TEST BANK
Primary Care the Art and Science of Advanced Practice Nursing – an
Interprofessional Approach
by Debera J. Dunphy,Lynne M. Dunphy
Sixth Edition
FULL TEST BANK!!!
,Test Bank for Primary Care: Art and Science of Advanced Practice
Nursing - An Interprofessional Approach Sixth Edition.
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 handwashing 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.
Answer: 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 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?
Answer: 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.
3. 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 hasבמסע
greatly נוחות פוגשתthe
increased מצוינות שבהof
credibility ,שלי
theהסטוביה
profession. ברוכים הבאים לחנות
, אני מתמחה במתן מאגרי מבחנים איכותיים במיוחד.האקדמי שלכם
C) The growth of nursing research has caused nursing to be viewed as a true
כל מאגר מבחנים הוא.שנוצרו בקפידה כדי לעזור לכם להצליח בבחינות
profession, rather than simply as a trade or a skill.
שאלות, מכסה את כל הנושאים המרכזיים עם הסברים מפורטים,מקיף
D) .אמיתיים תנאי בחינה
The application שמשקפים
of nursing תרגול
research hasותרחישי ברירה-רב
the potential to improve nursing practice
,למה לבחור במאגרי המבחנים שלי? הם נלקחים מחומרים אמינים
and patient outcomes.
,מעודכנים באופן קבוע כדי לשקף שינויים עדכניים בתוכנית הלימודים
Answer: D
, עסקים, בין אם אתם לומדים סיעוד.ומעוצבים על ידי מומחים בתחום
Feedback:אישיתTheמותאמים משאבים
greatest value תמצאו,אחרת
of nursing research דיסציפלינה
lies in the כל הנדסה או
potential to improve practice
.והביצועים שלכם
and, ultimately, to improveהביטחון
patientאת שמעליםThis supersedes the contributions of
outcomes.
nursingגלשו .השקיעו באיכות שמביאה תוצאות
research to education programs, . בינונייםor
grant funding, לימוד תסתפקו בכלי
the public view of אל
the
עם הורדות.באוסף שלי היום ועשו את הצעד הראשון להצלחה אקדמית
profession.
941( with
4. Tracy is a nurse .יותרaקלה מעולם לא הייתה
baccalaureate degree לבחינות
who works ההכנה ,נוחים
in the laborומחירים מיידיות
and delivery unit of a
)מילים
busy urban hospital. She has noticed that many new mothers abandon breast-feeding their
babies whenԻմ they
Stuvia խանութի early
experience նկարագրություն
challenges(Հայերեն)
and wonders what could be done to encourage
more women to continue breast-feeding. What roleգերազանցությունը
Բարի գալուստ իմ Stuvia խանութը, որտեղ is Tracy most likely to play in a research
project thatհանդիպում է հարմարավետության
tests an intervention ակադեմիական
aimed at promoting breast-feeding?
ճանապարհորդության ժամանակ: Ես մասնագիտացած եմ
A) Applyingբարձրորակ
for grantթեստային
funding բանկերի տրամադրումում,
for the research project որոնք
B) Posingմանրակրկիտ
the clinical ստեղծված
problem toենoneձեզorօգնելու
more հաջողության
nursing researchersհասնել
Ձեր քննություններում: Յուրաքանչյուր թեստային բանկը
C) Planningհամապարփակ
the methodologyէ, ընդգրկում
of theէresearch
բոլոր հիմնական
project թեմաները՝
մանրամասն բացատրություններով, բազմակի ընտրության
D) Carrying out the intervention and submitting the results for publication
հարցերով և պրակտիկ սցենարներով, որոնք արտացոլում են
Answer: Bիրական քննության պայմանները:
Ինչու ընտրել իմ թեստային բանկերը: Դրանք վերցված են
Feedback:վստահելի
A major role for staff
նյութերից, nurses isթարմացվում
կանոնավոր to identify questions
են՝ or problems for research.
Grant applications, methodological planning, and
արտացոլելով վերջին հանրագրչական փոփոխությունները, և publication submission are normally
carried outնախագծված
by nurses who have advanced
են ոլորտի degrees
փորձագետների in nursing.
կողմից: Թեև սովորում
եք հաշմանդամի,
5. A patient signed բիզնեսի,
the informed ինժեներության
consent form for a կամdrugայլ trial that was explained to patient by a
մասնագիտության,
research assistant. Later, theկգտնեք
patientանհատականացված
admitted to his nurse ռեսուրսներ,
that he did not understand the
որոնք բարձրացնում
research assistant’s explanationեն ձեր վստահությունը
or his own role in ևtheարդյունքները:
study. How should this patients nurse
respond toՄի thisբավարարվեք
revelation?սովորական ուսումնական օգնականներով:
Ներդրեք որակի մեջ, որը բերում է արդյունքներ: Այսօր զննեք իմ
A) Explain the research process to the patient in greater detail.
հավաքածուն և քայլեք առաջին քայլը դեպի ակադեմիական
B) Describeհաջողություն:
the details Անմիջական ներբեռնումներով
of a randomized controlled trial և մատչելի
for theգներով
patient.
քննությունների պատրաստությունը երբեք այսքան հեշտ չի
C) Inform the research assistant that the patient’s consent is likely invalid.
եղել: (151 բառ)
D) Explain to the patient that his written consent is now legally binding.
Answer: 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.
6. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP)
among the nurses on a unit. A nurse who is implementing EBP integrates which of the
following? (Select all that apply.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical expertise
Answer: C, D, E
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-
solving approach to the delivery of healthcare that integrates the best evidence from studies
and patient care data with clinician expertise and patient preferences and values.
7. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely
slow to heal and which now poses a threat of osteomyelitis. The wound care nurse who has
been working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible
and has proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however,
finds the suggestion repugnant and adamantly opposes this treatment despite the sizable body
of evidence supporting it. How should the nurse reconcile Mrs. Mayes views with the
principles of EBP?
A) The nurse should explain that reliable and valid research evidence overrides the
patients opinion.
B) The nurse should explain the evidence to the patient in greater detail.
C) The nurse should integrate the patients preferences into the plan of care.
D) The nurse should involve the patients family members in the decision-making
process.
Answer: C
Feedback: Patient preferences should be integrated into EBP and considered alongside
research evidence and the nurses clinical expertise; evidence does not trump the patients
preferences. The family should be involved, but this is not an explicit dimension of EBP.
Similarly, explaining the evidence in more detail is not a demonstration of EBP.
8. The administrators of a long-term care facility are considered the use of specialized,
pressure- reducing mattresses in order to reduce the incidence of pressure ulcers among
Primary Care the Art and Science of Advanced Practice Nursing – an
Interprofessional Approach
by Debera J. Dunphy,Lynne M. Dunphy
Sixth Edition
FULL TEST BANK!!!
,Test Bank for Primary Care: Art and Science of Advanced Practice
Nursing - An Interprofessional Approach Sixth Edition.
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 handwashing 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.
Answer: 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 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?
Answer: 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.
3. 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 hasבמסע
greatly נוחות פוגשתthe
increased מצוינות שבהof
credibility ,שלי
theהסטוביה
profession. ברוכים הבאים לחנות
, אני מתמחה במתן מאגרי מבחנים איכותיים במיוחד.האקדמי שלכם
C) The growth of nursing research has caused nursing to be viewed as a true
כל מאגר מבחנים הוא.שנוצרו בקפידה כדי לעזור לכם להצליח בבחינות
profession, rather than simply as a trade or a skill.
שאלות, מכסה את כל הנושאים המרכזיים עם הסברים מפורטים,מקיף
D) .אמיתיים תנאי בחינה
The application שמשקפים
of nursing תרגול
research hasותרחישי ברירה-רב
the potential to improve nursing practice
,למה לבחור במאגרי המבחנים שלי? הם נלקחים מחומרים אמינים
and patient outcomes.
,מעודכנים באופן קבוע כדי לשקף שינויים עדכניים בתוכנית הלימודים
Answer: D
, עסקים, בין אם אתם לומדים סיעוד.ומעוצבים על ידי מומחים בתחום
Feedback:אישיתTheמותאמים משאבים
greatest value תמצאו,אחרת
of nursing research דיסציפלינה
lies in the כל הנדסה או
potential to improve practice
.והביצועים שלכם
and, ultimately, to improveהביטחון
patientאת שמעליםThis supersedes the contributions of
outcomes.
nursingגלשו .השקיעו באיכות שמביאה תוצאות
research to education programs, . בינונייםor
grant funding, לימוד תסתפקו בכלי
the public view of אל
the
עם הורדות.באוסף שלי היום ועשו את הצעד הראשון להצלחה אקדמית
profession.
941( with
4. Tracy is a nurse .יותרaקלה מעולם לא הייתה
baccalaureate degree לבחינות
who works ההכנה ,נוחים
in the laborומחירים מיידיות
and delivery unit of a
)מילים
busy urban hospital. She has noticed that many new mothers abandon breast-feeding their
babies whenԻմ they
Stuvia խանութի early
experience նկարագրություն
challenges(Հայերեն)
and wonders what could be done to encourage
more women to continue breast-feeding. What roleգերազանցությունը
Բարի գալուստ իմ Stuvia խանութը, որտեղ is Tracy most likely to play in a research
project thatհանդիպում է հարմարավետության
tests an intervention ակադեմիական
aimed at promoting breast-feeding?
ճանապարհորդության ժամանակ: Ես մասնագիտացած եմ
A) Applyingբարձրորակ
for grantթեստային
funding բանկերի տրամադրումում,
for the research project որոնք
B) Posingմանրակրկիտ
the clinical ստեղծված
problem toենoneձեզorօգնելու
more հաջողության
nursing researchersհասնել
Ձեր քննություններում: Յուրաքանչյուր թեստային բանկը
C) Planningհամապարփակ
the methodologyէ, ընդգրկում
of theէresearch
բոլոր հիմնական
project թեմաները՝
մանրամասն բացատրություններով, բազմակի ընտրության
D) Carrying out the intervention and submitting the results for publication
հարցերով և պրակտիկ սցենարներով, որոնք արտացոլում են
Answer: Bիրական քննության պայմանները:
Ինչու ընտրել իմ թեստային բանկերը: Դրանք վերցված են
Feedback:վստահելի
A major role for staff
նյութերից, nurses isթարմացվում
կանոնավոր to identify questions
են՝ or problems for research.
Grant applications, methodological planning, and
արտացոլելով վերջին հանրագրչական փոփոխությունները, և publication submission are normally
carried outնախագծված
by nurses who have advanced
են ոլորտի degrees
փորձագետների in nursing.
կողմից: Թեև սովորում
եք հաշմանդամի,
5. A patient signed բիզնեսի,
the informed ինժեներության
consent form for a կամdrugայլ trial that was explained to patient by a
մասնագիտության,
research assistant. Later, theկգտնեք
patientանհատականացված
admitted to his nurse ռեսուրսներ,
that he did not understand the
որոնք բարձրացնում
research assistant’s explanationեն ձեր վստահությունը
or his own role in ևtheարդյունքները:
study. How should this patients nurse
respond toՄի thisբավարարվեք
revelation?սովորական ուսումնական օգնականներով:
Ներդրեք որակի մեջ, որը բերում է արդյունքներ: Այսօր զննեք իմ
A) Explain the research process to the patient in greater detail.
հավաքածուն և քայլեք առաջին քայլը դեպի ակադեմիական
B) Describeհաջողություն:
the details Անմիջական ներբեռնումներով
of a randomized controlled trial և մատչելի
for theգներով
patient.
քննությունների պատրաստությունը երբեք այսքան հեշտ չի
C) Inform the research assistant that the patient’s consent is likely invalid.
եղել: (151 բառ)
D) Explain to the patient that his written consent is now legally binding.
Answer: 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.
6. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP)
among the nurses on a unit. A nurse who is implementing EBP integrates which of the
following? (Select all that apply.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical expertise
Answer: C, D, E
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-
solving approach to the delivery of healthcare that integrates the best evidence from studies
and patient care data with clinician expertise and patient preferences and values.
7. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely
slow to heal and which now poses a threat of osteomyelitis. The wound care nurse who has
been working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible
and has proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however,
finds the suggestion repugnant and adamantly opposes this treatment despite the sizable body
of evidence supporting it. How should the nurse reconcile Mrs. Mayes views with the
principles of EBP?
A) The nurse should explain that reliable and valid research evidence overrides the
patients opinion.
B) The nurse should explain the evidence to the patient in greater detail.
C) The nurse should integrate the patients preferences into the plan of care.
D) The nurse should involve the patients family members in the decision-making
process.
Answer: C
Feedback: Patient preferences should be integrated into EBP and considered alongside
research evidence and the nurses clinical expertise; evidence does not trump the patients
preferences. The family should be involved, but this is not an explicit dimension of EBP.
Similarly, explaining the evidence in more detail is not a demonstration of EBP.
8. The administrators of a long-term care facility are considered the use of specialized,
pressure- reducing mattresses in order to reduce the incidence of pressure ulcers among
