain nnthat nnreliable nnand nnvalid nnresearch nnevidence nnoverrides nnthe nnpatients
nnopinion.
B) The nnnurse nnshould nnexplain nnthe nnevidence nnto nnthe nnpatient nnin nngreater nndetail.
C) The nnnurse nnshould nnintegrate nnthe nnpatients nnpreferences nninto nnthe nnplan nnof nncare.
D) The nnnurse nnshould nninvolve nnthe nnpatients nnfamily nnmembers nnin nnthe nndecision-making nnprocess.
Ans: nnC
Feedback: nnPatient nnpreferences nnshould nnbe nnintegrated nninto nnEBP nnand nnconsidered nnalongside
nnresearch nnevidence nnand nnthe nnnurses nnclinical nnexpertise; nnevidence nndoes nnnot nntrump nnthe
nnpatients nnpreferences. nnThe nnfamily nnshould nnbe nninvolved, nnbut nnthis nnis nnnot nnan nnexplicit
nndimension nnof nnEBP. nnSimilarly, nnexplaining nnthe nnevidence nnin nnmore nndetail nnis nnnot nna
nndemonstration nnof nnEBP.
1. A nnnurse nnhas nnconducted nna nnliterature nnreview nnin nnan nneffort nnto nnidentify nnthe nneffect nnof
nnhandwashing nnon nnthe nnincidence nnof nnnosocomial nn(hospital-acquired) nninfections nnin nnacute nncare
nnsettings. nnAn nnarticle nnpresented nnfindings nnat nna nnlevel nnof nnsignificance nnof nn<0.01. nnThis
nnindicates nnthat
A) the nncontrol nngroup nnand nnthe nnexperimental nngroup nnwere nnmore nnthan nn99% nnsimilar.
B) the nnfindings nnof nnthe nnstudy nnhave nnless nnthan nn1% nnchance nnof nnbeing nnattributable nnto nnchance.
C) the nneffects nnof nnthe nnintervention nnwere nnnearly nnzero.
D) the nnclinical nnsignificance nnof nnthe nnfindings nnwas nnless nnthan nn1:100.
Ans: nnB
Feedback: nnThe nnlevel nnof nnsignificance nnis nnthe nnlevel nnat nnwhich nnthe nnresearcher nnbelieves nnthat nnthe
nnstudy nnresults nnmost nnlikely nnrepresent nna nnnonchance nnevent. nnA nnlevel nnof nnsignificance nnof nn<0.01
nnindicates nnthat nnthere nnis nnless nnthan nn1% nnprobability nnthat nnthe nnresult nnis nndue nnto nnchance.
2. A nnnurse nnhas nnread nna nnqualitative nnresearch nnstudy nnin nnorder nnto nnunderstand nnthe nnlived
nnexperience nnof nnparents nnwho nnhave nna nnneonatal nnloss. nnWhich nnof nnthe nnfollowing nnquestions
nnshould nnthe nnnurse nnprioritize nnwhen nnappraising nnthe nnresults nnof nnthis nnstudy?
A) How nnwell nndid nnthe nnauthors nncapture nnthe nnpersonal nnexperiences nnof nnthese nnparents?
B) How nnwell nndid nnthe nnauthors nncontrol nnfor nnconfounding nnvariables nnthat nnmay nnhave nnaffected nnthe
nnfindings?
C) Did nnthe nnauthors nnuse nnstatistical nnmeasures nnthat nnwere nnappropriate nnto nnthe nnphenomenon nnin nnquestio
D) Were nnthe nninstruments nnthat nnthe nnresearchers nnused nnstatistically nnvalid nnand nnreliable?
Ans: nnA
,Feedback: nnQualitative nnstudies nnare nnjudged nnon nnthe nnbasis nnof nnhow nnwell nnthey nncapture nnand
nnconvey nnthe nnsubjective nnexperiences nnof nnindividuals. nnStatistical nnmeasures nnand nnvariables nnare
nnnot nndimensions nnof nna nnqualitative nnmethodology.
3. A nnnurse nnhas nnexpressed nnskepticism nnto nna nncolleague nnabout nnthe nnvalue nnof nnnursing nnresearch,
nnclaiming nnthat nnnursing nnresearch nnhas nnlittle nnrelevance nnto nnpractice. nnHow nncan nnthe nnnurses
nncolleague nnbest nndefend nnthe nnimportance nnof nnnursing nnresearch?
A) The nnexistence nnof nnnursing nnresearch nnmeans nnthat nnnurses nnare nnnow nnable nnto nnaccess nnfederal
nngrant nnmoney, nnsomething nnthat nndidnt nnuse nnto nnbe nnthe nncase.
B) Nursing nnresearch nnhas nnallowed nnthe nndevelopment nnof nnmasters nnand nndoctoral nnprograms nnand
nnhas nngreatly nnincreased nnthe nncredibility nnof nnthe nnprofession.
C) The nngrowth nnof nnnursing nnresearch nnhas nncaused nnnursing nnto nnbe nnviewed nnas nna nntrue
nnprofession, nnrather nnthan nnsimply nnas nna nntrade nnor nna nnskill.
D) The nnapplication nnof nnnursing nnresearch nnhas nnthe nnpotential nnto nnimprove nnnursing nnpractice
nnand nnpatient nnoutcomes.
Ans: nnD
Feedback: nnThe nngreatest nnvalue nnof nnnursing nnresearch nnlies nnin nnthe nnpotential nnto nnimprove
nnpractice nnand, nnultimately, nnto nnimprove nnpatient nnoutcomes. nnThis nnsupersedes nnthe nncontributions
nnof nnnursing nnresearch nnto nneducation nnprograms, nngrant nnfunding, nnor nnthe nnpublic nnview nnof nnthe
nnprofession.
4. Tracy nnis nna nnnurse nnwith nna nnbaccalaureate nndegree nnwho nnworks nnin nnthe nnlabor nnand nndelivery
nnunit nnof nna nnbusy nnurban nnhospital. nnShe nnhas nnnoticed nnthat nnmany nnnew nnmothers nnabandon
nnbreast-feeding nntheir nnbabies nnwhen nnthey nnexperience nnearly nnchallenges nnand nnwonders nnwhat
nncould nnbe nndone nnto nnencourage nnmore nnwomen nnto nncontinue nnbreast-feeding. nnWhat nnrole nnis
nnTracy nnmost nnlikely nnto nnplay nnin nna nnresearch nnproject nnthat nntests nnan nnintervention nnaimed nnat
nnpromoting nnbreast-feeding?
A) Applying nnfor nngrant nnfunding nnfor nnthe nnresearch nnproject
B) Posing nnthe nnclinical nnproblem nnto nnone nnor nnmore nnnursing nnresearchers
C) Planning nnthe nnmethodology nnof nnthe nnresearch nnproject
D) Carrying nnout nnthe nnintervention nnand nnsubmitting nnthe nnresults nnfor
publication nnAns: nnB
nn
Feedback: nnA nnmajor nnrole nnfor nnstaff nnnurses nnis nnto nnidentify nnquestions nnor nnproblems nnfor
nnresearch. nnGrant nnapplications, nnmethodological nnplanning, nnand nnpublication nnsubmission nnare
nnnormally nncarried nnout nnby nnnurses nnwho nnhave nnadvanced nndegrees nnin nnnursing.
, 5. A nnpatient nnsigned nnthe nninformed nnconsent nnform nnfor nna nndrug nntrial nnthat nnwas nnexplained nnto
nnpatient nnby nna nnresearch nnassistant. nnLater, nnthe nnpatient nnadmitted nnto nnhis nnnurse nnthat nnhe nndid
nnnot nnunderstand nnthe nnresearch nnassistants nnexplanation nnor nnhis nnown nnrole nnin nnthe nnstudy. nnHow
nnshould nnthis nnpatients nnnurse nnrespond nnto nnthis nnrevelation?
A) Explain nnthe nnresearch nnprocess nnto nnthe nnpatient nnin nngreater nndetail.
B) Describe nnthe nndetails nnof nna nnrandomized nncontrolled nntrial nnfor nnthe nnpatient.
C) Inform nnthe nnresearch nnassistant nnthat nnthe nnpatients nnconsent nnis nnlikely nninvalid.
D) Explain nnto nnthe nnpatient nnthat nnhis nnwritten nnconsent nnis nnnow nnlegally nnbinding.
Ans: nnC
Feedback: nnJust nnas nnthe nnstaff nnnurse nnis nnnot nnresponsible nnfor nnmedical nnconsent, nnthe nnstaff nnnurse
nnis nnnot nnresponsible nnfor nnresearch nnconsent. nnIf nnpatients nnwho nnhave nnagreed nnto nnparticipate
nnexhibit nnambivalence nnor nnuncertainty nnabout nnparticipating, nndo nnnot nntry nnto nnconvince nnthem nnto
nnparticipate. nnAsk nnthe nnperson nnfrom nnthe nnresearch nnteam nnwho nnis nnmanaging nnconsents nnto nnspeak
nnwith nnconcerned nnpatients nnabout nnthe nnstudy, nneven nnafter nna nnpatient nnhas nnsigned nnthe nnconsent
nnforms.
Multiple nnSelection
8. The nnadministrators nnof nna nnlong-term nncare nnfacility nnare nnconsidered nnthe nnuse nnof nnspecialized,
nnpressurereducing nnmattresses nnin nnorder nnto nnreduce nnthe nnincidence nnof nnpressure nnulcers nnamong
nnresidents. nnThey nnhave nnsought nninput nnfrom nnthe nnnurses nnon nnthe nnunit, nnall nnof nnwhom nnare nnaware
nnof nnthe nnneed nnto nnimplement nnthe nnprinciples nnof nnevidence-based nnpractice nn(EBP) nnin nnthis
nndecision. nnWhich nnof nnthe nnfollowing nnevidence nnsources nnshould nnthe nnnurses nnprioritize?
A) A nnqualitative nnstudy nnthat nnexplores nnthe nnexperience nnof nnliving nnwith nna nnpressure nnulcer
B) A nncase nnstudy nnthat nndescribes nnthe nnmeasures nnthat nnnurses nnon nna nngeriatric nnunit nntook nnto
nnreduce nnpressure nnulcers nnamong nnpatients
C) Testimonials nnfrom nnexperienced nnclinicians nnabout nnthe nneffectiveness nnof nnthe nnmattress nnin nnquestion
D) A nnrandomized nncontrolled nntrial nnthat nncompared nnthe nnpressure-reducing nnmattress nnwith
nnstandard nnmattresses
Ans: nnD
Feedback: nnThe nnmost nnreliable nnevidence nnis nnconsidered nnRCTs. nnQualitative nnstudies, nncase nnstudies,
nnand nnexpert nnopinion nnare nnlow nnon nnthe nnhierarchy nnof nnevidence.
9. Hospital nnadministrators nnare nnapplying nnthe nnprinciples nnof nnevidence-based nnpractice nn(EBP) nnin
nntheir nnattempt nnto nnascertain nnthe nnmost nnefficient nnand nneffective nnway nnto nncommunicate nnbetween
nnnurses nnwho nnare nnon
nn nn nn nn nn nn nn nn
Advanced Practice Nursing – An Interprofessional
nn nn nn nn nn n n
Approach 6th Edition by Debera J. Dunphy| Complete
n n nn nn nn nn nn nn nn
Guide Chapter 1-82
nn nn nn
•
Primary nnCare: nnArt nnand nnScience nnof nnAdvanced nnPractice nnNursing nn- nnAn
th n n
nnInterprofessional nnApproach nn5 edition nnDunphy nnTest nnBank
Chapter nn1. nnPrimary nnCare nnin nnthe nnTwenty-First nnCentury: nnA nnCircle nnof nnCaring
. nnA nnnurse nnleader nnis nnattempting nnto nnincrease nnthe nnawareness nnof nnevidence-based nnpractice nn(EBP)
nnamong nnthe nnnurses nnon nna nnunit. nnA nnnurse nnwho nnis nnimplementing nnEBP nnintegrates nnwhich nnof
nnthe nnfollowing? nn(Select nnall nnthat nnapply.)
A) Interdisciplinary nnconsensus
B) Nursing nntradition
C) Research nnstudies
D) Patient nnpreferences nnand nnvalues
E) Clinical
expertise nnAns: nnC,
nn
nn D, nnE
Feedback: nnFineout-Overholt, nnMelnyk, nnStillwell, nnand nnWilliamson nndefine nnEBP nnas nna nnproblem-
solving nnapproach nnto nnthe nndelivery nnof nnhealthcare nnthat nnintegrates nnthe nnbest nnevidence nnfrom
nnstudies nnand nnpatient nncare nndata nnwith nnclinician nnexpertise nnand nnpatient nnpreferences nnand nnvalues.
Multiple nnChoice
. nnMrs. nnMayes nnis nna nn73-year-old nnwoman nnwho nnhas nna nndiabetic nnfoot nnulcer nnthat nnhas nnbeen
nnextremely nnslow nnto nnheal nnand nnwhich nnnow nnposes nna nnthreat nnof nnosteomyelitis. nnThe nnwound nncare
nnnurse nnwho nnhas nnbeen nnworking nnwith nnMrs. nnMayes nnapplies nnevidence-based nnpractice nn(EBP)
nnwhenever nnpossible nnand nnhas nnproposed nnthe nnuse nnof nnmaggot nntherapy nnto nndebride nnnecrotic
nntissue. nnMrs. nnMayes, nnhowever, nnfinds nnthe nnsuggestion nnrepugnant nnand nnadamantly nnopposes nnthis
nntreatment nndespite nnthe nnsizable nnbody nnof nnevidence nnsupporting nnit. nnHow nnshould nnthe nnnurse
nnreconcile nnMrs. nnMayes nnviews nnwith nnthe nnprinciples nnof nnEBP?
,A) The nnnurse nnshould nnexplain nnthat nnreliable nnand nnvalid nnresearch nnevidence nnoverrides nnthe nnpatients
nnopinion.
B) The nnnurse nnshould nnexplain nnthe nnevidence nnto nnthe nnpatient nnin nngreater nndetail.
C) The nnnurse nnshould nnintegrate nnthe nnpatients nnpreferences nninto nnthe nnplan nnof nncare.
D) The nnnurse nnshould nninvolve nnthe nnpatients nnfamily nnmembers nnin nnthe nndecision-making nnprocess.
Ans: nnC
Feedback: nnPatient nnpreferences nnshould nnbe nnintegrated nninto nnEBP nnand nnconsidered nnalongside
nnresearch nnevidence nnand nnthe nnnurses nnclinical nnexpertise; nnevidence nndoes nnnot nntrump nnthe
nnpatients nnpreferences. nnThe nnfamily nnshould nnbe nninvolved, nnbut nnthis nnis nnnot nnan nnexplicit
nndimension nnof nnEBP. nnSimilarly, nnexplaining nnthe nnevidence nnin nnmore nndetail nnis nnnot nna
nndemonstration nnof nnEBP.
1. A nnnurse nnhas nnconducted nna nnliterature nnreview nnin nnan nneffort nnto nnidentify nnthe nneffect nnof
nnhandwashing nnon nnthe nnincidence nnof nnnosocomial nn(hospital-acquired) nninfections nnin nnacute nncare
nnsettings. nnAn nnarticle nnpresented nnfindings nnat nna nnlevel nnof nnsignificance nnof nn<0.01. nnThis
nnindicates nnthat
A) the nncontrol nngroup nnand nnthe nnexperimental nngroup nnwere nnmore nnthan nn99% nnsimilar.
B) the nnfindings nnof nnthe nnstudy nnhave nnless nnthan nn1% nnchance nnof nnbeing nnattributable nnto nnchance.
C) the nneffects nnof nnthe nnintervention nnwere nnnearly nnzero.
D) the nnclinical nnsignificance nnof nnthe nnfindings nnwas nnless nnthan nn1:100.
Ans: nnB
Feedback: nnThe nnlevel nnof nnsignificance nnis nnthe nnlevel nnat nnwhich nnthe nnresearcher nnbelieves nnthat nnthe
nnstudy nnresults nnmost nnlikely nnrepresent nna nnnonchance nnevent. nnA nnlevel nnof nnsignificance nnof nn<0.01
nnindicates nnthat nnthere nnis nnless nnthan nn1% nnprobability nnthat nnthe nnresult nnis nndue nnto nnchance.
2. A nnnurse nnhas nnread nna nnqualitative nnresearch nnstudy nnin nnorder nnto nnunderstand nnthe nnlived
nnexperience nnof nnparents nnwho nnhave nna nnneonatal nnloss. nnWhich nnof nnthe nnfollowing nnquestions
nnshould nnthe nnnurse nnprioritize nnwhen nnappraising nnthe nnresults nnof nnthis nnstudy?
A) How nnwell nndid nnthe nnauthors nncapture nnthe nnpersonal nnexperiences nnof nnthese nnparents?
B) How nnwell nndid nnthe nnauthors nncontrol nnfor nnconfounding nnvariables nnthat nnmay nnhave nnaffected nnthe
nnfindings?
C) Did nnthe nnauthors nnuse nnstatistical nnmeasures nnthat nnwere nnappropriate nnto nnthe nnphenomenon nnin nnquestio
D) Were nnthe nninstruments nnthat nnthe nnresearchers nnused nnstatistically nnvalid nnand nnreliable?
Ans: nnA
,Feedback: nnQualitative nnstudies nnare nnjudged nnon nnthe nnbasis nnof nnhow nnwell nnthey nncapture nnand
nnconvey nnthe nnsubjective nnexperiences nnof nnindividuals. nnStatistical nnmeasures nnand nnvariables nnare
nnnot nndimensions nnof nna nnqualitative nnmethodology.
3. A nnnurse nnhas nnexpressed nnskepticism nnto nna nncolleague nnabout nnthe nnvalue nnof nnnursing nnresearch,
nnclaiming nnthat nnnursing nnresearch nnhas nnlittle nnrelevance nnto nnpractice. nnHow nncan nnthe nnnurses
nncolleague nnbest nndefend nnthe nnimportance nnof nnnursing nnresearch?
A) The nnexistence nnof nnnursing nnresearch nnmeans nnthat nnnurses nnare nnnow nnable nnto nnaccess nnfederal
nngrant nnmoney, nnsomething nnthat nndidnt nnuse nnto nnbe nnthe nncase.
B) Nursing nnresearch nnhas nnallowed nnthe nndevelopment nnof nnmasters nnand nndoctoral nnprograms nnand
nnhas nngreatly nnincreased nnthe nncredibility nnof nnthe nnprofession.
C) The nngrowth nnof nnnursing nnresearch nnhas nncaused nnnursing nnto nnbe nnviewed nnas nna nntrue
nnprofession, nnrather nnthan nnsimply nnas nna nntrade nnor nna nnskill.
D) The nnapplication nnof nnnursing nnresearch nnhas nnthe nnpotential nnto nnimprove nnnursing nnpractice
nnand nnpatient nnoutcomes.
Ans: nnD
Feedback: nnThe nngreatest nnvalue nnof nnnursing nnresearch nnlies nnin nnthe nnpotential nnto nnimprove
nnpractice nnand, nnultimately, nnto nnimprove nnpatient nnoutcomes. nnThis nnsupersedes nnthe nncontributions
nnof nnnursing nnresearch nnto nneducation nnprograms, nngrant nnfunding, nnor nnthe nnpublic nnview nnof nnthe
nnprofession.
4. Tracy nnis nna nnnurse nnwith nna nnbaccalaureate nndegree nnwho nnworks nnin nnthe nnlabor nnand nndelivery
nnunit nnof nna nnbusy nnurban nnhospital. nnShe nnhas nnnoticed nnthat nnmany nnnew nnmothers nnabandon
nnbreast-feeding nntheir nnbabies nnwhen nnthey nnexperience nnearly nnchallenges nnand nnwonders nnwhat
nncould nnbe nndone nnto nnencourage nnmore nnwomen nnto nncontinue nnbreast-feeding. nnWhat nnrole nnis
nnTracy nnmost nnlikely nnto nnplay nnin nna nnresearch nnproject nnthat nntests nnan nnintervention nnaimed nnat
nnpromoting nnbreast-feeding?
A) Applying nnfor nngrant nnfunding nnfor nnthe nnresearch nnproject
B) Posing nnthe nnclinical nnproblem nnto nnone nnor nnmore nnnursing nnresearchers
C) Planning nnthe nnmethodology nnof nnthe nnresearch nnproject
D) Carrying nnout nnthe nnintervention nnand nnsubmitting nnthe nnresults nnfor
publication nnAns: nnB
nn
Feedback: nnA nnmajor nnrole nnfor nnstaff nnnurses nnis nnto nnidentify nnquestions nnor nnproblems nnfor
nnresearch. nnGrant nnapplications, nnmethodological nnplanning, nnand nnpublication nnsubmission nnare
nnnormally nncarried nnout nnby nnnurses nnwho nnhave nnadvanced nndegrees nnin nnnursing.
, 5. A nnpatient nnsigned nnthe nninformed nnconsent nnform nnfor nna nndrug nntrial nnthat nnwas nnexplained nnto
nnpatient nnby nna nnresearch nnassistant. nnLater, nnthe nnpatient nnadmitted nnto nnhis nnnurse nnthat nnhe nndid
nnnot nnunderstand nnthe nnresearch nnassistants nnexplanation nnor nnhis nnown nnrole nnin nnthe nnstudy. nnHow
nnshould nnthis nnpatients nnnurse nnrespond nnto nnthis nnrevelation?
A) Explain nnthe nnresearch nnprocess nnto nnthe nnpatient nnin nngreater nndetail.
B) Describe nnthe nndetails nnof nna nnrandomized nncontrolled nntrial nnfor nnthe nnpatient.
C) Inform nnthe nnresearch nnassistant nnthat nnthe nnpatients nnconsent nnis nnlikely nninvalid.
D) Explain nnto nnthe nnpatient nnthat nnhis nnwritten nnconsent nnis nnnow nnlegally nnbinding.
Ans: nnC
Feedback: nnJust nnas nnthe nnstaff nnnurse nnis nnnot nnresponsible nnfor nnmedical nnconsent, nnthe nnstaff nnnurse
nnis nnnot nnresponsible nnfor nnresearch nnconsent. nnIf nnpatients nnwho nnhave nnagreed nnto nnparticipate
nnexhibit nnambivalence nnor nnuncertainty nnabout nnparticipating, nndo nnnot nntry nnto nnconvince nnthem nnto
nnparticipate. nnAsk nnthe nnperson nnfrom nnthe nnresearch nnteam nnwho nnis nnmanaging nnconsents nnto nnspeak
nnwith nnconcerned nnpatients nnabout nnthe nnstudy, nneven nnafter nna nnpatient nnhas nnsigned nnthe nnconsent
nnforms.
Multiple nnSelection
8. The nnadministrators nnof nna nnlong-term nncare nnfacility nnare nnconsidered nnthe nnuse nnof nnspecialized,
nnpressurereducing nnmattresses nnin nnorder nnto nnreduce nnthe nnincidence nnof nnpressure nnulcers nnamong
nnresidents. nnThey nnhave nnsought nninput nnfrom nnthe nnnurses nnon nnthe nnunit, nnall nnof nnwhom nnare nnaware
nnof nnthe nnneed nnto nnimplement nnthe nnprinciples nnof nnevidence-based nnpractice nn(EBP) nnin nnthis
nndecision. nnWhich nnof nnthe nnfollowing nnevidence nnsources nnshould nnthe nnnurses nnprioritize?
A) A nnqualitative nnstudy nnthat nnexplores nnthe nnexperience nnof nnliving nnwith nna nnpressure nnulcer
B) A nncase nnstudy nnthat nndescribes nnthe nnmeasures nnthat nnnurses nnon nna nngeriatric nnunit nntook nnto
nnreduce nnpressure nnulcers nnamong nnpatients
C) Testimonials nnfrom nnexperienced nnclinicians nnabout nnthe nneffectiveness nnof nnthe nnmattress nnin nnquestion
D) A nnrandomized nncontrolled nntrial nnthat nncompared nnthe nnpressure-reducing nnmattress nnwith
nnstandard nnmattresses
Ans: nnD
Feedback: nnThe nnmost nnreliable nnevidence nnis nnconsidered nnRCTs. nnQualitative nnstudies, nncase nnstudies,
nnand nnexpert nnopinion nnare nnlow nnon nnthe nnhierarchy nnof nnevidence.
9. Hospital nnadministrators nnare nnapplying nnthe nnprinciples nnof nnevidence-based nnpractice nn(EBP) nnin
nntheir nnattempt nnto nnascertain nnthe nnmost nnefficient nnand nneffective nnway nnto nncommunicate nnbetween
nnnurses nnwho nnare nnon
