Test Bank For
Primary Care The Art And Science Of Advanced Practice Nursing – An Interprofessional Approach Sixth
Edition
By Debera J. Dunphy, Lynne M.; Winland-Brown, Jill E.; Porter, Brian Oscar; Thomas (Author)
6TH EDITION
,Table Of Contents
UNIT 1 CARING-BASED NURSING: THE ART ___________________________________ 6
Chapter 1. Primary Care In The Twenty-First Century: A Circle Of Caring _______________________ 6
Chapter 2. Caring And The Advanced Practice Nurse ______________________________________ 22
Chapter 3. Health Promotion ________________________________________________________ 40
Chapter 4. The Art Of Diagnosis And Treatment _________________________________________ 45
Chapter 5. Evidence-Based Practice ___________________________________________________ 70
UNIT 2 CARING-BASED NURSING: THE SCIENCE _____________________________ 77
Section 1: Neurological Problems _____________________________________________ 77
Chapter 6. Common Neurological Complaints ___________________________________________ 77
Chapter 7. Seizure Disorders_________________________________________________________ 94
Chapter 8. Degenerative Disorders___________________________________________________ 105
Chapter 9. Cerebrovascular Accident (Stroke) __________________________________________ 113
Chapter 10. Infectious And Inflammatory Neurological Disorders ___________________________ 137
Section 2: Skin Problems ____________________________________________________ 139
Chapter 11. Common Skin Complaints ________________________________________________ 139
Chapter 12. Parasitic Skin Infestations ________________________________________________ 156
Chapter 13. Fungal Skin Infections ___________________________________________________ 158
Chapter 14. Bacterial Skin Infections _________________________________________________ 161
Chapter 15. Viral Skin Infections _____________________________________________________ 167
Chapter 16. Dermatitis ____________________________________________________________ 170
Chapter 17. Skin Lesions ___________________________________________________________ 175
Section 3: Eye Problems _____________________________________________________ 184
Chapter 18. Common Eye Complaints Multiple Choice ___________________________________ 184
Chapter 19. Lid And Conjunctival Pathology____________________________________________ 197
Chapter 20. Visual Disturbances And Impaired Vision ____________________________________ 219
Section 4: Ear, Nose, And Throat Problems _________________________________ 224
Chapter 21. Common Ear, Nose, And Throat Complaints _________________________________ 224
Chapter 22. Hearing And Balance Disorders ____________________________________________ 239
Chapter 23. Inflammatory And Infectious Disorders Of The Ear ____________________________ 251
Chapter 24. Inflammatory And Infectious Disorders Of The Nose, Sinuses, Mouth, And Throat ___ 277
, Chapter 25. Epistaxis ______________________________________________________________ 288
Chapter 26. Temporomandibular Disorders ____________________________________________ 290
Chapter 27. Dysphonia ____________________________________________________________ 295
Section 5: Respiratory Problems ____________________________________________ 296
Chapter 28. Common Respiratory Complaints __________________________________________ 296
Chapter 29. Sleep Apnea___________________________________________________________ 316
Chapter 30. Infectious Respiratory Disorders ___________________________________________ 318
Chapter 31. Inflammatory Respiratory Disorders ________________________________________ 332
Chapter 32. Lung Cancer ___________________________________________________________ 343
Chapter 33. Smoking Addiction _____________________________________________________ 345
Section 6: Cardiovascular Problems _________________________________________ 346
Chapter 34. Common Cardiovascular Complaints _______________________________________ 346
Chapter 35. Cardiac And Associated Risk Disorders ______________________________________ 363
Chapter 36. Dysrhythmias And Valvular Disorders _______________________________________ 375
Chapter 37. Disorders Of The Vascular System _________________________________________ 389
Section 7: Abdominal Problems _____________________________________________ 410
Chapter 38. Common Abdominal Complaints Multiple Choice _____________________________ 410
Chapter 39. Infectious Gastrointestinal Disorders _______________________________________ 422
Chapter 40. Gastric And Intestinal Disorders ___________________________________________ 435
Chapter 41. Gallbladder And Pancreatic Disorders ______________________________________ 447
Chapter 42. Cirrhosis And Liver Failure________________________________________________ 460
Section 8: Renal Problems ___________________________________________________ 467
Chapter 43. Common Urinary Complaints _____________________________________________ 467
Chapter 44. Urinary Tract Disorders __________________________________________________ 476
Chapter 45. Kidney And Bladder Disorders ____________________________________________ 489
Section 9: Gender-Related Health Problems ________________________________ 504
Chapter 46. Common Reproductive System Complaints Multiple Choice _____________________ 504
Chapter 47. Breast Disorders _______________________________________________________ 515
Chapter 48. Vaginal, Uterine, And Ovarian Disorders ____________________________________ 526
Chapter 49. Prostate Disorders______________________________________________________ 540
Chapter 50. Penile And Testicular Disorders ___________________________________________ 552
, Chapter 51. Sexually Transmitted Infections ___________________________________________ 563
Chapter 52. Common Musculoskeletal Complaints ______________________________________ 589
Chapter 53. Spinal Disorders________________________________________________________ 604
Chapter 54. Soft-Tissue Disorders____________________________________________________ 608
Chapter 55. Osteoarthritis And Osteoporosis___________________________________________ 648
Section 11: Endocrine And Metabolic Problems ____________________________ 655
Chapter 56. Common Endocrine/Metabolic Complaints __________________________________ 655
Chapter 57. Glandular Disorders ____________________________________________________ 672
Chapter 58. Diabetes Mellitus ______________________________________________________ 683
Chapter 59. Metabolic Disorders ____________________________________________________ 691
Section 12: Hematological And Immunological Problems __________________ 727
Chapter 60. Common Hematologic And Immunological Problems Multiple Choice _____________ 727
Chapter 61. Hematologic Disorders __________________________________________________ 744
Chapter 62. Immunological Disorders ________________________________________________ 770
Chapter 63. Infectious Disorders ____________________________________________________ 787
Section 13: Psychosocial Problems _________________________________________ 823
Chapter 64. Common Psychosocial Complaints _________________________________________ 823
Chapter 65. Substance Use Disorders _________________________________________________ 838
Chapter 66. Schizophrenia Spectrum Disorders _________________________________________ 859
Chapter 67. Mood Disorders________________________________________________________ 880
Chapter 68. Anxiety, Stress, And Trauma-Related Disorders _______________________________ 889
Chapter 69. Obsessive-Compulsive Disorders __________________________________________ 902
Chapter 70. Behavioral Disorders Related To Physical/Physiological Disturbances ______________ 907
Chapter 71. Neurodevelopmental Disorders ___________________________________________ 923
Section 14: Urgent Care Problems __________________________________________ 948
Chapter 72. Common Urgent Care Complaints Multiple Choice ____________________________ 948
Chapter 73. Common Injuries _______________________________________________________ 966
Chapter 74. Toxic Exposures ________________________________________________________ 981
Chapter 75. Environmental Exposures _______________________________________________ 1001
UNIT 3 CARING-BASED NURSING: THE PRACTICE ________________________ 1013
Chapter 76. Sports Physicals _______________________________________________________ 1013
,Chapter 77. Primary Care Of Older Adults ____________________________________________ 1038
Chapter 78. Palliative Care And Pain Management _____________________________________ 1065
Chapter 79. Ethical And Legal Issues Of A Caring-Based Practice___________________________ 1075
Chapter 80. The Business Of Advanced Practice Nursing _________________________________ 1086
Chapter 81. The 15-Minute Hour: Practical Approaches To Behavioral Health For Primary Care __ 1094
Chapter 82. Putting Caring Into Practice: Caring For Self _________________________________ 1102
,UNIT 1 CARING-BASED NURSING: THE ART
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 Incidence 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 Experimental 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 Significance Of The Findings Was Less Than 1:100.
CORRECT ANS>> B
Feedback: The Level Of Significance Is The Level At Which The Researcher Believes That The Study
Results Most Likely Represent A No Chance Event. A Level Of Significance Of <0.01 Indicates That There
Is Less Than 1% Probability That The Result Is Due To Chance.
2. A Nurse Has Read A Qualitative Research Study In Order To Understand The Lived Experience Of
Parents Who Have 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 Confounding Variables That May Have Affected The
Findings?
, C) Did The Authors Use Statistical Measures That Were Appropriate To The Phenomenon In
Question?
D) Were The Instruments That The Researchers Used Statistically Valid And Reliable?
CORRECT ANS>> A
Feedback: Qualitative Studies Are Judged On The Basis Of How Well They Capture And Convey The
Subjective Experiences Of Individuals. Statistical Measures And Variables Are Not Dimensions Of A
Qualitative Methodology.
3. A Nurse Has Expressed Skepticism To A Colleague About The Value Of Nursing Research,
Claiming That Nursing Research Has Little Relevance To Practice. How Can The Nurses Colleague Best
Defend The Importance Of Nursing Research?
A) The Existence Of Nursing Research Means That Nurses Are Now Able To Access Federal Grant
Money, Something That Didnt Use To Be The Case.
B) Nursing Research Has Allowed The Development Of Masters And Doctoral Programs And Has
Greatly Increased The Credibility Of The Profession.
C) The Growth Of Nursing Research Has Caused Nursing To Be Viewed As A True Profession, Rather
Than Simply As A Trade Or A Skill.
D) The Application Of Nursing Research Has The Potential To Improve Nursing Practice And Patient
Outcomes.
CORRECT ANS>> D
Primary Care The Art And Science Of Advanced Practice Nursing – An Interprofessional Approach Sixth
Edition
By Debera J. Dunphy, Lynne M.; Winland-Brown, Jill E.; Porter, Brian Oscar; Thomas (Author)
6TH EDITION
,Table Of Contents
UNIT 1 CARING-BASED NURSING: THE ART ___________________________________ 6
Chapter 1. Primary Care In The Twenty-First Century: A Circle Of Caring _______________________ 6
Chapter 2. Caring And The Advanced Practice Nurse ______________________________________ 22
Chapter 3. Health Promotion ________________________________________________________ 40
Chapter 4. The Art Of Diagnosis And Treatment _________________________________________ 45
Chapter 5. Evidence-Based Practice ___________________________________________________ 70
UNIT 2 CARING-BASED NURSING: THE SCIENCE _____________________________ 77
Section 1: Neurological Problems _____________________________________________ 77
Chapter 6. Common Neurological Complaints ___________________________________________ 77
Chapter 7. Seizure Disorders_________________________________________________________ 94
Chapter 8. Degenerative Disorders___________________________________________________ 105
Chapter 9. Cerebrovascular Accident (Stroke) __________________________________________ 113
Chapter 10. Infectious And Inflammatory Neurological Disorders ___________________________ 137
Section 2: Skin Problems ____________________________________________________ 139
Chapter 11. Common Skin Complaints ________________________________________________ 139
Chapter 12. Parasitic Skin Infestations ________________________________________________ 156
Chapter 13. Fungal Skin Infections ___________________________________________________ 158
Chapter 14. Bacterial Skin Infections _________________________________________________ 161
Chapter 15. Viral Skin Infections _____________________________________________________ 167
Chapter 16. Dermatitis ____________________________________________________________ 170
Chapter 17. Skin Lesions ___________________________________________________________ 175
Section 3: Eye Problems _____________________________________________________ 184
Chapter 18. Common Eye Complaints Multiple Choice ___________________________________ 184
Chapter 19. Lid And Conjunctival Pathology____________________________________________ 197
Chapter 20. Visual Disturbances And Impaired Vision ____________________________________ 219
Section 4: Ear, Nose, And Throat Problems _________________________________ 224
Chapter 21. Common Ear, Nose, And Throat Complaints _________________________________ 224
Chapter 22. Hearing And Balance Disorders ____________________________________________ 239
Chapter 23. Inflammatory And Infectious Disorders Of The Ear ____________________________ 251
Chapter 24. Inflammatory And Infectious Disorders Of The Nose, Sinuses, Mouth, And Throat ___ 277
, Chapter 25. Epistaxis ______________________________________________________________ 288
Chapter 26. Temporomandibular Disorders ____________________________________________ 290
Chapter 27. Dysphonia ____________________________________________________________ 295
Section 5: Respiratory Problems ____________________________________________ 296
Chapter 28. Common Respiratory Complaints __________________________________________ 296
Chapter 29. Sleep Apnea___________________________________________________________ 316
Chapter 30. Infectious Respiratory Disorders ___________________________________________ 318
Chapter 31. Inflammatory Respiratory Disorders ________________________________________ 332
Chapter 32. Lung Cancer ___________________________________________________________ 343
Chapter 33. Smoking Addiction _____________________________________________________ 345
Section 6: Cardiovascular Problems _________________________________________ 346
Chapter 34. Common Cardiovascular Complaints _______________________________________ 346
Chapter 35. Cardiac And Associated Risk Disorders ______________________________________ 363
Chapter 36. Dysrhythmias And Valvular Disorders _______________________________________ 375
Chapter 37. Disorders Of The Vascular System _________________________________________ 389
Section 7: Abdominal Problems _____________________________________________ 410
Chapter 38. Common Abdominal Complaints Multiple Choice _____________________________ 410
Chapter 39. Infectious Gastrointestinal Disorders _______________________________________ 422
Chapter 40. Gastric And Intestinal Disorders ___________________________________________ 435
Chapter 41. Gallbladder And Pancreatic Disorders ______________________________________ 447
Chapter 42. Cirrhosis And Liver Failure________________________________________________ 460
Section 8: Renal Problems ___________________________________________________ 467
Chapter 43. Common Urinary Complaints _____________________________________________ 467
Chapter 44. Urinary Tract Disorders __________________________________________________ 476
Chapter 45. Kidney And Bladder Disorders ____________________________________________ 489
Section 9: Gender-Related Health Problems ________________________________ 504
Chapter 46. Common Reproductive System Complaints Multiple Choice _____________________ 504
Chapter 47. Breast Disorders _______________________________________________________ 515
Chapter 48. Vaginal, Uterine, And Ovarian Disorders ____________________________________ 526
Chapter 49. Prostate Disorders______________________________________________________ 540
Chapter 50. Penile And Testicular Disorders ___________________________________________ 552
, Chapter 51. Sexually Transmitted Infections ___________________________________________ 563
Chapter 52. Common Musculoskeletal Complaints ______________________________________ 589
Chapter 53. Spinal Disorders________________________________________________________ 604
Chapter 54. Soft-Tissue Disorders____________________________________________________ 608
Chapter 55. Osteoarthritis And Osteoporosis___________________________________________ 648
Section 11: Endocrine And Metabolic Problems ____________________________ 655
Chapter 56. Common Endocrine/Metabolic Complaints __________________________________ 655
Chapter 57. Glandular Disorders ____________________________________________________ 672
Chapter 58. Diabetes Mellitus ______________________________________________________ 683
Chapter 59. Metabolic Disorders ____________________________________________________ 691
Section 12: Hematological And Immunological Problems __________________ 727
Chapter 60. Common Hematologic And Immunological Problems Multiple Choice _____________ 727
Chapter 61. Hematologic Disorders __________________________________________________ 744
Chapter 62. Immunological Disorders ________________________________________________ 770
Chapter 63. Infectious Disorders ____________________________________________________ 787
Section 13: Psychosocial Problems _________________________________________ 823
Chapter 64. Common Psychosocial Complaints _________________________________________ 823
Chapter 65. Substance Use Disorders _________________________________________________ 838
Chapter 66. Schizophrenia Spectrum Disorders _________________________________________ 859
Chapter 67. Mood Disorders________________________________________________________ 880
Chapter 68. Anxiety, Stress, And Trauma-Related Disorders _______________________________ 889
Chapter 69. Obsessive-Compulsive Disorders __________________________________________ 902
Chapter 70. Behavioral Disorders Related To Physical/Physiological Disturbances ______________ 907
Chapter 71. Neurodevelopmental Disorders ___________________________________________ 923
Section 14: Urgent Care Problems __________________________________________ 948
Chapter 72. Common Urgent Care Complaints Multiple Choice ____________________________ 948
Chapter 73. Common Injuries _______________________________________________________ 966
Chapter 74. Toxic Exposures ________________________________________________________ 981
Chapter 75. Environmental Exposures _______________________________________________ 1001
UNIT 3 CARING-BASED NURSING: THE PRACTICE ________________________ 1013
Chapter 76. Sports Physicals _______________________________________________________ 1013
,Chapter 77. Primary Care Of Older Adults ____________________________________________ 1038
Chapter 78. Palliative Care And Pain Management _____________________________________ 1065
Chapter 79. Ethical And Legal Issues Of A Caring-Based Practice___________________________ 1075
Chapter 80. The Business Of Advanced Practice Nursing _________________________________ 1086
Chapter 81. The 15-Minute Hour: Practical Approaches To Behavioral Health For Primary Care __ 1094
Chapter 82. Putting Caring Into Practice: Caring For Self _________________________________ 1102
,UNIT 1 CARING-BASED NURSING: THE ART
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 Incidence 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 Experimental 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 Significance Of The Findings Was Less Than 1:100.
CORRECT ANS>> B
Feedback: The Level Of Significance Is The Level At Which The Researcher Believes That The Study
Results Most Likely Represent A No Chance Event. A Level Of Significance Of <0.01 Indicates That There
Is Less Than 1% Probability That The Result Is Due To Chance.
2. A Nurse Has Read A Qualitative Research Study In Order To Understand The Lived Experience Of
Parents Who Have 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 Confounding Variables That May Have Affected The
Findings?
, C) Did The Authors Use Statistical Measures That Were Appropriate To The Phenomenon In
Question?
D) Were The Instruments That The Researchers Used Statistically Valid And Reliable?
CORRECT ANS>> A
Feedback: Qualitative Studies Are Judged On The Basis Of How Well They Capture And Convey The
Subjective Experiences Of Individuals. Statistical Measures And Variables Are Not Dimensions Of A
Qualitative Methodology.
3. A Nurse Has Expressed Skepticism To A Colleague About The Value Of Nursing Research,
Claiming That Nursing Research Has Little Relevance To Practice. How Can The Nurses Colleague Best
Defend The Importance Of Nursing Research?
A) The Existence Of Nursing Research Means That Nurses Are Now Able To Access Federal Grant
Money, Something That Didnt Use To Be The Case.
B) Nursing Research Has Allowed The Development Of Masters And Doctoral Programs And Has
Greatly Increased The Credibility Of The Profession.
C) The Growth Of Nursing Research Has Caused Nursing To Be Viewed As A True Profession, Rather
Than Simply As A Trade Or A Skill.
D) The Application Of Nursing Research Has The Potential To Improve Nursing Practice And Patient
Outcomes.
CORRECT ANS>> D
