Test Bank for Primary Care: The Art and Science of Advanced Practice Nursing – an Interprofessional Approach 6th Edition by Dunphy, Winland-Brown, Porter and Thomas||complete guide graded A+

, PrimaryzCare:zArtzandzSciencezofzAdvancedzPracticezNursingz-
zAnzInterprofessionalzApproachz6thzeditionzDunphyzTestzBank




Chapterz1.zPrimaryzCarezinzthezTwenty-FirstzCentury:zAzCirclezofzCaring

1. Aznursezhaszconductedzazliteraturezreviewzinzanzeffortztozidentifyzthezeffectzofzhandwashingzonzt
hezincidencezofznosocomialz(hospital-
acquired)zinfectionszinzacutezcarezsettings.zAnzarticlezpresentedzfindingszatzazlevelzofzsignificancez
ofz<0.01.zThiszindicateszthat

A) thezcontrolzgroupzandzthezexperimentalzgroupzwerezmorezthanz99%zsimilar.

B) thezfindingszofzthezstudyzhavezlesszthanz1%zchancezofzbeingzattributableztozchance.

C) thezeffectszofzthezinterventionzwereznearlyzzero.

D) thezclinicalzsignificancezofzthezfindingszwaszlesszthanz1:100.

Ans:zB

Feedback:zThezlevelzofzsignificanceziszthezlevelzatzwhichzthezresearcherzbelieveszthatzthezstudyzresul
tszmostzlikelyzrepresentzaznonchancezevent.zAzlevelzofzsignificancezofz<0.01zindicateszthatzthereziszl
esszthanz1%zprobabilityzthatzthezresultziszdueztozchance.

2. Aznursezhaszreadzazqualitativezresearchzstudyzinzorderztozunderstandzthezlivedzexperiencezofzparen
tszwhozhavezazneonatalzloss.zWhichzofzthezfollowingzquestionszshouldztheznursezprioritizezwhenzapp
raisingzthezresultszofzthiszstudy?

A) Howzwellzdidzthezauthorszcapturezthezpersonalzexperienceszofzthesezparents?

B) Howzwellzdidzthezauthorszcontrolzforzconfoundingzvariableszthatzmayzhavezaffectedzthezfindings?

C) Didzthezauthorszusezstatisticalzmeasureszthatzwerezappropriateztozthezphenomenonzinzquestion?

D) Werezthezinstrumentszthatzthezresearcherszusedzstatisticallyzvalidzandzreliable?

Ans:zA

Feedback:zQualitativezstudieszarezjudgedzonzthezbasiszofzhowzwellztheyzcapturezandzconveyzthe
zsubjectivezexperienceszofzindividuals.zStatisticalzmeasureszandzvariableszareznotzdimensionszof
zazqualitativezmethodology.


3. Aznursezhaszexpressedzskepticismztozazcolleaguezaboutzthezvaluezofznursingzresearch,zclaimingzth
atznursingzresearchzhaszlittlezrelevanceztozpractice.zHowzcanztheznurseszcolleaguezbestzdefendzthezi
mportancezofznursingzresearch?

,A) Thezexistencezofznursingzresearchzmeanszthatznurseszareznowzableztozaccesszfederalzgrantzmone
y,zsomethingzthatzdidntzuseztozbezthezcase.

B) Nursingzresearchzhaszallowedzthezdevelopmentzofzmasterszandzdoctoralzprogramszandzhaszgreatl
yzincreasedzthezcredibilityzofzthezprofession.

C) Thezgrowthzofznursingzresearchzhaszcausedznursingztozbezviewedzaszaztruezprofession,zratherzth
anzsimplyzaszaztradezorzazskill.

D) Thezapplicationzofznursingzresearchzhaszthezpotentialztozimproveznursingzpracticezandzpatie
ntzoutcomes.

Ans:zD

Feedback:zThezgreatestzvaluezofznursingzresearchzlieszinzthezpotentialztozimprovezpracticezand,zulti
mately,ztozimprovezpatientzoutcomes.zThiszsupersedeszthezcontributionszofznursingzresearchztozeduca
tionzprograms,zgrantzfunding,zorzthezpubliczviewzofzthezprofession.

4. Tracyziszaznursezwithzazbaccalaureatezdegreezwhozworkszinzthezlaborzandzdeliveryzunitzofzazbu
syzurbanzhospital.zShezhasznoticedzthatzmanyznewzmotherszabandonzbreast-
feedingztheirzbabieszwhenztheyzexperiencezearlyzchallengeszandzwonderszwhatzcouldzbezdoneztoz
encouragezmorezwomenztozcontinuezbreast-
feeding.zWhatzroleziszTracyzmostzlikelyztozplayzinzazresearchzprojectzthatztestszanzinterventionzai
medzatzpromotingzbreast-feeding?

A) Applyingzforzgrantzfundingzforzthezresearchzproject

B) Posingzthezclinicalzproblemztozonezorzmoreznursingzresearchers

C) Planningzthezmethodologyzofzthezresearchzproject

D) Carryingzoutzthezinterventionzandzsubmittingzthezresultszforzpublicatio

nzAns:zB

Feedback:zAzmajorzrolezforzstaffznurseszisztozidentifyzquestionszorzproblemszforzresearch.zGra
ntzapplications,zmethodologicalzplanning,zandzpublicationzsubmissionzareznormallyzcarriedzou
tzbyznurseszwhozhavezadvancedzdegreeszinznursing.

5. Azpatientzsignedzthezinformedzconsentzformzforzazdrugztrialzthatzwaszexplainedztozpatientzbyz
azresearchzassistant.zLater,zthezpatientzadmittedztozhisznursezthatzhezdidznotzunderstandzthezresea
rchzassistantszexplanationzorzhiszownzrolezinzthezstudy.zHowzshouldzthiszpatientsznursezrespondzt
ozthiszrevelation?

A) Explainzthezresearchzprocessztozthezpatientzinzgreaterzdetail.

B) Describezthezdetailszofzazrandomizedzcontrolledztrialzforzthezpatient.

, C) Informzthezresearchzassistantzthatzthezpatientszconsentziszlikelyzinvalid.

D) Explainztozthezpatientzthatzhiszwrittenzconsentzisznowzlegallyzbinding.

Ans:zC

Feedback:zJustzaszthezstaffznursezisznotzresponsiblezforzmedicalzconsent,zthezstaffznursezisznotzrespo
nsiblezforzresearchzconsent.zIfzpatientszwhozhavezagreedztozparticipatezexhibitzambivalencezorzuncer
taintyzaboutzparticipating,zdoznotztryztozconvincezthemztozparticipate.zAskzthezpersonzfromzthezresea
rchzteamzwhoziszmanagingzconsentsztozspeakzwithzconcernedzpatientszaboutzthezstudy,zevenzafterzazp
atientzhaszsignedzthezconsentzforms.

MultiplezSelection

6. Aznursezleaderziszattemptingztozincreasezthezawarenesszofzevidence-
basedzpracticez(EBP)zamongztheznurseszonzazunit.zAznursezwhoziszimplementingzEBPzintegrateszwhi
chzofzthezfollowing?z(Selectzallzthatzapply.)

A) Interdisciplinaryzconsensus

B) Nursingztradition

C) Researchzstudies

D) Patientzpreferenceszandzvalues

E) Clinicalzexpertise

zAns:zC,zD,zE


Feedback:zFineout-Overholt,zMelnyk,zStillwell,zandzWilliamsonzdefinezEBPzaszazproblem-
solvingzapproachztozthezdeliveryzofzhealthcarezthatzintegrateszthezbestzevidencezfromzstudieszandzpat
ientzcarezdatazwithzclinicianzexpertisezandzpatientzpreferenceszandzvalues.

MultiplezChoice

7. Mrs.zMayesziszaz73-year-
oldzwomanzwhozhaszazdiabeticzfootzulcerzthatzhaszbeenzextremelyzslowztozhealzandzwhichznowzpose
szazthreatzofzosteomyelitis.zThezwoundzcareznursezwhozhaszbeenzworkingzwithzMrs.zMayeszappliesz
evidence-
basedzpracticez(EBP)zwheneverzpossiblezandzhaszproposedzthezusezofzmaggotztherapyztozdebrideznec
roticztissue.zMrs.zMayes,zhowever,zfindszthezsuggestionzrepugnantzandzadamantlyzopposeszthisztreat
mentzdespitezthezsizablezbodyzofzevidencezsupportingzit.zHowzshouldztheznursezreconcilezMrs.zMaye
szviewszwithzthezprincipleszofzEBP?

A) Theznursezshouldzexplainzthatzreliablezandzvalidzresearchzevidencezoverrideszthezpatientszopinion.

B) Theznursezshouldzexplainzthezevidenceztozthezpatientzinzgreaterzdetail.