, 2
TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE
NURSING – AN INTERPROFESSIONAL APPROACH 5TH EDITION DUNPHY
TABLE OF CONTENTS
CHAPTER TOPIC
Chapter 1 A Circle of Caring
Chapter 2 Caring and the Advanced Practice Nurse
Chapter 3 Health Promotion Multiple Choice
Chapter 4 The Art of Diagnosis and Treatment
Chapter 5 Evidence-Based Care
Chapter 6 Common Neurological Complaints
Chapter 7 Seizure Disorders
Chapter 8 Degenerative Disorders
Chapter 9 Cerebrovascular Accident
Chapter 10 Infectious and Inflammatory Neurological
Disorders
Chapter 11 Common Skin Complaints
Chapter 12 Parasitic Skin Infestations
Chapter 13 Fungal Skin Infections
Chapter 14 Bacterial Skin Infections
Chapter 15 Viral Skin Infections
Chapter 16 Dermatitis
Chapter 17 Skin Lesions
Chapter 18 Common Eye Complaints
Chapter 19 Lid and Conjunctival Pathology
Chapter 20 Visual Disturbances and Impaired Vision
Chapter 21 Common Ear, Nose, and Throat Complaints
Chapter 22 Hearing and Balance Disorders
Chapter 23 Inflammatory and Infectious Disorders of the Ear
Chapter 24 Inflammatory and Infectious Disorders of the
Nose, Sinuses, Mouth, and Throat
Chapter 25 Epistaxis
Chapter 26 Temporomandibular Disorders
Chapter 27 Dysphonia
Chapter 28 Common Respiratory Complaints
Chapter 29 Sleep Apnea
Chapter 30 Infectious Respiratory Disorders
Chapter 31 Inflammatory Respiratory Disorders
Chapter 32 Lung Cancer
, 3
Chapter 33 Smoking Addiction
Chapter 34 Common Cardiovascular Complaints
Chapter 35 Cardiac and Associated Risk Disorders
Chapter 36 Dysrhythmias and Valvular Disorders
Chapter 37 Disorders of the Vascular System
Chapter 38 Common Abdominal Complaints
Chapter 39 Infectious Gastrointestinal Disorders
Chapter 40 Gastric and Intestinal Disorders
Chapter 41 Gallbladder and Pancreatic Disorders
Chapter 42 Cirrhosis and Liver Failure
Chapter 43 Common Urinary Complaints
Chapter 44 Urinary Tract
Chapter 45 Kidney and Bladder
Chapter 46 Common Reproductive System Complaints
Chapter 47 Breast Disorders
Chapter 48 Vaginal, Uterine, and Ovarian Disorders
Chapter 49 Prostate Disorders
Chapter 50 Penile and Testicular Disorders
Chapter 51 Sexually Transmitted Infections
Chapter 52 Common Musculoskeletal Complaints
Chapter 53 Spinal Disorders
Chapter 54 Soft-Tissue Disorders
Chapter 55 Osteoarthritis and Osteoporosis
Chapter 56 Common Endocrine/Metabolic Complaints
Chapter 57 Glandular Disorders
Chapter 58 Diabetes Mellitus
Chapter 59 Metabolic Disorders
, 4
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
1. Evidence-based practice (EBP) in nursing primarily integrates which of the following elements?
a. Expert opinion and nursing intuition
b. Research evidence, clinical expertise, and patient preferences
c. Clinical guidelines and physician recommendations
d. Tradition and consensus within the healthcare team
Answer: b
Rationale:
EBP combines the best available research evidence with the clinician’s expertise and patient
preferences/values to achieve optimal care outcomes. It transcends tradition or isolated opinions.
2. A nurse proposes an intervention supported by strong evidence, but the patient refuses it due to
personal beliefs. According to EBP principles, what should the nurse do?
a. Implement the intervention regardless of the patient’s refusal
b. Substitute another intervention without evidence
c. Integrate the patient’s preferences into the plan of care
d. Ask the physician to override the decision
Answer: c
Rationale:
EBP respects patient autonomy. Effective care blends evidence with individual values — evidence does
not override patient preferences.
3. A nurse researcher reports a study’s significance at p < 0.01. What does this indicate?
a. The findings are not statistically significant
b. The probability that the results occurred by chance is less than 1%
c. The intervention was clinically insignificant
d. The sample size was too small to be valid
Answer: b
Rationale:
A p-value < 0.01 means there is less than a 1% likelihood that findings occurred due to random chance
— strong statistical significance supporting the study’s reliability.
4. Which of the following represents the first step in applying evidence-based practice?
a. Search for relevant literature
b. Evaluate the strength of the evidence
c. Formulate a clear and focused clinical question
d. Integrate findings into clinical practice