TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICENURSING- AN INTERPROFESSIONAL APPROACH 6TH EDITIONDUNPHY LATES
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CARE ART AND SCIENCE OF ADVA
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CARE ART AND SCIENCE OF ADVA
TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED
PRACTICENURSING- AN INTERPROFESSIONAL APPROACH 6TH EDITIONDUNPHY LATEST
TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE
NURSING – AN INTERPROFESSIONAL APPROACH 5TH EDITION DUNPHY
Chapter 1. Primary Care in the Twenty-Firs...
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TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED
PRACTICENURSING- AN INTERPROFESSIONAL APPROACH 6TH EDITION-
DUNPHY LATEST
,TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF ADVANCED PRACTICE
NURSING – AN INTERPROFESSIONAL APPROACH 5TH EDITION DUNPHY
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
1. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP)
among the nurses on a unit. A nurse who is implementing EBP integrates which of the
following? (Select all that apply.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
,D) Patient preferences and values
E) Clinical expertise Ans: C, D, E
Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-
solving approach to the delivery of healthcare that integrates the best evidence from studies and
patient care data with clinician expertise and patient preferences and values.
Multiple Choice
2. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely
slow to heal and which now poses a threat of osteomyelitis. The wound care nurse who has been
working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the
suggestion repugnant and adamantly opposes this treatment despite the sizable body of evidence
supporting it. How should the nurse reconcile Mrs. Mayes views with the principles of EBP?
A) The nurse should explain that reliable and valid research evidence overrides the patients
opinion.
B) The nurse should explain the evidence to the patient in greater detail.
C) The nurse should integrate the patients preferences into the plan of care.
D) The nurse should involve the patients family members in the decision-making process.
Ans: C
, Feedback: Patient preferences should be integrated into EBP and considered alongside research
evidence and the nurses clinical expertise; evidence does not trump the patients preferences. The
family should be involved, but this is not an explicit dimension of EBP. Similarly, explaining the
evidence in more detail is not a demonstration of EBP.
3. The administrators of a long-term care facility are considered the use of specialized,
pressure- reducing mattresses in order to reduce the incidence of pressure ulcers among
residents. They have sought input from the nurses on the unit, all of whom are aware of the need
to implement the principles of evidence-based practice (EBP) in this decision. Which of the
following evidence sources should the nurses prioritize?
A) A qualitative study that explores the experience of living with a pressure ulcer
B) A case study that describes the measures that nurses on a geriatric unit took to reduce
pressure ulcers among patients
C) Testimonials from experienced clinicians about the effectiveness of the mattress in
question
D) A randomized controlled trial that compared the pressure-reducing mattress with standard
mattresses
Ans: D
Feedback: The most reliable evidence is considered RCTs. Qualitative studies, case studies, and
expert opinion are low on the hierarchy of evidence.
4. Hospital administrators are applying the principles of evidence-based practice (EBP) in
their attempt to ascertain the most efficient and effective way to communicate between nurses
who are on different units, a project that will consider many types of evidence. Which of the
following information sources should the administrators prioritize?
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