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