TEST BANK FOR PRIMARY CARE
n n n n n
ART AND SCIENCE OF ADVANCED P
n n n n nn
RACTICE NURSING – n n
AN INTERPROFESSIONAL APPROA
n nn n
CH 6TH EDITION DUNPHY ALL CHA
nn n n n nn
PTERS-2023-2024
, PrimarynCare:nArtnandnSciencenof nAdvancednPracticenNursingn-
th
nAnnInterprofessionalnApproach n5 neditionnDunphynTestnBank
Chaptern1.nPrimarynCareninnthenTwenty-FirstnCentury:nAnCirclenof nCaring
1. An nursen hasn conductednanliteraturen review ninn anneffort ntonidentifynthen effect nof nhandwashingn onn then i
ncidencen of n nosocomialn (hospital-
acquired)n infectionsn inn acuten caren settings.n Annarticlen presented nfindingsn at nanleveln of nsignificancen ofn<
0.01.n Thisn indicatesn that
A) then controln groupn and n then experimentaln groupn weren moren thann 99%n similar.
B) then findingsn of n then studyn haven lessn thann 1%n chancen of n beingn attributablen ton chance.
C) then effectsn of n then interventionn weren nearlyn zero.
D) then clinicaln significancen of n then findingsn wasn lessn thann 1:100.
Ans:n B
Feedback:n Then leveln of n significancen isn then leveln at n whichn then researchern believesn that n then studyn resultsn
most n likelyn represent n an nonchancen event.n An leveln of nsignificancen of n <0.01nindicatesn that n theren isn lessn th
ann 1%n probabilityn that n then result n isn duen ton chance.
2. An nursen hasn read nan qualitativenresearchn studyninn ordern ton understand n then lived n experiencen of n parentsn
whon haven an neonataln loss.n Whichn of nthenfollowingn questionsn shouldn then nursen prioritizen whenn appraisin
gn then resultsn of n thisn study?
A) How n welln did n then authorsn capturen then personaln experiencesn of n thesen parents?
B) How n welln did n then authorsn controln forn confoundingn variablesn that n mayn haven affected n then findings?
C) Did n then authorsn usen statisticaln measuresn that n weren appropriaten ton then phenomenonn inn question?
D) Weren then instrumentsn that n then researchersn used n statisticallyn valid n and n reliable?
Ans:n A
Feedback:n Qualitativen studiesn aren judgednonnthenbasisn of nhow nwelln theyncapturen andnconveyn thensubjecti
ven experiencesn of n individuals.n Statisticaln measuresn and nvariablesn aren not ndimensionsn of n anqualitativen me
thodology.
3. An nursen hasn expressed n skepticismn tonancolleaguen about nthenvaluenof nnursingn research,n claimingn that nn
ursingn researchn hasn littlen relevancen ton practice.n How n cann then nursesn colleaguen best n defend n then importa
ncen of n nursingn research?
,A) Then existencen of n nursingn researchn meansn that n nursesn aren nownablen ton accessn federaln grant n money,n s
omethingn that n didnt n usen ton ben then case.
B) Nursingn researchn hasn allowed n thendevelopment n ofnmastersn andndoctoraln programsn andn hasn greatlyn i
ncreased n then credibilityn of n then profession.
C) Then growthn of n nursingn researchn hasn caused nnursingn tonben viewednasnan truen profession,n rathern thannsi
mplyn asn an traden orn an skill.
D) Then applicationn of n nursingn researchn hasn then potentialn tonimproven nursingn practicen andnpatientno
utcomes.
Ans:n D
Feedback:n Then greatest n valuen of n nursingn researchn liesn inn then potentialn ton improven practicen and,n ultimate
ly,n ton improven patient n outcomes.n Thisn supersedesnthencontributionsn ofnnursingn researchn toneducationn pro
grams,n grant n funding,n orn then publicn view n of n then profession.
4. Tracyn isn an nursen withn an baccalaureaten degreen whonworksn innthen laborn andndeliveryn unit nof nanbusyn u
rbann hospital.n Shen hasn noticed n that n manyn new n mothersn abandonn breast-
feedingn theirn babiesn whenn theynexperiencen earlyn challengesn and n wondersn whatn couldn bendonen tonenc
ouragen moren womenn ton continuen breast-
feeding.n What n rolen isn Tracyn most n likelyn ton playn inn an researchn project n that n testsn ann interventionn aime
d n at n promotingn breast-feeding?
A) Applyingn forn grant n fundingn forn then researchn project
B) Posingn then clinicaln problemn ton onen orn moren nursingn researchers
C) Planningn then methodologyn of n then researchn project
D) Carryingn out n then interventionnand nsubmittingnthen resultsn forn publicationn
Ans:n B
Feedback:nAn majorn rolen forn staffn nursesn isn ton identifyn questionsn orn problemsn forn research.n Grant n a
pplications,n methodologicaln planning,n andn publicationn submissionn aren normallyn carried n outn byn n
ursesn whon haven advanced n degreesn inn nursing.
5. An patient n signed n then informedn consent nformn forn andrugn trialn that nwasnexplained n ton patient n bynanres
earchn assistant.n Later,n then patient nadmittedn ton hisn nursen that nhendid nnot n understand n then researchn assi
stantsn explanationn orn hisn ownnrolen inn then study.nHow nshouldnthisn patientsn nursenrespond ntonthisn revel
ation?
A) Explainn then researchn processn ton then patient n inn greatern detail.
B) Describen then detailsn of n an randomized n controlled n trialn forn then patient.
, C) Informn then researchn assistant n that n then patientsn consent n isn likelyn invalid.
D) Explainn ton then patient n that n hisn writtenn consent n isn now n legallyn binding.
Ans:n C
Feedback:n Just n asn then staffn nursen isn notn responsiblen forn medicaln consent,n then staffn nursen isn notn responsib
len forn researchn consent.n If n patientsn whon havenagreed ntonparticipaten exhibit n ambivalencen orn uncertaintyn a
bout n participating,n don not ntryntonconvincen themn tonparticipate.n Asknthenpersonn fromn then researchn teamn w
hon isn managingn consentsn ton speakn withnconcerned npatientsnabout nthenstudy,nevenn afternan patient n hasn sign
ed n then consent n forms.
Multiplen Selection
6. An nursen leadern isn attemptingn ton increasen then awarenessn of n evidence-
based n practicen (EBP)n amongn then nursesn onnanunit.nAnnursen whon isn implementingn EBPn integratesn whichn
of n then following?n (Select n alln that n apply.)
A) Interdisciplinaryn consensus
B) Nursingn tradition
C) Researchn studies
D) Patient n preferencesn and n values
E) Clinicalnexpertise
n Ans:n C,n D,n E
Feedback:n Fineout-Overholt,n Melnyk,n Stillwell,n and n Williamsonn definen EBPn asn an problem-
solvingn approachn ton then deliveryn of nhealthcaren thatnintegratesn thenbest nevidencenfromn studiesn andnpatient
n caren datan withn cliniciann expertisen and n patient n preferencesn and n values.
Multiplen Choice
7. Mrs.n Mayesn isn an 73-year-
old n womann whon hasn andiabeticn footnulcern that nhasn beennextremelyn slow n tonhealn andnwhichn nown posesn ant
hreat n of n osteomyelitis.n Then wound n caren nursen whon hasnbeenn workingn withn Mrs.n Mayesn appliesn evidenc
e-
based n practicen (EBP)n whenevern possiblen and nhasn proposednthenusen ofn maggot ntherapyn tondebridennecrot
icn tissue.n Mrs.n Mayes,n however,n findsn then suggestionnrepugnant n andnadamantlyn opposesnthisn treatment n
despiten then sizablen bodynofnevidencensupportingn it.nHow n should n then nursen reconcilen Mrs.n Mayesn viewsn
withn then principlesn of n EBP?
A) Then nursen should n explainn that n reliablen and n valid n researchn evidencen overridesn then patientsn opinion.
B) Then nursen should n explainn then evidencen ton then patient n inn greatern detail.
n n n n n
ART AND SCIENCE OF ADVANCED P
n n n n nn
RACTICE NURSING – n n
AN INTERPROFESSIONAL APPROA
n nn n
CH 6TH EDITION DUNPHY ALL CHA
nn n n n nn
PTERS-2023-2024
, PrimarynCare:nArtnandnSciencenof nAdvancednPracticenNursingn-
th
nAnnInterprofessionalnApproach n5 neditionnDunphynTestnBank
Chaptern1.nPrimarynCareninnthenTwenty-FirstnCentury:nAnCirclenof nCaring
1. An nursen hasn conductednanliteraturen review ninn anneffort ntonidentifynthen effect nof nhandwashingn onn then i
ncidencen of n nosocomialn (hospital-
acquired)n infectionsn inn acuten caren settings.n Annarticlen presented nfindingsn at nanleveln of nsignificancen ofn<
0.01.n Thisn indicatesn that
A) then controln groupn and n then experimentaln groupn weren moren thann 99%n similar.
B) then findingsn of n then studyn haven lessn thann 1%n chancen of n beingn attributablen ton chance.
C) then effectsn of n then interventionn weren nearlyn zero.
D) then clinicaln significancen of n then findingsn wasn lessn thann 1:100.
Ans:n B
Feedback:n Then leveln of n significancen isn then leveln at n whichn then researchern believesn that n then studyn resultsn
most n likelyn represent n an nonchancen event.n An leveln of nsignificancen of n <0.01nindicatesn that n theren isn lessn th
ann 1%n probabilityn that n then result n isn duen ton chance.
2. An nursen hasn read nan qualitativenresearchn studyninn ordern ton understand n then lived n experiencen of n parentsn
whon haven an neonataln loss.n Whichn of nthenfollowingn questionsn shouldn then nursen prioritizen whenn appraisin
gn then resultsn of n thisn study?
A) How n welln did n then authorsn capturen then personaln experiencesn of n thesen parents?
B) How n welln did n then authorsn controln forn confoundingn variablesn that n mayn haven affected n then findings?
C) Did n then authorsn usen statisticaln measuresn that n weren appropriaten ton then phenomenonn inn question?
D) Weren then instrumentsn that n then researchersn used n statisticallyn valid n and n reliable?
Ans:n A
Feedback:n Qualitativen studiesn aren judgednonnthenbasisn of nhow nwelln theyncapturen andnconveyn thensubjecti
ven experiencesn of n individuals.n Statisticaln measuresn and nvariablesn aren not ndimensionsn of n anqualitativen me
thodology.
3. An nursen hasn expressed n skepticismn tonancolleaguen about nthenvaluenof nnursingn research,n claimingn that nn
ursingn researchn hasn littlen relevancen ton practice.n How n cann then nursesn colleaguen best n defend n then importa
ncen of n nursingn research?
,A) Then existencen of n nursingn researchn meansn that n nursesn aren nownablen ton accessn federaln grant n money,n s
omethingn that n didnt n usen ton ben then case.
B) Nursingn researchn hasn allowed n thendevelopment n ofnmastersn andndoctoraln programsn andn hasn greatlyn i
ncreased n then credibilityn of n then profession.
C) Then growthn of n nursingn researchn hasn caused nnursingn tonben viewednasnan truen profession,n rathern thannsi
mplyn asn an traden orn an skill.
D) Then applicationn of n nursingn researchn hasn then potentialn tonimproven nursingn practicen andnpatientno
utcomes.
Ans:n D
Feedback:n Then greatest n valuen of n nursingn researchn liesn inn then potentialn ton improven practicen and,n ultimate
ly,n ton improven patient n outcomes.n Thisn supersedesnthencontributionsn ofnnursingn researchn toneducationn pro
grams,n grant n funding,n orn then publicn view n of n then profession.
4. Tracyn isn an nursen withn an baccalaureaten degreen whonworksn innthen laborn andndeliveryn unit nof nanbusyn u
rbann hospital.n Shen hasn noticed n that n manyn new n mothersn abandonn breast-
feedingn theirn babiesn whenn theynexperiencen earlyn challengesn and n wondersn whatn couldn bendonen tonenc
ouragen moren womenn ton continuen breast-
feeding.n What n rolen isn Tracyn most n likelyn ton playn inn an researchn project n that n testsn ann interventionn aime
d n at n promotingn breast-feeding?
A) Applyingn forn grant n fundingn forn then researchn project
B) Posingn then clinicaln problemn ton onen orn moren nursingn researchers
C) Planningn then methodologyn of n then researchn project
D) Carryingn out n then interventionnand nsubmittingnthen resultsn forn publicationn
Ans:n B
Feedback:nAn majorn rolen forn staffn nursesn isn ton identifyn questionsn orn problemsn forn research.n Grant n a
pplications,n methodologicaln planning,n andn publicationn submissionn aren normallyn carried n outn byn n
ursesn whon haven advanced n degreesn inn nursing.
5. An patient n signed n then informedn consent nformn forn andrugn trialn that nwasnexplained n ton patient n bynanres
earchn assistant.n Later,n then patient nadmittedn ton hisn nursen that nhendid nnot n understand n then researchn assi
stantsn explanationn orn hisn ownnrolen inn then study.nHow nshouldnthisn patientsn nursenrespond ntonthisn revel
ation?
A) Explainn then researchn processn ton then patient n inn greatern detail.
B) Describen then detailsn of n an randomized n controlled n trialn forn then patient.
, C) Informn then researchn assistant n that n then patientsn consent n isn likelyn invalid.
D) Explainn ton then patient n that n hisn writtenn consent n isn now n legallyn binding.
Ans:n C
Feedback:n Just n asn then staffn nursen isn notn responsiblen forn medicaln consent,n then staffn nursen isn notn responsib
len forn researchn consent.n If n patientsn whon havenagreed ntonparticipaten exhibit n ambivalencen orn uncertaintyn a
bout n participating,n don not ntryntonconvincen themn tonparticipate.n Asknthenpersonn fromn then researchn teamn w
hon isn managingn consentsn ton speakn withnconcerned npatientsnabout nthenstudy,nevenn afternan patient n hasn sign
ed n then consent n forms.
Multiplen Selection
6. An nursen leadern isn attemptingn ton increasen then awarenessn of n evidence-
based n practicen (EBP)n amongn then nursesn onnanunit.nAnnursen whon isn implementingn EBPn integratesn whichn
of n then following?n (Select n alln that n apply.)
A) Interdisciplinaryn consensus
B) Nursingn tradition
C) Researchn studies
D) Patient n preferencesn and n values
E) Clinicalnexpertise
n Ans:n C,n D,n E
Feedback:n Fineout-Overholt,n Melnyk,n Stillwell,n and n Williamsonn definen EBPn asn an problem-
solvingn approachn ton then deliveryn of nhealthcaren thatnintegratesn thenbest nevidencenfromn studiesn andnpatient
n caren datan withn cliniciann expertisen and n patient n preferencesn and n values.
Multiplen Choice
7. Mrs.n Mayesn isn an 73-year-
old n womann whon hasn andiabeticn footnulcern that nhasn beennextremelyn slow n tonhealn andnwhichn nown posesn ant
hreat n of n osteomyelitis.n Then wound n caren nursen whon hasnbeenn workingn withn Mrs.n Mayesn appliesn evidenc
e-
based n practicen (EBP)n whenevern possiblen and nhasn proposednthenusen ofn maggot ntherapyn tondebridennecrot
icn tissue.n Mrs.n Mayes,n however,n findsn then suggestionnrepugnant n andnadamantlyn opposesnthisn treatment n
despiten then sizablen bodynofnevidencensupportingn it.nHow n should n then nursen reconcilen Mrs.n Mayesn viewsn
withn then principlesn of n EBP?
A) Then nursen should n explainn that n reliablen and n valid n researchn evidencen overridesn then patientsn opinion.
B) Then nursen should n explainn then evidencen ton then patient n inn greatern detail.
