TEST BANK FOR PRIMARY CARE ART AND
SCIENCE OF ADVANCED PRACTICE
NURSING -AN INTERPROFESSIONAL
APPROACH 6TH EDITION DUNPHY
1. Which,.of,.the,.following,.questions,.best,.exemplifies,.the,.PICOT,.format,.for,.aski
ng,.evidence-based,.questions?
A) What,.affect,.does,.parents,.alcohol,.use,.have,.on,.the,.alcohol,.use,.of,.their,.teenage,.children?
B) Among,.postsurgical,.patients,,.what,.role,.does,.meditation,.rather,.than,.benzodiazepines,.hav
e,.on,.anxiety,.levels,.during,.the,.48,.hours,.following,.surgery?
C) Among,.high,.school,.students,,.what,.is,.the,.effectiveness,.of,.a,.sexual,.health,.campaig
n,.undertaken,.during,.the,.first,.4,.weeks,.of,.the,.fall,.semester,.as,.measured,.by,.incidence,.of,.
new,.sexually,.transmitted,.infections?
D) In,.children,.aged,.68,,.is,.the,.effectiveness,.of,.a,.descriptive,.pain,.scale,.superior,.to,.a,.nume
ric,.rating,.scale,.in,.the,.emergency,.room,.context?
Feedback:,.The,.correct,.answer,.includes,.a,.population,.(postsurgical,.patients),,.intervention,.(med
itation),,.comparison,.(benzodiazepines),,.outcome,.(anxiety,.levels),,.and,.a,.time,.frame,.(48,.hours).
,.No,.other,.option,.contains,.each,.of,.the,.five,.elements,.of,.a,.PICOT,.question.
2. A,.nurse,.has,.made,.plans,.to,.implement,.the,.University,.of,.North,.Carolina,.(UNC),.model,.of
,.5,.As,.during,.the,.process,.of,.applying,.evidence-
based,.practice,.(EBP),.to,.a,.practice,.problem.,.What,.is,.the,.final,.step,.that,.the,.nurse,.will,.take,.in,.a
pplying,.this,.model?
A) Analyze,.the,.results,.of,.the,.EBP,.process
,B) Advocate,.for,.others,.to,.embrace,.the,.identified,.change
,C) Adopt,.the,.changes,.identified,.in,.the,.review,.process
D) Assess,.the,.outcomes,.of,.the,.new,.practice,.Ans:,.D
Feedback:,.The,.final,.step,.in,.the,.UNC,.rubric,.is,.to,.Assess,.the,.change,.using,.the,.quality,.improve
ment,.process,.in,.place,.in,.the,.institution.
3. A,.nurse,.has,.been,.asked,.to,.make,.a,.presentation,.to,.a,.group,.of,.high,.school,.students,.on,.t
he,.subject,.of,.sexual,.health.,.However,,.the,.nurse,.does,.not,.have,.a,.background,.in,.this,.practice,.are
a,.and,.requires,.rapid,.access,.to,.evidence-
based,.guidelines.,.Which,.of,.the,.following,.strategies,.is,.most,.likely,.to,.provide,.the,.nurse,.with,.v
alid,.and,.reliable,.evidence,.in,.a,.time-efficient,.manner?
A) Search,.the,.Cochrane,.Library,.of,.Systematic,.Reviews
B) Google,.search,.terms,.such,.as,.sexual,.health,.teens,.and,.sexual,.education
C) Search,.Medline,.using,.PubMed,.and,.order,.relevant,.articles
D) Scan,.the,.most,.recent,.issues,.of,.nursing,.journals,.that,.address,.this,.area,.of,.practice
Feedback:,.For,.some,.problems,,.a,.systematic,.review,.may,.be,.available,.from,.a,.source,.such,.as,.th
e,.Cochrane,.Library.,.Often,.this,.review,.is,.done,.by,.an,.expert,.panel,.providing,.excellent,.informati
on,.on,.which,.to,.base,.decisions.,.This,.approach,.is,.more,.likely,.to,.produce,.valid,.and,.reliable,.res
ults,.than,.a,.Google,.search,.and,.is,.more,.efficient,.than,.searching,.journal,.manually,.or,.ordering,.ar
ticles,.through,.PubMed.
4. The,.nurses,.at,.a,.university,.hospital,.have,.been,.informed,.that,.a,.computerized,.record,.syste
m,.will,.be,.implemented,.over,.the,.next,.12,.months.,.The,.nurses,.should,.be,.aware,.that,.such,.as,.sys
tem,.presents,.particular,.challenges,.in,.the,.area,.of
A) vulnerability,.to,.errors,.in,.charting,.and,.the,.inability,.to,.make,.changes.
B) patient,.privacy,.and,.confidentiality,.of,.records.
, C) enforcing,.compliance,.with,.the,.system,.on,.the,.part,.of,.nurses.
D) ensuring,.compatibility,.with,.different,.computer,.operating,.systems.
Ans:,.B
Feedback:,.Concerns,.about,.privacy,.become,.magnified,.when,.information,.is,.available,.to,.many,.
people,.in,.many,.sites,.far,.removed,.from,.where,.the,.patient,.is,.located,,.a,.situation,.that,.exists,.whe
n
computerized,.records,.are,.used.,.This,.is,.usually,.considered,.a,.more,.important,.concern,.than,.issue
s,.of,.compliance,,.compatibility,,.or,.vulnerability,.to,.errors.
5. A,.nurse,.is,.nervous,.about,.the,.impeding,.introduction,.of,.computerized,.nursing,.care,.recor
ds,.at,.the,.hospital,.because,.he,.does,.not,.consider,.himself,.to,.be,.technologically,.adept.,.How,.shoul
d,.this,.nurse,.best,.respond,.to,.this,.situation?
A) Take,.courses,.in,.advanced,.practice,.nursing,.to,.build,.his,.knowledge.
B) Explore,.employment,.opportunities,.in,.settings,.that,.use,.written,.documentation,.systems.
C) Advocate,.for,.a,.delay,.in,.the,.introduction,.of,.the,.proposed,.system.
D) Seek,.out,.opportunities,.to,.learn,.the,.relevant,.knowledge,.and,.practice,.the,.necessary,.skills.
Ans:,.D
SCIENCE OF ADVANCED PRACTICE
NURSING -AN INTERPROFESSIONAL
APPROACH 6TH EDITION DUNPHY
1. Which,.of,.the,.following,.questions,.best,.exemplifies,.the,.PICOT,.format,.for,.aski
ng,.evidence-based,.questions?
A) What,.affect,.does,.parents,.alcohol,.use,.have,.on,.the,.alcohol,.use,.of,.their,.teenage,.children?
B) Among,.postsurgical,.patients,,.what,.role,.does,.meditation,.rather,.than,.benzodiazepines,.hav
e,.on,.anxiety,.levels,.during,.the,.48,.hours,.following,.surgery?
C) Among,.high,.school,.students,,.what,.is,.the,.effectiveness,.of,.a,.sexual,.health,.campaig
n,.undertaken,.during,.the,.first,.4,.weeks,.of,.the,.fall,.semester,.as,.measured,.by,.incidence,.of,.
new,.sexually,.transmitted,.infections?
D) In,.children,.aged,.68,,.is,.the,.effectiveness,.of,.a,.descriptive,.pain,.scale,.superior,.to,.a,.nume
ric,.rating,.scale,.in,.the,.emergency,.room,.context?
Feedback:,.The,.correct,.answer,.includes,.a,.population,.(postsurgical,.patients),,.intervention,.(med
itation),,.comparison,.(benzodiazepines),,.outcome,.(anxiety,.levels),,.and,.a,.time,.frame,.(48,.hours).
,.No,.other,.option,.contains,.each,.of,.the,.five,.elements,.of,.a,.PICOT,.question.
2. A,.nurse,.has,.made,.plans,.to,.implement,.the,.University,.of,.North,.Carolina,.(UNC),.model,.of
,.5,.As,.during,.the,.process,.of,.applying,.evidence-
based,.practice,.(EBP),.to,.a,.practice,.problem.,.What,.is,.the,.final,.step,.that,.the,.nurse,.will,.take,.in,.a
pplying,.this,.model?
A) Analyze,.the,.results,.of,.the,.EBP,.process
,B) Advocate,.for,.others,.to,.embrace,.the,.identified,.change
,C) Adopt,.the,.changes,.identified,.in,.the,.review,.process
D) Assess,.the,.outcomes,.of,.the,.new,.practice,.Ans:,.D
Feedback:,.The,.final,.step,.in,.the,.UNC,.rubric,.is,.to,.Assess,.the,.change,.using,.the,.quality,.improve
ment,.process,.in,.place,.in,.the,.institution.
3. A,.nurse,.has,.been,.asked,.to,.make,.a,.presentation,.to,.a,.group,.of,.high,.school,.students,.on,.t
he,.subject,.of,.sexual,.health.,.However,,.the,.nurse,.does,.not,.have,.a,.background,.in,.this,.practice,.are
a,.and,.requires,.rapid,.access,.to,.evidence-
based,.guidelines.,.Which,.of,.the,.following,.strategies,.is,.most,.likely,.to,.provide,.the,.nurse,.with,.v
alid,.and,.reliable,.evidence,.in,.a,.time-efficient,.manner?
A) Search,.the,.Cochrane,.Library,.of,.Systematic,.Reviews
B) Google,.search,.terms,.such,.as,.sexual,.health,.teens,.and,.sexual,.education
C) Search,.Medline,.using,.PubMed,.and,.order,.relevant,.articles
D) Scan,.the,.most,.recent,.issues,.of,.nursing,.journals,.that,.address,.this,.area,.of,.practice
Feedback:,.For,.some,.problems,,.a,.systematic,.review,.may,.be,.available,.from,.a,.source,.such,.as,.th
e,.Cochrane,.Library.,.Often,.this,.review,.is,.done,.by,.an,.expert,.panel,.providing,.excellent,.informati
on,.on,.which,.to,.base,.decisions.,.This,.approach,.is,.more,.likely,.to,.produce,.valid,.and,.reliable,.res
ults,.than,.a,.Google,.search,.and,.is,.more,.efficient,.than,.searching,.journal,.manually,.or,.ordering,.ar
ticles,.through,.PubMed.
4. The,.nurses,.at,.a,.university,.hospital,.have,.been,.informed,.that,.a,.computerized,.record,.syste
m,.will,.be,.implemented,.over,.the,.next,.12,.months.,.The,.nurses,.should,.be,.aware,.that,.such,.as,.sys
tem,.presents,.particular,.challenges,.in,.the,.area,.of
A) vulnerability,.to,.errors,.in,.charting,.and,.the,.inability,.to,.make,.changes.
B) patient,.privacy,.and,.confidentiality,.of,.records.
, C) enforcing,.compliance,.with,.the,.system,.on,.the,.part,.of,.nurses.
D) ensuring,.compatibility,.with,.different,.computer,.operating,.systems.
Ans:,.B
Feedback:,.Concerns,.about,.privacy,.become,.magnified,.when,.information,.is,.available,.to,.many,.
people,.in,.many,.sites,.far,.removed,.from,.where,.the,.patient,.is,.located,,.a,.situation,.that,.exists,.whe
n
computerized,.records,.are,.used.,.This,.is,.usually,.considered,.a,.more,.important,.concern,.than,.issue
s,.of,.compliance,,.compatibility,,.or,.vulnerability,.to,.errors.
5. A,.nurse,.is,.nervous,.about,.the,.impeding,.introduction,.of,.computerized,.nursing,.care,.recor
ds,.at,.the,.hospital,.because,.he,.does,.not,.consider,.himself,.to,.be,.technologically,.adept.,.How,.shoul
d,.this,.nurse,.best,.respond,.to,.this,.situation?
A) Take,.courses,.in,.advanced,.practice,.nursing,.to,.build,.his,.knowledge.
B) Explore,.employment,.opportunities,.in,.settings,.that,.use,.written,.documentation,.systems.
C) Advocate,.for,.a,.delay,.in,.the,.introduction,.of,.the,.proposed,.system.
D) Seek,.out,.opportunities,.to,.learn,.the,.relevant,.knowledge,.and,.practice,.the,.necessary,.skills.
Ans:,.D
