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PRIMARY CARE ART v v
AND SCIENCE OF
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ADVANCED
PRACTICENURSING-
AN
INTERPROFESSIONA
LAPPROACH 6TH
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EDITION- DUNPHY
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LATEST
,TEST vBANK vFOR vPRIMARY vCARE vART vAND vSCIENCE vOF vADVANCED
vPRACTICE vNURSING v– vAN vINTERPROFESSIONAL vAPPROACH v5TH vEDITION
vDUNPHY
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 indicatesthat
A) The control group and the experimental group were more than 99% similar.
B) The vfindings vof vthe vstudy vhave vless vthan v1% vchance vof vbeing vattributable vto vchance.
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 thatthere 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 bestdefend the importance of nursing research?
A) The existence of nursing research means that nurses are now able to access
federal grantmoney, something that didnt use to be the case.
,B) Nursing research has allowed the development of masters and doctoral programs
and hasgreatly 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 vapplication vof vnursing vresearch vhas vthe vpotential vto vimprove vnursing
vpractice vandvpatient voutcomes.
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 toeducation 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 prioritizewhen appraising the results of this study?
A) How vwell vdid vthe vauthors vcapture vthe vpersonal vexperiences vof vthese vparents?
, B) How well did the authors control for confounding variables that may
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have affected thefindings?
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C) Did the authors use statistical measures that were appropriate to
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the phenomenon inquestion?
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D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A v
Feedback: Qualitative studies are judged on the basis of how well they capture
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and convey the subjective experiences of individuals. Statistical measures and variables
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are not dimensions of aqualitative methodology.
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4. Tracy is a nurse with a baccalaureate degree who works in the labor and
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vdelivery unit of abusy urban hospital. She has noticed that many new mothers abandon
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vbreast- feeding their babieswhen they experience early challenges and wonders what
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vcould be done to encourage more women to continue breast-feeding. What role
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vis Tracy most likely to play in a research project that tests an intervention aimed at
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vpromoting breast- feeding? v v
A) Applying for grant funding for the research project v v v v v v v
B) Posing vthe vclinical vproblem vto vone vorvmore vnursing vresearchers
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C) Planning the methodology of the research project v v v v v v
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
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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
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explained to patientby a research assistant. Later, the patient admitted to his nurse
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that he did not understand the research assistants explanation or his own role
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