TEST BANK
PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE NURSING
- AN INTERPROFESSIONAL APPROACH FIFTH EDITION
BY LYNNE M. DUNPHY || ALLL CHAPTERS
5th EDITION
,table of contents
unit i: caring-based nursing: the art ......................................................................6
chapter 1. primary care in the twenty-first century: a circle of caring ...................6
chapter 2. caring and the advanced practice nurse ...............................................14
chapter 3. health promotion ..................................................................................21
chapter 4. the art of diagnosis and treatment ........................................................23
chapter 5. evidence-based care .............................................................................34
unit ii: caring-based nursing: the science ............................................................38
section 1 neurological problems .......................................................................38
chapter 6. common neurological complaints ........................................................38
chapter 7. seizure disorders ...................................................................................47
chapter 8. degenerative disorders .........................................................................51
chapter 9. cerebrovascular accident (stroke) ........................................................58
chapter 10. infectious and inflammatory neurological disorders .........................69
section 2 skin problems ....................................................................................70
chapter 11.common skin complaints ....................................................................70
chapter 12. parasitic skin infestations ...................................................................79
chapter 13. fungal skin infections .........................................................................80
chapter 14. bacterial skin infections .....................................................................81
chapter 15. viral skin infections ............................................................................84
chapter 16. dermatitis ............................................................................................86
chapter 17. skin lesions .........................................................................................88
section 3 eye problems......................................................................................91
chapter 18. common eye complaints ....................................................................91
chapter 19. lid and conjunctival pathology ...........................................................99
chapter 20. visual disturbances and impaired vision ..........................................111
section 4 ear, nose, and throat problems .........................................................114
chapter 21. common ear, nose, and throat complaints........................................114
chapter 22. hearing and balance disorders multiple choice ...............................122
,chapter 23. inflammatory and infectious disorders of the ear ............................130
chapter 24. inflammatory and infectious disorders of the nose, sinuses, mouth, and
throat ...................................................................................................................145
chapter 25. epistaxis ............................................................................................152
chapter 26. temporomandibular disorders ..........................................................153
chapter 27. dysphonia .........................................................................................155
section 5 respiratory problems ........................................................................156
chapter 28. common respiratory complaints .......................................................156
chapter 29. sleep apnea .......................................................................................166
chapter 30. infectious respiratory disorders ........................................................168
chapter 31. inflammatory respiratory disorders ..................................................176
chapter 32. lung cancer .......................................................................................181
chapter 33. smoking addiction ............................................................................183
section 6 cardiovascular problems ..................................................................184
chapter 34. common cardiovascular complaints.................................................184
chapter 35. cardiac and associated risk disorders ...............................................193
chapter 36. dysrhythmias and valvular disorders ...............................................200
chapter 37. disorders of the vascular system ......................................................208
section 7 abdominal problems ........................................................................220
chapter 38. common abdominal complaints .......................................................220
chapter 38. common abdominal complaints answer sectionError! Bookmark not
defined.
chapter 39. infectious gastrointestinal disorders.................................................227
chapter 40. gastric and intestinal disorders .........................................................235
chapter 41. gallbladder and pancreatic disorders................................................242
chapter 42. cirrhosis and liver failure .................................................................249
section 8 renal problems .................................................................................254
chapter 43. common urinary complaints ............................................................254
chapter 44. urinary tract disorders ......................................................................260
,chapter 45. kidney and bladder disorders ...........................................................268
section 9 gender-related health problems .......................................................276
chapter 46. common reproductive system complaints........................................276
chapter 47. breast disorders ................................................................................283
chapter 48. vaginal, uterine, and ovarian disorders ............................................290
chapter 49. prostate disorders .............................................................................298
chapter 49. prostate disorders ...................................................................................
chapter 50. penile and testicular disorders ..........................................................305
chapter 51. sexually transmitted infections ........................................................313
section 10 musculoskeletal problems ..............................................................330
chapter 52. common musculoskeletal complaints ..............................................330
chapter 53. spinal disorders ................................................................................339
chapter 54. soft-tissue disorders .........................................................................342
chapter 55. osteoarthritis and osteoporosis .........................................................365
section 11 endocrine and metabolic problems.................................................370
chapter 56.common endocrine/metabolic complaints ........................................370
chapter 57. glandular disorders ...........................................................................379
chapter 58. diabetes mellitus...............................................................................386
chapter 59. metabolic disorders ..........................................................................391
section 12 hematological and immunological problems .................................404
chapter 60. common hematologic and immunological problems .......................404
chapter 61. hematologic disorders ......................................................................412
chapter 62. immunological disorders ..................................................................428
chapter 63. infectious disorders ..........................................................................438
section 13 psychosocial problems ...................................................................449
chapter 64. common psychosocial complaints ...................................................449
chapter 66. schizophrenia spectrum disorders ....................................................469
chapter 67. mood disorders .................................................................................482
chapter 68. anxiety, stress, and trauma-related disorders ...................................487
, chapter 69. obsessive-compulsive disorders .......................................................496
chapter 70. behavioral disorders related to physical/physiological disturbances
.............................................................................................................................499
chapter 71. neurodevelopmental disorders .........................................................510
section 14 urgent care problems ......................................................................523
chapter 72. common urgent care complaints ......................................................523
chapter 73. common injuries ...............................................................................532
chapter 74. toxic exposures .................................................................................540
chapter 75. environmental exposures .................................................................546
unit iii: caring-based nursing: the practice .......................................................553
chapter 76. sports physicals ................................................................................553
chapter 77. primary care of older adults .............................................................565
chapter 78. palliative care and pain management ...............................................574
chapter 79. ethical and legal issues of a caring-based practice ..........................580
chapter 80. the business of advanced practice nursing .......................................585
chapter 81. the 15-minute hour: practical approaches to behavioral health for
primary care ........................................................................................................590
chapter 81. the 15-minute hour: practical approaches to behavioral health for
primary care answer section ................................ Error! Bookmark not defined.
chapter 82. putting caring into practice: caring for self ......................................594
chapter 82. putting caring into practice: caring for self answer section ....... Error!
Bookmark not defined.
, unit i: caring-based nursing: the art
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.
Answer: b.
feedback: the level of significance is the level at which the researcher believes that the study results most
likely represent a nonchance 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?
Answer: 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.
PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE NURSING
- AN INTERPROFESSIONAL APPROACH FIFTH EDITION
BY LYNNE M. DUNPHY || ALLL CHAPTERS
5th EDITION
,table of contents
unit i: caring-based nursing: the art ......................................................................6
chapter 1. primary care in the twenty-first century: a circle of caring ...................6
chapter 2. caring and the advanced practice nurse ...............................................14
chapter 3. health promotion ..................................................................................21
chapter 4. the art of diagnosis and treatment ........................................................23
chapter 5. evidence-based care .............................................................................34
unit ii: caring-based nursing: the science ............................................................38
section 1 neurological problems .......................................................................38
chapter 6. common neurological complaints ........................................................38
chapter 7. seizure disorders ...................................................................................47
chapter 8. degenerative disorders .........................................................................51
chapter 9. cerebrovascular accident (stroke) ........................................................58
chapter 10. infectious and inflammatory neurological disorders .........................69
section 2 skin problems ....................................................................................70
chapter 11.common skin complaints ....................................................................70
chapter 12. parasitic skin infestations ...................................................................79
chapter 13. fungal skin infections .........................................................................80
chapter 14. bacterial skin infections .....................................................................81
chapter 15. viral skin infections ............................................................................84
chapter 16. dermatitis ............................................................................................86
chapter 17. skin lesions .........................................................................................88
section 3 eye problems......................................................................................91
chapter 18. common eye complaints ....................................................................91
chapter 19. lid and conjunctival pathology ...........................................................99
chapter 20. visual disturbances and impaired vision ..........................................111
section 4 ear, nose, and throat problems .........................................................114
chapter 21. common ear, nose, and throat complaints........................................114
chapter 22. hearing and balance disorders multiple choice ...............................122
,chapter 23. inflammatory and infectious disorders of the ear ............................130
chapter 24. inflammatory and infectious disorders of the nose, sinuses, mouth, and
throat ...................................................................................................................145
chapter 25. epistaxis ............................................................................................152
chapter 26. temporomandibular disorders ..........................................................153
chapter 27. dysphonia .........................................................................................155
section 5 respiratory problems ........................................................................156
chapter 28. common respiratory complaints .......................................................156
chapter 29. sleep apnea .......................................................................................166
chapter 30. infectious respiratory disorders ........................................................168
chapter 31. inflammatory respiratory disorders ..................................................176
chapter 32. lung cancer .......................................................................................181
chapter 33. smoking addiction ............................................................................183
section 6 cardiovascular problems ..................................................................184
chapter 34. common cardiovascular complaints.................................................184
chapter 35. cardiac and associated risk disorders ...............................................193
chapter 36. dysrhythmias and valvular disorders ...............................................200
chapter 37. disorders of the vascular system ......................................................208
section 7 abdominal problems ........................................................................220
chapter 38. common abdominal complaints .......................................................220
chapter 38. common abdominal complaints answer sectionError! Bookmark not
defined.
chapter 39. infectious gastrointestinal disorders.................................................227
chapter 40. gastric and intestinal disorders .........................................................235
chapter 41. gallbladder and pancreatic disorders................................................242
chapter 42. cirrhosis and liver failure .................................................................249
section 8 renal problems .................................................................................254
chapter 43. common urinary complaints ............................................................254
chapter 44. urinary tract disorders ......................................................................260
,chapter 45. kidney and bladder disorders ...........................................................268
section 9 gender-related health problems .......................................................276
chapter 46. common reproductive system complaints........................................276
chapter 47. breast disorders ................................................................................283
chapter 48. vaginal, uterine, and ovarian disorders ............................................290
chapter 49. prostate disorders .............................................................................298
chapter 49. prostate disorders ...................................................................................
chapter 50. penile and testicular disorders ..........................................................305
chapter 51. sexually transmitted infections ........................................................313
section 10 musculoskeletal problems ..............................................................330
chapter 52. common musculoskeletal complaints ..............................................330
chapter 53. spinal disorders ................................................................................339
chapter 54. soft-tissue disorders .........................................................................342
chapter 55. osteoarthritis and osteoporosis .........................................................365
section 11 endocrine and metabolic problems.................................................370
chapter 56.common endocrine/metabolic complaints ........................................370
chapter 57. glandular disorders ...........................................................................379
chapter 58. diabetes mellitus...............................................................................386
chapter 59. metabolic disorders ..........................................................................391
section 12 hematological and immunological problems .................................404
chapter 60. common hematologic and immunological problems .......................404
chapter 61. hematologic disorders ......................................................................412
chapter 62. immunological disorders ..................................................................428
chapter 63. infectious disorders ..........................................................................438
section 13 psychosocial problems ...................................................................449
chapter 64. common psychosocial complaints ...................................................449
chapter 66. schizophrenia spectrum disorders ....................................................469
chapter 67. mood disorders .................................................................................482
chapter 68. anxiety, stress, and trauma-related disorders ...................................487
, chapter 69. obsessive-compulsive disorders .......................................................496
chapter 70. behavioral disorders related to physical/physiological disturbances
.............................................................................................................................499
chapter 71. neurodevelopmental disorders .........................................................510
section 14 urgent care problems ......................................................................523
chapter 72. common urgent care complaints ......................................................523
chapter 73. common injuries ...............................................................................532
chapter 74. toxic exposures .................................................................................540
chapter 75. environmental exposures .................................................................546
unit iii: caring-based nursing: the practice .......................................................553
chapter 76. sports physicals ................................................................................553
chapter 77. primary care of older adults .............................................................565
chapter 78. palliative care and pain management ...............................................574
chapter 79. ethical and legal issues of a caring-based practice ..........................580
chapter 80. the business of advanced practice nursing .......................................585
chapter 81. the 15-minute hour: practical approaches to behavioral health for
primary care ........................................................................................................590
chapter 81. the 15-minute hour: practical approaches to behavioral health for
primary care answer section ................................ Error! Bookmark not defined.
chapter 82. putting caring into practice: caring for self ......................................594
chapter 82. putting caring into practice: caring for self answer section ....... Error!
Bookmark not defined.
, unit i: caring-based nursing: the art
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.
Answer: b.
feedback: the level of significance is the level at which the researcher believes that the study results most
likely represent a nonchance 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?
Answer: 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.
