,TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE
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NURSING – AN INTERPROFESSIONAL APPROACH 6TH 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
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that d
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: Bd
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.
d d d d d d d d d d d d d
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
d d d d d d d d d d d d d d d
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
d d d d d d d d d d d d d d
money, something that didnt use to be the case.
d d d d d d d d d
,B) Nursing research has allowed the development of masters and doctoral programs and has
d d d d d d d d d d d d
greatly increased the credibility of the profession.
d d d d d d d
C) The growth of nursing research has caused nursing to be viewed as a true profession,
d d d d d d d d d d d d d d
rather than simply as a trade or a skill.
d d d d d d d d d
D) The application of nursing research has the potential to improve nursing practice and
d d d d d d d d d d d d
patient outcomes.
d d
Ans: D d
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
d d d d d d d d d d d d d d
ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
d d d d d d d d d d d d d
education programs, grant funding, or the public view of the profession.
d d d d d d d d d d d
3. A nurse has read a qualitative research study in order to understand the lived experience
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of parents who have a neonatal loss. Which of the following questions should the nurse prioritize
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when 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
d d d d d d d d d d d d d
findings?
d
C) Did the authors use statistical measures that were appropriate to the phenomenon in
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question?
d
D) Were the instruments that the researchers used statistically valid and reliable?
d d d d d d d d d d
Ans: A d
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
d d d d d d d d d d d d d d d
subjective experiences of individuals. Statistical measures and variables are not dimensions of a
d d d d d d d d d d d d d
qualitative methodology.
d d
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
d d d d d d d d d d d d d d d d d
busy urban hospital. She has noticed that many new mothers abandon breast-feeding their babies
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when they experience early challenges and wonders what could be done to encourage more
d d d d d d d d d d d d d d
women to continue breast-feeding. What role is Tracy most likely to play in a research project
d d d d d d d d d d d d d d d d
that tests an intervention aimed at promoting breast-feeding?
d d d d d d d d
A) Applying for grant funding for the research project d d d d d d d
B) Posing the clinical problem to one or more nursing researchers
d d d d d d d d d
C) Planning the methodology of the research project d d d d d d
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
d d d d d d d d d d d d d d d
applications, methodological planning, and publication submission are normally carried out by
d d d d d d d d d d d
nurses who have advanced degrees in nursing.
d d d d d d d
5. A patient signed the informed consent form for a drug trial that was explained to patient
d d d d d d d d d d d d d d d
by a research assistant. Later, the patient admitted to his nurse that he did not understand the
d d d d d d d d d d d d d d d d d
research assistants explanation or his own role in the study. How should this patients nurse
d d d d d d d d d d d d d d d
d d d d d d d d d d
NURSING – AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY
d d d d d d d d
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
d d d d d d d d d d d
1. A nurse has conducted a literature review in an effort to identify the effect of hand
d d d d d d d d d d d d d d d
washing on the incidence of nosocomial (hospital-acquired) infections in acute care
d d d d d d d d d d d
settings. An article presented findings at a level of significance of <0.01. This indicates
d d d d d d d d d d d d d d
that d
A) The control group and the experimental group were more than 99% similar.
d d d d d d d d d d d
B) The findings of the study have less than 1% chance of being attributable to chance.
d d d d d d d d d d d d d d
C) The effects of the intervention were nearly zero.
d d d d d d d
D) The clinical significance of the findings was less than 1:100.
d d d d d d d d d
Ans: Bd
Feedback: The level of significance is the level at which the researcher believes that the study
d d d d d d d d d d d d d d d
results most likely represent a no chance event. A level of significance of <0.01 indicates that
d d d d d d d d d d d d d d d d
there is less than 1% probability that the result is due to chance.
d d d d d d d d d d d d d
2. A nurse has expressed skepticism to a colleague about the value of nursing research,
d d d d d d d d d d d d d
claiming that nursing research has little relevance to practice. How can the nurses colleague best
d d d d d d d d d d d d d d d
defend the importance of nursing research?
d d d d d d
A) The existence of nursing research means that nurses are now able to access federal grant
d d d d d d d d d d d d d d
money, something that didnt use to be the case.
d d d d d d d d d
,B) Nursing research has allowed the development of masters and doctoral programs and has
d d d d d d d d d d d d
greatly increased the credibility of the profession.
d d d d d d d
C) The growth of nursing research has caused nursing to be viewed as a true profession,
d d d d d d d d d d d d d d
rather than simply as a trade or a skill.
d d d d d d d d d
D) The application of nursing research has the potential to improve nursing practice and
d d d d d d d d d d d d
patient outcomes.
d d
Ans: D d
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
d d d d d d d d d d d d d d
ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
d d d d d d d d d d d d d
education programs, grant funding, or the public view of the profession.
d d d d d d d d d d d
3. A nurse has read a qualitative research study in order to understand the lived experience
d d d d d d d d d d d d d d
of parents who have a neonatal loss. Which of the following questions should the nurse prioritize
d d d d d d d d d d d d d d d d
when appraising the results of this study?
d d d d d d d
A) How well did the authors capture the personal experiences of these parents?
d d d d d d d d d d d
, B) How well did the authors control for confounding variables that may have affected the
d d d d d d d d d d d d d
findings?
d
C) Did the authors use statistical measures that were appropriate to the phenomenon in
d d d d d d d d d d d d
question?
d
D) Were the instruments that the researchers used statistically valid and reliable?
d d d d d d d d d d
Ans: A d
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
d d d d d d d d d d d d d d d
subjective experiences of individuals. Statistical measures and variables are not dimensions of a
d d d d d d d d d d d d d
qualitative methodology.
d d
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
d d d d d d d d d d d d d d d d d
busy urban hospital. She has noticed that many new mothers abandon breast-feeding their babies
d d d d d d d d d d d d d d
when they experience early challenges and wonders what could be done to encourage more
d d d d d d d d d d d d d d
women to continue breast-feeding. What role is Tracy most likely to play in a research project
d d d d d d d d d d d d d d d d
that tests an intervention aimed at promoting breast-feeding?
d d d d d d d d
A) Applying for grant funding for the research project d d d d d d d
B) Posing the clinical problem to one or more nursing researchers
d d d d d d d d d
C) Planning the methodology of the research project d d d d d d
D) Carrying out the intervention and submitting the results for publication Ans: B
d d d d d d d d d d d
Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
d d d d d d d d d d d d d d d
applications, methodological planning, and publication submission are normally carried out by
d d d d d d d d d d d
nurses who have advanced degrees in nursing.
d d d d d d d
5. A patient signed the informed consent form for a drug trial that was explained to patient
d d d d d d d d d d d d d d d
by a research assistant. Later, the patient admitted to his nurse that he did not understand the
d d d d d d d d d d d d d d d d d
research assistants explanation or his own role in the study. How should this patients nurse
d d d d d d d d d d d d d d d
