, Primary Care The Art and Science of Advanced Practice Nursing
anInterprofessionaldApproach 6th Edition Dunphy Test Bank
Table of Contents
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 theincidence of nosocomial (hospital-acquired) infections in acute
care settings. An article presented findings at a level of significance of <0.01. This
indicatesthat
A) the control group and the experimental group were more thandn99% similar
B) the findings of the study have less than 1% chance of beingd attributable to chance.
C) the effects of the intervention were nearly
D) the clinical significance of the findings was less d than 1:100.
Ans: B
Feedback: The level of significance is the leveldnat dwhich the researcher believes
that thestudy resultsmost likely represent a nonchance event. A level of
significance of
<0.01 indicates that there is less than 1%dnprobability that the result is due to chance.
2. A nurse has read a qualitatived research study in order to understand the lived
experienceof parentswho haveda neonatal loss. Which of the following questions should
the nurse prioritize when appraising d the results of this study?
A) How well did the d authors capture the personal experiences of these parHow
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, well did theauthors control for confounding variables that may have affected the
findings?
B) Did the atuhors use statistical measures that were appropriate to the phenomenon
in question?
C) Were the instruments that the researchers used statistically valid and reliable?
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
arenot dimensions of aqualitative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing
research, claiming thatnursing research has little relevance to practice. How can the
nurses colleaguebest defend the importance of nursing research?
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, A) The existence of nursing research means that nurses are now able to access
federalgrant money,something that didnt use to be the case.
B) Nursing research has allowed the development of masters and doctoral programs and
hasgreatlyincreased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true
profession,rather thansimply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing
practice andpatientoutcomes.
Ans: D
Feedback: The greatest value of nursing research lies in the potentiald to improve
practiceand, ultimately, to improve patient outcomes. This supersedes the
contributions of nursing research toeducation programs, grant d funding, or the
public view of the profession.
4. Tracy is a nurse with a baccalaureate degree whodnworks in the labor and delivery
unitdof a busyurban hospital. She has noticed that manydnnew mothers abandon breast-
feedingtheir babies whenthey 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 d the research project
B) Posing the clinical problemdntodnone or more nursing researchers
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