PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE
NURSING – AN INTERPROFESSIONAL APPROACH 5TH EDITION
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Chapter 1.
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.
Ans: B
Feedback: The level of significance is the level at which the researcher believes that the study results
most likely represent a nonchance 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?
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 a
qualitative methodology.
PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE
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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?
PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE
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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.
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.
4. The nurses at a university hospital have been informed that a computerized record system will be
implemented over the next 12 months. The nurses should be aware that such as system presents
particular challenges in the area of
A) vulnerability to errors in charting and the inability to make changes.
B) patient privacy and confidentiality of records.
C) enforcing compliance with the system on the part of nurses.
D) ensuring compatibility with different computer operating systems.
Ans: B
Feedback: Concerns about privacy become magnified when information is available to many people
in many sites far removed from where the patient is located, a situation that exists when
PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE
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computerized records are used. This is usually considered a more important concern than issues of
compliance, compatibility, or vulnerability to errors.
5. A nurse is nervous about the impeding introduction of computerized nursing care records at the
hospital because he does not consider himself to be technologically adept. How should this nurse
best respond to this situation?
A) Take courses in advanced practice nursing to build his knowledge.
B) Explore employment opportunities in settings that use written documentation systems.
C) Advocate for a delay in the introduction of the proposed system.
D) Seek out opportunities to learn the relevant knowledge and practice the necessary skills.
Ans: D
Feedback: A nurse who lacks technological knowledge or skills should seek out opportunities to
expand these. This is preferable to finding a job elsewhere, studying advanced practice nursing, or
attempting to delay the change.
Chapter 2. Caring and the Advanced Practice Nurse
Multiple Choice
1. A goal of community nursing is to provide primary prevention from disease. Which of the
following nursing actions reflect this goal?
A) A nurse creates a pamphlet discussing heart-healthy foods and distributes it in the neighborhood
community center.
B) A nurse starts an intravenous line on a dehydrated baby who has been brought to the emergency
department.
C) A nurse performs range-of-motion exercises for a patient in traction.
PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE
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