Test Bank Primary Care Art and Science of Advanced Practice Nursing - AnInterProfessional
4/9/2026 Approach 5th edition Dunphy Page 1
Test Bank Primary Care: Art and Science of
Advanced Practice Nursing - An Inter-
Professional Approach 5th edition Dunphy
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
A nurse has conducted a literature review in an effort to identify the effect of handwashing on theincidence of
nosocomial (hospital-acquired) infections in acute care settings. An article presented findings at a level of
significance of <0.01. This indicates that
the control group and the experimental group were more than 99% similar.
the findings of the study have less than 1% chance of being attributable to chance.
the effects of the intervention were nearly zero.
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.
A nurse has read a qualitative research study in order to understand the lived experience of parentswho have a
neonatal loss. Which of the following questions should the nurse prioritize when appraising the results of this
study?
How well did the authors capture the personal experiences of these parents?
How well did the authors control for confounding variables that may have affected the findings?
Did the authors use statistical measures that were appropriate to the phenomenon in question?
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 aqualitative
methodology.
A nurse has expressed skepticism to a colleague about the value of nursing research, claiming thatnursing
research has little relevance to practice. How can the nurses’ colleague best defend the importance of nursing
research?
1 of 1758 Test Bank PrimaryTest
CareBank
Art and
Primary
Science
CareofArt
Advanced
and Science
Practice
of Advanced
Nursing - Practice
AnInterProfessional
Nursing - AnInterProfessional
Approach 5th edition
Approach
Dunphy.pdf
5th edition Dunphy
,Test Bank Primary Care Art and Science of Advanced Practice Nursing - AnInterProfessional
4/9/2026 Approach 5th edition Dunphy Page 2
The existence of nursing research means that nurses are now able to access federal grant money, something
that didn’t use to be the case.
Nursing research has allowed the development of masters and doctoral programs and has greatlyincreased
the credibility of the profession.
The growth of nursing research has caused nursing to be viewed as a true profession, rather than simply as a
trade or a skill.
The application of nursing research has the potential to improve nursing practice and patientoutcomes.
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.
Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a busyurban
hospital. She has noticed that many new mothers abandon breast-feeding their babies whenthey
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?
Applying for grant funding for the research project
Posing the clinical problem to one or more nursing researchers
Planning the methodology of the research project
Carrying out the intervention and submitting the results for publicationAns: 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.
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?
Explain the research process to the patient in greater detail.
Describe the details of a randomized controlled trial for the patient.
2 of 1758 Test Bank PrimaryTest
CareBank
Art and
Primary
Science
CareofArt
Advanced
and Science
Practice
of Advanced
Nursing - Practice
AnInterProfessional
Nursing - AnInterProfessional
Approach 5th edition
Approach
Dunphy.pdf
5th edition Dunphy
,Test Bank Primary Care Art and Science of Advanced Practice Nursing - AnInterProfessional
4/9/2026 Approach 5th edition Dunphy Page 3
Inform the research assistant that the patients consent is likely invalid.
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
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.)
Interdisciplinary consensus
Nursing tradition
Research studies
Patient preferences and values
Clinical expertiseAns:
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 caredata with clinician
expertise and patient preferences and values.
Multiple Choice
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 shouldthe nurse reconcile Mrs. Mayes views
with the principles of EBP?
The nurse should explain that reliable and valid research evidence overrides the patient’s opinion.
The nurse should explain the evidence to the patient in greater detail.
3 of 1758 Test Bank PrimaryTest
CareBank
Art and
Primary
Science
CareofArt
Advanced
and Science
Practice
of Advanced
Nursing - Practice
AnInterProfessional
Nursing - AnInterProfessional
Approach 5th edition
Approach
Dunphy.pdf
5th edition Dunphy
, Test Bank Primary Care Art and Science of Advanced Practice Nursing - AnInterProfessional
4/9/2026 Approach 5th edition Dunphy Page 4
The nurse should integrate the patient’s preferences into the plan of care.
The nurse should involve the patient’s family members in the decision-making process.
Ans: C
Feedback: Patient preferences should be integrated into EBP and considered alongside research evidence and
the nurse’s clinical expertise; evidence does not trump the patient’s preferences. Thefamily should be involved,
but this is not an explicit dimension of EBP. Similarly, explaining theevidence in more detail is not a
demonstration of EBP.
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 residents. They havesought input from
the nurses on the unit, all of whom are aware of the need to implement the principles of evidence-based
practice (EBP) in this decision. Which of the following evidence sources should the nurses prioritize?
A qualitative study that explores the experience of living with a pressure ulcer
A case study that describes the measures that nurses on a geriatric unit took to reduce pressure ulcers
among patients
Testimonials from experienced clinicians about the effectiveness of the mattress in question
A randomized controlled trial that compared the pressure-reducing mattress with standardmattresses
Ans: D
Feedback: The most reliable evidence is considered RCTs. Qualitative studies, case studies, andexpert
opinion are low on the hierarchy of evidence.
Hospital administrators are applying the principles of evidence-based practice (EBP) in their attempt to
ascertain the most efficient and effective way to communicate between nurses who are on different units, a
project that will consider many types of evidence. Which of the following information sources should the
administrators prioritize?
A systematic review about communication in nursing contexts
Nurses ideas about communication methods
The results of a chart review
The hospitals accreditation statusAns: A
4 of 1758 Test Bank PrimaryTest
CareBank
Art and
Primary
Science
CareofArt
Advanced
and Science
Practice
of Advanced
Nursing - Practice
AnInterProfessional
Nursing - AnInterProfessional
Approach 5th edition
Approach
Dunphy.pdf
5th edition Dunphy
4/9/2026 Approach 5th edition Dunphy Page 1
Test Bank Primary Care: Art and Science of
Advanced Practice Nursing - An Inter-
Professional Approach 5th edition Dunphy
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
A nurse has conducted a literature review in an effort to identify the effect of handwashing on theincidence of
nosocomial (hospital-acquired) infections in acute care settings. An article presented findings at a level of
significance of <0.01. This indicates that
the control group and the experimental group were more than 99% similar.
the findings of the study have less than 1% chance of being attributable to chance.
the effects of the intervention were nearly zero.
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.
A nurse has read a qualitative research study in order to understand the lived experience of parentswho have a
neonatal loss. Which of the following questions should the nurse prioritize when appraising the results of this
study?
How well did the authors capture the personal experiences of these parents?
How well did the authors control for confounding variables that may have affected the findings?
Did the authors use statistical measures that were appropriate to the phenomenon in question?
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 aqualitative
methodology.
A nurse has expressed skepticism to a colleague about the value of nursing research, claiming thatnursing
research has little relevance to practice. How can the nurses’ colleague best defend the importance of nursing
research?
1 of 1758 Test Bank PrimaryTest
CareBank
Art and
Primary
Science
CareofArt
Advanced
and Science
Practice
of Advanced
Nursing - Practice
AnInterProfessional
Nursing - AnInterProfessional
Approach 5th edition
Approach
Dunphy.pdf
5th edition Dunphy
,Test Bank Primary Care Art and Science of Advanced Practice Nursing - AnInterProfessional
4/9/2026 Approach 5th edition Dunphy Page 2
The existence of nursing research means that nurses are now able to access federal grant money, something
that didn’t use to be the case.
Nursing research has allowed the development of masters and doctoral programs and has greatlyincreased
the credibility of the profession.
The growth of nursing research has caused nursing to be viewed as a true profession, rather than simply as a
trade or a skill.
The application of nursing research has the potential to improve nursing practice and patientoutcomes.
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.
Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a busyurban
hospital. She has noticed that many new mothers abandon breast-feeding their babies whenthey
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?
Applying for grant funding for the research project
Posing the clinical problem to one or more nursing researchers
Planning the methodology of the research project
Carrying out the intervention and submitting the results for publicationAns: 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.
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?
Explain the research process to the patient in greater detail.
Describe the details of a randomized controlled trial for the patient.
2 of 1758 Test Bank PrimaryTest
CareBank
Art and
Primary
Science
CareofArt
Advanced
and Science
Practice
of Advanced
Nursing - Practice
AnInterProfessional
Nursing - AnInterProfessional
Approach 5th edition
Approach
Dunphy.pdf
5th edition Dunphy
,Test Bank Primary Care Art and Science of Advanced Practice Nursing - AnInterProfessional
4/9/2026 Approach 5th edition Dunphy Page 3
Inform the research assistant that the patients consent is likely invalid.
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
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.)
Interdisciplinary consensus
Nursing tradition
Research studies
Patient preferences and values
Clinical expertiseAns:
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 caredata with clinician
expertise and patient preferences and values.
Multiple Choice
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 shouldthe nurse reconcile Mrs. Mayes views
with the principles of EBP?
The nurse should explain that reliable and valid research evidence overrides the patient’s opinion.
The nurse should explain the evidence to the patient in greater detail.
3 of 1758 Test Bank PrimaryTest
CareBank
Art and
Primary
Science
CareofArt
Advanced
and Science
Practice
of Advanced
Nursing - Practice
AnInterProfessional
Nursing - AnInterProfessional
Approach 5th edition
Approach
Dunphy.pdf
5th edition Dunphy
, Test Bank Primary Care Art and Science of Advanced Practice Nursing - AnInterProfessional
4/9/2026 Approach 5th edition Dunphy Page 4
The nurse should integrate the patient’s preferences into the plan of care.
The nurse should involve the patient’s family members in the decision-making process.
Ans: C
Feedback: Patient preferences should be integrated into EBP and considered alongside research evidence and
the nurse’s clinical expertise; evidence does not trump the patient’s preferences. Thefamily should be involved,
but this is not an explicit dimension of EBP. Similarly, explaining theevidence in more detail is not a
demonstration of EBP.
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 residents. They havesought input from
the nurses on the unit, all of whom are aware of the need to implement the principles of evidence-based
practice (EBP) in this decision. Which of the following evidence sources should the nurses prioritize?
A qualitative study that explores the experience of living with a pressure ulcer
A case study that describes the measures that nurses on a geriatric unit took to reduce pressure ulcers
among patients
Testimonials from experienced clinicians about the effectiveness of the mattress in question
A randomized controlled trial that compared the pressure-reducing mattress with standardmattresses
Ans: D
Feedback: The most reliable evidence is considered RCTs. Qualitative studies, case studies, andexpert
opinion are low on the hierarchy of evidence.
Hospital administrators are applying the principles of evidence-based practice (EBP) in their attempt to
ascertain the most efficient and effective way to communicate between nurses who are on different units, a
project that will consider many types of evidence. Which of the following information sources should the
administrators prioritize?
A systematic review about communication in nursing contexts
Nurses ideas about communication methods
The results of a chart review
The hospitals accreditation statusAns: A
4 of 1758 Test Bank PrimaryTest
CareBank
Art and
Primary
Science
CareofArt
Advanced
and Science
Practice
of Advanced
Nursing - Practice
AnInterProfessional
Nursing - AnInterProfessional
Approach 5th edition
Approach
Dunphy.pdf
5th edition Dunphy
