Test Bank Primary Care Art and Science of Advanc
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ed Practice Nursing -
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An InterprofessionalApproach 5th Edition Lynne
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M. Dunphy. All Chapters 1-
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82. 531 Pages Update 2023/2024
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Primary Care: Art and Science of AdvancedP
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ractice Nursing - p p
An Interprofessional Approach 5th edition D
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unphy Test Bank Update 2023/2024
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, PrimarypCare:pArtpandpSciencepofpAdvancedpPracticepNursingp-
InterprofessionalpApproachp5thp editionpDunphypTestpBank
pAnp
Chapterp1.pPrimarypCarepinpthepTwenty-FirstpCentury:pApCirclepofpCaring
1. Apnursephaspconductedpapliteraturepreviewpinpanpeffortptopidentifypthepeffectpofphandwashingponpthepin
cidencepofpnosocomialp(hospital-
acquired)pinfectionspinpacutepcarepsettings.pAnparticleppresentedpfindingspatp aplevelpofpsignificancepofp
<0.01.pThispindicatespthat
A) thepcontrolpgrouppandpthepexperimentalpgrouppwerepmorepthanp99%psimilar.
B) thepfindingspofpthepstudyphaveplesspthanp1%pchancepofpbeingpattributableptopchance.
C) thepeffectspofpthepinterventionpwerepnearlypzero.
D) thepclinicalpsignificancepofpthepfindingspwasplesspthanp1:100.
Ans:pB
Feedback:pTheplevelpofpsignificancepisptheplevelpatpwhichpthepresearcherpbelievespthatpthepstudypresultspm
ostplikelyprepresentpapnonchancepevent.pAplevelpofpsignificancepofp<0.01pindicatespthatptherepisplesspthan
p1%p probabilitypthatp thepresultp ispdueptopchance.
2. Apnursephaspreadpapqualitativepresearchpstudypinporderptopunderstandptheplivedpexperiencepofpparentspw
hophavepapneonatalploss.pWhichpofpthepfollowingpquestionspshouldpthepnursepprioritizepwhenpappraisingp
thepresultspofpthispstudy?
A) Howpwellpdidpthepauthorspcaptureptheppersonalpexperiencespofpthesepparents?
B) Howpwellpdidpthepauthorspcontrolpforpconfoundingpvariablespthatpmayphavepaffectedpthepfindings?
C) Didpthepauthorspusepstatisticalpmeasurespthatpwerepappropriateptopthepphenomenonpinpquestion?
D) Werepthepinstrumentspthatpthepresearcherspusedpstatisticallypvalidpandpreliable?
Ans:pA
Feedback:pQualitativepstudiesparepjudgedponpthepbasispofphowpwellptheypcapturepandpconveypthepsubject
ivepexperiencespofpindividuals.pStatisticalpmeasurespandpvariablesparepnotpdimensionspofpapqualitativepm
ethodology.
3. Tracypispapnursepwithpapbaccalaureatepdegreepwhopworkspinptheplaborpandpdeliverypunitpofpapbusypur
banphospital.pShephaspnoticedpthatpmanypnewpmotherspabandonpbreast-
feedingptheirpbabiespwhenptheypexperiencepearlypchallengespandpwonderspwhatpcouldpbepdoneptopenc
ouragepmorepwomenptopcontinuepbreast-
feeding.pWhatprolepispTracypmostplikelyptopplaypinpapresearchpprojectpthatptestspanpinterventionpaime
dpatppromotingpbreast-feeding?
A) Applyingpforpgrantpfundingpforpthepresearchpproject
B) Posingpthepclinicalpproblemptoponeporpmorepnursingpresearchers
,C) Planningpthepmethodologypofpthepresearchpproject
D) Carryingpoutpthepinterventionpandpsubmittingpthepresultspforppublicationp
Ans:pB
Feedback:pApmajorprolepforpstaffpnursespisptopidentifypquestionsporpproblemspforpresearch.pGrantpa
pplications,pmethodologicalpplanning,pandppublicationpsubmissionparepnormallypcarriedpoutpbypn
ursespwhophavepadvancedpdegreespinpnursing.
4. Apnursephaspexpressedpskepticismptopapcolleaguepaboutpthepvaluepofpnursingpresearch,pclaimingpthatpn
ursingpresearchphasplittleprelevanceptoppractice.pHowpcanpthepnursespcolleaguepbestpdefendpthepimportan
cepofpnursingpresearch?
A) Thepexistencepofpnursingpresearchpmeanspthatpnursesparepnowpableptopaccesspfederalpgrantpmoney,ps
omethingpthatpdidntpuseptopbepthepcase.
B) Nursingpresearchphaspallowedpthepdevelopmentpofpmasterspandpdoctoralpprogramspandphaspgreatlypi
ncreasedpthepcredibilitypofpthepprofession.
C) Thepgrowthpofpnursingpresearchphaspcausedpnursingptopbepviewedpaspaptruepprofession,pratherpthanpsi
mplypaspaptradeporpapskill.
D) Thepapplicationpofpnursingpresearchphasptheppotentialptopimprovepnursingppracticepandppatientpo
utcomes.
Ans:pD
Feedback:pThepgreatestpvaluepofpnursingpresearchpliespinptheppotentialptopimproveppracticepand,pultimat
ely,ptopimproveppatientpoutcomes.pThispsupersedespthepcontributionspofpnursingpresearchptopeducationppr
ograms,pgrantpfunding,porptheppublicpviewpofpthepprofession.
5. Appatientpsignedpthepinformedpconsentpformpforpapdrugptrialpthatpwaspexplainedptoppatientpbypapre
searchpassistant.pLater,ptheppatientpadmittedptophispnursepthatphepdidpnotpunderstandpthepresearchpassi
stantspexplanationporphispownprolepinpthepstudy.pHowpshouldpthisppatientspnurseprespondptopthisprevel
ation?
A) Explainpthepresearchpprocessptoptheppatientpinpgreaterpdetail.
B) Describepthepdetailspofpaprandomizedpcontrolledptrialpforptheppatient.
, C) Informpthepresearchpassistantpthatptheppatientspconsentpisplikelypinvalid.
D) Explainptoptheppatientpthatphispwrittenpconsentpispnowplegallypbinding.
Ans:pC
Feedback:pJustpaspthepstaffpnursepispnotpresponsiblepforpmedicalpconsent,pthepstaffpnursepispnotpresponsib
lepforpresearchpconsent.pIfppatientspwhophavepagreedptopparticipatepexhibitpambivalenceporpuncertaintypa
boutpparticipating,pdopnotptryptopconvincepthemptopparticipate.pAskptheppersonpfrompthepresearchpteampw
hopispmanagingpconsentsptopspeakpwithpconcernedppatientspaboutpthepstudy,pevenpafterpappatientp haspsign
edpthepconsentpforms.
MultiplepSelection
6. Apnursepleaderpispattemptingptopincreasepthepawarenesspofpevidence-
basedppracticep(EBP)pamongpthepnursesponpapunit.pApnursepwhop ispimplementingpEBPpintegratespwhichp
ofpthepfollowing?p(Selectpallpthatpapply.)
A) Interdisciplinarypconsensus
B) Nursingptradition
C) Researchpstudies
D) Patientppreferencespandpvalues
E) Clinicalpexpertisep
Ans:pC,pD,pE
Feedback:pFineout-Overholt,pMelnyk,pStillwell,pandpWilliamsonpdefinepEBPpaspapproblem-
solvingpapproachptopthepdeliverypofphealthcarepthatpintegratespthepbestpevidencepfrompstudiespandppatien
tpcarepdatapwithpclinicianpexpertisepandppatientp preferencespandp values.
MultiplepChoice
7. Mrs.pMayespispap73-year-
oldpwomanpwhophaspapdiabeticpfootpulcerpthatphaspbeenpextremelypslowptophealpandpwhichpnowpposespapt
hreatpofposteomyelitis.pThepwoundpcarepnursepwhophaspbeenpworkingpwithpMrs.pMayespappliespevidenc
e-
basedppracticep(EBP)pwheneverppossiblepandphaspproposedpthepusepofpmaggotptherapyptopdebridepnecroti
cptissue.pMrs.pMayes,phowever,pfindspthepsuggestionprepugnantpandpadamantlypopposespthisptreatmentpd
espitepthepsizablepbodypofpevidencepsupportingpit.pHowpshouldpthepnursepreconcilepMrs.pMayespviewspwi
thpthepprinciplespofpEBP?
A) Thepnursepshouldpexplainpthatpreliablepandpvalidpresearchpevidencepoverridesptheppatientspopinion.
B) Thepnursepshouldpexplainpthepevidenceptoptheppatientpinpgreaterpdetail.
p p p p p p p p
ed Practice Nursing -
p p p
An InterprofessionalApproach 5th Edition Lynne
p p p p p p p
M. Dunphy. All Chapters 1-
p p p p
82. 531 Pages Update 2023/2024
p p p p p
Primary Care: Art and Science of AdvancedP
p p p p p p p
ractice Nursing - p p
An Interprofessional Approach 5th edition D
p p p p p p
unphy Test Bank Update 2023/2024
p p p p
, PrimarypCare:pArtpandpSciencepofpAdvancedpPracticepNursingp-
InterprofessionalpApproachp5thp editionpDunphypTestpBank
pAnp
Chapterp1.pPrimarypCarepinpthepTwenty-FirstpCentury:pApCirclepofpCaring
1. Apnursephaspconductedpapliteraturepreviewpinpanpeffortptopidentifypthepeffectpofphandwashingponpthepin
cidencepofpnosocomialp(hospital-
acquired)pinfectionspinpacutepcarepsettings.pAnparticleppresentedpfindingspatp aplevelpofpsignificancepofp
<0.01.pThispindicatespthat
A) thepcontrolpgrouppandpthepexperimentalpgrouppwerepmorepthanp99%psimilar.
B) thepfindingspofpthepstudyphaveplesspthanp1%pchancepofpbeingpattributableptopchance.
C) thepeffectspofpthepinterventionpwerepnearlypzero.
D) thepclinicalpsignificancepofpthepfindingspwasplesspthanp1:100.
Ans:pB
Feedback:pTheplevelpofpsignificancepisptheplevelpatpwhichpthepresearcherpbelievespthatpthepstudypresultspm
ostplikelyprepresentpapnonchancepevent.pAplevelpofpsignificancepofp<0.01pindicatespthatptherepisplesspthan
p1%p probabilitypthatp thepresultp ispdueptopchance.
2. Apnursephaspreadpapqualitativepresearchpstudypinporderptopunderstandptheplivedpexperiencepofpparentspw
hophavepapneonatalploss.pWhichpofpthepfollowingpquestionspshouldpthepnursepprioritizepwhenpappraisingp
thepresultspofpthispstudy?
A) Howpwellpdidpthepauthorspcaptureptheppersonalpexperiencespofpthesepparents?
B) Howpwellpdidpthepauthorspcontrolpforpconfoundingpvariablespthatpmayphavepaffectedpthepfindings?
C) Didpthepauthorspusepstatisticalpmeasurespthatpwerepappropriateptopthepphenomenonpinpquestion?
D) Werepthepinstrumentspthatpthepresearcherspusedpstatisticallypvalidpandpreliable?
Ans:pA
Feedback:pQualitativepstudiesparepjudgedponpthepbasispofphowpwellptheypcapturepandpconveypthepsubject
ivepexperiencespofpindividuals.pStatisticalpmeasurespandpvariablesparepnotpdimensionspofpapqualitativepm
ethodology.
3. Tracypispapnursepwithpapbaccalaureatepdegreepwhopworkspinptheplaborpandpdeliverypunitpofpapbusypur
banphospital.pShephaspnoticedpthatpmanypnewpmotherspabandonpbreast-
feedingptheirpbabiespwhenptheypexperiencepearlypchallengespandpwonderspwhatpcouldpbepdoneptopenc
ouragepmorepwomenptopcontinuepbreast-
feeding.pWhatprolepispTracypmostplikelyptopplaypinpapresearchpprojectpthatptestspanpinterventionpaime
dpatppromotingpbreast-feeding?
A) Applyingpforpgrantpfundingpforpthepresearchpproject
B) Posingpthepclinicalpproblemptoponeporpmorepnursingpresearchers
,C) Planningpthepmethodologypofpthepresearchpproject
D) Carryingpoutpthepinterventionpandpsubmittingpthepresultspforppublicationp
Ans:pB
Feedback:pApmajorprolepforpstaffpnursespisptopidentifypquestionsporpproblemspforpresearch.pGrantpa
pplications,pmethodologicalpplanning,pandppublicationpsubmissionparepnormallypcarriedpoutpbypn
ursespwhophavepadvancedpdegreespinpnursing.
4. Apnursephaspexpressedpskepticismptopapcolleaguepaboutpthepvaluepofpnursingpresearch,pclaimingpthatpn
ursingpresearchphasplittleprelevanceptoppractice.pHowpcanpthepnursespcolleaguepbestpdefendpthepimportan
cepofpnursingpresearch?
A) Thepexistencepofpnursingpresearchpmeanspthatpnursesparepnowpableptopaccesspfederalpgrantpmoney,ps
omethingpthatpdidntpuseptopbepthepcase.
B) Nursingpresearchphaspallowedpthepdevelopmentpofpmasterspandpdoctoralpprogramspandphaspgreatlypi
ncreasedpthepcredibilitypofpthepprofession.
C) Thepgrowthpofpnursingpresearchphaspcausedpnursingptopbepviewedpaspaptruepprofession,pratherpthanpsi
mplypaspaptradeporpapskill.
D) Thepapplicationpofpnursingpresearchphasptheppotentialptopimprovepnursingppracticepandppatientpo
utcomes.
Ans:pD
Feedback:pThepgreatestpvaluepofpnursingpresearchpliespinptheppotentialptopimproveppracticepand,pultimat
ely,ptopimproveppatientpoutcomes.pThispsupersedespthepcontributionspofpnursingpresearchptopeducationppr
ograms,pgrantpfunding,porptheppublicpviewpofpthepprofession.
5. Appatientpsignedpthepinformedpconsentpformpforpapdrugptrialpthatpwaspexplainedptoppatientpbypapre
searchpassistant.pLater,ptheppatientpadmittedptophispnursepthatphepdidpnotpunderstandpthepresearchpassi
stantspexplanationporphispownprolepinpthepstudy.pHowpshouldpthisppatientspnurseprespondptopthisprevel
ation?
A) Explainpthepresearchpprocessptoptheppatientpinpgreaterpdetail.
B) Describepthepdetailspofpaprandomizedpcontrolledptrialpforptheppatient.
, C) Informpthepresearchpassistantpthatptheppatientspconsentpisplikelypinvalid.
D) Explainptoptheppatientpthatphispwrittenpconsentpispnowplegallypbinding.
Ans:pC
Feedback:pJustpaspthepstaffpnursepispnotpresponsiblepforpmedicalpconsent,pthepstaffpnursepispnotpresponsib
lepforpresearchpconsent.pIfppatientspwhophavepagreedptopparticipatepexhibitpambivalenceporpuncertaintypa
boutpparticipating,pdopnotptryptopconvincepthemptopparticipate.pAskptheppersonpfrompthepresearchpteampw
hopispmanagingpconsentsptopspeakpwithpconcernedppatientspaboutpthepstudy,pevenpafterpappatientp haspsign
edpthepconsentpforms.
MultiplepSelection
6. Apnursepleaderpispattemptingptopincreasepthepawarenesspofpevidence-
basedppracticep(EBP)pamongpthepnursesponpapunit.pApnursepwhop ispimplementingpEBPpintegratespwhichp
ofpthepfollowing?p(Selectpallpthatpapply.)
A) Interdisciplinarypconsensus
B) Nursingptradition
C) Researchpstudies
D) Patientppreferencespandpvalues
E) Clinicalpexpertisep
Ans:pC,pD,pE
Feedback:pFineout-Overholt,pMelnyk,pStillwell,pandpWilliamsonpdefinepEBPpaspapproblem-
solvingpapproachptopthepdeliverypofphealthcarepthatpintegratespthepbestpevidencepfrompstudiespandppatien
tpcarepdatapwithpclinicianpexpertisepandppatientp preferencespandp values.
MultiplepChoice
7. Mrs.pMayespispap73-year-
oldpwomanpwhophaspapdiabeticpfootpulcerpthatphaspbeenpextremelypslowptophealpandpwhichpnowpposespapt
hreatpofposteomyelitis.pThepwoundpcarepnursepwhophaspbeenpworkingpwithpMrs.pMayespappliespevidenc
e-
basedppracticep(EBP)pwheneverppossiblepandphaspproposedpthepusepofpmaggotptherapyptopdebridepnecroti
cptissue.pMrs.pMayes,phowever,pfindspthepsuggestionprepugnantpandpadamantlypopposespthisptreatmentpd
espitepthepsizablepbodypofpevidencepsupportingpit.pHowpshouldpthepnursepreconcilepMrs.pMayespviewspwi
thpthepprinciplespofpEBP?
A) Thepnursepshouldpexplainpthatpreliablepandpvalidpresearchpevidencepoverridesptheppatientspopinion.
B) Thepnursepshouldpexplainpthepevidenceptoptheppatientpinpgreaterpdetail.
