1
Nursing: An Interprofessional Approach 6th Edition by Debera J.
Dunphy|9781719644655|All Chapters 1-82|LATEST
,Test Bank for Primary Care The Art and Science of Advanced Practice
2
Nursing: An Interprofessional Approach 6th Edition by Debera J.
Dunphy|9781719644655|All Chapters 1-82|LATEST
TESTBANKFOR
PRIMARYCAREARTANDSCIENCEOFADVANCEDPRACTICENURSING – AN
INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY
Chapter1.PrimaryCareintheTwenty-FirstCentury:ACircleofCaring
1. Anursehas conducted a literaturereviewin an effortto identifythe effect ofhandwashi ng
on the incidence of nosocomial (hospital-
acquired)infectionsinacutecaresettings. Anarticlepresented findingsata level ofsignificance of
<0.01. This indicates that
A) Thecontrolgroupandtheexperimentalgroupweremorethan99%similar.
B) Thefindingsofthe studyhavelessthan1%chanceofbeingattributabletochance.
C) Theeffectsoftheinterventionwerenearlyzero.
D) Theclinicalsignificanceofthefindingswas lessthan1:100.
Ans: B
Feedback:Thelevelofsignificance isthe levelat whichtheresearcherbelievesthatthestudy
resultsmostlikelyrepresentanochanceevent.A levelofsignificanceof<0.01indicatesthat there is
less than 1% probability that the result is due to chance.
2. Anurse has read a qualitative research studyin order to understand the lived experience
ofparentswhohaveaneonatalloss.Whichofthefollowing questionsshouldthenurseprioritize when
hi
appraising the results of this study?
A) Howwelldidtheauthorscapturethepersonalexperiences oftheseparents?
B) Howwelldidtheauthorscontrolforconfounding variablesthatmayhaveaffectedthe
findings?
,Test Bank for Primary Care The Art and Science of Advanced Practice
3
Nursing: An Interprofessional Approach 6th Edition by Debera J.
Dunphy|9781719644655|All Chapters 1-82|LATEST
C) Didtheauthorsusestatisticalmeasuresthatwereappropriatetothephenomenonin
question?
D) Weretheinstrumentsthattheresearchersusedstatisticallyvalidandreliable?
Ans: A
Feedback: Qualitative studies are judged on the basis of how well theycapture and conveythe su
bjectiveexperiencesofindividuals.Statisticalmeasuresandvariablesarenotdimensionsofaquali tative
methodology.
3. Anursehas expressed skepticismto acolleague aboutthe value ofnursingresearch, cla
imingthat nursingresearchhaslittlerelevancetopractice. Howcanthenursescolleaguebest de fend
the importance of nursing research?
A) Theexistenceofnursingresearchmeansthatnursesarenowabletoaccessfederalgrant
money, something that didnt use to be the case.
B) Nursingresearchhasallowedthedevelopmentofmastersanddoctoralprogramsandhas
greatly increased the credibility of the profession.
C) Thegrowthofnursingresearchhascausednursingtobeviewedasatrueprofession, rather
than simply as a trade or a skill.
D) Theapplicationofnursingresearchhasthepotentialtoimprovenursingpracticeand
patient outcomes.
, Test Bank for Primary Care The Art and Science of Advanced Practice
4
Nursing: An Interprofessional Approach 6th Edition by Debera J.
Dunphy|9781719644655|All Chapters 1-82|LATEST
Ans: D
Feedback: The greatest value of nursing research lies in the potential to improve practice and, ulti
h
mately,toimprovepatientoutcomes.Thissupersedesthecontributionsofnursingresearchtoeduc ation
programs, grant funding, or the public view of the profession.
4. Tracyisanursewithabaccalaureatedegreewhoworksinthe laboranddeliveryunit ofa busy
urban hospital. She has noticed that many new mothers abandon breast-
feedingtheirbabies whentheyexperience earlychallenges and wonders whatcouldbedoneto e ncourage
more women to continue breast-
feeding. What roleisTracymost likelyto playin aresearch project that testsan intervention ai med
at promoting breast-feeding?
A) Applying forgrantfundingfortheresearchproject
hi
B) Posingthe clinicalproblemtooneormore nursingresearchers
C) Planningthemethodologyoftheresearchproject
D) CarryingouttheinterventionandsubmittingtheresultsforpublicationAns: B
Feedback:Amajorrole forstaffnursesistoidentifyquestionsorproblems forresearch. Grant
applications,methodologicalplanning,andpublicationsubmissionarenormallycarriedoutby
nurses who have advanced degrees in nursing.
5. Apatient signedthe informedconsent formforadrug trialthat wasexplainedtopatient bya
hi
research assistant. Later, the patient admitted tohisnursethat hedid notunderstandthere search
assistantsexplanation or hisown role in thestudy. How should this patients nurse respo nd to
this revelation?
A) Explain theresearchprocesstothepatientingreaterdetail.
hi
B) Describethedetailsofa randomizedcontrolled trialforthe patient.
hi