TEST BANK FOR PRIMARY CARE ART AND
SCIENCEOF ADVANCED PRACTICE NURSING-
AN INTERPROFESSIONAL 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 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
• 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 parents who have a neonatal loss. Which of the following questions
should the nurse prioritizewhen 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 inquestion?
• 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 that nursing research has little relevance to practice. How can the
nurses colleague best defend the importance of nursing research?
• The existence of nursing research means that nurses are now able to access
federal grant money, something that didnt use to be the case.
• Nursing research has allowed the development of masters and doctoral
programs and hasgreatly increased 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 andpatient 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 toeducation 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 abusy urban hospital. She has noticed that many new mothers
abandon breast-feeding their babieswhen 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?
• 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 publication Ans: 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 bynurses 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.
• 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 ambivalenceor 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.)
SCIENCEOF ADVANCED PRACTICE NURSING-
AN INTERPROFESSIONAL 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 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
• 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 parents who have a neonatal loss. Which of the following questions
should the nurse prioritizewhen 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 inquestion?
• 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 that nursing research has little relevance to practice. How can the
nurses colleague best defend the importance of nursing research?
• The existence of nursing research means that nurses are now able to access
federal grant money, something that didnt use to be the case.
• Nursing research has allowed the development of masters and doctoral
programs and hasgreatly increased 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 andpatient 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 toeducation 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 abusy urban hospital. She has noticed that many new mothers
abandon breast-feeding their babieswhen 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?
• 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 publication Ans: 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 bynurses 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.
• 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 ambivalenceor 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.)
