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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 !
Primary 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 Circle of Caring
1. A nurse has conducted a literature review in an effort to identify the effect of handwashing on ...
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PRIMARY CARE: ART AND SCIENCE OF
ADVANCED PRACTICE NURSING - AN
INTERPROFESSIONAL APPROACH 5TH
EDITION DUNPHY TEST BANK
, Chapterq1.qPrimaryqCareqinqtheqTwenty-FirstqCentury:qAqCircleqofqCaring
1. Aqnurseqhasqconductedqaqliteratureqreviewqinqanqeffortqtoqidentifyqtheqeffectqofqhandwashingqonqtheqin
cidenceqofqnosocomialq(hospital-
acquired)qinfectionsqinqacuteqcareqsettings.qAnqarticleqpresentedqfindingsqatqaqlevelqofqsignificanceqofq<
0.01.qThisqindicatesqthat
A) theqcontrolqgroupqandqtheqexperimentalqgroupqwereqmoreqthanq99%qsimilar.
B) theqfindingsqofqtheqstudyqhaveqlessqthanq1%qchanceqofqbeingqattributableqtoqchance.
C) theqeffectsqofqtheqinterventionqwereqnearlyqzero.
D) theqclinicalqsignificanceqofqtheqfindingsqwasqlessqthanq1:100.
Ans:qB
Feedback:qTheqlevelqofqsignificanceqisqtheqlevelqatqwhichqtheqresearcherqbelievesqthatqtheqstudyqresultsq
mostqlikelyqrepresentqaqnonchanceqevent.qAqlevelqofqsignificanceqofq<0.01qindicatesqthatqthereqisqlessqth
anq1%qprobabilityqthatqtheqresultqisqdueqtoqchance.
2. Aqnurseqhasqreadqaqqualitativeqresearchqstudyqinqorderqtoqunderstandqtheqlivedqexperienceqofqparentsqw
hoqhaveqaqneonatalqloss.qWhichqofqtheqfollowingqquestionsqshouldqtheqnurseqprioritizeqwhenqappraisingq
theqresultsqofqthisqstudy?
A) Howqwellqdidqtheqauthorsqcaptureqtheqpersonalqexperiencesqofqtheseqparents?
B) Howqwellqdidqtheqauthorsqcontrolqforqconfoundingqvariablesqthatqmayqhaveqaffectedqtheqfindings?
C) Didqtheqauthorsquseqstatisticalqmeasuresqthatqwereqappropriateqtoqtheqphenomenonqinqquestion?
D) Wereqtheqinstrumentsqthatqtheqresearchersqusedqstatisticallyqvalidqandqreliable?
Ans:qA
Feedback:qQualitativeqstudiesqareqjudgedqonqtheqbasisqofqhowqwellqtheyqcaptureqandqconveyqtheqsu
bjectiveqexperiencesqofqindividuals.qStatisticalqmeasuresqandqvariablesqareqnotqdimensionsqofqaqqua
litativeqmethodology.
3. Aqnurseqhasqexpressedqskepticismqtoqaqcolleagueqaboutqtheqvalueqofqnursingqresearch,qclaimingqthatqn
ursingqresearchqhasqlittleqrelevanceqtoqpractice.qHowqcanqtheqnursesqcolleagueqbestqdefendqtheqimportan
ceqofqnursingqresearch?
,A) Theqexistenceqofqnursingqresearchqmeansqthatqnursesqareqnowqableqtoqaccessqfederalqgrantqmoney,qs
omethingqthatqdidntquseqtoqbeqtheqcase.
B) Nursingqresearchqhasqallowedqtheqdevelopmentqofqmastersqandqdoctoralqprogramsqandqhasqgreatlyqi
ncreasedqtheqcredibilityqofqtheqprofession.
C) Theqgrowthqofqnursingqresearchqhasqcausedqnursingqtoqbeqviewedqasqaqtrueqprofession,qratherqthanqsi
mplyqasqaqtradeqorqaqskill.
D) Theqapplicationqofqnursingqresearchqhasqtheqpotentialqtoqimproveqnursingqpracticeqandqpatientqo
utcomes.
Ans:qD
Feedback:qTheqgreatestqvalueqofqnursingqresearchqliesqinqtheqpotentialqtoqimproveqpracticeqand,qulti
mately,qtoqimproveqpatientqoutcomes.qThisqsupersedesqtheqcontributionsqofqnursingqresearchqtoqeduc
ationqprograms,qgrantqfunding,qorqtheqpublicqviewqofqtheqprofession.
4. Tracyqisqaqnurseqwithqaqbaccalaureateqdegreeqwhoqworksqinqtheqlaborqandqdeliveryqunitqofqaqbusyqur
banqhospital.qSheqhasqnoticedqthatqmanyqnewqmothersqabandonqbreast-
feedingqtheirqbabiesqwhenqtheyqexperienceqearlyqchallengesqandqwondersqwhatqcouldqbeqdoneqtoqenc
ourageqmoreqwomenqtoqcontinueqbreast-
feeding.qWhatqroleqisqTracyqmostqlikelyqtoqplayqinqaqresearchqprojectqthatqtestsqanqinterventionqaimed
qatqpromotingqbreast-feeding?
A) Applyingqforqgrantqfundingqforqtheqresearchqproject
B) Posingqtheqclinicalqproblemqtoqoneqorqmoreqnursingqresearchers
C) Planningqtheqmethodologyqofqtheqresearchqproject
D) Carryingqoutqtheqinterventionqandqsubmittingqtheqresultsqforqpublicationq
Ans:qB
Feedback:qAqmajorqroleqforqstaffqnursesqisqtoqidentifyqquestionsqorqproblemsqforqresearch.qGrantqa
pplications,qmethodologicalqplanning,qandqpublicationqsubmissionqareqnormallyqcarriedqoutqbyqn
ursesqwhoqhaveqadvancedqdegreesqinqnursing.
5. Aqpatientqsignedqtheqinformedqconsentqformqforqaqdrugqtrialqthatqwasqexplainedqtoqpatientqbyqaqres
earchqassistant.qLater,qtheqpatientqadmittedqtoqhisqnurseqthatqheqdidqnotqunderstandqtheqresearchqassi
stantsqexplanationqorqhisqownqroleqinqtheqstudy.qHowqshouldqthisqpatientsqnurseqrespondqtoqthisqrevel
ation?
A) Explainqtheqresearchqprocessqtoqtheqpatientqinqgreaterqdetail.
B) Describeqtheqdetailsqofqaqrandomizedqcontrolledqtrialqforqtheqpatient.
, C) Informqtheqresearchqassistantqthatqtheqpatientsqconsentqisqlikelyqinvalid.
D) Explainqtoqtheqpatientqthatqhisqwrittenqconsentqisqnowqlegallyqbinding.
Ans:qC
Feedback:qJustqasqtheqstaffqnurseqisqnotqresponsibleqforqmedicalqconsent,qtheqstaffqnurseqisqnotqresponsib
leqforqresearchqconsent.qIfqpatientsqwhoqhaveqagreedqtoqparticipateqexhibitqambivalenceqorquncertaintyqa
boutqparticipating,qdoqnotqtryqtoqconvinceqthemqtoqparticipate.qAskqtheqpersonqfromqtheqresearchqteamqw
hoqisqmanagingqconsentsqtoqspeakqwithqconcernedqpatientsqaboutqtheqstudy,qevenqafterqaqpatientqhasqsign
edqtheqconsentqforms.
MultipleqSelection
6. Aqnurseqleaderqisqattemptingqtoqincreaseqtheqawarenessqofqevidence-
basedqpracticeq(EBP)qamongqtheqnursesqonqaqunit.qAqnurseqwhoqisqimplementingqEBPqintegratesqwhichq
ofqtheqfollowing?q(Selectqallqthatqapply.)
A) Interdisciplinaryqconsensus
B) Nursingqtradition
C) Researchqstudies
D) Patientqpreferencesqandqvalues
E) Clinicalqexpertiseq
Ans:qC,qD,qE
Feedback:qFineout-Overholt,qMelnyk,qStillwell,qandqWilliamsonqdefineqEBPqasqaqproblem-
solvingqapproachqtoqtheqdeliveryqofqhealthcareqthatqintegratesqtheqbestqevidenceqfromqstudiesqandqpatie
ntqcareqdataqwithqclinicianqexpertiseqandqpatientqpreferencesqandqvalues.
MultipleqChoice
7. Mrs.qMayesqisqaq73-year-
oldqwomanqwhoqhasqaqdiabeticqfootqulcerqthatqhasqbeenqextremelyqslowqtoqhealqandqwhichqnowqposesqaqt
hreatqofqosteomyelitis.qTheqwoundqcareqnurseqwhoqhasqbeenqworkingqwithqMrs.qMayesqappliesqevidenc
e-
basedqpracticeq(EBP)qwheneverqpossibleqandqhasqproposedqthequseqofqmaggotqtherapyqtoqdebrideqnecroti
cqtissue.qMrs.qMayes,qhowever,qfindsqtheqsuggestionqrepugnantqandqadamantlyqopposesqthisqtreatmentqd
espiteqtheqsizableqbodyqofqevidenceqsupportingqit.qHowqshouldqtheqnurseqreconcileqMrs.qMayesqviewsqwi
thqtheqprinciplesqofqEBP?
A) Theqnurseqshouldqexplainqthatqreliableqandqvalidqresearchqevidenceqoverridesqtheqpatientsqopinion.
B) Theqnurseqshouldqexplainqtheqevidenceqtoqtheqpatientqinqgreaterqdetail.