TEST BANK FOR
PRIMARY CARE THE ART AND SCIENCE OF ADVANCED PRACTICE NURSING
u u u u u u u u u u
AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY TEST BANK
u u u u u u u
, TEST BANK FOR
PRIMARY CARE THE ART AND SCIENCE OF ADVANCED PRACTICE NURSING u u u u u u u u u u
AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY TEST BANK
u u u u u u u
Primary Care The Art and Science of Advanced Practice Nursing an Interprofessional Approach 6t
u u u u u u u u u u u u u
h Edition Dunphy Test Bank u u u u
Table of Contents u u
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring u u u u u u u u u u u
1. A nurse has conducted a literature review in an effort to identifythe effect of handwashing on the inciden
u u u u u u u u u u u u u u u u u u
ce of nosocomial (hospital-
u u u
acquired) infections in acute care settings. An article presented findings at a level of significance of <0.01.
u u u u u u u u u u u u u u u u
This indicates that
u u u
A) the control group and the experimental group were more than 99% similar
u u u u u u u u u u u
B) the findings of the study have less than 1% chance of being attributable to chance.
u u u u u u u u u u u u u u
C) the effects of the intervention were nearly
u u u u u u
D) the clinical significance of the findings was less than 1:100.
u u u u u u u u u
Ans: B u
Feedback: The level of significance is the level at which the researcher believes that the studyresults most li
u u u u u u u u u u u u u u u u u u
kely represent a nonchance event. A level of significance of <0.01 indicates that there is less than 1% proba
u u u u u u u u u u u u u u u u u u
bility that the result is due to chance.
u u u u u u u
2. A nurse has read a qualitative research studyin order to understand the lived experience of parents who ha
u u u u u u u u u u u u u u u u u u
ve a neonatal loss. Which of the following questions should the nurse prioritize when appraising the results
u u u u u u u u u u u u u u u u u
of this study?
u u
A) How well did the authors capture the personal experiences of these parHow well did the authors contro
u u u u u u u u u u u u u u u u
l for confounding variables that may have affected the findings?
u u u u u u u u u
B) Did the atuhors use statistical measures that were appropriate to the phenomenon in question?
u u u u u u u u u u u u u
C) Were the instruments that the researchers used statistically valid and reliable?
u u u u u u u u u u
Ans: A u
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the subjective ex
u u u u u u u u u u u u u u u u u
periences of individuals. Statistical measures and variables are not dimensions of a qualitative methodolog
u u u u u u u u u u u u u
y.
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming that nursin
u u u u u u u u u u u u u u u u
g research has little relevance to practice. How can the nurses colleague best defend the importance of nurs
u u u u u u u u u u u u u u u u u
ing research? u
, TEST BANK FOR
PRIMARY CARE THE ART AND SCIENCE OF ADVANCED PRACTICE NURSING u u u u u u u u u u
AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY TEST BANK
u u u u u u u
A) The existence of nursing research means that nurses are now able to access federal grant money, somet
u u u u u u u u u u u u u u u u
hing that didnt use to be the case.
u u u u u u u
B) Nursing research has allowed the development of masters and doctoral programs and has greatly incre
u u u u u u u u u u u u u u
ased the credibility of the profession.
u u u u u
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather than simply
u u u u u u u u u u u u u u u u u
as a trade or a skill.
u u u u u u
D) The application of nursing research has the potential to improve nursing practice and patient outco
u u u u u u u u u u u u u u
mes.
Ans: D u
Feedback: The greatest value of nursing research lies in the potential to improve practice and, ultimately, to
u u u u u u u u u u u u u u u u u
improve patient outcomes. This supersedes the contributions of nursing research to education programs, gr
u u u u u u u u u u u u u
ant funding, or the public view of the profession.
u u u u u u u u
4. Tracyis a nurse with a baccalaureate degree who works in the labor and deliveryunit of a busy urban h
u u u u u u u u u u u u u u u u u u u u
ospital. She has noticed that manynew mothers abandon breast-
u u u u u u u u u
feeding their babies when they experience early challenges and wonders what could be done to encoura
u u u u u u u u u u u u u u u
ge more women to continue breast-
u u u u u
feeding. What role is Tracy most likely to play in a research project that tests an intervention aimed at pr
u u u u u u u u u u u u u u u u u u u
omoting breast-feeding? u
A) Applying for grant funding for the research project u u u u u u u
B) Posing the clinical problem to one or more nursing researchers u u u u u u u u u
C) Planning the methodology of the research project u u u u u u
D) Carrying out the intervention and submitting the results for publication An u u u u u u u u u u
s: B u
Feedback: A major role for staff nurses is to identifyquestions or problems for research. Grant applic
u u u u u u u u u u u u u u u u
ations, methodological planning, and publication submission are normallycarried out by nurses wh
u u u u u u u u u u u u
o have advanced degrees in nursing.
u u u u u
5. A patient signed the informed consent form for a drug trial that was explained to patient by a research
u u u u u u u u u u u u u u u u u u u
assistant. Later, the patient admitted to his nurse that he did not understand the research assistants expla
u u u u u u u u u u u u u u u u
nation or his own role in the study. How should this patients nurse respond to this revelation?
u u u u u u u u u u u u u u u u
A) Explain the research process to the patient in greater detail. u u u u u u u u u
B) Describe the details of a randomized controlled trial for the patient. u u u u u u u u u u
, TEST BANK FOR
PRIMARY CARE THE ART AND SCIENCE OF ADVANCED PRACTICE NURSING u u u u u u u u u u
AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY TEST BANK
u u u u u u u
C) Inform the research assistant that the patients consent is likelyinvalid.
u u u u u u u u u u
D) Explain to the patient that his written consent is now legallybinding.
u u u u u u u u u u u
Ans: C u
Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse is not responsible for
u u u u u u u u u u u u u u u u u u u
research consent. If patients who have agreed to participate exhibit ambivalence or uncertainty about parti
u u u u u u u u u u u u u u
cipating, do not try to convince them to participate. Ask the person from the research team who is managing
u u u u u u u u u u u u u u u u u u u
consents to speak with concerned patients about the study, even after a patient has signed the consent forms.
u u u u u u u u u u u u u u u u u
Multiple Selection u
6. A nurse leader is attempting to increase the awareness of evidence-
u u u u u u u u u u
based practice (EBP) among the nurses on a unit. A nurse who is implementing EBP integrates which of the
u u u u u u u u u u u u u u u u u u u
following? (Select all that apply.) u u u u
A) Interdisciplinaryconsensus u
B) Nursing tradition u
C) Research studies u
D) Patient preferences and values u u u
E) Clinicalexpertise u u
Ans: C, D, E u u u
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-
u u u u u u u u u u
solving approach to the deliveryof healthcare that integrates the best evidence from studies and patient care
u u u u u u u u u u u u u u u u u
data with clinician expertise and patient preferences and values.
u u u u u u u u
Multiple Choice u
7. Mrs. Mayes is a 73-year- u u u u
old woman who has a diabetic foot ulcer that has been extremely slow to heal and which now poses a threat o
u u u u u u u u u u u u u u u u u u u u u
f osteomyelitis. The wound care nurse who has been working with Mrs. Mayes applies evidence-
u u u u u u u u u u u u u u
based practice (EBP) whenever possible and has proposed the use of maggot therapy to debride necrotic tis
u u u u u u u u u u u u u u u u
sue. Mrs. Mayes, however, finds the suggestion repugnant and adamantlyopposes this treatment despite th
u u u u u u u u u u u u u u
e sizable bodyof evidence supporting it. How should the nurse reconcile Mrs. Mayes views with the princip
u u u u u u u u u u u u u u u u u
les of EBP?
u u
A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
u u u u u u u u u u u u u
B) The nurse should explain the evidence to the patient in greater detail.
u u u u u u u u u u u
PRIMARY CARE THE ART AND SCIENCE OF ADVANCED PRACTICE NURSING
u u u u u u u u u u
AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY TEST BANK
u u u u u u u
, TEST BANK FOR
PRIMARY CARE THE ART AND SCIENCE OF ADVANCED PRACTICE NURSING u u u u u u u u u u
AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY TEST BANK
u u u u u u u
Primary Care The Art and Science of Advanced Practice Nursing an Interprofessional Approach 6t
u u u u u u u u u u u u u
h Edition Dunphy Test Bank u u u u
Table of Contents u u
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring u u u u u u u u u u u
1. A nurse has conducted a literature review in an effort to identifythe effect of handwashing on the inciden
u u u u u u u u u u u u u u u u u u
ce of nosocomial (hospital-
u u u
acquired) infections in acute care settings. An article presented findings at a level of significance of <0.01.
u u u u u u u u u u u u u u u u
This indicates that
u u u
A) the control group and the experimental group were more than 99% similar
u u u u u u u u u u u
B) the findings of the study have less than 1% chance of being attributable to chance.
u u u u u u u u u u u u u u
C) the effects of the intervention were nearly
u u u u u u
D) the clinical significance of the findings was less than 1:100.
u u u u u u u u u
Ans: B u
Feedback: The level of significance is the level at which the researcher believes that the studyresults most li
u u u u u u u u u u u u u u u u u u
kely represent a nonchance event. A level of significance of <0.01 indicates that there is less than 1% proba
u u u u u u u u u u u u u u u u u u
bility that the result is due to chance.
u u u u u u u
2. A nurse has read a qualitative research studyin order to understand the lived experience of parents who ha
u u u u u u u u u u u u u u u u u u
ve a neonatal loss. Which of the following questions should the nurse prioritize when appraising the results
u u u u u u u u u u u u u u u u u
of this study?
u u
A) How well did the authors capture the personal experiences of these parHow well did the authors contro
u u u u u u u u u u u u u u u u
l for confounding variables that may have affected the findings?
u u u u u u u u u
B) Did the atuhors use statistical measures that were appropriate to the phenomenon in question?
u u u u u u u u u u u u u
C) Were the instruments that the researchers used statistically valid and reliable?
u u u u u u u u u u
Ans: A u
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the subjective ex
u u u u u u u u u u u u u u u u u
periences of individuals. Statistical measures and variables are not dimensions of a qualitative methodolog
u u u u u u u u u u u u u
y.
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming that nursin
u u u u u u u u u u u u u u u u
g research has little relevance to practice. How can the nurses colleague best defend the importance of nurs
u u u u u u u u u u u u u u u u u
ing research? u
, TEST BANK FOR
PRIMARY CARE THE ART AND SCIENCE OF ADVANCED PRACTICE NURSING u u u u u u u u u u
AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY TEST BANK
u u u u u u u
A) The existence of nursing research means that nurses are now able to access federal grant money, somet
u u u u u u u u u u u u u u u u
hing that didnt use to be the case.
u u u u u u u
B) Nursing research has allowed the development of masters and doctoral programs and has greatly incre
u u u u u u u u u u u u u u
ased the credibility of the profession.
u u u u u
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather than simply
u u u u u u u u u u u u u u u u u
as a trade or a skill.
u u u u u u
D) The application of nursing research has the potential to improve nursing practice and patient outco
u u u u u u u u u u u u u u
mes.
Ans: D u
Feedback: The greatest value of nursing research lies in the potential to improve practice and, ultimately, to
u u u u u u u u u u u u u u u u u
improve patient outcomes. This supersedes the contributions of nursing research to education programs, gr
u u u u u u u u u u u u u
ant funding, or the public view of the profession.
u u u u u u u u
4. Tracyis a nurse with a baccalaureate degree who works in the labor and deliveryunit of a busy urban h
u u u u u u u u u u u u u u u u u u u u
ospital. She has noticed that manynew mothers abandon breast-
u u u u u u u u u
feeding their babies when they experience early challenges and wonders what could be done to encoura
u u u u u u u u u u u u u u u
ge more women to continue breast-
u u u u u
feeding. What role is Tracy most likely to play in a research project that tests an intervention aimed at pr
u u u u u u u u u u u u u u u u u u u
omoting breast-feeding? u
A) Applying for grant funding for the research project u u u u u u u
B) Posing the clinical problem to one or more nursing researchers u u u u u u u u u
C) Planning the methodology of the research project u u u u u u
D) Carrying out the intervention and submitting the results for publication An u u u u u u u u u u
s: B u
Feedback: A major role for staff nurses is to identifyquestions or problems for research. Grant applic
u u u u u u u u u u u u u u u u
ations, methodological planning, and publication submission are normallycarried out by nurses wh
u u u u u u u u u u u u
o have advanced degrees in nursing.
u u u u u
5. A patient signed the informed consent form for a drug trial that was explained to patient by a research
u u u u u u u u u u u u u u u u u u u
assistant. Later, the patient admitted to his nurse that he did not understand the research assistants expla
u u u u u u u u u u u u u u u u
nation or his own role in the study. How should this patients nurse respond to this revelation?
u u u u u u u u u u u u u u u u
A) Explain the research process to the patient in greater detail. u u u u u u u u u
B) Describe the details of a randomized controlled trial for the patient. u u u u u u u u u u
, TEST BANK FOR
PRIMARY CARE THE ART AND SCIENCE OF ADVANCED PRACTICE NURSING u u u u u u u u u u
AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY TEST BANK
u u u u u u u
C) Inform the research assistant that the patients consent is likelyinvalid.
u u u u u u u u u u
D) Explain to the patient that his written consent is now legallybinding.
u u u u u u u u u u u
Ans: C u
Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse is not responsible for
u u u u u u u u u u u u u u u u u u u
research consent. If patients who have agreed to participate exhibit ambivalence or uncertainty about parti
u u u u u u u u u u u u u u
cipating, do not try to convince them to participate. Ask the person from the research team who is managing
u u u u u u u u u u u u u u u u u u u
consents to speak with concerned patients about the study, even after a patient has signed the consent forms.
u u u u u u u u u u u u u u u u u
Multiple Selection u
6. A nurse leader is attempting to increase the awareness of evidence-
u u u u u u u u u u
based practice (EBP) among the nurses on a unit. A nurse who is implementing EBP integrates which of the
u u u u u u u u u u u u u u u u u u u
following? (Select all that apply.) u u u u
A) Interdisciplinaryconsensus u
B) Nursing tradition u
C) Research studies u
D) Patient preferences and values u u u
E) Clinicalexpertise u u
Ans: C, D, E u u u
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-
u u u u u u u u u u
solving approach to the deliveryof healthcare that integrates the best evidence from studies and patient care
u u u u u u u u u u u u u u u u u
data with clinician expertise and patient preferences and values.
u u u u u u u u
Multiple Choice u
7. Mrs. Mayes is a 73-year- u u u u
old woman who has a diabetic foot ulcer that has been extremely slow to heal and which now poses a threat o
u u u u u u u u u u u u u u u u u u u u u
f osteomyelitis. The wound care nurse who has been working with Mrs. Mayes applies evidence-
u u u u u u u u u u u u u u
based practice (EBP) whenever possible and has proposed the use of maggot therapy to debride necrotic tis
u u u u u u u u u u u u u u u u
sue. Mrs. Mayes, however, finds the suggestion repugnant and adamantlyopposes this treatment despite th
u u u u u u u u u u u u u u
e sizable bodyof evidence supporting it. How should the nurse reconcile Mrs. Mayes views with the princip
u u u u u u u u u u u u u u u u u
les of EBP?
u u
A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
u u u u u u u u u u u u u
B) The nurse should explain the evidence to the patient in greater detail.
u u u u u u u u u u u
