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Test Bank for Primary Care The Art and Science of Advanced Practice Nursing – an Interprofessional Approach 6th Edition by Dunphy, WinlandBrown, Porter, and Thomas$17.99
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Test Bank for Primary Care The Art and Science of Advanced Practice Nursing – an Interprofessional Approach 6th Edition by Dunphy, WinlandBrown, Porter, and Thomas
Test Bank for Primary Care The Art and Science of Advanced Practice
Nursing – an Interprofessional Approach 6th Edition by Dunphy, WinlandBrown, Porter, and Thomas
Sample Questions
Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
1. A professional nursing practitioner h...
Test Bank for Primary Care The Art and Science of Advanced Practice
Nursing – an Interprofessional Approach 6th Edition by Dunphy, Winland-
Brown, Porter, and Thomas
, Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
1. A professional nursing practitioner 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 RESPOSE✔✔ B
DETAILED EXPLANATION 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 professional nursing practitioner has read a qualitative research paper in order to understand the
lived experience of parentswho have a neonatal loss. Which of the following questions should the
professional nursing practitioner 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?
CORRECT RESPOSE✔✔ A
DETAILED EXPLANATION 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 aqualitative methodology.
3. A professional nursing practitioner has expressed skepticism to a colleague about the value of
nursing research, claiming that nursing research has little relevance to practice. How can the
professional nursing practitioners colleague best defend the
,importance of nursing research?
A) The existence of nursing research means that professional nursing practitioners are now able to
access federal grant money, something that didn’t 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 RESPOSE✔✔ D
DETAILED EXPLANATION 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.
4. Tracy is A professional nursing practitioner with a baccalaureate degree who works in the
labor and delivery unit of a busyurban hospital. She has noticed that many new mothers abandon
breast-feeding their babies whenthey 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
CORRECT RESPOSE✔✔ B
DETAILED EXPLANATION A major role for staff professional nursing practitioners is to
identify questions or problems for research. Grant applications, methodological planning, and
publication submission are normally carried out byprofessional nursing practitioners 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 professional nursing practitioner that he did
not understand the researchassistants explanation or his own role in the study. How should this
clients professional nursing practitioner respond to thisrevelation?
A) Explain the research process to the client in greater detail.
B) Describe the details of a randomized controlled trial for the client.
, C) Inform the research assistant that the clients consent is likely invalid.
D) Explain to the client that his written consent is now legally binding.
CORRECT RESPOSE✔✔ C
DETAILED EXPLANATION Just as the staff professional nursing practitioner is not responsible
for medical consent, the staff professional nursing practitioner is not responsible for research
consent. If clients 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 clients about the study, even aftera client has signed
the consent forms.
Multiple Selection
6. A professional nursing practitioner leader is attempting to increase the awareness of evidence-
based practice (EBP) among the professional nursing practitioners on a unit. A professional nursing
practitioner who is implementing EBP integrates which of the following? (Select allthat apply.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Client preferences and values
E) Clinical expertise
CORRECT
RESPOSE✔✔ C,
D, E
DETAILED EXPLANATION 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 client caredata with clinician expertise and client 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 professional nursing
practitioner 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 shouldthe professional nursing practitioner reconcile
Mrs. Mayes views with the principles of EBP?
A) The professional nursing practitioner should explain that reliable and valid research evidence overrides
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