w w w w w w
ND SCIENCE OF ADVANCED PRACTICE N
w w w w w
URSING-AN INTERPROFESSIONAL
w
APPROACH 6TH EDITION- DUNPHY
w w w
,TESTwBANKwFORwPRIMARYwCAREwARTwANDwSCIENCEwOFwADVANCEDwPRACTIC
EwNURSINGw–wANwINTERPROFESSIONALwAPPROACHw5THwEDITIONwDUNPHY
Chapterw1.wPrimarywCarewinwthewTwenty-FirstwCentury:wAwCirclewofwCaring
1. Awnursewhaswconductedwawliteraturewreviewwinwanweffortwtowidentifywtheweffectwofwhandww
ashingwonwthewincidencewofwnosocomialw(hospital-
acquired)winfectionswinwacutewcarewsettings.wAnwarticlewpresentedwfindingswatwawlevelwofws
ignificancewofw<0.01.wThiswindicateswthat
A) Thewcontrolwgroupwandwthewexperimentalwgroupwwerewmorewthanw99%wsimilar.
B) Thewfindingswofwthewstudywhavewlesswthanw1%wchancewofwbeingwattributablewtowchance.
C) Theweffectswofwthewinterventionwwerewnearlywzero.
D) Thewclinicalwsignificancewofwthewfindingswwaswlesswthanw1:100.
Ans:wB
Feedback:wThewlevelwofwsignificancewiswthewlevelwatwwhichwthewresearcherwbelieveswthatwthewstu
dywresultswmostwlikelywrepresentwawnowchancewevent.wAwlevelwofwsignificancewofw<0.01windicate
swthatwtherewiswlesswthanw1%wprobabilitywthatwthewresultwiswduewtowchance.
2. Awnursewhaswreadwawqualitativewresearchwstudywinworderwtowunderstandwthewlivedwexperienc
ewofwparentswwhowhavewawneonatalwloss.wWhichwofwthewfollowingwquestionswshouldwthewnursewpriori
tizewwhenwappraisingwthewresultswofwthiswstudy?
A) Howwwellwdidwthewauthorswcapturewthewpersonalwexperienceswofwthesewparents?
,B) Howwwellwdidwthewauthorswcontrolwforwconfoundingwvariableswthatwmaywhavewaffectedwt
hewfindings?
C) Didwthewauthorswusewstatisticalwmeasureswthatwwerewappropriatewtowthewphenomenonwi
nwquestion?
D) Werewthewinstrumentswthatwthewresearcherswusedwstatisticallywvalidwandwreliable?
Ans:wA
Feedback:wQualitativewstudieswarewjudgedwonwthewbasiswofwhowwwellwtheywcapturewandwconveywthew
subjectivewexperienceswofwindividuals.wStatisticalwmeasureswandwvariableswarewnotwdimensionswofwa
wqualitativewmethodology.
3. Awnursewhaswexpressedwskepticismwtowawcolleaguewaboutwthewvaluewofwnursingwresearch,wcl
aimingwthatwnursingwresearchwhaswlittlewrelevancewtowpractice.wHowwcanwthewnurseswcolleaguewbest
wdefendwthewimportancewofwnursingwresearch?
A) Thewexistencewofwnursingwresearchwmeanswthatwnurseswarewnowwablewtowaccesswfederalwgra
ntwmoney,wsomethingwthatwdidntwusewtowbewthewcase.
B) Nursingwresearchwhaswallowedwthewdevelopmentwofwmasterswandwdoctoralwprogramswandwh
aswgreatlywincreasedwthewcredibilitywofwthewprofession.
C) Thewgrowthwofwnursingwresearchwhaswcausedwnursingwtowbewviewedwaswawtruewprofessio
n,wratherwthanwsimplywaswawtradeworwawskill.
, D) Thewapplicationwofwnursingwresearchwhaswthewpotentialwtowimprovewnursingwpracticewan
dwpatientwoutcomes.
Ans:wD
Feedback:wThewgreatestwvaluewofwnursingwresearchwlieswinwthewpotentialwtowimprovewpracticewand,w
ultimately,wtowimprovewpatientwoutcomes.wThiswsupersedeswthewcontributionswofwnursingwresearchwt
oweducationwprograms,wgrantwfunding,worwthewpublicwviewwofwthewprofession.
4. Tracywiswawnursewwithwawbaccalaureatewdegreewwhowworkswinwthewlaborwandwdeliverywunitwof
wawbusywurbanwhospital.wShewhaswnoticedwthatwmanywnewwmotherswabandonwbreast-
feedingwtheirwbabieswwhenwtheywexperiencewearlywchallengeswandwwonderswwhatwcouldwbewdonewto
wencouragewmorewwomenwtowcontinuewbreast-
feeding.wWhatwrolewiswTracywmostwlikelywtowplaywinwawresearchwprojectwthatwtestswanwinterventionwai
medwatwpromotingwbreast-feeding?
A) Applyingwforwgrantwfundingwforwthewresearchwproject
B) Posingwthewclinicalwproblemwtowoneworwmorewnursingwresearchers
C) Planningwthewmethodologywofwthewresearchwproject
D) CarryingwoutwthewinterventionwandwsubmittingwthewresultswforwpublicationwAns:wB
Feedback:wAwmajorwrolewforwstaffwnurseswiswtowidentifywquestionsworwproblemswforwresearch.wGra
ntwapplications,wmethodologicalwplanning,wandwpublicationwsubmissionwarewnormallywcarriedwou
twbywnurseswwhowhavewadvancedwdegreeswinwnursing.
5. Awpatientwsignedwthewinformedwconsentwformwforwawdrugwtrialwthatwwaswexplainedwtowpatie
ntwbywawresearchwassistant.wLater,wthewpatientwadmittedwtowhiswnursewthatwhewdidwnotwunderstandwt
hewresearchwassistantswexplanationworwhiswownwrolewinwthewstudy.wHowwshouldwthiswpatientswnurs
ewrespondwtowthiswrevelation?
A) Explainwthewresearchwprocesswtowthewpatientwinwgreaterwdetail.