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TEST BANK
FOR PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE
NURSING- AN INTERPROFESSIONAL APPROACH 6th Edition BY
DUNPHY 2026
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Primary Care: Art And Science Of Advanced Practice Nursing - An Interprofessional
Approach 6th Edition Dunph Y Test Bank
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 Incidenc
E 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 Experim Ental 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 Significan Ce Of The Findings Was Less Than 1:100.
Ans: B
Feedback: The Level Of Significance Is The Level At which The Researcher Believes That The Study Results Most
mi
Lik Ely Represent A Nonchance Event. A Level Of Significance Of <0.01 Indicates That There Is Less Than 1% Probabi
Lity That The Result Is Due To Chance.
2. A Nurse Has Read A Qualitative Research Study In Order To Understan d The Lived Experience Of Parents Who H
Ave 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 Confound Ing Variables That May Have Affected The Findings?
C) Did The Author S Use Statistical Measures That Were Approp Riate To The Phenom Enon In Question?
D) Were The Instrum Ents That The Research Ers Used Statistically Valid And Reliable?
Ans: A
Feedback: Qualitative Studies Are Judged On The Basis Of How Well They Capture And Convey The
Subjecti Ve Experiences Of Individ Uals. Statistical Measures And Variables Are Not Dimension S Of A Qualitative Met
Hodology.
3. A Nurse Has Expressed Skepticism To A Colleague About The Value Of Nursing Research, Claiming That Nursin G
Research Has Little Relevance To Practice. How Can The Nurses Colleague Best Defend The Importance Of Nur Sing
Research?
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A) The Existence Of Nursing Research Means That Nurses Are Now Able To Access Federal Grant Money, Some
Thing That Didnt Use To Be The Case.
B) Nursin G Research Has Allowed The Developm Ent Of Masters And Doctoral Program S And Has Greatly Increa
Sed The Credibility Of The Profession.
C) The Growth Of Nursing Research Has Caused Nursing To Be Viewed As A True Profession, Rather Than Simpl Y
As A Trade Or A Skill.
D) The Applicatio N Of Nursing Research Has The Potential To Improve Nursing Practice And Patient Outcom Es.
Ans: D
Feedback: The Greatest Value Of Nursing Research Lies In The Potential To Improve Practice And, Ultimately, To I
Mprove Patient Outcomes. This Supersedes The Contributions Of Nursing Research To Education Programs, Grant Funding,
Or The Public View Of The Profession.
4. Tracy Is A Nurse With A Baccalaureate Degree Who Works In The Labor And Delivery Unit Of A Busy Urban
Hospital. She Has Noticed That Many New Mothers Abandon Breast-
Feeding Their Babies When They Experience Early Challenges And Wonders What Could Be Done To Encoura Ge
More Women To Continue Breast-
Feeding. What Role Is Tracy Most Likely To Play In A Research Project That Tests An Intervention Aimed At Pr
Omoting Breast-Feeding?
A) Applying For Grant Funding For The Research Project
B) Posing The Clinical Problem To One Or More Nursing Researchers
C) Planning The Method Ology Of The Research Project
D) Carrying Out The Interventio N And Submitti ng The Results For Publication Ans: B
Feedback: A Major Role For Staff Nurses Is To Identify Questions Or Problems For Research. Grant Applicat Ions,
Methodological Planning, And Publication Submission Are Normally Carried Out By Nurses Who Hav E Advanced
Degrees In Nursing.
5. A Patient Signed The Informed Consent Form For A Drug Trial That Was Explained To Patient By A Research
Assistant. Later, The Patient Admitted To His Nurse That He Did Not Understand The Research Assistants Ex
Planation Or His Own Role In The Study. How Should This Patients Nurse Respond To This Revelation?
A) Explain The Research Process To The Patient In Greater Detail.
B) Describe The Details Of A Random Ized Controlled Trial For The Patient.
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C) Inform The Research Assistant That The Patients Consent Is Likely Invalid.
D) Explain To The Patient That His Written Consent Is Now Legally Binding.
Ans: C
Feedback: Just As The Staff Nurse Is Not Responsible For Medical Consent, The Staff Nurse Is Not Responsible Fo R
Research Consent. If Patients Who Have Agreed To Participate Exhibit Ambivalence Or Uncertainty About Partici Pating, D o
Not Try To Convince Them To Participate. Ask The Person From The Research Team Who Is Managing C Onsents To Speak
With
Concerned Patients About The Study, Even After A Patient Has Signed The Consent Forms.
Multiple Selection
6. A Nurse Leader Is Attempting To Increase The Awareness Of Evidence-
Based Practice (Ebp) Among The Nurses On A Unit. A Nurse Who Is Implementing Ebp Integrates Which Of The Following?
(Select That Apply.)
A) Interdisciplinary Consensus
B) Nursin G Tradition
C) Research Studies
D) Patient Preferences And Values
E) Clinical Expertise A
Ns: C, D , E
Feedback: Fineout-Over Holt, Melnyk, Stillwell, And Williamson Define Ebp As A Problem -
Solving Approach To The Delivery Of Healthcare That Integrates The Best Evidence From Studies And Patient Care Data
With Clinician Expertise And Patient Preferences And Values.
Multiple Choice
7. Mrs. Mayes Is A 73-Year-
Old Woman Who Has A Diabetic Foot Ulcer That Has Been Extremely Slow To Heal And Which Now Poses A
Threat Of Osteomyelitis. The Wound Care Nurse Who Has Been Working With Mrs. Mayes Applies Evidence-
Based Practice (Ebp) Whenever Possible And Has Proposed The Use Of Maggot Therapy To Debride Necrotic Tis Sue.
Mrs. Mayes, However, Finds The Suggestion Repugnant And Adamantly Opposes This Treatment Despite The Sizable Body
Of Evidence Supporting It. How Should The Nurse Reconcile Mrs. Mayes Views With The Principles Of Ebp?
A) The Nurse Should Explain That Reliable And Valid Research Evidence Overrides The Patients Opinion.
B) The Nurse Should Explain The Evidence To The Patient In Greater Detail.
TEST BANK
FOR PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE
NURSING- AN INTERPROFESSIONAL APPROACH 6th Edition BY
DUNPHY 2026
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Primary Care: Art And Science Of Advanced Practice Nursing - An Interprofessional
Approach 6th Edition Dunph Y Test Bank
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 Incidenc
E 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 Experim Ental 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 Significan Ce Of The Findings Was Less Than 1:100.
Ans: B
Feedback: The Level Of Significance Is The Level At which The Researcher Believes That The Study Results Most
mi
Lik Ely Represent A Nonchance Event. A Level Of Significance Of <0.01 Indicates That There Is Less Than 1% Probabi
Lity That The Result Is Due To Chance.
2. A Nurse Has Read A Qualitative Research Study In Order To Understan d The Lived Experience Of Parents Who H
Ave 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 Confound Ing Variables That May Have Affected The Findings?
C) Did The Author S Use Statistical Measures That Were Approp Riate To The Phenom Enon In Question?
D) Were The Instrum Ents That The Research Ers Used Statistically Valid And Reliable?
Ans: A
Feedback: Qualitative Studies Are Judged On The Basis Of How Well They Capture And Convey The
Subjecti Ve Experiences Of Individ Uals. Statistical Measures And Variables Are Not Dimension S Of A Qualitative Met
Hodology.
3. A Nurse Has Expressed Skepticism To A Colleague About The Value Of Nursing Research, Claiming That Nursin G
Research Has Little Relevance To Practice. How Can The Nurses Colleague Best Defend The Importance Of Nur Sing
Research?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
A) The Existence Of Nursing Research Means That Nurses Are Now Able To Access Federal Grant Money, Some
Thing That Didnt Use To Be The Case.
B) Nursin G Research Has Allowed The Developm Ent Of Masters And Doctoral Program S And Has Greatly Increa
Sed The Credibility Of The Profession.
C) The Growth Of Nursing Research Has Caused Nursing To Be Viewed As A True Profession, Rather Than Simpl Y
As A Trade Or A Skill.
D) The Applicatio N Of Nursing Research Has The Potential To Improve Nursing Practice And Patient Outcom Es.
Ans: D
Feedback: The Greatest Value Of Nursing Research Lies In The Potential To Improve Practice And, Ultimately, To I
Mprove Patient Outcomes. This Supersedes The Contributions Of Nursing Research To Education Programs, Grant Funding,
Or The Public View Of The Profession.
4. Tracy Is A Nurse With A Baccalaureate Degree Who Works In The Labor And Delivery Unit Of A Busy Urban
Hospital. She Has Noticed That Many New Mothers Abandon Breast-
Feeding Their Babies When They Experience Early Challenges And Wonders What Could Be Done To Encoura Ge
More Women To Continue Breast-
Feeding. What Role Is Tracy Most Likely To Play In A Research Project That Tests An Intervention Aimed At Pr
Omoting Breast-Feeding?
A) Applying For Grant Funding For The Research Project
B) Posing The Clinical Problem To One Or More Nursing Researchers
C) Planning The Method Ology Of The Research Project
D) Carrying Out The Interventio N And Submitti ng The Results For Publication Ans: B
Feedback: A Major Role For Staff Nurses Is To Identify Questions Or Problems For Research. Grant Applicat Ions,
Methodological Planning, And Publication Submission Are Normally Carried Out By Nurses Who Hav E Advanced
Degrees In Nursing.
5. A Patient Signed The Informed Consent Form For A Drug Trial That Was Explained To Patient By A Research
Assistant. Later, The Patient Admitted To His Nurse That He Did Not Understand The Research Assistants Ex
Planation Or His Own Role In The Study. How Should This Patients Nurse Respond To This Revelation?
A) Explain The Research Process To The Patient In Greater Detail.
B) Describe The Details Of A Random Ized Controlled Trial For The Patient.
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
C) Inform The Research Assistant That The Patients Consent Is Likely Invalid.
D) Explain To The Patient That His Written Consent Is Now Legally Binding.
Ans: C
Feedback: Just As The Staff Nurse Is Not Responsible For Medical Consent, The Staff Nurse Is Not Responsible Fo R
Research Consent. If Patients Who Have Agreed To Participate Exhibit Ambivalence Or Uncertainty About Partici Pating, D o
Not Try To Convince Them To Participate. Ask The Person From The Research Team Who Is Managing C Onsents To Speak
With
Concerned Patients About The Study, Even After A Patient Has Signed The Consent Forms.
Multiple Selection
6. A Nurse Leader Is Attempting To Increase The Awareness Of Evidence-
Based Practice (Ebp) Among The Nurses On A Unit. A Nurse Who Is Implementing Ebp Integrates Which Of The Following?
(Select That Apply.)
A) Interdisciplinary Consensus
B) Nursin G Tradition
C) Research Studies
D) Patient Preferences And Values
E) Clinical Expertise A
Ns: C, D , E
Feedback: Fineout-Over Holt, Melnyk, Stillwell, And Williamson Define Ebp As A Problem -
Solving Approach To The Delivery Of Healthcare That Integrates The Best Evidence From Studies And Patient Care Data
With Clinician Expertise And Patient Preferences And Values.
Multiple Choice
7. Mrs. Mayes Is A 73-Year-
Old Woman Who Has A Diabetic Foot Ulcer That Has Been Extremely Slow To Heal And Which Now Poses A
Threat Of Osteomyelitis. The Wound Care Nurse Who Has Been Working With Mrs. Mayes Applies Evidence-
Based Practice (Ebp) Whenever Possible And Has Proposed The Use Of Maggot Therapy To Debride Necrotic Tis Sue.
Mrs. Mayes, However, Finds The Suggestion Repugnant And Adamantly Opposes This Treatment Despite The Sizable Body
Of Evidence Supporting It. How Should The Nurse Reconcile Mrs. Mayes Views With The Principles Of Ebp?
A) The Nurse Should Explain That Reliable And Valid Research Evidence Overrides The Patients Opinion.
B) The Nurse Should Explain The Evidence To The Patient In Greater Detail.
