,TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE
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NURSING – AN INTERPROFESSIONAL APPROACH 5TH EDITION DUNPHY
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Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
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1. A nurse has conducted a literature review in an effort to identify the effect of hand
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washing on the incidence of nosocomial (hospital-acquired) infections in acute care
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settings. An article presented findings at a level of significance of <0.01. This indicates that
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A) The control group and the experimental group were more than 99% similar.
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B) The findings of the study have less than 1% chance of being attributable to chance.
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C) The effects of the intervention were nearly zero.
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D) The clinical significance of the findings was less than 1:100.
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Ans: Bf
Feedback: The level of significance is the level at which the researcher believes that the study
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results most likely represent a no chance event. A level of significance of <0.01 indicates that
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there is less than 1% probability that the result is due to chance.
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2. A nurse has expressed skepticism to a colleague about the value of nursing research,
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claiming that nursing research has little relevance to practice. How can the nurses colleague best
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defend the importance of nursing research?
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A) The existence of nursing research means that nurses are now able to access federal grant
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money, something that didnt use to be the case.
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,B) Nursing research has allowed the development of masters and doctoral programs and has
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greatly increased the credibility of the profession.
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C) The growth of nursing research has caused nursing to be viewed as a true profession,
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rather than simply as a trade or a skill.
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D) The application of nursing research has the potential to improve nursing practice and
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patient outcomes.
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Ans: D f
Feedback: The greatest value of nursing research lies in the potential to improve practice and, ultimately,
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to improve patient outcomes. This supersedes the contributions of nursing research to education
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programs, grant funding, or the public view of the profession.
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3. A nurse has read a qualitative research study in order to understand the lived experience of
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parents who have a neonatal loss. Which of the following questions should the nurse prioritize when
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appraising the results of this study?
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A) How well did the authors capture the personal experiences of these parents?
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, B) How well did the authors control for confounding variables that may have affected the
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findings?
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C) Did the authors use statistical measures that were appropriate to the phenomenon in
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question?
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D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A
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Feedback: Qualitative studies are judged on the basis of how well they capture and convey the subjective
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experiences of individuals. Statistical measures and variables are not dimensions of a qualitative
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methodology.
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4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a busy
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urban hospital. She has noticed that many new mothers abandon breast-feeding their babies when
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they experience early challenges and wonders what could be done to encourage more women to
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continue breast-feeding. What role is Tracy most likely to play in a research project that tests an
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intervention aimed at promoting breast-feeding?
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A) Applying for grant funding for the research project f f f f f f f
B) Posing the clinical problem to one or more nursing researchers
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C) Planning the methodology of the research project f f f f f f
D) Carrying out the intervention and submitting the results for publication Ans: B
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Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
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applications, methodological planning, and publication submission are normally carried out by
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nurses who have advanced degrees in nursing.
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5. A patient signed the informed consent form for a drug trial that was explained to patient by a
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research assistant. Later, the patient admitted to his nurse that he did not understand the research
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assistants explanation or his own role in the study. How should this patients nurse
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NURSING – AN INTERPROFESSIONAL APPROACH 5TH EDITION DUNPHY
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Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
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1. A nurse has conducted a literature review in an effort to identify the effect of hand
f f f f f f f f f f f f f f f
washing on the incidence of nosocomial (hospital-acquired) infections in acute care
f f f f f f f f f f f
settings. An article presented findings at a level of significance of <0.01. This indicates that
f f f f f f f f f f f f f f f
A) The control group and the experimental group were more than 99% similar.
f f f f f f f f f f f
B) The findings of the study have less than 1% chance of being attributable to chance.
f f f f f f f f f f f f f f
C) The effects of the intervention were nearly zero.
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D) The clinical significance of the findings was less than 1:100.
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Ans: Bf
Feedback: The level of significance is the level at which the researcher believes that the study
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results most likely represent a no chance event. A level of significance of <0.01 indicates that
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there is less than 1% probability that the result is due to chance.
f f f f f f f f f f f f f
2. A nurse has expressed skepticism to a colleague about the value of nursing research,
f f f f f f f f f f f f f
claiming that nursing research has little relevance to practice. How can the nurses colleague best
f f f f f f f f f f f f f f f
defend the importance of nursing research?
f f f f f f
A) The existence of nursing research means that nurses are now able to access federal grant
f f f f f f f f f f f f f f
money, something that didnt use to be the case.
f f f f f f f f f
,B) Nursing research has allowed the development of masters and doctoral programs and has
f f f f f f f f f f f f
greatly increased the credibility of the profession.
f f f f f f f
C) The growth of nursing research has caused nursing to be viewed as a true profession,
f f f f f f f f f f f f f f
rather than simply as a trade or a skill.
f f f f f f f f f
D) The application of nursing research has the potential to improve nursing practice and
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patient outcomes.
f f
Ans: D f
Feedback: The greatest value of nursing research lies in the potential to improve practice and, ultimately,
f f f f f f f f f f f f f f f
to improve patient outcomes. This supersedes the contributions of nursing research to education
f f f f f f f f f f f f f
programs, grant funding, or the public view of the profession.
f f f f f f f f f f
3. A nurse has read a qualitative research study in order to understand the lived experience of
f f f f f f f f f f f f f f f
parents who have a neonatal loss. Which of the following questions should the nurse prioritize when
f f f f f f f f f f f f f f f f
appraising the results of this study?
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A) How well did the authors capture the personal experiences of these parents?
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, B) How well did the authors control for confounding variables that may have affected the
f f f f f f f f f f f f f
findings?
f
C) Did the authors use statistical measures that were appropriate to the phenomenon in
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question?
f
D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A
f
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the subjective
f f f f f f f f f f f f f f f f
experiences of individuals. Statistical measures and variables are not dimensions of a qualitative
f f f f f f f f f f f f f
methodology.
f
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a busy
f f f f f f f f f f f f f f f f f f
urban hospital. She has noticed that many new mothers abandon breast-feeding their babies when
f f f f f f f f f f f f f f
they experience early challenges and wonders what could be done to encourage more women to
f f f f f f f f f f f f f f f
continue breast-feeding. What role is Tracy most likely to play in a research project that tests an
f f f f f f f f f f f f f f f f f
intervention aimed at promoting breast-feeding?
f f f f f
A) Applying for grant funding for the research project f f f f f f f
B) Posing the clinical problem to one or more nursing researchers
f f f f f f f f f
C) Planning the methodology of the research project f f f f f f
D) Carrying out the intervention and submitting the results for publication Ans: B
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Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
f f f f f f f f f f f f f f f
applications, methodological planning, and publication submission are normally carried out by
f f f f f f f f f f f
nurses who have advanced degrees in nursing.
f f f f f f f
5. A patient signed the informed consent form for a drug trial that was explained to patient by a
f f f f f f f f f f f f f f f f f
research assistant. Later, the patient admitted to his nurse that he did not understand the research
f f f f f f f f f f f f f f f f
assistants explanation or his own role in the study. How should this patients nurse
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