, 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.
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.
