, Primary Care: Art and Science of Advanced Practice Nursing - An
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Interprofessional Approach 5th edition Dunphy Test Bank
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Chapter 1. Primary Care in the Twenty-First Century: A Circle of
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Caring ss
1. A nurse has conducted a literature review in an effort to identify the effect of handwashing on
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the incidence of nosocomial (hospital-acquired) infections in acute care settings. An article
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presented findings at a level of significance of <0.01. This indicates that
ss ss ss ss ss ss ss ss ss ss ss ss
A) the control group and the experimental group were more than 99% similar.
ss ss ss ss ss ss ss ss ss ss ss
B) the findings of the study have less than 1% chance of being attributable to chance.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
C) the effects of the intervention were nearly zero.
ss ss ss ss ss ss ss
D) the clinical significance of the findings was less than 1:100.
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Ans: B ss
Feedback: The level of significance is the level at which the researcher believes that the study
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
results most likely represent a nonchance event. A level of significance of <0.01 indicates that
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
there is less than 1% probability that the result is due to chance.
ss ss ss ss ss ss ss ss ss ss ss ss ss
2. A nurse has read a qualitative research study in order to understand the lived experience of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
parents who have a neonatal loss. Which of the following questions should the nurse prioritize
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
when appraising the results of this study?
ss ss ss ss ss ss ss
A) How well did the authors capture the personal experiences of these parents?
ss ss ss ss ss ss ss ss ss ss ss
B) How well did the authors control for confounding variables that may have affected the findings?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
ss ss ss ss ss ss ss ss ss ss ss ss ss
D) Were the instruments that the researchers used statistically valid and reliable?
ss ss ss ss ss ss ss ss ss ss
Ans: A ss
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
subjective experiences of individuals. Statistical measures and variables are not dimensions of a
ss ss ss ss ss ss ss ss ss ss ss ss ss
qualitative methodology.
ss ss
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming
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that nursing research has little relevance to practice. How can the nurses colleague best defend
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the importance of nursing research?
ss ss ss ss ss
,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.
ss ss ss ss ss ss ss ss ss
B) Nursing research has allowed the development of masters and doctoral programs and has
ss ss ss ss ss ss ss ss ss ss ss ss
greatly increased the credibility of the profession.
ss ss ss ss ss ss ss
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
than simply as a trade or a skill.
ss ss ss ss ss ss ss ss
D) The application of nursing research has the potential to improve nursing practice and
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patient outcomes.
ss ss
Ans: D ss
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
ss ss ss ss ss ss ss ss ss ss ss ss ss
education programs, grant funding, or the public view of the profession.
ss ss ss ss ss ss ss ss ss ss ss
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
busy urban hospital. She has noticed that many new mothers abandon breast-feeding their
ss ss ss ss ss ss ss ss ss ss ss ss ss
babies when they experience early challenges and wonders what could be done to encourage
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
more women to continue breast-feeding. What role is Tracy most likely to play in a research
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
project that tests an intervention aimed at promoting breast-feeding?
ss ss ss ss ss ss ss ss ss
A) Applying for grant funding for the research project ss ss ss ss ss ss ss
B) Posing the clinical problem to one or more nursing researchers
ss ss ss ss ss ss ss ss ss
C) Planning the methodology of the research project ss ss ss ss ss ss
D) Carrying out the intervention and submitting the results for
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ss publication Ans: B ss ss
Feedback: A major role for staff nurses is to identify questions or problems for research.
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s Grant applications, methodological planning, and publication submission are normally
s ss ss ss ss ss ss ss ss
s carried out by nurses who have advanced degrees in nursing.
s ss ss ss ss ss ss ss ss ss
5. A patient signed the informed consent form for a drug trial that was explained to
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
patient by a research assistant. Later, the patient admitted to his nurse that he did not
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
understand the research assistants explanation or his own role in the study. How should this
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
patients nurse respond to this revelation?
ss ss ss ss ss ss
A) Explain the research process to the patient in greater detail.
ss ss ss ss ss ss ss ss ss
B) Describe the details of a randomized controlled trial for the patient.
ss ss ss ss ss ss ss ss ss ss
, C) Inform the research assistant that the patients consent is likely invalid.
ss ss ss ss ss ss ss ss ss ss
D) Explain to the patient that his written consent is now legally binding.
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Ans: C ss
Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse is not
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
responsible for research consent. If patients who have agreed to participate exhibit ambivalence or
s s ss ss ss ss ss ss ss ss ss ss ss ss ss
uncertainty about participating, do not try to convince them to participate. Ask the person
ss ss s s s s s s s s ss s s s s s s s s s s s s s s
from the research team who is managing consents to speak with concerned patients about the
s s ss ss ss ss ss ss ss ss ss ss ss ss ss ss
study, even after a patient has signed the consent forms.
ss ss ss ss ss ss ss ss ss ss
Multiple Selection ss
6. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP) among
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the nurses on a unit. A nurse who is implementing EBP integrates which of the following? (Select
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
all that apply.)
ss ss ss
A) Interdisciplinary consensus ss
B) Nursing tradition ss
C) Research studies ss
D) Patient preferences and values ss ss ss
E) Clinicalexpertise s
ss Ans: C, D, E ss ss ss
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-solving
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approach to the delivery of healthcare that integrates the best evidence from studies and patient
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
care data with clinician expertise and patient preferences and values.
ss ss ss ss ss ss ss ss ss ss
Multiple Choice ss
7. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
to heal and which now poses a threat of osteomyelitis. The wound care nurse who has been
s s ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
s s ss ss ss ss ss ss ss ss ss ss ss
proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
suggestion repugnant and adamantly opposes this treatment despite the sizable body of evidence
ss ss ss ss ss ss ss ss ss ss ss ss ss
supporting it. How should the nurse reconcile Mrs. Mayes views with the principles of EBP?
ss ss ss ss s s ss ss ss s s s s s s ss ss ss ss
A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
ss ss ss ss ss ss ss ss ss ss ss ss ss
B) The nurse should explain the evidence to the patient in greater detail.
ss ss ss ss ss ss ss ss ss ss ss
ss ss ss ss ss ss ss ss ss ss
Interprofessional Approach 5th edition Dunphy Test Bank
ss ss ss ss ss ss ss
Chapter 1. Primary Care in the Twenty-First Century: A Circle of
ss ss ss ss ss ss ss ss ss ss
Caring ss
1. A nurse has conducted a literature review in an effort to identify the effect of handwashing on
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the incidence of nosocomial (hospital-acquired) infections in acute care settings. An article
ss ss ss ss ss ss ss ss ss ss ss ss
presented findings at a level of significance of <0.01. This indicates that
ss ss ss ss ss ss ss ss ss ss ss ss
A) the control group and the experimental group were more than 99% similar.
ss ss ss ss ss ss ss ss ss ss ss
B) the findings of the study have less than 1% chance of being attributable to chance.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
C) the effects of the intervention were nearly zero.
ss ss ss ss ss ss ss
D) the clinical significance of the findings was less than 1:100.
ss ss ss ss ss ss ss ss ss
Ans: B ss
Feedback: The level of significance is the level at which the researcher believes that the study
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
results most likely represent a nonchance event. A level of significance of <0.01 indicates that
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
there is less than 1% probability that the result is due to chance.
ss ss ss ss ss ss ss ss ss ss ss ss ss
2. A nurse has read a qualitative research study in order to understand the lived experience of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
parents who have a neonatal loss. Which of the following questions should the nurse prioritize
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
when appraising the results of this study?
ss ss ss ss ss ss ss
A) How well did the authors capture the personal experiences of these parents?
ss ss ss ss ss ss ss ss ss ss ss
B) How well did the authors control for confounding variables that may have affected the findings?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
ss ss ss ss ss ss ss ss ss ss ss ss ss
D) Were the instruments that the researchers used statistically valid and reliable?
ss ss ss ss ss ss ss ss ss ss
Ans: A ss
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
subjective experiences of individuals. Statistical measures and variables are not dimensions of a
ss ss ss ss ss ss ss ss ss ss ss ss ss
qualitative methodology.
ss ss
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
that nursing research has little relevance to practice. How can the nurses colleague best defend
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the importance of nursing research?
ss ss ss ss ss
,A) The existence of nursing research means that nurses are now able to access federal grant
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
money, something that didnt use to be the case.
ss ss ss ss ss ss ss ss ss
B) Nursing research has allowed the development of masters and doctoral programs and has
ss ss ss ss ss ss ss ss ss ss ss ss
greatly increased the credibility of the profession.
ss ss ss ss ss ss ss
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
than simply as a trade or a skill.
ss ss ss ss ss ss ss ss
D) The application of nursing research has the potential to improve nursing practice and
ss ss ss ss ss ss ss ss ss ss ss ss
patient outcomes.
ss ss
Ans: D ss
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
ss ss ss ss ss ss ss ss ss ss ss ss ss
education programs, grant funding, or the public view of the profession.
ss ss ss ss ss ss ss ss ss ss ss
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
busy urban hospital. She has noticed that many new mothers abandon breast-feeding their
ss ss ss ss ss ss ss ss ss ss ss ss ss
babies when they experience early challenges and wonders what could be done to encourage
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
more women to continue breast-feeding. What role is Tracy most likely to play in a research
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
project that tests an intervention aimed at promoting breast-feeding?
ss ss ss ss ss ss ss ss ss
A) Applying for grant funding for the research project ss ss ss ss ss ss ss
B) Posing the clinical problem to one or more nursing researchers
ss ss ss ss ss ss ss ss ss
C) Planning the methodology of the research project ss ss ss ss ss ss
D) Carrying out the intervention and submitting the results for
ss ss ss ss ss ss ss ss
ss publication Ans: B ss ss
Feedback: A major role for staff nurses is to identify questions or problems for research.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
s Grant applications, methodological planning, and publication submission are normally
s ss ss ss ss ss ss ss ss
s carried out by nurses who have advanced degrees in nursing.
s ss ss ss ss ss ss ss ss ss
5. A patient signed the informed consent form for a drug trial that was explained to
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
patient by a research assistant. Later, the patient admitted to his nurse that he did not
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
understand the research assistants explanation or his own role in the study. How should this
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
patients nurse respond to this revelation?
ss ss ss ss ss ss
A) Explain the research process to the patient in greater detail.
ss ss ss ss ss ss ss ss ss
B) Describe the details of a randomized controlled trial for the patient.
ss ss ss ss ss ss ss ss ss ss
, C) Inform the research assistant that the patients consent is likely invalid.
ss ss ss ss ss ss ss ss ss ss
D) Explain to the patient that his written consent is now legally binding.
ss ss ss ss ss ss ss ss ss ss ss
Ans: C ss
Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse is not
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
responsible for research consent. If patients who have agreed to participate exhibit ambivalence or
s s ss ss ss ss ss ss ss ss ss ss ss ss ss
uncertainty about participating, do not try to convince them to participate. Ask the person
ss ss s s s s s s s s ss s s s s s s s s s s s s s s
from the research team who is managing consents to speak with concerned patients about the
s s ss ss ss ss ss ss ss ss ss ss ss ss ss ss
study, even after a patient has signed the consent forms.
ss ss ss ss ss ss ss ss ss ss
Multiple Selection ss
6. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP) among
ss ss ss ss ss ss ss ss ss ss ss ss ss
the nurses on a unit. A nurse who is implementing EBP integrates which of the following? (Select
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
all that apply.)
ss ss ss
A) Interdisciplinary consensus ss
B) Nursing tradition ss
C) Research studies ss
D) Patient preferences and values ss ss ss
E) Clinicalexpertise s
ss Ans: C, D, E ss ss ss
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-solving
ss ss ss ss ss ss ss ss ss ss
approach to the delivery of healthcare that integrates the best evidence from studies and patient
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
care data with clinician expertise and patient preferences and values.
ss ss ss ss ss ss ss ss ss ss
Multiple Choice ss
7. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
to heal and which now poses a threat of osteomyelitis. The wound care nurse who has been
s s ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
s s ss ss ss ss ss ss ss ss ss ss ss
proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
suggestion repugnant and adamantly opposes this treatment despite the sizable body of evidence
ss ss ss ss ss ss ss ss ss ss ss ss ss
supporting it. How should the nurse reconcile Mrs. Mayes views with the principles of EBP?
ss ss ss ss s s ss ss ss s s s s s s ss ss ss ss
A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
ss ss ss ss ss ss ss ss ss ss ss ss ss
B) The nurse should explain the evidence to the patient in greater detail.
ss ss ss ss ss ss ss ss ss ss ss
