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Testhi hi Anhi Bankhi Forhi Primaryhi Carehi Arthi Andhi Sciencehi Ofhi Advancedhi Practicehi Nursinghi Interprofessionalhi Approachhi 6thhi Editionhi Dunphy 1 DR ERIC DR ERIC Testhi Bankhi Forhi Primaryhi Carehi Arthi Andhi Sci

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Testhi hi Anhi Bankhi Forhi Primaryhi Carehi Arthi Andhi Sciencehi Ofhi Advancedhi Practicehi Nursinghi Interprofessionalhi Approachhi 6thhi Editionhi Dunphy 1 DR ERIC DR ERIC Testhi Bankhi Forhi Primaryhi Carehi Arthi Andhi Sciencehi Ofhi Advancedhi Practicehi Nursinghi hi Anhi Interprofessionalhi Approachhi 6thhi Editionhi Dunphy 2 TESThi BANKhi FOR PRIMARYhi CAREhi ARThi ANDhi SCIENCEhi OFhi ADVANCEDhi PRACTICEhi NURSINGhi hi ANhi INTERPROFESSIONALhi APPROACHhi 6THhi EDITIONhi DUNPHY Chapterhi Primaryhi Carehi inhi thehi Twenty-Firsthi Century:hi Ahi Circlehi ofhi Caring 1. Ahi nursehi hashi conductedhi ahi literaturehi reviewhi inhi anhi efforthi tohi identifyhi thehi effecthi ofhi handwashi nghi onhi thehi incidencehi ofhi nosocomialhi (hospital acquired)hi infectionshi inhi acutehi carehi Anhi articlehi presentedhi findingshi athi ahi levelhi ofhi significanceh i ofhi Thishi indicateshi that A) Thehi controlhi grouphi andhi thehi experimentalhi grouphi werehi morehi thanhi 99%hi similar. B) Thehi findingshi ofhi thehi studyhi havehi lesshi thanhi 1%hi chancehi ofhi beinghi attributablehi tohi chance. C) Thehi effectshi ofhi thehi interventionhi werehi nearlyhi zero. D) Thehi clinicalhi significancehi ofhi thehi findingshi washi lesshi thanhi 1:100. Ans:hi B Feedback:hi Thehi levelhi ofhi significancehi ishi thehi levelhi athi whichhi thehi researcherhi believeshi thathi thehi studyhi resultshi mosthi likelyhi representhi ahi nohi chancehi Ahi levelhi ofhi significancehi ofhi 0.01hi indicateshi thathi therehi ishi lesshi thanhi 1%hi probabilityhi thathi thehi resulthi ishi duehi tohi chance. 2. Ahi nursehi hashi readhi ahi qualitativehi researchhi studyhi inhi orderhi tohi understandhi thehi livedhi experiencehi ofhi parentshi whohi havehi ahi neonatalhi Whichhi ofhi thehi followinghi questionshi shouldhi thehi nursehi prioritizehi whenhi appraisinghi thehi resultshi ofhi thishi study? A) Howhi wellhi didhi thehi authorshi capturehi thehi personalhi experienceshi ofhi thesehi parents? B) Howhi wellhi didhi thehi authorshi controlhi forhi confoundinghi variableshi thathi mayhi havehi affectedhi thehi findings? DR ERIC DR ERIC Testhi Bankhi Forhi Primaryhi Carehi Arthi Andhi Sciencehi Ofhi Advancedhi Practicehi Nursinghi hi Anhi Interprofessionalhi Approachhi 6thhi Editionhi Dunphy 3 C) Didhi thehi authorshi usehi statisticalhi measureshi thathi werehi appropriatehi tohi thehi phenomenonhi inhi question? D) Werehi thehi instrumentshi thathi thehi researchershi usedhi statisticallyhi validhi andhi reliable? Ans:hi A Feedback:hi Qualitativehi studieshi arehi judgedhi onhi thehi basishi ofhi howhi wellhi theyhi capturehi andhi conveyhi thehi su bjectivehi experienceshi ofhi Statisticalhi measureshi andhi variableshi arehi nothi dimensionshi ofhi ahi quali tativehi methodology. 3. Ahi nursehi hashi expressedhi skepticismhi tohi ahi colleaguehi abouthi thehi valuehi ofhi nursinghi research,hi cla iminghi thathi nursinghi researchhi hashi littlehi relevancehi tohi Howhi canhi thehi nurseshi colleaguehi besthi de fendhi thehi importancehi ofhi nursinghi research? A) Thehi existencehi ofhi nursinghi researchhi meanshi thathi nurseshi arehi nowhi ablehi tohi accesshi federalhi granthi money,hi somethinghi thathi didnthi usehi tohi behi thehi case. B) Nursinghi researchhi hashi allowedhi thehi developmenthi ofhi mastershi andhi doctoralhi programshi andhi hashi greatlyhi increasedhi thehi credibilityhi ofhi thehi profession. C) Thehi growthhi ofhi nursinghi researchhi hashi causedhi nursinghi tohi behi viewedhi ashi ahi truehi profession,hi ratherhi thanhi simplyhi ashi ahi tradehi orhi ahi skill. D) Thehi applicationhi ofhi nursinghi researchhi hashi thehi potentialhi tohi improvehi nursinghi practicehi andhi patienthi outcomes. DR ERIC DR ERIC Testhi Bankhi Forhi Primaryhi Carehi Arthi Andhi Sciencehi Ofhi Advancedhi Practicehi Nursinghi hi Anhi Interprofessionalhi Approachhi 6thhi Editionhi Dunphy 4 Ans:hi D Feedback:hi Thehi greatesthi valuehi ofhi nursinghi researchhi lieshi inhi thehi potentialhi tohi improvehi practicehi and,hi ulti mately,hi tohi improvehi patienthi Thishi supersedeshi thehi contributionshi ofhi nursinghi researchhi tohi educ ationhi programs,hi granthi funding,hi orhi thehi publichi viewhi ofhi thehi profession. 4. Tracyhi ishi ahi nursehi withhi ahi baccalaureatehi degreehi whohi workshi inhi thehi laborhi andhi deliveryhi unithi ofhi ahi busyhi urbanhi Shehi hashi noticedhi thathi manyhi newhi mothershi abandonhi breast feedinghi theirhi babieshi whenhi theyhi experiencehi earlyhi challengeshi andhi wondershi whathi couldhi behi donehi tohi e ncouragehi morehi womenhi tohi continuehi breast Whathi rolehi ishi Tracyhi mosthi likelyhi tohi playhi inhi ahi researchhi projecthi thathi testshi anhi interventionhi ai medhi athi promotinghi breast-feeding? A) Applyinghi forhi granthi fundinghi forhi thehi researchhi project B) Posinghi thehi clinicalhi problemhi tohi onehi orhi morehi nursinghi researchers C) Planninghi thehi methodologyhi ofhi thehi researchhi project D) Carryinghi outhi thehi interventionhi andhi submittinghi thehi resultshi forhi publicationhi Ans:hi B Feedback:hi Ahi majorhi rolehi forhi staffhi nurseshi ishi tohi identifyhi questionshi orhi problemshi forhi Granth i applications,hi methodologicalhi planning,hi andhi publicationhi submissionhi arehi normallyhi carriedhi outhi byh i nurseshi whohi havehi advancedhi degreeshi inhi nursing. 5. Ahi patienthi signedhi thehi informedhi consenthi formhi forhi ahi drughi trialhi thathi washi explainedhi tohi patienthi byhi ahi researchhi Later,hi thehi patienthi admittedhi tohi hishi nursehi thathi hehi didhi nothi understandhi thehi re searchhi assistantshi explanationhi orhi hishi ownhi rolehi inhi thehi Howhi shouldhi thishi patientshi nursehi respo ndhi tohi thishi revelation? A) Explainhi thehi researchhi processhi tohi thehi patienthi inhi greaterhi detail. B) Describehi thehi detailshi ofhi ahi randomizedhi controlledhi trialhi forhi thehi patient. DR ERIC DR ERIC Testhi Bankhi Forhi Primaryhi Carehi Arthi Andhi Sciencehi Ofhi Advancedhi Practicehi Nursinghi hi Anhi Interprofessionalhi Approachhi 6thhi Editionhi Dunphy 5 C) Informhi thehi researchhi assistanthi thathi thehi patientshi consenthi ishi likelyhi invalid. D) Explainhi tohi thehi patienthi thathi hishi writtenhi consenthi ishi nowhi legallyhi binding. Ans:hi C Feedback:hi Justhi ashi thehi staffhi nursehi ishi nothi responsiblehi forhi medicalhi consent,hi thehi staffhi nursehi ishi nothi res ponsiblehi forhi researchhi Ifhi patientshi whohi havehi agreedhi tohi participatehi exhibithi ambivalencehi orhi u ncertaintyhi abouthi participating,hi dohi nothi tryhi tohi convincehi themhi tohi Askhi thehi personhi fromhi th ehi researchhi teamhi whohi ishi managinghi consentshi tohi speakhi withhi concernedhi patientshi abouthi thehi study,hi eve nhi afterhi ahi patienthi hashi signedhi thehi consenthi forms. Multiplehi Selection 6. Ahi nursehi leaderhi ishi attemptinghi tohi increasehi thehi awarenesshi ofhi evidence basedhi practicehi (EBP)hi amonghi thehi nurseshi onhi ahi Ahi nursehi whohi ishi implementinghi EBPhi integrateshi whichhi ofhi thehi following?hi (Selecthi allhi thathi apply.) A) Interdisciplinaryhi consensus B) Nursinghi tradition C) Researchhi studies D) Patienthi preferenceshi andhi values DR ERIC DR ERIC Testhi Bankhi Forhi Primaryhi Carehi Arthi Andhi Sciencehi Ofhi Advancedhi Practicehi Nursinghi hi Anhi Interprofessionalhi Approachhi 6thhi Editionhi Dunphy 6 E) Clinicalhi expertisehi Ans:hi C,hi D,hi E Feedback:hi Fineout-Overholt,hi Melnyk,hi Stillwell,hi andhi Williamsonhi definehi EBPhi ashi ahi problem hi solvinghi approachhi tohi thehi deliveryhi ofhi healthcarehi thathi integrateshi thehi besthi evidencehi fromhi studieshi andhi patienthi carehi datahi withhi clinicianhi expertisehi andhi patienthi preferenceshi andhi values. Multiplehi Choice 7. M Mayeshi ishi ahi 73-year oldhi womanhi whohi hashi ahi diabetichi foothi ulcerhi thathi hashi beenhi extremelyhi slowhi tohi healhi andhi whichhi nowhi pos eshi ahi threathi ofhi Thehi woundhi carehi nursehi whohi hashi beenhi workinghi withhi M Mayeshi appli eshi evidence basedhi practicehi (EBP)hi wheneverhi possiblehi andhi hashi proposedhi thehi usehi ofhi maggothi therapyhi tohi debridehi necrotichi M Mayes,hi however,hi findshi thehi suggestionhi repugnanthi andhi adamantlyhi opposeshi thi shi treatmenthi despitehi thehi sizablehi bodyhi ofhi evidencehi supportinghi Howhi shouldhi thehi nursehi reconcilehi M Mayeshi viewshi withhi thehi principleshi ofhi EBP? A) Thehi nursehi shouldhi explainhi thathi reliablehi andhi validhi researchhi evidencehi overrideshi thehi patientshi opinion. B) Thehi nursehi shouldhi explainhi thehi evidencehi tohi thehi patienthi inhi greaterhi detail. C) Thehi nursehi shouldhi integratehi thehi patientshi preferenceshi intohi thehi planhi ofhi care. D) Thehi nursehi shouldhi involvehi thehi patientshi familyhi membershi inhi thehi decision-makinghi process. Ans:hi C

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Test Bank For Primary Care Art And Science Of Advanced Practice Nursing –
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An Interprofessional Approach 6th Edition Dunphy
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DR ERIC




DR ERIC

,Test Bank For Primary Care Art And Science Of Advanced Practice Nursing –
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An Interprofessional Approach 6th Edition Dunphy
hi hi hi hi hi hi 2
DR ERIC



TEST BANK FOR hi hi




PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE NURSING –
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AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY
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Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
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1. A nurse has conducted a literature review in an effort to identify the effect of handwashi
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ng on the incidence of nosocomial (hospital-
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acquired) infections in acute care settings. An article presented findings at a level of significance
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of <0.01. This indicates that
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A) The control group and the experimental group were more than 99% similar.
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B) The findings of the study have less than 1% chance of being attributable to chance.
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C) The effects of the intervention were nearly zero.
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D) The clinical significance of the findings was less than 1:100.
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Ans: B hi




Feedback: The level of significance is the level at which the researcher believes that the study
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results most likely represent a no chance event. A level of significance of <0.01 indicates that
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there is less than 1% probability that the result is due to chance.
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2. A nurse has read a qualitative research study in order to understand the lived experience
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of parents who have a neonatal loss. Which of the following questions should the nurse prioritize
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when appraising the results of this study?
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A) How well did the authors capture the personal experiences of these parents?
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B) How well did the authors control for confounding variables that may have affected the
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findings?


DR ERIC

,Test Bank For Primary Care Art And Science Of Advanced Practice Nursing –
hi hi hi hi hi hi hi hi hi hi hi hi


An Interprofessional Approach 6th Edition Dunphy
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DR ERIC




C) Did the authors use statistical measures that were appropriate to the phenomenon in
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question?


D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A hi




Feedback: Qualitative studies are judged on the basis of how well they capture and convey the su
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bjective experiences of individuals. Statistical measures and variables are not dimensions of a quali
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tative methodology.
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3. A nurse has expressed skepticism to a colleague about the value of nursing research, cla
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iming that nursing research has little relevance to practice. How can the nurses colleague best de
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fend the importance of nursing research?
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A) The existence of nursing research means that nurses are now able to access federal grant
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money, something that didnt use to be the case.
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B) Nursing research has allowed the development of masters and doctoral programs and has
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greatly increased the credibility of the profession.
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C) The growth of nursing research has caused nursing to be viewed as a true profession,
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rather than simply as a trade or a skill.
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D) The application of nursing research has the potential to improve nursing practice and
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patient outcomes. hi




DR ERIC

, Test Bank For Primary Care Art And Science Of Advanced Practice Nursing –
hi hi hi hi hi hi hi hi hi hi hi hi


An Interprofessional Approach 6th Edition Dunphy
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DR ERIC




Ans: D hi




Feedback: The greatest value of nursing research lies in the potential to improve practice and, ulti
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mately, to improve patient outcomes. This supersedes the contributions of nursing research to educ
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ation programs, grant funding, or the public view of the profession.
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4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
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busy urban hospital. She has noticed that many new mothers abandon breast-
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feeding their babies when they experience early challenges and wonders what could be done to e
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ncourage more women to continue breast- hi hi hi hi hi


feeding. What role is Tracy most likely to play in a research project that tests an intervention ai
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med at promoting breast-feeding?
hi hi hi




A) Applying for grant funding for the research project hi hi hi hi hi hi hi




B) Posing the clinical problem to one or more nursing researchers
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C) Planning the methodology of the research project hi hi hi hi hi hi




D) Carrying out the intervention and submitting the results for publication Ans: B
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Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
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applications, methodological planning, and publication submission are normally carried out by
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nurses who have advanced degrees in nursing.
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5. A patient signed the informed consent form for a drug trial that was explained to patient
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by a research assistant. Later, the patient admitted to his nurse that he did not understand the re
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search assistants explanation or his own role in the study. How should this patients nurse respo
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nd to this revelation?
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A) Explain the research process to the patient in greater detail.
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B) Describe the details of a randomized controlled trial for the patient.
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DR ERIC

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