Test Bank For Primary Care Art and Science of Advanced practice nursing-an Interprofessional approach 6th edition dunphy Chapters 1 - 88

, Primary Care The Art and Science of Advanced Practice nn nn nn nn nn nn nn nn



nn Nursing anInterprofessional Approach 6th Edition Dunphy Testnn d nn n n nn nn



Bank n n




Table of nn n n n n Contents

Chapter 1. Primary Care in nn n n n n the Twenty-First n n n n Century: n n A
Circle n n of Caring nn




1. A nurse has conducted a literature review in an effort to identify the
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n effect of handwashing on theincidence of nosocomial (hospital-acquired)
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infections in acute care settings. An article presented findings at a level of
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n significance of <0.01. This indicatesthat
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A) the control group and the experimental group were more than n99% similar
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B) the findings of the study have less than 1% chance of being attributable
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chance. n n n n




C) the n n effects of the intervention were nearly
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D) the n n clinical significance of the findings was n n n n n n n n n n n n n n n n n n n n n n less nn d n n than n n n n 1:100.

Ans: n n n n B

Feedback: The level of significance is the level nat which the researcher believes
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that thestudy resultsmost likely represent a nonchance event. A level of
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significance of
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<0.01 indicates that there is less than 1% nprobability that the result is due
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2. A nurse has read a qualitative research study in order to understand
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the lived experienceof parentswho have a neonatal loss. Which of the following
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questions should the nurse prioritize when appraising the results of this
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study?
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A) How well did the authors capture the personal experiences of
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these parHow well did theauthors control for confounding variables
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that may have affected the findings?
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B) Did the atuhors use statistical n n nn n n n n n n measures n n that n n were n n appropriate n n to n n the
phenomenon in question?
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C) Were n n the instruments n n n n that the nn n n n n researchers n n n n used n n statistically n n valid n n n n and n n reliable?

Ans: n n n n A

Feedback: Qualitative studies are judged on the basis of how well they capture
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and convey the subjective experiences of individuals. Statistical measures and
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variables arenot dimensions of aqualitative methodology.
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3. A nurse has expressed skepticism to a colleague about the value of
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n nursing research, claiming thatnursing research has little relevance to practice.
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How can the nurses colleaguebest defend the importance of nursing research?
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,A) The existence of nursing research means that nurses are now able to
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access federalgrant money,something that didnt use to be the case.
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B) Nursing research has allowed the development of masters and n n nn n n n n n n n n n n n n n n doctoral
programs and hasgreatlyincreased the credibility of the profession.
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C) The growth of nursing research has caused nursing to be
nn nn nn nn nn nn nn nn nn n n viewed n n as n n a
true profession,rather thansimply as a trade or a
n n nn nn n n nn n n nn n n n n skill.

D) The application of nursing research has n n n n n n n n n n n n the n n potential n n to
improve nursing practice andpatientoutcomes.
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Ans: n n n n D

Feedback: The greatest value of nursing research lies in the potential to
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improve practiceand, ultimately, to improve patient outcomes. This
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supersedes the contributions of nursing research toeducation programs,
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grant funding, or the public view of the profession.
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4. Tracy is a nurse with a baccalaureate degree who nworks in the labor
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n nand delivery unit of a busyurban hospital. She has noticed that many nnew mothers
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n abandon breast- feedingtheir babies whenthey experience early challenges and
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nnwonders what could be done to encourage more women to continue breast-
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feeding. What role is Tracy most likely to play in a research project
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nnthat tests an intervention aimed at promoting breast- feeding?
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A) Applying n n for grant nn n n n n funding n n n n for nn d n n the research n n n n n n project

B) Posing n n the clinical nn n n n n problem nto none or d d n n n n more n n nursing n n researchers

C) Planning n n the n n n n methodology of n n n n the n n n n research project nn




D) Carrying out the nintervention and submitting the results nn nn d nn nn nn nn




nn forpublication Ans: B d n n




Feedback: nA major role for staff nurses is to identify
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problems for research. Grant applications, methodological planning, and publication
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submission are normally carried out bynurses who have advanced degrees in nursing.
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5. A patient signed the informed consent form for a drug trial that
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was explained to patient by a research assistant. Later, the patient admitted to his
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nurse that he did not understand the research assistants explanation or his own
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role in the study. How shouldthis patients nurse respond to thisrevelation?
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A) Explain n n the n n n n research n n n n process n n n n to n n n n the n n n n patient n n n n in n n greater detail. nn




B) Describe n n the n n n n details n n n n of n n a n n randomized n n n n controlled n n n n trial n n for n n the n n n n patient.

, C) Inform n n the n n n n research assistant nn n n n n that n n the n n n n patients n n n n consent n n n n is n n likely n n invalid.

D) Explain n n to n n n n the n n n n patient n n n n that n n n n his n n n n written n n n n consent n n n n is n n n n now n n legally n n binding.

Ans: n n n n C

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

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

B) Nursing n n tradition

C) Research n n studies

D) Patient n n preferences n n n n and n n n n values

E) Clinical

nn expertiseAns

:

C,D, E nn




Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-
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solving approach to the delivery of healthcare that integrates the best evidence
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n from studiesand patient caredata with clinician expertise and patient preferences
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and values.
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Multiple n n Choice

7. Mrs. Mayes is a 73-year-old woman who has a diabetic foot
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ulcer that has been extremely slow to heal and which now poses a
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threat of osteomyelitis. The wound care nurse who has been working with
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Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
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proposed the use of maggot therapy to debride necrotic tissue. Mrs.
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Mayes, however, finds the suggestion repugnant and adamantly opposes this treatment despite
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the sizable body of evidence supporting it. How shouldthe nurse reconcile
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Mrs. Mayes views with the principles of EBP?
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