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