Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th Edition Test Bank – Dunphy (All Chapters Covered)

TestBankForPrimaryCareArtAndScienceOfAdvancedPracticeNursing–An
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PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE NURSING l l l l l l l l l l




– ANINTERPROFESSIONAL APPROACH 5TH 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
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of handwashing on the incidence of nosocomial (hospital-acquired) infections in
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acute care settings. An article presented findings at a level of
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significance of
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<0.01. This indicates that l l l




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
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chance.l




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 l




Feedback: The level of significance is the level at which the researcher
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believes thatthe studyresults most likely represent a no chance event. A level
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of significance of
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<0.01 indicates thatthere 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
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l experience of parents who have a neonatal loss. Which of the following questions
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l should the nurse prioritizewhen 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
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affected thefindings?
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C) Did the authors use statistical measures that were appropriate to the
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phenomenon inquestion?
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D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A l




Feedback: Qualitative studies are judged on the basis of how well they capture and
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convey the subjective experiences of individuals. Statistical measures and variables are
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not dimensions of aqualitative methodology.
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3. A nurse has expressed skepticism to a colleague about the value of nursing
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research, claiming that nursing research has little relevance to practice. How can the
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nurses colleague bestdefend the importance of nursing research?
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A) The existence of nursing research means that nurses are now able to access
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federal grantmoney, something that didnt use to be the case.
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B) Nursing research has allowed the development of masters and doctoral programs l l l l l l l l l l




and hasgreatly 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
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profession,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
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practice andpatient outcomes.
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Ans: D l




Feedback: The greatest value of nursing research lies in the potential to improve
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practice and, ultimately, to improve patient outcomes. This supersedes the
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contributions ofnursing research toeducation programs, grant funding, or the public
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view of the profession.
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4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery l l l l l l l l l l l l l l




unit of abusy urban hospital. She has noticed that many new mothers abandon breast-
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feeding their babieswhen they experience early challenges and wonders what could be
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done to encourage more women to continue breast-feeding. What role is Tracy
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mostlikely to play in a research project that tests an intervention aimed at promoting
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breast- feeding?
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A) Applying for grant funding for the research project l l l l l l l




B) Posing the clinical problem to one or more nursing researchers l l l l l l l l l




C) Planning the methodology of the research project l l l l l l




D) Carrying out the intervention and submitting the results for publication Ans: B l l l l l l l l l l l




Feedback: A major role for staff nurses is to identify questions or problems l l l l l l l l l l l l l l l l l l l l l l l l




for research. Grant applications, methodological planning, and publication submission are
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normally carried out bynurses 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
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l to patientby a research assistant. Later, the patient admitted to his nurse that he did
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l not understand the research assistants explanation or his own role in the study. How
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l should this patients nurse respond to this revelation?
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A) Explain the research process to the patient in greater detail. l l l l l l l l l




B) Describe the details of a randomized controlled trial for the patient. l l l l l l l l l l