TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF
ADVANCED PRACTICE NURSING – AN
INTERPROFESSIONAL APPROACH 7TH EDITION DUNPHY
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.
ANSWER: 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?
ANSWER: 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 MEANSWER 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.
ANSWER: D
, FEEDBACK: THE GREATEST VALUE OF NURSING RESEARCH LIES IN THE POTENTIAL TO IMPROVE
PRACTICE AND, ULTIMATELY, TO IMPROVE 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 ENCOURAGE MORE WOMEN TO CONTINUE BREAST-FEEDING. WHAT ROLE IS TRACY MOST
LIKELY TO PLAY IN A RESEARCH PROJECT THAT TESTS AN INTERVENTION AIMED AT PROMOTING
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 METHODOLOGY OF THE RESEARCH PROJECT
D) CARRYING OUT THE INTERVENTION AND SUBMITTING THE RESULTS FOR PUBLICATION
ANSWER: B
FEEDBACK: A MAJOR ROLE FOR STAFF NURSES IS TO IDENTIFY QUESTIONS OR PROBLEMS FOR
RESEARCH. GRANT APPLICATIONS, METHODOLOGICAL PLANNING, AND PUBLICATION SUBMISSION ARE
NORMALLY CARRIED OUT BY NURSES WHO HAVE 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 EXPLANATION OR HIS OWN ROLE IN THE STUDY. HOW
SHOULD THIS PATIENTS NURSE RESPOND TO THIS REVELATION?
ADVANCED PRACTICE NURSING – AN
INTERPROFESSIONAL APPROACH 7TH EDITION DUNPHY
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.
ANSWER: 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?
ANSWER: 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 MEANSWER 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.
ANSWER: D
, FEEDBACK: THE GREATEST VALUE OF NURSING RESEARCH LIES IN THE POTENTIAL TO IMPROVE
PRACTICE AND, ULTIMATELY, TO IMPROVE 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 ENCOURAGE MORE WOMEN TO CONTINUE BREAST-FEEDING. WHAT ROLE IS TRACY MOST
LIKELY TO PLAY IN A RESEARCH PROJECT THAT TESTS AN INTERVENTION AIMED AT PROMOTING
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 METHODOLOGY OF THE RESEARCH PROJECT
D) CARRYING OUT THE INTERVENTION AND SUBMITTING THE RESULTS FOR PUBLICATION
ANSWER: B
FEEDBACK: A MAJOR ROLE FOR STAFF NURSES IS TO IDENTIFY QUESTIONS OR PROBLEMS FOR
RESEARCH. GRANT APPLICATIONS, METHODOLOGICAL PLANNING, AND PUBLICATION SUBMISSION ARE
NORMALLY CARRIED OUT BY NURSES WHO HAVE 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 EXPLANATION OR HIS OWN ROLE IN THE STUDY. HOW
SHOULD THIS PATIENTS NURSE RESPOND TO THIS REVELATION?
