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Primary Care: Art And Science Of Advanced Practice
Primary Care: Art and Science of Advanced Practice
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TEST BANK For Primary Care: Art and Science of Advanced Practice
Nursing - An Interprofessional Approach 5th Edition By Dunphy
Latest Complete Guide 2024 A+
Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th edition Dunphy Test Bank
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TEST BANK For Primary Care: Art and Science of Advanced Practice
Nursing - An Interprofessional Approach 5th Edition By Dunphy
Latest Complete Guide 2024 A+
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
1. A nurse 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.
Ans: B
Feedback: The level of significance is the level at which the researcher believes that the
study results most likely represent a nonchance 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 nurse 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 nurse prioritize when appraising the results of this study?
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?
Ans: A
Feedback: 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.
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3. A nurse has expressed skepticism to a colleague about the value of nursing research,
claiming that nursing research has little relevance to practice. How can the nurses
colleague best defend the importance of nursing research?
A) The existence of nursing research means that nurses 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
patient outcomes.
Ans: D
Feedback: The greatest value of nursing research lies in the potential to improve
practice and, ultimately, to improve patient outcomes. This supersedes the
contributions of nursing research to education programs, grant funding, or the public
view of the profession.
4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit
of a 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 results for publication
Ans: B
Feedback: A major role for staff nurses is to identify questions or problems for
research. Grant applications, methodological planning, and publication submission are
normally carried out by nurses who have advanced degrees in nursing.
5. A patient signed the informed consent form for a drug trial that was explained to
patient by a research assistant. Later, the patient admitted to his nurse that he did not
understand the research assistants explanation or his own role in the study. How should
this patients nurse respond to this revelation?
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A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
C) Inform the research assistant that the patients consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding.
Ans: C
Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse
is not responsible for research consent. If patients who have agreed to participate
exhibit ambivalence or uncertainty about participating, do not try to convince them to
participate. Ask the person from the research team who is managing consents to speak
with concerned patients about the study, even after a patient has signed the consent
forms. Multiple Selection
6. 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
7. 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?
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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.
8. The administrators of a long-term care facility are considered the use of specialized,
pressurereducing 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.
9. 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?
A) A systematic review about communication in nursing contexts
B) Nurses ideas about communication methods
C) The results of a chart review
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