InterprofessionalCApproachC5thCeditionCDunphyCTestCBank
CAnC
ChapterC1.CPrimaryCCareCinCtheCTwenty-
FirstCCentury:CACCircleCofCCaring
1. ACnurseChasCconductedCaCliteratureCreviewCinCanCeffortCtoCidentifyCtheCeffectCofChandwashingConCth
eCincidenceCofCnosocomialC(hospital-
acquired)CinfectionsCinCacuteCcareCsettings.CAnCarticleCpresentedCfindingsCatCaClevelCofCsignificanceCo
fC<0.01.CThisCindicatesCthat
A) theCcontrolCgroupCandCtheCexperimentalCgroupCwereCmoreCthanC99%Csimilar.
B) theCfindingsCofCtheCstudyChaveClessCthanC1%CchanceCofCbeingCattributableCtoCchance.
C) theCeffectsCofCtheCinterventionCwereCnearlyCzero.
D) theCclinicalCsignificanceCofCtheCfindingsCwasClessCthanC1:100.
Ans:CB
Feedback:CTheClevelCofCsignificanceCisCtheClevelCatCwhichCtheCresearcherCbelievesCthatCtheCstudyCresult
sCmostClikelyCrepresentCaCnonchanceCevent.CAClevelCofCsignificanceCofC<0.01CindicatesCthatCthereCisCles
sCthanC1%CprobabilityCthatCtheCresultCisCdueCtoCchance.
2. ACnurseChasCreadCaCqualitativeCresearchCstudyCinCorderCtoCunderstandCtheClivedCexperienceCofCparent
sCwhoChaveCaCneonatalCloss.CWhichCofCtheCfollowingCquestionsCshouldCtheCnurseCprioritizeCwhenCappra
isingCtheCresultsCofCthisCstudy?
A) HowCwellCdidCtheCauthorsCcaptureCtheCpersonalCexperiencesCofCtheseCparents?
B) HowCwellCdidCtheCauthorsCcontrolCforCconfoundingCvariablesCthatCmayChaveCaffectedCtheCfindings?
C) DidCtheCauthorsCuseCstatisticalCmeasuresCthatCwereCappropriateCtoCtheCphenomenonCinCquestion?
D) WereCtheCinstrumentsCthatCtheCresearchersCusedCstatisticallyCvalidCandCreliable?
Ans:CA
Feedback:CQualitativeCstudiesCareCjudgedConCtheCbasisCofChowCwellCtheyCcaptureCandCconveyCthe
CsubjectiveCexperiencesCofCindividuals.CStatisticalCmeasuresCandCvariablesCareCnotCdimensionsCof
CaC
qualitativeCmethodology.
3. ACnurseChasCexpressedCskepticismCtoCaCcolleagueCaboutCtheCvalueCofCnursingCresearch,CclaimingCth
atCnursingCresearchChasClittleCrelevanceCtoCpractice.CHowCcanCtheCnursesCcolleagueCbestCdefendCtheCim
portanceCofCnursingCresearch?
,A) TheCexistenceCofCnursingCresearchCmeansCthatCnursesCareCnowCableCtoCaccessCfederalCgrantCmone
y,CsomethingCthatCdidntCuseCtoCbeCtheCcase.
B) NursingCresearchChasCallowedCtheCdevelopmentCofCmastersCandCdoctoralCprogramsCandChasCgreatl
yCincreasedCtheCcredibilityCofCtheCprofession.
C) TheCgrowthCofCnursingCresearchChasCcausedCnursingCtoCbeCviewedCasCaCtrueCprofession,CratherCtha
nCsimplyCasCaCtradeCorCaCskill.
D) TheCapplicationCofCnursingCresearchChasCtheCpotentialCtoCimproveCnursingCpracticeCandCpatien
tCoutcomes.
Ans:CD
Feedback:CTheCgreatestCvalueCofCnursingCresearchCliesCinCtheCpotentialCtoCimproveCpracticeCand,Cu
ltimately,CtoCimproveCpatientCoutcomes.CThisCsupersedesCtheCcontributionsCofCnursingCresearchCtoC
educationCprograms,CgrantCfunding,CorCtheCpublicCviewCofCtheCprofession.
4. TracyCisCaCnurseCwithCaCbaccalaureateCdegreeCwhoCworksCinCtheClaborCandCdeliveryCunitCofCaCbus
yCurbanChospital.CSheChasCnoticedCthatCmanyCnewCmothersCabandonCbreast-
feedingCtheirCbabiesCwhenCtheyCexperienceCearlyCchallengesCandCwondersCwhatCcouldCbeCdoneCtoCe
ncourageCmoreCwomenCtoCcontinueCbreast-
feeding.CWhatCroleCisCTracyCmostClikelyCtoCplayCinCaCresearchCprojectCthatCtestsCanCinterventionCai
medCatCpromotingCbreast-feeding?
A) ApplyingCforCgrantCfundingCforCtheCresearchCproject
B) PosingCtheCclinicalCproblemCtoConeCorCmoreCnursingCresearchers
C) PlanningCtheCmethodologyCofCtheCresearchCproject
D) CarryingCoutCtheCinterventionCandCsubmittingCtheCresultsCforCpublicatio
nCAns:CB
Feedback:CACmajorCroleCforCstaffCnursesCisCtoCidentifyCquestionsCorCproblemsCforCresearch.CGra
ntCapplications,CmethodologicalCplanning,CandCpublicationCsubmissionCareCnormallyCcarriedCout
CbyCnursesCwhoChaveCadvancedCdegreesCinCnursing.
5. ACpatientCsignedCtheCinformedCconsentCformCforCaCdrugCtrialCthatCwasCexplainedCtoCpatientCbyCa
CresearchCassistant.CLater,CtheCpatientCadmittedCtoChisCnurseCthatCheCdidCnotCunderstandCtheCresearc
hCassistantsCexplanationCorChisCownCroleCinCtheCstudy.CHowCshouldCthisCpatientsCnurseCrespondCtoC
thisCrevelation?
A) ExplainCtheCresearchCprocessCtoCtheCpatientCinCgreaterCdetail.
B) DescribeCtheCdetailsCofCaCrandomizedCcontrolledCtrialCforCtheCpatient.
, C) InformCtheCresearchCassistantCthatCtheCpatientsCconsentCisClikelyCinvalid.
D) ExplainCtoCtheCpatientCthatChisCwrittenCconsentCisCnowClegallyCbinding.
Ans:CC
Feedback:CJustCasCtheCstaffCnurseCisCnotCresponsibleCforCmedicalCconsent,CtheCstaffCnurseCisCnotCrespon
sibleCforCresearchCconsent.CIfCpatientsCwhoChaveCagreedCtoCparticipateCexhibitCambivalenceCorCuncertai
ntyCaboutCparticipating,CdoCnotCtryCtoCconvinceCthemCtoCparticipate.CAskCtheCpersonCfromCtheCresearch
CteamCwhoCisCmanagingCconsentsCtoCspeakCwithCconcernedCpatientsCaboutCtheCstudy,CevenCafterC aCpatie
ntChasCsignedCtheCconsentCforms.
MultipleCSelection
6. ACnurseCleaderCisCattemptingCtoCincreaseCtheCawarenessCofCevidence-
basedCpracticeC(EBP)CamongCtheCnursesConCaCunit.CACnurseCwhoCisCimplementingCEBPCintegratesCwhi
chCofCtheCfollowing?C(SelectCallCthatCapply.)
A) InterdisciplinaryCconsensus
B) NursingCtradition
C) ResearchCstudies
D) PatientCpreferencesCandCvalues
E) ClinicalCexpertis
eCAns:CC,CD,CE
Feedback:CFineout-Overholt,CMelnyk,CStillwell,CandCWilliamsonCdefineCEBPCasCaCproblem-
solvingCapproachCtoCtheCdeliveryCofChealthcareCthatCintegratesCtheCbestCevidenceCfromCstudiesCandCpa
tientCcareCdataCwithCclinicianCexpertiseCandCpatientCpreferencesCandCvalues.
MultipleCChoice
7. Mrs.CMayesCisCaC73-year-
oldCwomanCwhoChasCaCdiabeticCfootCulcerCthatChasCbeenCextremelyCslowCtoChealCandCwhichCnowCposes
CaCthreatCofCosteomyelitis.CTheCwoundCcareCnurseCwhoChasCbeenCworkingCwithCMrs.CMayesCappliesCev
idence-
basedCpracticeC(EBP)CwheneverCpossibleCandChasCproposedCtheCuseCofCmaggotCtherapyCtoCdebrideCnecr
oticCtissue.CMrs.CMayes,Chowever,CfindsCtheCsuggestionCrepugnantCandCadamantlyCopposesCthisCtreatm
entCdespiteCtheCsizableCbodyCofCevidenceCsupportingCit.CHowCshouldCtheCnurseCreconcileCMrs.CMayesCv
iewsCwithCtheCprinciplesCofCEBP?
A) TheCnurseCshouldCexplainCthatCreliableCandCvalidCresearchCevidenceCoverridesCtheCpatientsCopinion.
B) TheCnurseCshouldCexplainCtheCevidenceCtoCtheCpatientCinCgreaterCdetail.