Primary Care: Art and Science of
Advanced Practice Nursing – An
Interprofessional Approach (5th Edition)
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,Test Bank for Primary Care: Art and Science of Advanced Practice Nursing - An
Interprofessional Approach Fifth 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
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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.
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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
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phenomenon in question?
D. Were the instruments that the researchers used statistically valid
and reliable? Answer: A
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, 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?
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, 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.
Answer: 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.
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
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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
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D) Carrying out the intervention and submitting the results for
publication Answer: 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.
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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?
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