TEST BANK Primary Care The Art and Science of Advanced Practice Nursing – An Interprofessional Approach 6th Edition by Debera J. Dunphy| Complete Guide Chapter 1-82

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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 hand
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washi 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 signific
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ance 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 X@




Feedback: The level of significance is the level at which the researcher believes that the s
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tudy results most likely represent a no chance event. A level of significance of <0.01 ind
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icates that 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 exper
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ience of parents who have a neonatal loss. Which of the following questions should the nurs
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e prioritize 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
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the findings?
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C) Did the authors use statistical measures that were appropriate to the phenomeno
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n in question?
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D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A X@




Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
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su bjective experiences of individuals. Statistical measures and variables are not dimensions of a
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quali tative methodology.
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3. A nurse has expressed skepticism to a colleague about the value of nursing researc
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h, cla iming that nursing research has little relevance to practice. How can the nurses collea
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gue best de 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 g
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rant 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
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has 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 profes
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sion, 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
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and patient outcomes.
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Ans: D X@




Feedback: The greatest value of nursing research lies in the potential to improve practice an
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d, ulti mately, to improve patient outcomes. This supersedes the contributions of nursing resea
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rch to educ 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
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of a 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
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@e ncourage more women to continue breast-
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feeding. What role is Tracy most likely to play in a research project that tests an interventi
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on ai med at promoting breast-feeding?
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A) Applying for grant funding for the research project
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B) Posing the clinical problem to one or more nursing researchers
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C) Planning the methodology of the research project
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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.
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Grant applications, methodological planning, and publication submission are normally carri
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ed out by 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 pa
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tient by a research assistant. Later, the patient admitted to his nurse that he did not under
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stand the re search assistants explanation or his own role in the study. How should this p
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atients nurse respo 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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