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Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th edition Dunphy Test Bank
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Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th edition Dunphy Test BankPrimary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th edition Dunphy Test Bank Chapter 1. Primary Care in the Twenty-First Century: A ...

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  • September 7, 2024
  • 534
  • 2024/2025
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  • primary care art and science of advanced practice

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Primary Care: Art and Science of Advanced Pra
xc xc xc xc xc xc xc



ctice Nursing - xc xc



AnInterprofessional Approach 5th edition Dunp
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x xc xc xc xc



hy Test Bank xc xc




Chapterxc1.xcPrimaryxcCarexcinxcthexcTwenty-
FirstxcCentury:xcAxcCirclexcofxcCaring

1. Axcnursexchasxcconductedxcaxcliteraturexcreviewxcinxcanxceffortxctoxcidentifyxcthexceffectxcofxchandwashingxc
onxcthexcincidencexcofxcnosocomialxc(hospital-
acquired)xcinfectionsxcinxcacutexccarexcsettings.xcAnxcarticlexcpresentedxcfindingsxcatxc axclevelxcofxcsignifican
cexcofxc<0.01.xcThisxcindicatesxcthat

A) thexccontrolxcgroupxcandxcthexcexperimentalxcgroupxcwerexcmorexcthanxc99%xcsimilar.

B) thexcfindingsxcofxcthexcstudyxchavexclessxcthanxc1%xcchancexcofxcbeingxcattributablexctoxcchance.

C) thexceffectsxcofxcthexcinterventionxcwerexcnearlyxczero.

D) thexcclinicalxcsignificancexcofxcthexcfindingsxcwasxclessxcthanxc1:100.

Ans:xcB

Feedback:xcThexclevelxcofxcsignificancexcisxcthexclevelxcatxcwhichxcthexcresearcherxcbelievesxcthatxcthexcstudyxcr
esultsxcmostxclikelyxcrepresentxcaxcnonchancexcevent.xcAxclevelxcofxcsignificancexcofxc<0.01xcindicatesxcthatxcth
erexcisxclessxcthanxc1%xcprobabilityxcthatxc thexcresultxcisxcduexctoxcchance.

2. Axcnursexchasxcreadxcaxcqualitativexcresearchxcstudyxcinxcorderxctoxcunderstandxcthexclivedxcexperiencexcofxcp
arentsxcwhoxchavexcaxcneonatalxcloss.xcWhichxcofxcthexcfollowingxcquestionsxcshouldxcthexcnursexcprioritizexcw
henxcappraisingxcthexcresultsxcofxcthisxcstudy?

A) Howxcwellxcdidxcthexcauthorsxccapturexcthexcpersonalxcexperiencesxcofxcthesexcparents?

B) Howxcwellxcdidxcthexcauthorsxccontrolxcforxcconfoundingxcvariablesxcthatxcmayxchavexcaffectedxcthexcfindings?

C) Didxcthexcauthorsxcusexcstatisticalxcmeasuresxcthatxcwerexcappropriatexctoxcthexcphenomenonxcinxcquestion?

D) Werexcthexcinstrumentsxcthatxcthexcresearchersxcusedxcstatisticallyxcvalidxcandxcreliable?

Ans:xcA

Feedback:xcQualitativexcstudiesxcarexcjudgedxconxcthexcbasisxcofxchowxcwellxctheyxccapturexcandxcconveyxcthexc
subjectivexcexperiencesxcofxcindividuals.xcStatisticalxcmeasuresxcandxcvariablesxcarexcnotxcdimensionsxcofxcaxcq
ualitativexc methodology.

3. Axcnursexchasxcexpressedxcskepticismxctoxcaxccolleaguexcaboutxcthexcvaluexcofxcnursingxcresearch,xcclaimin
gxcthatxcnursingxcresearchxchasxclittlexcrelevancexctoxcpractice.xcHowxccanxcthexcnursesxccolleaguexcbestxcdefen
dxcthexcimportancexcofxcnursingxcresearch?

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,A) Thexcexistencexcofxcnursingxcresearchxcmeansxcthatxcnursesxcarexcnowxcablexctoxcaccessxcfederalxcgrantxc m
oney,xcsomethingxcthatxc didntxc usexctoxc bexcthexccase.

B) Nursingxcresearchxchasxcallowedxcthexcdevelopmentxcofxcmastersxcandxcdoctoralxcprogramsxcandxchasxcgr
eatlyxcincreasedxcthexccredibilityxcofxcthexcprofession.

C) Thexcgrowthxcofxcnursingxcresearchxchasxccausedxcnursingxctoxcbexcviewedxcasxcaxctruexcprofession,xcrathe
rxcthanxcsimplyxcasxcaxctradexcorxcaxcskill.

D) Thexcapplicationxcofxcnursingxcresearchxchasxcthexcpotentialxctoxcimprovexcnursingxcpracticexcandxcpa
tientxcoutcomes.

Ans:xcD

Feedback:xcThexcgreatestxcvaluexcofxcnursingxcresearchxcliesxcinxcthexcpotentialxctoxcimprovexcpracticexcand,xcu
ltimately,xctoxcimprovexcpatientxcoutcomes.xcThisxcsupersedesxcthexccontributionsxcofxcnursingxcresearchxctoxce
ducationxcprograms,xcgrantxc funding,xcorxcthexcpublicxc viewxcofxcthexcprofession.

4. Tracyxcisxcaxcnursexcwithxcaxcbaccalaureatexcdegreexcwhoxcworksxcinxcthexclaborxcandxcdeliveryxcunitxcofxc
axcbusyxcurbanxchospital.xcShexchasxcnoticedxcthatxcmanyxcnewxcmothersxcabandonxcbreast-
feedingxctheirxcbabiesxcwhenxctheyxcexperiencexcearlyxcchallengesxcandxcwondersxcwhatxccouldxcbexcdonexct
oxcencouragexcmorexcwomenxctoxccontinuexcbreast-
feeding.xcWhatxcrolexcisxcTracyxcmostxclikelyxctoxcplayxcinxcaxcresearchxcprojectxcthatxctestsxcanxcinterventio
nxcaimedxcatxc promotingxcbreast-feeding?

A) Applyingxcforxcgrantxcfundingxcforxcthexcresearchxcproject

B) Posingxcthexcclinicalxcproblemxctoxconexcorxcmorexcnursingxcresearchers

C) Planningxcthexcmethodologyxcofxcthexcresearchxcproject

D) Carryingxcoutxcthexcinterventionxcandxcsubmittingxcthexcresultsxcforxcpublicat

ionxcAns:xcB

Feedback:xcAxcmajorxcrolexcforxcstaffxcnursesxcisxctoxcidentifyxcquestionsxcorxcproblemsxcforxcresearch.xc
Grantxcapplications,xcmethodologicalxcplanning,xcandxcpublicationxcsubmissionxcarexcnormallyxccarri
edxcoutxcbyxcnursesxcwhoxc havexcadvancedxcdegreesxcinxcnursing.

5. Axcpatientxcsignedxcthexcinformedxcconsentxcformxcforxcaxcdrugxctrialxcthatxcwasxcexplainedxctoxcpatientxc
byxcaxcresearchxcassistant.xcLater,xcthexcpatientxcadmittedxctoxchisxcnursexcthatxchexcdidxcnotxcunderstandxcth
excresearchxcassistantsxcexplanationxcorxchisxcownxcrolexcinxcthexcstudy.xcHowxcshouldxcthisxcpatientsxcnursex
crespondxctoxcthisxcrevelation?




A) Explainxcthexcresearchxcprocessxctoxcthexcpatientxcinxcgreaterxcdetail.

B) Describexcthexcdetailsxcofxcaxcrandomizedxccontrolledxctrialxcforxcthexcpatient.




DoDwonwlonalo
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,C) Informxcthexcresearchxcassistantxcthatxcthexcpatientsxcconsentxcisxclikelyxcinvalid.

D) Explainxctoxcthexcpatientxcthatxchisxcwrittenxcconsentxcisxcnowxclegallyxcbinding.

Ans:xcC

Feedback:xcJustxcasxcthexcstaffxcnursexcisxcnotxcresponsiblexcforxcmedicalxcconsent,xcthexcstaffxcnursexcisxcnotxcre
sponsiblexcforxcresearchxcconsent.xcIfxcpatientsxcwhoxchavexcagreedxctoxcparticipatexcexhibitxcambivalencexcor
xcuncertaintyxcaboutxcparticipating,xcdoxcnotxctryxctoxcconvincexcthemxctoxcparticipate.xcAskxcthexcpersonxcfrom

xcthexcresearchxcteamxcwhoxc isxcmanagingxcconsentsxctoxc speakxcwithxcconcernedxcpatientsxcaboutxcthexcstudy,xc

evenxcafterxcaxcpatientxc hasxcsignedxcthexcconsentxc forms.

MultiplexcSelection

6. Axcnursexcleaderxcisxcattemptingxctoxcincreasexcthexcawarenessxcofxcevidence-
basedxcpracticexc(EBP)xcamongxcthexcnursesxconxcaxcunit.xcAxcnursexcwhoxcisxcimplementingxcEBPxcintegratesxc
whichxcofxcthexcfollowing?xc(Selectxcallxcthatxcapply.)

A) Interdisciplinaryxcconsensus

B) Nursingxctradition

C) Researchxcstudies

D) Patientxcpreferencesxcandxcvalues

E) Clinicalxcexpertis

excAns:xcC,xcD,xcE

Feedback:xcFineout-Overholt,xcMelnyk,xcStillwell,xcandxcWilliamsonxcdefinexcEBPxcasxcaxcproblem-
solvingxcapproachxctoxcthexcdeliveryxcofxchealthcarexcthatxcintegratesxcthexcbestxcevidencexcfromxcstudiesxcandxc
patientxccarexcdataxcwithxcclinicianxcexpertisexcandxcpatientxc preferencesxcandxcvalues.

MultiplexcChoice

7. Mrs.xcMayesxcisxcaxc73-year-
oldxcwomanxcwhoxchasxcaxcdiabeticxcfootxculcerxcthatxchasxcbeenxcextremelyxcslowxctoxchealxcandxcwhichxcnowxc
posesxcaxcthreatxcofxcosteomyelitis.xcThexcwoundxccarexcnursexcwhoxchasxcbeenxcworkingxcwithxcMrs.xcMayesxc
appliesxcevidence-
basedxcpracticexc(EBP)xcwheneverxcpossiblexcandxchasxcproposedxcthexcusexcofxcmaggotxctherapyxctoxcdebridexc
necroticxctissue.xcMrs.xcMayes,xchowever,xcfindsxcthexcsuggestionxcrepugnantxcandxcadamantlyxcopposesxcthi
sxctreatmentxcdespitexcthexcsizablexcbodyxcofxcevidencexcsupportingxcit.xcHowxcshouldxcthexcnursexcreconcilexcM
rs.xcMayesxcviewsxcwithxcthexcprinciplesxcofxcEBP?

A) Thexcnursexcshouldxcexplainxcthatxcreliablexcandxcvalidxcresearchxcevidencexcoverridesxcthexcpatientsxcopinion.

B) Thexcnursexcshouldxcexplainxcthexcevidencexctoxcthexcpatientxcinxcgreaterxcdetail.




DoDwonwlonalo
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, C) Thexcnursexcshouldxcintegratexcthexcpatientsxcpreferencesxcintoxcthexcplanxcofxccare.

D) Thexcnursexcshouldxcinvolvexcthexcpatientsxcfamilyxcmembersxcinxcthexcdecision-makingxcprocess.

Ans:xcC

Feedback:xcPatientxcpreferencesxcshouldxcbexcintegratedxcintoxcEBPxcandxcconsideredxcalongsidexcresearchxc
evidencexcandxcthexcnursesxcclinicalxcexpertise;xcevidencexcdoesxcnotxctrumpxcthexcpatientsxcpreferences.xcTh
excfamilyxcshouldxcbexcinvolved,xcbutxcthisxcisxcnotxcanxcexplicitxcdimensionxcofxcEBP.xcSimilarly,xcexplainingxct
hexcevidencexcinxcmorexcdetailxcisxcnotxc axcdemonstrationxcofxcEBP.

8. Thexcadministratorsxcofxcaxclong-
termxccarexcfacilityxcarexcconsideredxcthexcusexcofxcspecialized,xcpressure-
xcreducingxc mattressesxcinxcorderxctoxc reducexcthexcincidencexcofxcpressurexculcersxcamongxcresidents.xcThey

xchavexcsoughtxcinputxcfromxcthexcnursesxconxcthexcunit,xcallxcofxcwhomxcarexcawarexcofxcthexcneedxctoxcimpleme

ntxcthexcprinciplesxcofxcevidence-
basedxcpracticexc(EBP)xcinxcthisxcdecision.xcWhichxcofxcthexcfollowingxcevidencexcsourcesxcshouldxcthexcnu
rsesxcprioritize?

A) Axcqualitativexcstudyxcthatxcexploresxcthexcexperiencexcofxclivingxcwithxcaxcpressurexculcer

B) Axccasexcstudyxcthatxcdescribesxcthexcmeasuresxcthatxcnursesxconxcaxcgeriatricxcunitxctookxctoxcreducexcpr
essurexculcersxcamongxcpatients

C) Testimonialsxcfromxcexperiencedxccliniciansxcaboutxcthexceffectivenessxcofxcthexcmattressxcinxcquestion

D) Axcrandomizedxccontrolledxctrialxcthatxccomparedxcthexcpressure-
reducingxcmattressxcwithxcstandardxcmattresses

Ans:xcD

Feedback:xcThexcmostxcreliablexcevidencexcisxcconsideredxcRCTs.xcQualitativexcstudies,xccasexcstudies,xcandxce
xpertxcopinionxcarexc lowxconxcthexchierarchyxcofxcevidence.

9. Hospitalxcadministratorsxcarexcapplyingxcthexcprinciplesxcofxcevidence-
basedxcpracticexc(EBP)xcinxctheirxcattemptxctoxcascertainxcthexcmostxcefficientxcandxceffectivexcwayxctoxccomm
unicatexcbetweenxcnursesxcwhoxcarexconxcdifferentxcunits,xcaxcprojectxcthatxcwillxcconsiderxcmanyxctypesxcofxcev
idence.xcWhichxcofxcthexcfollowingxcinformationxcsourcesxcshouldxcthexcadministratorsxcprioritize?

A) Axcsystematicxcreviewxcaboutxccommunicationxcinxcnursingxccontexts

B) Nursesxcideasxcaboutxccommunicationxcmethods

C) Thexcresultsxcofxcaxcchartxcreview

D) Thexchospitalsxcaccreditationxcstat

usxcAns:xcA




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