PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE N
r r r r r r r r
URSING-AN INTERPROFESSIONAL APPROACH 6TH EDITION-
r r r r
DUNPHYr
TESTBANK r
,Chapterr1.rPrimaryrCarerinrtherTwenty-FirstrCentury:rArCirclerofrCaring
1. Arnurserhasrconductedrarliteraturerreviewrinranreffortrtoridentifyrthereffectrofrhandrwashing
ronrtherincidencerofrnosocomialr(hospital-
acquired)rinfectionsrinracutercarersettings.rAnrarticlerpresentedrfindingsratrarlevelrofrsignifi
cancerofr<0.01.rThisrindicatesrthat
A) Thercontrolrgrouprandrtherexperimentalrgrouprwerermorerthanr99%rsimilar.
B) Therfindingsrofrtherstudyrhaverlessrthanr1%rchancerofrbeingrattributablertorchance.
C) Thereffectsrofrtherinterventionrwerernearlyrzero.
D) Therclinicalrsignificancerofrtherfindingsrwasrlessrthanr1:100.
Ans:rB
Feedback:rTherlevelrofrsignificancerisrtherlevelratrwhichrtherresearcherrbelievesrthatrtherstudyrresu
ltsrmostrlikelyrrepresentrarnorchancerevent.rArlevelrofrsignificancerofr<0.01rindicatesrthatrthererisrl
essrthanr1%rprobabilityrthatrtherresultrisrduertorchance.
2. Arnurserhasrexpressedrskepticismrtorarcolleagueraboutrthervaluerofrnursingrresearch,rclaimin
grthatrnursingrresearchrhasrlittlerrelevancertorpractice.rHowrcanrthernursesrcolleaguerbestrdefendrtheri
mportancerofrnursingrresearch?
A) Therexistencerofrnursingrresearchrmeansrthatrnursesrarernowrablertoraccessrfederalrgrantrmo
ney,rsomethingrthatrdidntrusertorberthercase.
,B) Nursingrresearchrhasrallowedrtherdevelopmentrofrmastersrandrdoctoralrprogramsrandrhasrgre
atlyrincreasedrthercredibilityrofrtherprofession.
C) Thergrowthrofrnursingrresearchrhasrcausedrnursingrtorberviewedrasrartruerprofession,rrath
errthanrsimplyrasrartraderorrarskill.
D) Therapplicationrofrnursingrresearchrhasrtherpotentialrtorimprovernursingrpracticerandrpat
ientroutcomes.
Ans:rD
Feedback:rThergreatestrvaluerofrnursingrresearchrliesrinrtherpotentialrtorimproverpracticerand,rultima
tely,rtorimproverpatientroutcomes.rThisrsupersedesrthercontributionsrofrnursingrresearchrtoreducation
rprograms,rgrantrfunding,r orrtherpublicrviewrofrtherprofession.
3. Arnurserhasrreadrarqualitativerresearchrstudyrinrorderrtorunderstandrtherlivedrexperiencerofrpa
rentsrwhorhaverarneonatalrloss.rWhichrofrtherfollowingrquestionsrshouldrthernurserprioritizerwhenrap
praisingrtherresultsrofrthisrstudy?
A) Howrwellrdidrtherauthorsrcapturertherpersonalrexperiencesrofrtheserparents?
, B) Howrwellrdidrtherauthorsrcontrolrforrconfoundingrvariablesrthatrmayrhaveraffectedrtherfin
dings?
C) Didrtherauthorsruserstatisticalrmeasuresrthatrwererappropriatertortherphenomenonrinrqu
estion?
D) Werertherinstrumentsrthatrtherresearchersrusedrstatisticallyrvalidrandrreliable?
Ans:rA
Feedback:rQualitativerstudiesrarerjudgedronrtherbasisrofrhowrwellrtheyrcapturerandrconveyrthersubje
ctiverexperiencesrofrindividuals.rStatisticalrmeasuresrandrvariablesrarernotrdimensionsrofrarqualitativ
ermethodology.
4. Tracyrisrarnurserwithrarbaccalaureaterdegreerwhorworksrinrtherlaborrandrdeliveryrunitrofrarbusy
rurbanrhospital.rSherhasrnoticedrthatrmanyrnewrmothersrabandonrbreast-
feedingrtheirrbabiesrwhenrtheyrexperiencerearlyrchallengesrandrwondersrwhatrcouldrberdonertorenco
uragermorerwomenrtorcontinuerbreast-
feeding.rWhatrrolerisrTracyrmostrlikelyrtorplayrinrarresearchrprojectrthatrtestsranrinterventionraimedratr
promotingrbreast-feeding?
A) Applyingrforrgrantrfundingrforrtherresearchrproject
B) Posingrtherclinicalrproblemrtoronerorrmorernursingrresearchers
C) Planningrthermethodologyrofrtherresearchrproject
D) CarryingroutrtherinterventionrandrsubmittingrtherresultsrforrpublicationrAns:rB
Feedback:rArmajorrrolerforrstaffrnursesrisrtoridentifyrquestionsrorrproblemsrforrresearch.rGrantrappl
ications,rmethodologicalrplanning,randrpublicationrsubmissionrarernormallyrcarriedroutrbyrnursesr
whorhaveradvancedrdegreesrinrnursing.
5. Arpatientrsignedrtherinformedrconsentrformrforrardrugrtrialrthatrwasrexplainedrtorpatientrbyra
rresearchrassistant.rLater,r therpatientradmittedrtorhisrnurserthatrherdidrnotrunderstandrtherresearchras
sistantsrexplanationrorrhisrownrrolerinrtherstudy.rHowrshouldrthisrpatientsrnurse
r r r r r r r r
URSING-AN INTERPROFESSIONAL APPROACH 6TH EDITION-
r r r r
DUNPHYr
TESTBANK r
,Chapterr1.rPrimaryrCarerinrtherTwenty-FirstrCentury:rArCirclerofrCaring
1. Arnurserhasrconductedrarliteraturerreviewrinranreffortrtoridentifyrthereffectrofrhandrwashing
ronrtherincidencerofrnosocomialr(hospital-
acquired)rinfectionsrinracutercarersettings.rAnrarticlerpresentedrfindingsratrarlevelrofrsignifi
cancerofr<0.01.rThisrindicatesrthat
A) Thercontrolrgrouprandrtherexperimentalrgrouprwerermorerthanr99%rsimilar.
B) Therfindingsrofrtherstudyrhaverlessrthanr1%rchancerofrbeingrattributablertorchance.
C) Thereffectsrofrtherinterventionrwerernearlyrzero.
D) Therclinicalrsignificancerofrtherfindingsrwasrlessrthanr1:100.
Ans:rB
Feedback:rTherlevelrofrsignificancerisrtherlevelratrwhichrtherresearcherrbelievesrthatrtherstudyrresu
ltsrmostrlikelyrrepresentrarnorchancerevent.rArlevelrofrsignificancerofr<0.01rindicatesrthatrthererisrl
essrthanr1%rprobabilityrthatrtherresultrisrduertorchance.
2. Arnurserhasrexpressedrskepticismrtorarcolleagueraboutrthervaluerofrnursingrresearch,rclaimin
grthatrnursingrresearchrhasrlittlerrelevancertorpractice.rHowrcanrthernursesrcolleaguerbestrdefendrtheri
mportancerofrnursingrresearch?
A) Therexistencerofrnursingrresearchrmeansrthatrnursesrarernowrablertoraccessrfederalrgrantrmo
ney,rsomethingrthatrdidntrusertorberthercase.
,B) Nursingrresearchrhasrallowedrtherdevelopmentrofrmastersrandrdoctoralrprogramsrandrhasrgre
atlyrincreasedrthercredibilityrofrtherprofession.
C) Thergrowthrofrnursingrresearchrhasrcausedrnursingrtorberviewedrasrartruerprofession,rrath
errthanrsimplyrasrartraderorrarskill.
D) Therapplicationrofrnursingrresearchrhasrtherpotentialrtorimprovernursingrpracticerandrpat
ientroutcomes.
Ans:rD
Feedback:rThergreatestrvaluerofrnursingrresearchrliesrinrtherpotentialrtorimproverpracticerand,rultima
tely,rtorimproverpatientroutcomes.rThisrsupersedesrthercontributionsrofrnursingrresearchrtoreducation
rprograms,rgrantrfunding,r orrtherpublicrviewrofrtherprofession.
3. Arnurserhasrreadrarqualitativerresearchrstudyrinrorderrtorunderstandrtherlivedrexperiencerofrpa
rentsrwhorhaverarneonatalrloss.rWhichrofrtherfollowingrquestionsrshouldrthernurserprioritizerwhenrap
praisingrtherresultsrofrthisrstudy?
A) Howrwellrdidrtherauthorsrcapturertherpersonalrexperiencesrofrtheserparents?
, B) Howrwellrdidrtherauthorsrcontrolrforrconfoundingrvariablesrthatrmayrhaveraffectedrtherfin
dings?
C) Didrtherauthorsruserstatisticalrmeasuresrthatrwererappropriatertortherphenomenonrinrqu
estion?
D) Werertherinstrumentsrthatrtherresearchersrusedrstatisticallyrvalidrandrreliable?
Ans:rA
Feedback:rQualitativerstudiesrarerjudgedronrtherbasisrofrhowrwellrtheyrcapturerandrconveyrthersubje
ctiverexperiencesrofrindividuals.rStatisticalrmeasuresrandrvariablesrarernotrdimensionsrofrarqualitativ
ermethodology.
4. Tracyrisrarnurserwithrarbaccalaureaterdegreerwhorworksrinrtherlaborrandrdeliveryrunitrofrarbusy
rurbanrhospital.rSherhasrnoticedrthatrmanyrnewrmothersrabandonrbreast-
feedingrtheirrbabiesrwhenrtheyrexperiencerearlyrchallengesrandrwondersrwhatrcouldrberdonertorenco
uragermorerwomenrtorcontinuerbreast-
feeding.rWhatrrolerisrTracyrmostrlikelyrtorplayrinrarresearchrprojectrthatrtestsranrinterventionraimedratr
promotingrbreast-feeding?
A) Applyingrforrgrantrfundingrforrtherresearchrproject
B) Posingrtherclinicalrproblemrtoronerorrmorernursingrresearchers
C) Planningrthermethodologyrofrtherresearchrproject
D) CarryingroutrtherinterventionrandrsubmittingrtherresultsrforrpublicationrAns:rB
Feedback:rArmajorrrolerforrstaffrnursesrisrtoridentifyrquestionsrorrproblemsrforrresearch.rGrantrappl
ications,rmethodologicalrplanning,randrpublicationrsubmissionrarernormallyrcarriedroutrbyrnursesr
whorhaveradvancedrdegreesrinrnursing.
5. Arpatientrsignedrtherinformedrconsentrformrforrardrugrtrialrthatrwasrexplainedrtorpatientrbyra
rresearchrassistant.rLater,r therpatientradmittedrtorhisrnurserthatrherdidrnotrunderstandrtherresearchras
sistantsrexplanationrorrhisrownrrolerinrtherstudy.rHowrshouldrthisrpatientsrnurse
