Test Bank for Primary Care The Art and Science of Advanced Practice Nursing: An Interprofessional Approach 6th Edition by Debera J. Dunphy|9781719644655|All Chapters 1-82

PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE
b b b b b b b




NURSING-AN INTERPROFESSIONAL APPROACH 6TH EDITION-
b b b b b




DUNPHY b




TESTBANK b

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




1. A nurse has conducted a literature review in an effort to identify the effect of hand
b b b b b b b b b b b b b b b


washing on the incidence of nosocomial (hospital-acquired) infections in acute care
b b b b b b b b b b b


settings. An article presented findings at a level of significance of <0.01. This indicates
b b b b b b b b b b b b b b


that b




A) The control group and the experimental group were more than 99% similar.
b b b b b b b b b b b




B) The findings of the study have less than 1% chance of being attributable to chance.
b b b b b b b b b b b b b b




C) The effects of the intervention were nearly zero.
b b b b b b b




D) The clinical significance of the findings was less than 1:100.
b b b b b b b b b




Ans: Bb




Feedback: The level of significance is the level at which the researcher believes that the study
b b b b b b b b b b b b b b b


results most likely represent a no chance event. A level of significance of <0.01 indicates that
b b b b b b b b b b b b b b b b


there is less than 1% probability that the result is due to chance.
b b b b b b b b b b b b b




2. A nurse has expressed skepticism to a colleague about the value of nursing research,
b b b b b b b b b b b b b


claiming that nursing research has little relevance to practice. How can the nurses colleague best
b b b b b b b b b b b b b b b


defend the importance of nursing research?
b b b b b b




A) The existence of nursing research means that nurses are now able to access federal grant
b b b b b b b b b b b b b b


money, something that didnt use to be the case.
b b b b b b b b b

,B) Nursing research has allowed the development of masters and doctoral programs and has
b b b b b b b b b b b b


greatly increased the credibility of the profession.
b b b b b b b




C) The growth of nursing research has caused nursing to be viewed as a true profession,
b b b b b b b b b b b b b b


rather than simply as a trade or a skill.
b b b b b b b b b




D) The application of nursing research has the potential to improve nursing practice and
b b b b b b b b b b b b


patient outcomes.
b b




Ans: D b




Feedback: The greatest value of nursing research lies in the potential to improve practice and,
b b b b b b b b b b b b b b


ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
b b b b b b b b b b b b b


education programs, grant funding, or the public view of the profession.
b b b b b b b b b b b




3. A nurse has read a qualitative research study in order to understand the lived experience
b b b b b b b b b b b b b b


of parents who have a neonatal loss. Which of the following questions should the nurse prioritize
b b b b b b b b b b b b b b b b


when appraising the results of this study?
b b b b b b b




A) How well did the authors capture the personal experiences of these parents?
b b b b b b b b b b b

, B) How well did the authors control for confounding variables that may have affected the
b b b b b b b b b b b b b


findings?
b




C) Did the authors use statistical measures that were appropriate to the phenomenon in
b b b b b b b b b b b b


question?
b




D) Were the instruments that the researchers used statistically valid and reliable?
b b b b b b b b b b




Ans: A b




Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
b b b b b b b b b b b b b b b


subjective experiences of individuals. Statistical measures and variables are not dimensions of a
b b b b b b b b b b b b b


qualitative methodology.
b b




4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
b b b b b b b b b b b b b b b b b


busy urban hospital. She has noticed that many new mothers abandon breast-feeding their babies
b b b b b b b b b b b b b b


when they experience early challenges and wonders what could be done to encourage more
b b b b b b b b b b b b b b


women to continue breast-feeding. What role is Tracy most likely to play in a research project
b b b b b b b b b b b b b b b b


that tests an intervention aimed at promoting breast-feeding?
b b b b b b b b




A) Applying for grant funding for the research project b b b b b b b




B) Posing the clinical problem to one or more nursing researchers
b b b b b b b b b




C) Planning the methodology of the research project b b b b b b




D) Carrying out the intervention and submitting the results for publication Ans: B
b b b b b b b b b b b




Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
b b b b b b b b b b b b b b b


applications, methodological planning, and publication submission are normally carried out by
b b b b b b b b b b b


nurses who have advanced degrees in nursing.
b b b b b b b




5. A patient signed the informed consent form for a drug trial that was explained to patient
b b b b b b b b b b b b b b b


by a research assistant. Later, the patient admitted to his nurse that he did not understand the
b b b b b b b b b b b b b b b b b


research assistants explanation or his own role in the study. How should this patients nurse
b b b b b b b b b b b b b b b