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Primary Care: Art and Science of Advanced Practice Nursing - An
Interprofessional Approach 5th edition Dunphy Test Bank
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 onthe
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 findings of the study have less than 1% chance of being attributable tochance.
C) the effects of the intervention were nearlyzero.
D) the clinical significance of the findings was less than1:100.
2. A nurse has read a qualitative research study in order to understand the lived experience ofparents
who have a neonatal loss. Which of the following questions should the nurse prioritize when
appraising the results of thisstudy?
A) How well did the authors capture the personal experiences of theseparents?
B) How well did the authors control for confounding variables that may have affected thefindings?
C) Did the authors use statistical measures that were appropriate to the phenomenon inquestion?
D) Were the instruments that the researchers used statistically valid andreliable?
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claimingthat
nursing research has little relevance to practice. How can the nurses colleague best defend the
importance of nursingresearch?
,A) The existence of nursing research means that nurses are now able to access federal grant money,
something that didnt use to be thecase.
B) Nursing research has allowed the development of masters and doctoral programs and hasgreatly
increased the credibility of theprofession.
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather than
simply as a trade or askill.
D) The application of nursing research has the potential to improve nursing practice andpatient
outcomes.
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of abusy
urban hospital. She has noticed that many new 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 promotingbreast-feeding?
A) Applying for grant funding for the researchproject
B) Posing the clinical problem to one or more nursingresearchers
C) Planning the methodology of the researchproject
D) Carrying out the intervention and submitting the results for publication
.
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?
A) Explain the research process to the patient in greaterdetail.
B) Describe the details of a randomized controlled trial for thepatient.
,C) Inform the research assistant that the patients consent is likelyinvalid.
D) Explain to the patient that his written consent is now legallybinding.
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
thatapply.)
A) Interdisciplinaryconsensus
B) Nursingtradition
C) Researchstudies
D) Patient preferences andvalues
E) Clinical expertise
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 ofEBP?
A) The nurse should explain that reliable and valid research evidence overrides the patientsopinion.
B) The nurse should explain the evidence to the patient in greaterdetail.
, C) The nurse should integrate the patients preferences into the plan ofcare.
D) The nurse should involve the patients family members in the decision-makingprocess.
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 residents. They have
sought 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 nursesprioritize?
A) A qualitative study that explores the experience of living with a pressureulcer
B) A case study that describes the measures that nurses on a geriatric unit took to reduce pressure
ulcers amongpatients
C) Testimonials from experienced clinicians about the effectiveness of the mattress inquestion
D) A randomized controlled trial that compared the pressure-reducing mattress with standard
mattresses
9. 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 administratorsprioritize?
A) A systematic review about communication in nursingcontexts
B) Nurses ideas about communicationmethods
C) The results of a chartreview
D) The hospitals accreditation status
Primary Care: Art and Science of Advanced Practice Nursing - An
Interprofessional Approach 5th edition Dunphy Test Bank
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 onthe
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 findings of the study have less than 1% chance of being attributable tochance.
C) the effects of the intervention were nearlyzero.
D) the clinical significance of the findings was less than1:100.
2. A nurse has read a qualitative research study in order to understand the lived experience ofparents
who have a neonatal loss. Which of the following questions should the nurse prioritize when
appraising the results of thisstudy?
A) How well did the authors capture the personal experiences of theseparents?
B) How well did the authors control for confounding variables that may have affected thefindings?
C) Did the authors use statistical measures that were appropriate to the phenomenon inquestion?
D) Were the instruments that the researchers used statistically valid andreliable?
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claimingthat
nursing research has little relevance to practice. How can the nurses colleague best defend the
importance of nursingresearch?
,A) The existence of nursing research means that nurses are now able to access federal grant money,
something that didnt use to be thecase.
B) Nursing research has allowed the development of masters and doctoral programs and hasgreatly
increased the credibility of theprofession.
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather than
simply as a trade or askill.
D) The application of nursing research has the potential to improve nursing practice andpatient
outcomes.
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of abusy
urban hospital. She has noticed that many new 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 promotingbreast-feeding?
A) Applying for grant funding for the researchproject
B) Posing the clinical problem to one or more nursingresearchers
C) Planning the methodology of the researchproject
D) Carrying out the intervention and submitting the results for publication
.
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?
A) Explain the research process to the patient in greaterdetail.
B) Describe the details of a randomized controlled trial for thepatient.
,C) Inform the research assistant that the patients consent is likelyinvalid.
D) Explain to the patient that his written consent is now legallybinding.
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
thatapply.)
A) Interdisciplinaryconsensus
B) Nursingtradition
C) Researchstudies
D) Patient preferences andvalues
E) Clinical expertise
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 ofEBP?
A) The nurse should explain that reliable and valid research evidence overrides the patientsopinion.
B) The nurse should explain the evidence to the patient in greaterdetail.
, C) The nurse should integrate the patients preferences into the plan ofcare.
D) The nurse should involve the patients family members in the decision-makingprocess.
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 residents. They have
sought 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 nursesprioritize?
A) A qualitative study that explores the experience of living with a pressureulcer
B) A case study that describes the measures that nurses on a geriatric unit took to reduce pressure
ulcers amongpatients
C) Testimonials from experienced clinicians about the effectiveness of the mattress inquestion
D) A randomized controlled trial that compared the pressure-reducing mattress with standard
mattresses
9. 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 administratorsprioritize?
A) A systematic review about communication in nursingcontexts
B) Nurses ideas about communicationmethods
C) The results of a chartreview
D) The hospitals accreditation status
