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PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE NURSING –
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AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY
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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 identify the effect of handwash
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ing on the incidence of nosocomial (hospital-
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acquired) infections in acute care settings. An article presented findings at a level of significanc
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e 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 of the study have less than 1% chance of being attributable to chance.
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C) The effects of the intervention were nearly zero.
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D) The clinical significance of the findings was less than 1:100.
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Ans: B ma
Feedback: The level of significance is the level at which the researcher believes that the stud
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y results most likely represent a no chance event. A level of significance of <0.01 indicates t
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hat there is less than 1% 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 experienc
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e of parents who have a neonatal loss. Which of the following questions should the nurse priorit
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ize when appraising the results of this study?
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A) How well did the authors capture the personal experiences of these parents?
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B) How well did the authors control for confounding variables that may have affected th
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e findings?
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,C) Did the authors use statistical measures that were appropriate to the phenomenon i
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n question?
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D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A ma
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the s
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ubjective experiences of individuals. Statistical measures and variables are not dimensions of a q
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ualitative methodology. ma
3. A nurse has expressed skepticism to a colleague about the value of nursing research, cl
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aiming that nursing research has little relevance to practice. How can the nurses colleague best
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defend the importance of nursing research?
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A) The existence of nursing research means that nurses are now able to access federal gra
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nt money, something that didnt use to be the case.
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B) Nursing research has allowed the development of masters and doctoral programs and ha
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s greatly 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 professio
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n, rather than simply as a trade or a skill.
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D) The application of nursing research has the potential to improve nursing practice an
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d patient outcomes.
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, Ans: D ma
Feedback: The greatest value of nursing research lies in the potential to improve practice and, ul
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timately, to improve patient outcomes. This supersedes the contributions of nursing research to e
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ducation 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
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a busy urban hospital. She has noticed that many new mothers abandon breast-
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feeding their babies when they experience early challenges and wonders what could be done to
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
encourage more women to continue breast-
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feeding. What role is Tracy most likely to play in a research project that tests an intervention a
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
imed at promoting breast-feeding?
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A) Applying for grant funding for the research project
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B) Posing the clinical problem to one or more nursing researchers
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C) Planning the methodology of the research project
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D) Carrying out the intervention and submitting the results for publication Ans: B
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Feedback: A major role for staff nurses is to identify questions or problems for research. Gra
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
nt applications, methodological planning, and publication submission are normally carried out
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by 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 patie
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nt by a research assistant. Later, the patient admitted to his nurse that he did not understand t
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
he research assistants explanation or his own role in the study. How should this patients nurs
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
e respond to this revelation?
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A) Explain the research process to the patient in greater detail.
ma ma ma ma ma ma ma ma ma
B) Describe the details of a randomized controlled trial for the patient.
ma ma ma ma ma ma ma ma ma ma
PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE NURSING –
ma ma ma ma ma ma ma ma ma
AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY
ma ma ma ma ma ma
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
ma ma ma ma ma ma ma ma ma ma ma
1. A nurse has conducted a literature review in an effort to identify the effect of handwash
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ing on the incidence of nosocomial (hospital-
ma ma ma ma ma ma
acquired) infections in acute care settings. An article presented findings at a level of significanc
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
e of <0.01. This indicates that
ma ma ma ma ma
A) The control group and the experimental group were more than 99% similar.
ma ma ma ma ma ma ma ma ma ma ma
B) The findings of the study have less than 1% chance of being attributable to chance.
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
C) The effects of the intervention were nearly zero.
ma ma ma ma ma ma ma
D) The clinical significance of the findings was less than 1:100.
ma ma ma ma ma ma ma ma ma
Ans: B ma
Feedback: The level of significance is the level at which the researcher believes that the stud
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
y results most likely represent a no chance event. A level of significance of <0.01 indicates t
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
hat there is less than 1% probability that the result is due to chance.
ma ma ma ma ma ma ma ma ma ma ma ma ma
2. A nurse has read a qualitative research study in order to understand the lived experienc
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
e of parents who have a neonatal loss. Which of the following questions should the nurse priorit
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ize when appraising the results of this study?
ma ma ma ma ma ma ma
A) How well did the authors capture the personal experiences of these parents?
ma ma ma ma ma ma ma ma ma ma ma
B) How well did the authors control for confounding variables that may have affected th
ma ma ma ma ma ma ma ma ma ma ma ma ma
e findings?
ma
,C) Did the authors use statistical measures that were appropriate to the phenomenon i
ma ma ma ma ma ma ma ma ma ma ma ma
n question?
ma
D) Were the instruments that the researchers used statistically valid and reliable?
ma ma ma ma ma ma ma ma ma ma
Ans: A ma
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the s
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ubjective experiences of individuals. Statistical measures and variables are not dimensions of a q
ma ma ma ma ma ma ma ma ma ma ma ma ma
ualitative methodology. ma
3. A nurse has expressed skepticism to a colleague about the value of nursing research, cl
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
aiming that nursing research has little relevance to practice. How can the nurses colleague best
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
defend the importance of nursing research?
ma ma ma ma ma
A) The existence of nursing research means that nurses are now able to access federal gra
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
nt money, something that didnt use to be the case.
ma ma ma ma ma ma ma ma ma
B) Nursing research has allowed the development of masters and doctoral programs and ha
ma ma ma ma ma ma ma ma ma ma ma ma
s greatly increased the credibility of the profession.
ma ma ma ma ma ma ma
C) The growth of nursing research has caused nursing to be viewed as a true professio
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
n, rather than simply as a trade or a skill.
ma ma ma ma ma ma ma ma ma
D) The application of nursing research has the potential to improve nursing practice an
ma ma ma ma ma ma ma ma ma ma ma ma
d patient outcomes.
ma ma
, Ans: D ma
Feedback: The greatest value of nursing research lies in the potential to improve practice and, ul
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
timately, to improve patient outcomes. This supersedes the contributions of nursing research to e
ma ma ma ma ma ma ma ma ma ma ma ma ma
ducation programs, grant funding, or the public view of the profession.
ma ma ma ma ma ma ma ma ma ma
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
a busy urban hospital. She has noticed that many new mothers abandon breast-
ma ma ma ma ma ma ma ma ma ma ma ma
feeding their babies when they experience early challenges and wonders what could be done to
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
encourage more women to continue breast-
ma ma ma ma ma ma
feeding. What role is Tracy most likely to play in a research project that tests an intervention a
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
imed at promoting breast-feeding?
ma ma ma
A) Applying for grant funding for the research project
ma ma ma ma ma ma ma
B) Posing the clinical problem to one or more nursing researchers
ma ma ma ma ma ma ma ma ma
C) Planning the methodology of the research project
ma ma ma ma ma ma
D) Carrying out the intervention and submitting the results for publication Ans: B
ma ma ma ma ma ma ma ma ma ma ma
Feedback: A major role for staff nurses is to identify questions or problems for research. Gra
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
nt applications, methodological planning, and publication submission are normally carried out
ma ma ma ma ma ma ma ma ma ma
by nurses who have advanced degrees in nursing.
ma ma ma ma ma ma ma ma
5. A patient signed the informed consent form for a drug trial that was explained to patie
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
nt by a research assistant. Later, the patient admitted to his nurse that he did not understand t
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
he research assistants explanation or his own role in the study. How should this patients nurs
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
e respond to this revelation?
ma ma ma ma
A) Explain the research process to the patient in greater detail.
ma ma ma ma ma ma ma ma ma
B) Describe the details of a randomized controlled trial for the patient.
ma ma ma ma ma ma ma ma ma ma
