Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional
Approach 5th edition Dunphy Test Bank
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Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional
Approach 5th edition Dunphy Test Bank
LATEST UPDATED 2023
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 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
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
resultsmost 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
parentswho 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 aqualitative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming
thatinursing research has little relevance to practice. How can the nurses colleague best defend
the importance of nursing research?
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Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional
Approach 5th edition Dunphy Test Bank
LATEST UPDATED 2023
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
greatlyincreased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather
thansi imply as a trade or a skill.
D) 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 toeducation 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
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?
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
D) Carrying out the intervention and submitting the results for
publicationiAns: 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.
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 thisrevelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
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Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional
Approach 5th edition Dunphy Test Bank
LATEST UPDATED 2023
C) Inform the research assistant that the patients consent is likely invalid.
D) 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 aftera patient has signed the consent forms.
Multiple Selection
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 allti hat apply.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical
expertiseiAns: 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
careidata with clinician expertise and patient preferences and values.
Multiple Choice
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 useof 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 shouldithe nurse reconcile Mrs. Mayes views with the principles of EBP?
A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
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Practice Nursing - An Interprofessional
Approach 5th edition Dunphy Test Bank
Downloaded by: jzommick1995 |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional
Approach 5th edition Dunphy Test Bank
LATEST UPDATED 2023
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 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
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
resultsmost 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
parentswho 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 aqualitative methodology.
3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming
thatinursing research has little relevance to practice. How can the nurses colleague best defend
the importance of nursing research?
Downloaded by: jzommick1995 |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional
Approach 5th edition Dunphy Test Bank
LATEST UPDATED 2023
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
greatlyincreased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather
thansi imply as a trade or a skill.
D) 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 toeducation 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
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?
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
D) Carrying out the intervention and submitting the results for
publicationiAns: 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.
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 thisrevelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
Downloaded by: jzommick1995 |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional
Approach 5th edition Dunphy Test Bank
LATEST UPDATED 2023
C) Inform the research assistant that the patients consent is likely invalid.
D) 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 aftera patient has signed the consent forms.
Multiple Selection
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 allti hat apply.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical
expertiseiAns: 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
careidata with clinician expertise and patient preferences and values.
Multiple Choice
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 useof 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 shouldithe nurse reconcile Mrs. Mayes views with the principles of EBP?
A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
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