TEST BANK FOR PRIMARY CARE
l l l l l
ART ANDSCIENCE OF ADVANCED P
l l l l ll
RACTICE NURSING – l l
ANINTERPROFESSIONAL APPROA
l l l
CH 6TH EDITION DUNPHY ALL CHAP
ll l l l ll
TERS-2023-2024
, PrimarylCare:lArtlandlScienceloflAdvancedlPracticelNursingl-
th
lAnlInterprofessionallApproachl5 leditionlDunphylTestlBank
Chapterl1.lPrimarylCarelinlthelTwenty-FirstlCentury:lAlCircleloflCaring
1. Alnurselhaslconductedlalliteraturelreviewlinlanleffortltolidentifyltheleffectloflhandwashinglonlthelincid
enceloflnosocomiall(hospital-
acquired)linfectionslinlacutelcarelsettings.lAnlarticlelpresentedlfindingslatlallevelloflsignificancelofl<0.0
1.lThislindicateslthat
A) thelcontrollgrouplandlthelexperimentallgrouplwerelmorelthanl99%lsimilar.
B) thelfindingsloflthelstudylhavellesslthanl1%lchanceloflbeinglattributableltolchance.
C) theleffectsloflthelinterventionlwerelnearlylzero.
D) thelclinicallsignificanceloflthelfindingslwasllesslthanl1:100.
Ans:lB
Feedback:lThellevelloflsignificancelislthellevellatlwhichlthelresearcherlbelieveslthatlthelstudylresultslmostl
likelylrepresentlalnonchancelevent.lAllevelloflsignificancelofl<0.01lindicateslthatltherelisllesslthanl1%lpro
babilitylthatlthelresultlisldueltolchance.
2. Alnurselhaslreadlalqualitativelresearchlstudylinlorderltolunderstandlthellivedlexperienceloflparentslwhol
havelalneonatallloss.lWhichloflthelfollowinglquestionslshouldlthelnurselprioritizelwhenlappraisinglthelres
ultsloflthislstudy?
A) Howlwellldidlthelauthorslcapturelthelpersonallexperienceslofltheselparents?
B) Howlwellldidlthelauthorslcontrollforlconfoundinglvariableslthatlmaylhavelaffectedlthelfindings?
C) Didlthelauthorsluselstatisticallmeasureslthatlwerelappropriateltolthelphenomenonlinlquestion?
D) Werelthelinstrumentslthatlthelresearcherslusedlstatisticallylvalidlandlreliable?
Ans:lA
Feedback:lQualitativelstudieslareljudgedlonlthelbasisloflhowlwellltheylcapturelandlconveylthelsubjectivele
xperiencesloflindividuals.lStatisticallmeasureslandlvariableslarelnotldimensionsloflalqualitativelmethodol
ogy.
3. Alnurselhaslexpressedlskepticismltolalcolleaguelaboutlthelvalueloflnursinglresearch,lclaiminglthatlnursi
nglresearchlhasllittlelrelevanceltolpractice.lHowlcanlthelnurseslcolleaguelbestldefendlthelimportancelofln
ursinglresearch?
,A) Thelexistenceloflnursinglresearchlmeanslthatlnurseslarelnowlableltolaccesslfederallgrantlmoney,lsom
ethinglthatldidntluseltolbelthelcase.
B) Nursinglresearchlhaslallowedltheldevelopmentloflmasterslandldoctorallprogramslandlhaslgreatlylincr
easedlthelcredibilityloflthelprofession.
C) Thelgrowthloflnursinglresearchlhaslcausedlnursingltolbelviewedlaslaltruelprofession,lratherlthanlsimpl
ylaslaltradelorlalskill.
D) Thelapplicationloflnursinglresearchlhaslthelpotentialltolimprovelnursinglpracticelandlpatientloutc
omes.
Ans:lD
Feedback:lThelgreatestlvalueloflnursinglresearchllieslinlthelpotentialltolimprovelpracticeland,lultimately,lt
olimprovelpatientloutcomes.lThislsupersedeslthelcontributionsloflnursinglresearchltoleducationlprograms,
lgrantlfunding,lorlthelpubliclviewloflthelprofession.
4. Tracylislalnurselwithlalbaccalaureateldegreelwholworkslinlthellaborlandldeliverylunitloflalbusylurbanl
hospital.lShelhaslnoticedlthatlmanylnewlmotherslabandonlbreast-
feedingltheirlbabieslwhenltheylexperiencelearlylchallengeslandlwonderslwhatlcouldlbeldoneltolencour
agelmorelwomenltolcontinuelbreast-
feeding.lWhatlrolelislTracylmostllikelyltolplaylinlalresearchlprojectlthatltestslanlinterventionlaimedlatlp
romotinglbreast-feeding?
A) Applyinglforlgrantlfundinglforlthelresearchlproject
B) Posinglthelclinicallproblemltolonelorlmorelnursinglresearchers
C) Planninglthelmethodologyloflthelresearchlproject
D) CarryingloutlthelinterventionlandlsubmittinglthelresultslforlpublicationlAn
s:lB
Feedback:lAlmajorlrolelforlstafflnurseslisltolidentifylquestionslorlproblemslforlresearch.lGrantlappli
cations,lmethodologicallplanning,landlpublicationlsubmissionlarelnormallylcarriedloutlbylnurseslw
holhaveladvancedldegreeslinlnursing.
5. Alpatientlsignedlthelinformedlconsentlformlforlaldrugltriallthatlwaslexplainedltolpatientlbylalresearc
hlassistant.lLater,lthelpatientladmittedltolhislnurselthatlheldidlnotlunderstandlthelresearchlassistantslex
planationlorlhislownlrolelinlthelstudy.lHowlshouldlthislpatientslnurselrespondltolthislrevelation?
A) Explainlthelresearchlprocessltolthelpatientlinlgreaterldetail.
B) Describeltheldetailsloflalrandomizedlcontrolledltriallforlthelpatient.
, C) Informlthelresearchlassistantlthatlthelpatientslconsentlisllikelylinvalid.
D) Explainltolthelpatientlthatlhislwrittenlconsentlislnowllegallylbinding.
Ans:lC
Feedback:lJustlaslthelstafflnurselislnotlresponsiblelforlmedicallconsent,lthelstafflnurselislnotlresponsiblelfo
rlresearchlconsent.lIflpatientslwholhavelagreedltolparticipatelexhibitlambivalencelorluncertaintylaboutlpar
ticipating,ldolnotltryltolconvincelthemltolparticipate.lAsklthelpersonlfromlthelresearchlteamlwholislmanagi
nglconsentsltolspeaklwithlconcernedlpatientslaboutlthelstudy,levenlafterlalpatientlhaslsignedlthelconsentlfo
rms.
MultiplelSelection
6. Alnurselleaderlislattemptingltolincreaselthelawarenessloflevidence-
basedlpracticel(EBP)lamonglthelnurseslonlalunit.lAlnurselwholislimplementinglEBPlintegrateslwhichloflth
elfollowing?l(Selectlalllthatlapply.)
A) Interdisciplinarylconsensus
B) Nursingltradition
C) Researchlstudies
D) Patientlpreferenceslandlvalues
E) Clinicallexpertisel
Ans:lC,lD,lE
Feedback:lFineout-Overholt,lMelnyk,lStillwell,landlWilliamsonldefinelEBPlaslalproblem-
solvinglapproachltoltheldeliveryloflhealthcarelthatlintegrateslthelbestlevidencelfromlstudieslandlpatientlcar
eldatalwithlclinicianlexpertiselandlpatientlpreferenceslandlvalues.
MultiplelChoice
7. Mrs.lMayeslislal73-year-
oldlwomanlwholhaslaldiabeticlfootlulcerlthatlhaslbeenlextremelylslowltolheallandlwhichlnowlposeslalthreat
loflosteomyelitis.lThelwoundlcarelnurselwholhaslbeenlworkinglwithlMrs.lMayeslapplieslevidence-
basedlpracticel(EBP)lwheneverlpossiblelandlhaslproposedltheluseloflmaggotltherapyltoldebridelnecroticlti
ssue.lMrs.lMayes,lhowever,lfindslthelsuggestionlrepugnantlandladamantlylopposeslthisltreatmentldespitel
thelsizablelbodyloflevidencelsupportinglit.lHowlshouldlthelnurselreconcilelMrs.lMayeslviewslwithlthelprin
ciplesloflEBP?
A) Thelnurselshouldlexplainlthatlreliablelandlvalidlresearchlevidenceloverrideslthelpatientslopinion.
B) Thelnurselshouldlexplainlthelevidenceltolthelpatientlinlgreaterldetail.
l l l l l
ART ANDSCIENCE OF ADVANCED P
l l l l ll
RACTICE NURSING – l l
ANINTERPROFESSIONAL APPROA
l l l
CH 6TH EDITION DUNPHY ALL CHAP
ll l l l ll
TERS-2023-2024
, PrimarylCare:lArtlandlScienceloflAdvancedlPracticelNursingl-
th
lAnlInterprofessionallApproachl5 leditionlDunphylTestlBank
Chapterl1.lPrimarylCarelinlthelTwenty-FirstlCentury:lAlCircleloflCaring
1. Alnurselhaslconductedlalliteraturelreviewlinlanleffortltolidentifyltheleffectloflhandwashinglonlthelincid
enceloflnosocomiall(hospital-
acquired)linfectionslinlacutelcarelsettings.lAnlarticlelpresentedlfindingslatlallevelloflsignificancelofl<0.0
1.lThislindicateslthat
A) thelcontrollgrouplandlthelexperimentallgrouplwerelmorelthanl99%lsimilar.
B) thelfindingsloflthelstudylhavellesslthanl1%lchanceloflbeinglattributableltolchance.
C) theleffectsloflthelinterventionlwerelnearlylzero.
D) thelclinicallsignificanceloflthelfindingslwasllesslthanl1:100.
Ans:lB
Feedback:lThellevelloflsignificancelislthellevellatlwhichlthelresearcherlbelieveslthatlthelstudylresultslmostl
likelylrepresentlalnonchancelevent.lAllevelloflsignificancelofl<0.01lindicateslthatltherelisllesslthanl1%lpro
babilitylthatlthelresultlisldueltolchance.
2. Alnurselhaslreadlalqualitativelresearchlstudylinlorderltolunderstandlthellivedlexperienceloflparentslwhol
havelalneonatallloss.lWhichloflthelfollowinglquestionslshouldlthelnurselprioritizelwhenlappraisinglthelres
ultsloflthislstudy?
A) Howlwellldidlthelauthorslcapturelthelpersonallexperienceslofltheselparents?
B) Howlwellldidlthelauthorslcontrollforlconfoundinglvariableslthatlmaylhavelaffectedlthelfindings?
C) Didlthelauthorsluselstatisticallmeasureslthatlwerelappropriateltolthelphenomenonlinlquestion?
D) Werelthelinstrumentslthatlthelresearcherslusedlstatisticallylvalidlandlreliable?
Ans:lA
Feedback:lQualitativelstudieslareljudgedlonlthelbasisloflhowlwellltheylcapturelandlconveylthelsubjectivele
xperiencesloflindividuals.lStatisticallmeasureslandlvariableslarelnotldimensionsloflalqualitativelmethodol
ogy.
3. Alnurselhaslexpressedlskepticismltolalcolleaguelaboutlthelvalueloflnursinglresearch,lclaiminglthatlnursi
nglresearchlhasllittlelrelevanceltolpractice.lHowlcanlthelnurseslcolleaguelbestldefendlthelimportancelofln
ursinglresearch?
,A) Thelexistenceloflnursinglresearchlmeanslthatlnurseslarelnowlableltolaccesslfederallgrantlmoney,lsom
ethinglthatldidntluseltolbelthelcase.
B) Nursinglresearchlhaslallowedltheldevelopmentloflmasterslandldoctorallprogramslandlhaslgreatlylincr
easedlthelcredibilityloflthelprofession.
C) Thelgrowthloflnursinglresearchlhaslcausedlnursingltolbelviewedlaslaltruelprofession,lratherlthanlsimpl
ylaslaltradelorlalskill.
D) Thelapplicationloflnursinglresearchlhaslthelpotentialltolimprovelnursinglpracticelandlpatientloutc
omes.
Ans:lD
Feedback:lThelgreatestlvalueloflnursinglresearchllieslinlthelpotentialltolimprovelpracticeland,lultimately,lt
olimprovelpatientloutcomes.lThislsupersedeslthelcontributionsloflnursinglresearchltoleducationlprograms,
lgrantlfunding,lorlthelpubliclviewloflthelprofession.
4. Tracylislalnurselwithlalbaccalaureateldegreelwholworkslinlthellaborlandldeliverylunitloflalbusylurbanl
hospital.lShelhaslnoticedlthatlmanylnewlmotherslabandonlbreast-
feedingltheirlbabieslwhenltheylexperiencelearlylchallengeslandlwonderslwhatlcouldlbeldoneltolencour
agelmorelwomenltolcontinuelbreast-
feeding.lWhatlrolelislTracylmostllikelyltolplaylinlalresearchlprojectlthatltestslanlinterventionlaimedlatlp
romotinglbreast-feeding?
A) Applyinglforlgrantlfundinglforlthelresearchlproject
B) Posinglthelclinicallproblemltolonelorlmorelnursinglresearchers
C) Planninglthelmethodologyloflthelresearchlproject
D) CarryingloutlthelinterventionlandlsubmittinglthelresultslforlpublicationlAn
s:lB
Feedback:lAlmajorlrolelforlstafflnurseslisltolidentifylquestionslorlproblemslforlresearch.lGrantlappli
cations,lmethodologicallplanning,landlpublicationlsubmissionlarelnormallylcarriedloutlbylnurseslw
holhaveladvancedldegreeslinlnursing.
5. Alpatientlsignedlthelinformedlconsentlformlforlaldrugltriallthatlwaslexplainedltolpatientlbylalresearc
hlassistant.lLater,lthelpatientladmittedltolhislnurselthatlheldidlnotlunderstandlthelresearchlassistantslex
planationlorlhislownlrolelinlthelstudy.lHowlshouldlthislpatientslnurselrespondltolthislrevelation?
A) Explainlthelresearchlprocessltolthelpatientlinlgreaterldetail.
B) Describeltheldetailsloflalrandomizedlcontrolledltriallforlthelpatient.
, C) Informlthelresearchlassistantlthatlthelpatientslconsentlisllikelylinvalid.
D) Explainltolthelpatientlthatlhislwrittenlconsentlislnowllegallylbinding.
Ans:lC
Feedback:lJustlaslthelstafflnurselislnotlresponsiblelforlmedicallconsent,lthelstafflnurselislnotlresponsiblelfo
rlresearchlconsent.lIflpatientslwholhavelagreedltolparticipatelexhibitlambivalencelorluncertaintylaboutlpar
ticipating,ldolnotltryltolconvincelthemltolparticipate.lAsklthelpersonlfromlthelresearchlteamlwholislmanagi
nglconsentsltolspeaklwithlconcernedlpatientslaboutlthelstudy,levenlafterlalpatientlhaslsignedlthelconsentlfo
rms.
MultiplelSelection
6. Alnurselleaderlislattemptingltolincreaselthelawarenessloflevidence-
basedlpracticel(EBP)lamonglthelnurseslonlalunit.lAlnurselwholislimplementinglEBPlintegrateslwhichloflth
elfollowing?l(Selectlalllthatlapply.)
A) Interdisciplinarylconsensus
B) Nursingltradition
C) Researchlstudies
D) Patientlpreferenceslandlvalues
E) Clinicallexpertisel
Ans:lC,lD,lE
Feedback:lFineout-Overholt,lMelnyk,lStillwell,landlWilliamsonldefinelEBPlaslalproblem-
solvinglapproachltoltheldeliveryloflhealthcarelthatlintegrateslthelbestlevidencelfromlstudieslandlpatientlcar
eldatalwithlclinicianlexpertiselandlpatientlpreferenceslandlvalues.
MultiplelChoice
7. Mrs.lMayeslislal73-year-
oldlwomanlwholhaslaldiabeticlfootlulcerlthatlhaslbeenlextremelylslowltolheallandlwhichlnowlposeslalthreat
loflosteomyelitis.lThelwoundlcarelnurselwholhaslbeenlworkinglwithlMrs.lMayeslapplieslevidence-
basedlpracticel(EBP)lwheneverlpossiblelandlhaslproposedltheluseloflmaggotltherapyltoldebridelnecroticlti
ssue.lMrs.lMayes,lhowever,lfindslthelsuggestionlrepugnantlandladamantlylopposeslthisltreatmentldespitel
thelsizablelbodyloflevidencelsupportinglit.lHowlshouldlthelnurselreconcilelMrs.lMayeslviewslwithlthelprin
ciplesloflEBP?
A) Thelnurselshouldlexplainlthatlreliablelandlvalidlresearchlevidenceloverrideslthelpatientslopinion.
B) Thelnurselshouldlexplainlthelevidenceltolthelpatientlinlgreaterldetail.
