TEST BANK FOR PRIMARY CARE
B B B B B
ART AND SCIENCE OF ADVANCED P
B B B B B
RACTICE NURSING – B B
AN INTERPROFESSIONAL APPROA
B B B
CH 6TH EDITION DUNPHY ALL CHA
B B B B B
PTERS-2023-2024
, PrimaryBCare:BArtBandBScienceBofBAdvancedBPracticeBNursingB-
InterprofessionalBApproachB5thBeditionBDunphyBTestBBank
BAnB
ChapterB1.BPrimaryBCareBinBtheBTwenty-
FirstBCentury:BABCircleBofBCaring
1. ABnurseBhasBconductedBaBliteratureBreviewBinBanBeffortBtoBidentifyBtheBeffectBofBhandwashingBonBth
eBincidenceBofBnosocomialB(hospital-
acquired)BinfectionsBinBacuteBcareBsettings.BAnBarticleBpresentedBfindingsBatBaBlevelBofBsignificanceBo
fB<0.01.BThisBindicatesBthat
A) theBcontrolBgroupBandBtheBexperimentalBgroupBwereBmoreBthanB99%Bsimilar.
B) theBfindingsBofBtheBstudyBhaveBlessBthanB1%BchanceBofBbeingBattributableBtoBchance.
C) theBeffectsBofBtheBinterventionBwereBnearlyBzero.
D) theBclinicalBsignificanceBofBtheBfindingsBwasBlessBthanB1:100.
Ans:BB
Feedback:BTheBlevelBofBsignificanceBisBtheBlevelBatBwhichBtheBresearcherBbelievesBthatBtheBstudyBresult
sBmostBlikelyBrepresentBaBnonchanceBevent.BABlevelBofBsignificanceBofB<0.01BindicatesBthatBthereBisBles
sBthanB1%BprobabilityBthatBtheBresultBisBdueBtoBchance.
2. ABnurseBhasBreadBaBqualitativeBresearchBstudyBinBorderBtoBunderstandBtheBlivedBexperienceBofBparent
sBwhoBhaveBaBneonatalBloss.BWhichBofBtheBfollowingBquestionsBshouldBtheBnurseBprioritizeBwhenBappra
isingBtheBresultsBofBthisBstudy?
A) HowBwellBdidBtheBauthorsBcaptureBtheBpersonalBexperiencesBofBtheseBparents?
B) HowBwellBdidBtheBauthorsBcontrolBforBconfoundingBvariablesBthatBmayBhaveBaffectedBtheBfindings?
C) DidBtheBauthorsBuseBstatisticalBmeasuresBthatBwereBappropriateBtoBtheBphenomenonBinBquestion?
D) WereBtheBinstrumentsBthatBtheBresearchersBusedBstatisticallyBvalidBandBreliable?
Ans:BA
Feedback:BQualitativeBstudiesBareBjudgedBonBtheBbasisBofBhowBwellBtheyBcaptureBandBconveyBthe
BsubjectiveBexperiencesBofBindividuals.BStatistical Bmeasures BandBvariablesBareBnotBdimensionsBof
BaB
qualitativeBmethodology.
3. ABnurseBhasBexpressedBskepticismBtoBaBcolleagueBaboutBtheBvalueBofBnursingBresearch,BclaimingBth
atBnursingBresearchBhasBlittleBrelevanceBtoBpractice.BHowBcanBtheBnursesBcolleagueBbestBdefendBtheBim
portanceBofBnursingBresearch?
,A) TheBexistenceBofBnursingBresearchBmeansBthatBnursesBareBnowBableBtoBaccessBfederalBgrantBmone
y,BsomethingBthatBdidntBuseBtoBbeBtheBcase.
B) NursingBresearchBhasBallowedBtheBdevelopmentBofBmastersBandBdoctoralBprogramsBandBhasBgreatl
yBincreasedBtheBcredibilityBofBtheBprofession.
C) TheBgrowthBofBnursingBresearchBhasBcausedBnursingBtoBbeBviewedBasBaBtrueBprofession,BratherBtha
nBsimplyBasBaBtradeBorBaBskill.
D) TheBapplicationBofBnursingBresearchBhasBtheBpotentialBtoBimproveBnursingBpracticeBandBpatie
ntBoutcomes.
Ans:BD
Feedback:BTheBgreatestBvalueBofBnursingBresearchBliesBinBtheBpotentialBtoBimproveBpracticeBand,Bu
ltimately,BtoBimproveBpatientBoutcomes.BThisBsupersedesBtheBcontributionsBofBnursingBresearchBtoB
educationBprograms,BgrantBfunding,BorBtheBpublicBviewBofBtheBprofession.
4. TracyBisBaBnurseBwithBaBbaccalaureateBdegreeBwhoBworksBinBtheBlaborBandBdeliveryBunitBofBaBbus
yBurbanBhospital.BSheBhasBnoticedBthatBmanyBnewBmothersBabandonBbreast-
feedingBtheirBbabiesBwhenBtheyBexperienceBearlyBchallengesBandBwondersBwhatBcouldBbeBdoneBtoBe
ncourageBmoreBwomenBtoBcontinueBbreast-
feeding.BWhatBroleBisBTracyBmostBlikelyBtoBplayBinBaBresearchBprojectBthatBtestsBanBinterventionBai
medBatBpromotingBbreast-feeding?
A) ApplyingBforBgrantBfundingBforBtheBresearchBproject
B) PosingBtheBclinicalBproblemBtoBoneBorBmoreBnursingBresearchers
C) PlanningBtheBmethodologyBofBtheBresearchBproject
D) CarryingBoutBtheBinterventionBandBsubmittingBtheBresultsBforBpublicatio
nBAns:BB
Feedback:BABmajorBroleBforBstaffBnursesBisBtoBidentifyBquestionsBorBproblemsBforBresearch.BGra
ntBapplications,BmethodologicalBplanning,BandBpublicationBsubmissionBareBnormallyBcarriedBout
BbyBnursesBwhoBhaveBadvancedBdegreesBinBnursing.
5. ABpatientBsignedBtheBinformedBconsentBformBforBaBdrugBtrialBthatBwasBexplainedBtoBpatientBbyBa
BresearchBassistant.BLater,BtheBpatient BadmittedBtoBhisBnurseBthatBheBdidBnotBunderstand BtheBresearc
hBassistantsBexplanationBorBhisBownBroleBinBtheBstudy.BHowBshouldBthisBpatientsBnurseBrespondBtoB
thisBrevelation?
A) ExplainBtheBresearchBprocessBtoBtheBpatientBinBgreaterBdetail.
B) DescribeBtheBdetailsBofBaBrandomizedBcontrolledBtrialBforBtheBpatient.
, C) InformBtheBresearchBassistantBthatBtheBpatientsBconsentBisBlikelyBinvalid.
D) ExplainBtoBtheBpatientBthatBhisBwrittenBconsentBisBnowBlegallyBbinding.
Ans:BC
Feedback:BJustBasBtheBstaffBnurseBisBnotBresponsibleBforBmedicalBconsent,BtheBstaffBnurseBisBnotBrespon
sibleBforBresearchBconsent.BIfBpatientsBwhoBhaveBagreedBtoBparticipateBexhibitBambivalenceBorBuncerta
intyBaboutBparticipating,BdoBnotBtryBtoBconvinceBthemBtoBparticipate.BAskBtheBpersonBfromBtheBresearc
hBteamBwhoBisBmanagingBconsentsBtoBspeakBwithBconcernedBpatientsBaboutBtheBstudy,BevenBafterBaBpati
entBhasBsignedBtheBconsentBforms.
MultipleBSelection
6. ABnurseBleaderBisBattemptingBtoBincreaseBtheBawarenessBofBevidence-
basedBpracticeB(EBP)BamongBtheBnursesBonBaBunit.BABnurseBwhoBisBimplementingBEBPBintegratesBwhi
chBofBtheBfollowing?B(SelectBallBthatBapply.)
A) InterdisciplinaryBconsensus
B) NursingBtradition
C) ResearchBstudies
D) PatientBpreferencesBandBvalues
E) ClinicalBexpertis
eBAns:BC,BD,BE
Feedback:BFineout-Overholt,BMelnyk,BStillwell,BandBWilliamsonBdefineBEBPBasBaBproblem-
solvingBapproachBtoBtheBdeliveryBofBhealthcareBthatBintegratesBtheBbestBevidenceBfromBstudiesBandBpa
tientBcareBdataBwithBclinicianBexpertiseBandBpatientBpreferencesBandBvalues.
MultipleBChoice
7. Mrs.BMayesBisBaB73-year-
oldBwomanBwhoBhasBaBdiabeticBfootBulcerBthatBhasBbeenBextremelyBslowBtoBhealBandBwhichBnowBposes
BaBthreatBofBosteomyelitis.BTheBwoundBcareBnurseBwhoBhasBbeenBworkingBwithBMrs.BMayes BappliesBev
idence-
basedBpracticeB(EBP)BwheneverBpossibleBandBhasBproposedBtheBuseBofBmaggotBtherapyBtoBdebrideBnecr
oticBtissue.BMrs.BMayes,Bhowever,BfindsBtheBsuggestionBrepugnantBandBadamantlyBopposesBthisBtreatm
entBdespiteBtheBsizableBbodyBofBevidenceBsupportingBit.BHowBshouldBtheBnurseBreconcileBMrs.BMayesBv
iewsBwithBtheBprinciplesBofBEBP?
A) TheBnurseBshouldBexplainBthatBreliableBandBvalidBresearchBevidenceBoverridesBtheBpatientsBopinion.
B) TheBnurseBshouldBexplainBtheBevidenceBtoBtheBpatientBinBgreaterBdetail.
B B B B B
ART AND SCIENCE OF ADVANCED P
B B B B B
RACTICE NURSING – B B
AN INTERPROFESSIONAL APPROA
B B B
CH 6TH EDITION DUNPHY ALL CHA
B B B B B
PTERS-2023-2024
, PrimaryBCare:BArtBandBScienceBofBAdvancedBPracticeBNursingB-
InterprofessionalBApproachB5thBeditionBDunphyBTestBBank
BAnB
ChapterB1.BPrimaryBCareBinBtheBTwenty-
FirstBCentury:BABCircleBofBCaring
1. ABnurseBhasBconductedBaBliteratureBreviewBinBanBeffortBtoBidentifyBtheBeffectBofBhandwashingBonBth
eBincidenceBofBnosocomialB(hospital-
acquired)BinfectionsBinBacuteBcareBsettings.BAnBarticleBpresentedBfindingsBatBaBlevelBofBsignificanceBo
fB<0.01.BThisBindicatesBthat
A) theBcontrolBgroupBandBtheBexperimentalBgroupBwereBmoreBthanB99%Bsimilar.
B) theBfindingsBofBtheBstudyBhaveBlessBthanB1%BchanceBofBbeingBattributableBtoBchance.
C) theBeffectsBofBtheBinterventionBwereBnearlyBzero.
D) theBclinicalBsignificanceBofBtheBfindingsBwasBlessBthanB1:100.
Ans:BB
Feedback:BTheBlevelBofBsignificanceBisBtheBlevelBatBwhichBtheBresearcherBbelievesBthatBtheBstudyBresult
sBmostBlikelyBrepresentBaBnonchanceBevent.BABlevelBofBsignificanceBofB<0.01BindicatesBthatBthereBisBles
sBthanB1%BprobabilityBthatBtheBresultBisBdueBtoBchance.
2. ABnurseBhasBreadBaBqualitativeBresearchBstudyBinBorderBtoBunderstandBtheBlivedBexperienceBofBparent
sBwhoBhaveBaBneonatalBloss.BWhichBofBtheBfollowingBquestionsBshouldBtheBnurseBprioritizeBwhenBappra
isingBtheBresultsBofBthisBstudy?
A) HowBwellBdidBtheBauthorsBcaptureBtheBpersonalBexperiencesBofBtheseBparents?
B) HowBwellBdidBtheBauthorsBcontrolBforBconfoundingBvariablesBthatBmayBhaveBaffectedBtheBfindings?
C) DidBtheBauthorsBuseBstatisticalBmeasuresBthatBwereBappropriateBtoBtheBphenomenonBinBquestion?
D) WereBtheBinstrumentsBthatBtheBresearchersBusedBstatisticallyBvalidBandBreliable?
Ans:BA
Feedback:BQualitativeBstudiesBareBjudgedBonBtheBbasisBofBhowBwellBtheyBcaptureBandBconveyBthe
BsubjectiveBexperiencesBofBindividuals.BStatistical Bmeasures BandBvariablesBareBnotBdimensionsBof
BaB
qualitativeBmethodology.
3. ABnurseBhasBexpressedBskepticismBtoBaBcolleagueBaboutBtheBvalueBofBnursingBresearch,BclaimingBth
atBnursingBresearchBhasBlittleBrelevanceBtoBpractice.BHowBcanBtheBnursesBcolleagueBbestBdefendBtheBim
portanceBofBnursingBresearch?
,A) TheBexistenceBofBnursingBresearchBmeansBthatBnursesBareBnowBableBtoBaccessBfederalBgrantBmone
y,BsomethingBthatBdidntBuseBtoBbeBtheBcase.
B) NursingBresearchBhasBallowedBtheBdevelopmentBofBmastersBandBdoctoralBprogramsBandBhasBgreatl
yBincreasedBtheBcredibilityBofBtheBprofession.
C) TheBgrowthBofBnursingBresearchBhasBcausedBnursingBtoBbeBviewedBasBaBtrueBprofession,BratherBtha
nBsimplyBasBaBtradeBorBaBskill.
D) TheBapplicationBofBnursingBresearchBhasBtheBpotentialBtoBimproveBnursingBpracticeBandBpatie
ntBoutcomes.
Ans:BD
Feedback:BTheBgreatestBvalueBofBnursingBresearchBliesBinBtheBpotentialBtoBimproveBpracticeBand,Bu
ltimately,BtoBimproveBpatientBoutcomes.BThisBsupersedesBtheBcontributionsBofBnursingBresearchBtoB
educationBprograms,BgrantBfunding,BorBtheBpublicBviewBofBtheBprofession.
4. TracyBisBaBnurseBwithBaBbaccalaureateBdegreeBwhoBworksBinBtheBlaborBandBdeliveryBunitBofBaBbus
yBurbanBhospital.BSheBhasBnoticedBthatBmanyBnewBmothersBabandonBbreast-
feedingBtheirBbabiesBwhenBtheyBexperienceBearlyBchallengesBandBwondersBwhatBcouldBbeBdoneBtoBe
ncourageBmoreBwomenBtoBcontinueBbreast-
feeding.BWhatBroleBisBTracyBmostBlikelyBtoBplayBinBaBresearchBprojectBthatBtestsBanBinterventionBai
medBatBpromotingBbreast-feeding?
A) ApplyingBforBgrantBfundingBforBtheBresearchBproject
B) PosingBtheBclinicalBproblemBtoBoneBorBmoreBnursingBresearchers
C) PlanningBtheBmethodologyBofBtheBresearchBproject
D) CarryingBoutBtheBinterventionBandBsubmittingBtheBresultsBforBpublicatio
nBAns:BB
Feedback:BABmajorBroleBforBstaffBnursesBisBtoBidentifyBquestionsBorBproblemsBforBresearch.BGra
ntBapplications,BmethodologicalBplanning,BandBpublicationBsubmissionBareBnormallyBcarriedBout
BbyBnursesBwhoBhaveBadvancedBdegreesBinBnursing.
5. ABpatientBsignedBtheBinformedBconsentBformBforBaBdrugBtrialBthatBwasBexplainedBtoBpatientBbyBa
BresearchBassistant.BLater,BtheBpatient BadmittedBtoBhisBnurseBthatBheBdidBnotBunderstand BtheBresearc
hBassistantsBexplanationBorBhisBownBroleBinBtheBstudy.BHowBshouldBthisBpatientsBnurseBrespondBtoB
thisBrevelation?
A) ExplainBtheBresearchBprocessBtoBtheBpatientBinBgreaterBdetail.
B) DescribeBtheBdetailsBofBaBrandomizedBcontrolledBtrialBforBtheBpatient.
, C) InformBtheBresearchBassistantBthatBtheBpatientsBconsentBisBlikelyBinvalid.
D) ExplainBtoBtheBpatientBthatBhisBwrittenBconsentBisBnowBlegallyBbinding.
Ans:BC
Feedback:BJustBasBtheBstaffBnurseBisBnotBresponsibleBforBmedicalBconsent,BtheBstaffBnurseBisBnotBrespon
sibleBforBresearchBconsent.BIfBpatientsBwhoBhaveBagreedBtoBparticipateBexhibitBambivalenceBorBuncerta
intyBaboutBparticipating,BdoBnotBtryBtoBconvinceBthemBtoBparticipate.BAskBtheBpersonBfromBtheBresearc
hBteamBwhoBisBmanagingBconsentsBtoBspeakBwithBconcernedBpatientsBaboutBtheBstudy,BevenBafterBaBpati
entBhasBsignedBtheBconsentBforms.
MultipleBSelection
6. ABnurseBleaderBisBattemptingBtoBincreaseBtheBawarenessBofBevidence-
basedBpracticeB(EBP)BamongBtheBnursesBonBaBunit.BABnurseBwhoBisBimplementingBEBPBintegratesBwhi
chBofBtheBfollowing?B(SelectBallBthatBapply.)
A) InterdisciplinaryBconsensus
B) NursingBtradition
C) ResearchBstudies
D) PatientBpreferencesBandBvalues
E) ClinicalBexpertis
eBAns:BC,BD,BE
Feedback:BFineout-Overholt,BMelnyk,BStillwell,BandBWilliamsonBdefineBEBPBasBaBproblem-
solvingBapproachBtoBtheBdeliveryBofBhealthcareBthatBintegratesBtheBbestBevidenceBfromBstudiesBandBpa
tientBcareBdataBwithBclinicianBexpertiseBandBpatientBpreferencesBandBvalues.
MultipleBChoice
7. Mrs.BMayesBisBaB73-year-
oldBwomanBwhoBhasBaBdiabeticBfootBulcerBthatBhasBbeenBextremelyBslowBtoBhealBandBwhichBnowBposes
BaBthreatBofBosteomyelitis.BTheBwoundBcareBnurseBwhoBhasBbeenBworkingBwithBMrs.BMayes BappliesBev
idence-
basedBpracticeB(EBP)BwheneverBpossibleBandBhasBproposedBtheBuseBofBmaggotBtherapyBtoBdebrideBnecr
oticBtissue.BMrs.BMayes,Bhowever,BfindsBtheBsuggestionBrepugnantBandBadamantlyBopposesBthisBtreatm
entBdespiteBtheBsizableBbodyBofBevidenceBsupportingBit.BHowBshouldBtheBnurseBreconcileBMrs.BMayesBv
iewsBwithBtheBprinciplesBofBEBP?
A) TheBnurseBshouldBexplainBthatBreliableBandBvalidBresearchBevidenceBoverridesBtheBpatientsBopinion.
B) TheBnurseBshouldBexplainBtheBevidenceBtoBtheBpatientBinBgreaterBdetail.