TEST BANK
Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach
LYNNE M. DUNPHY
Fifth Edition
,TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED
PRACTICE NURSING – AN INTERPROFESSIONAL APPROACH 5TH EDITION
DUNPHY
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 hand washing on the incidence of nosocomial (hospital-acquired)
infections in acute care settings. An article presented findings at a level of
significance of <0.01. This indicates that
A) The control group and the experimental group were more than 99% similar.
B) The findings of the study have less than 1% chance of being attributable to
chance.
C) The effects of the intervention were nearly zero.
D) The clinical significance of the findings was less than 1:100.
Ans: B
Feedback: The level of significance is the level at which the researcher believes
that the study results most likely represent a no chance event. A level of
significance of <0.01 indicates that there is less than 1% probability that the
result is due to chance.
2. A nurse has expressed skepticism to a colleague about the value of nursing
research, claiming that nursing research has little relevance to practice. How can
the nurses colleague best defend the importance of nursing research?
A) The existence of nursing research means that nurses are now able to access
federal grant money, something that didnt use to be the case.
,B) Nursing research has allowed the development of masters and doctoral
programs and has greatly increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a
true profession, rather than simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing
practice and patient outcomes.
Ans: D
Feedback: The greatest value of nursing research lies in the potential to improve
practice and, ultimately, to improve patient outcomes. This supersedes the
contributions of nursing research to education programs, grant funding, or the public
view of the profession.
3. A nurse has read a qualitative research study in order to understand the
lived experience of parents who have a neonatal loss. Which of the following
questions should the nurse prioritize when appraising the results of this study?
A) How well did the authors capture the personal experiences of these parents?
B) How well did the authors control for confounding variables that may have
affected the findings?
C) Did the authors use statistical measures that were appropriate to the
phenomenon in question?
D) 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
are not dimensions of a qualitative methodology.
4. Tracy is a nurse with a baccalaureate degree who works in the labor and
delivery unit of a busy urban hospital. She has noticed that many new mothers
abandon breast-feeding their babies when they 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 the research project
B) Posing the clinical problem to one or more nursing researchers
C) Planning the methodology of the research project
D) Carrying out the intervention and submitting the results for publication Ans: B
Feedback: A major role for staff nurses is to identify questions or problems for
research. Grant applications, methodological planning, and publication submission
are normally carried out by nurses who have advanced degrees in nursing.
5. A patient signed the informed consent form for a drug trial that was
explained to patient by a research assistant. Later, the patient admitted to his
nurse that he did not understand the research assistants explanation or his own
role in the study. How should this patients nurse respond to this revelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
C) Inform the research assistant that the patients consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding.
Ans: C
Feedback: Just as the staff nurse is not responsible for medical consent, the staff
nurse is not responsible for research consent. If patients who have agreed to
participate exhibit ambivalence or uncertainty about participating, do not try to
convince them to participate. Ask the person from the research team who is
managing consents to speak with concerned patients about the study, even after a
patient has signed the consent forms.
Multiple Selection
Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach
LYNNE M. DUNPHY
Fifth Edition
,TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED
PRACTICE NURSING – AN INTERPROFESSIONAL APPROACH 5TH EDITION
DUNPHY
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 hand washing on the incidence of nosocomial (hospital-acquired)
infections in acute care settings. An article presented findings at a level of
significance of <0.01. This indicates that
A) The control group and the experimental group were more than 99% similar.
B) The findings of the study have less than 1% chance of being attributable to
chance.
C) The effects of the intervention were nearly zero.
D) The clinical significance of the findings was less than 1:100.
Ans: B
Feedback: The level of significance is the level at which the researcher believes
that the study results most likely represent a no chance event. A level of
significance of <0.01 indicates that there is less than 1% probability that the
result is due to chance.
2. A nurse has expressed skepticism to a colleague about the value of nursing
research, claiming that nursing research has little relevance to practice. How can
the nurses colleague best defend the importance of nursing research?
A) The existence of nursing research means that nurses are now able to access
federal grant money, something that didnt use to be the case.
,B) Nursing research has allowed the development of masters and doctoral
programs and has greatly increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a
true profession, rather than simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing
practice and patient outcomes.
Ans: D
Feedback: The greatest value of nursing research lies in the potential to improve
practice and, ultimately, to improve patient outcomes. This supersedes the
contributions of nursing research to education programs, grant funding, or the public
view of the profession.
3. A nurse has read a qualitative research study in order to understand the
lived experience of parents who have a neonatal loss. Which of the following
questions should the nurse prioritize when appraising the results of this study?
A) How well did the authors capture the personal experiences of these parents?
B) How well did the authors control for confounding variables that may have
affected the findings?
C) Did the authors use statistical measures that were appropriate to the
phenomenon in question?
D) 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
are not dimensions of a qualitative methodology.
4. Tracy is a nurse with a baccalaureate degree who works in the labor and
delivery unit of a busy urban hospital. She has noticed that many new mothers
abandon breast-feeding their babies when they 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 the research project
B) Posing the clinical problem to one or more nursing researchers
C) Planning the methodology of the research project
D) Carrying out the intervention and submitting the results for publication Ans: B
Feedback: A major role for staff nurses is to identify questions or problems for
research. Grant applications, methodological planning, and publication submission
are normally carried out by nurses who have advanced degrees in nursing.
5. A patient signed the informed consent form for a drug trial that was
explained to patient by a research assistant. Later, the patient admitted to his
nurse that he did not understand the research assistants explanation or his own
role in the study. How should this patients nurse respond to this revelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
C) Inform the research assistant that the patients consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding.
Ans: C
Feedback: Just as the staff nurse is not responsible for medical consent, the staff
nurse is not responsible for research consent. If patients who have agreed to
participate exhibit ambivalence or uncertainty about participating, do not try to
convince them to participate. Ask the person from the research team who is
managing consents to speak with concerned patients about the study, even after a
patient has signed the consent forms.
Multiple Selection
