Test Bank - Primary Care-The Art and Science of Advanced Practice Nursing, 5th Edition (Dunphy, 2019) | All Chapters

TESTBANK
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,Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
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1. A nurse has conducted a literature review in an effort to identifythe effect of handwashing on the
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incidence of nosocomial (hospital-acquired) infections in acute care settings. An article presented
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findings at a level of significance of <0.01. This indicates that
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A) the control group and the experimental group were more than 99% similar.
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B) the findings ofthe study have less than 1% chance of being attributable to chance.
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C) the effects ofthe intervention were nearly zero.
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D) the clinical significance ofthe findings was less than 1:100.
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Ans: B g




Feedback: The level of significance is the level at which the researcher believes that the studyresults most
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likely represent a no chance event. A level of significance of <0.01 indicates that there is less than 1%
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probability that the result is due to chance.
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2. A nurse has read a qualitative research study in order to understand the lived experience of parents who
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have a neonatal loss. Which of the following questions should the nurse prioritize when appraising the
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results of this study?
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A) How well did the authors capture the personal experiences ofthese parents?
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B) Howwell did the authors control for confounding variables that may have affected the findings?
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C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
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D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A g




Feedback: Qualitative studies are judged on the basis of how well they capture and convey the subjective
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experiences of individuals. Statistical measures and variables are not dimensions ofa qualitative
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methodology.
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3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming that
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nursing research has little relevance to practice. How can the nurses colleague best defend the
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importance of nursing research?
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test bank for primary care art and science of advanced practice
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nursing – an interprofessional approach 5th edition dunphy
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,A) The existence of nursing research means that nurses are now able to access federal grant money,
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something that didnt use to be the case.
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B) Nursing research has allowed the development ofmasters and doctoral programs and has greatly
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increased the credibility of the profession.
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C) The growth of nursing research has caused nursing to be viewed as a true profession, rather than
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simply as a trade or a skill.
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D) The application of nursing research has the potential to improve nursing practice and patient
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outcomes.
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Ans: D g




Feedback: The greatest value of nursing research lies in the potential to improve practice and, ultimately,
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to improve patient outcomes. This supersedes the contributions ofnursing research to education
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programs, grant funding, or the public view of the profession.
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4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a busy urban
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hospital. She has noticed that many new mothers abandon breast-feeding their babies when they
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experience early challenges and wonders what could be done to encourage more women to continue
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breast-feeding. What role is Tracy most likely to play in a research project that tests an intervention
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aimed at promoting breast-feeding?
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A) Applying for grant funding for the research project g g g g g g g




B) Posing the clinical problem to one or more nursing researchers
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C) Planning the methodology of the research project g g g g g g




D) Carrying out the intervention and submitting the results for publication
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Ans: B
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Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
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applications, methodological planning, and publication submission are normally carried out by
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nurses who have advanced degrees in nursing.
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5. A patient signed the informed consent form for a drug trial that was explained to patient by a
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research assistant. Later, the patient admitted to his nurse that he did not understand the research
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assistants explanation or his own role in the study. How should this patients nurse respond to this
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revelation?
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A) Explain the research process to the patient in greater detail.
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B) Describe the details of a randomized controlled trial for the patient.
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, C) Informthe research assistant that the patients consent is likely invalid.
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D) Explain to the patient that his written consent is now legally binding.
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Ans: C g




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




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




B) Nursing tradition g




C) Research studies g




D) Patient preferences and values g g g




E) Clinicalexpertise g




Ans: C, D, E
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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 care data
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with clinician expertise and patient preferences and values.
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Multiple Choice g




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