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Test Bank For Primary Care Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th Edition by Lynne M. Dunphy; Jill E. Winland-Brown; Brian Oscar Porter; Debera J. Thomas$19.49
Test Bank For Primary Care Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th Edition by Lynne M. Dunphy; Jill E. Winland-Brown; Brian Oscar Porter; Debera J. Thomas
Test Bank For Primary Care Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th Edition by Lynne M. Dunphy; Jill E. Winland-Brown; Brian Oscar Porter; Debera J. Thomas
, Primary Care: Art and Science of Advanced Practice Nursing - An
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Interprofessional Approach 5th edition Dunphy Test Bank
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Chapter 1. Primary Care in the Twenty-First Century: A Circle of
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Caring kk
1. A nurse has conducted a literature review in an effort to identify the effect of handwashing on
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the incidence of nosocomial (hospital-acquired) infections in acute care settings. An article
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presented findings at a level of significance of <0.01. This indicates that
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A) the control group and the experimental group were more than 99% similar.
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B) the findings of the study have less than 1% chance of being attributable to chance.
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C) the effects of the intervention were nearly zero.
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D) the clinical significance of the findings was less than 1:100.
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Ans: B kk
Feedback: The level of significance is the level at which the researcher believes that the study
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results most likely represent a nonchance event. A level of significance of <0.01 indicates that
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there is less than 1% probability that the result is due to chance.
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2. A nurse has read a qualitative research study in order to understand the lived experience of
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parents who have a neonatal loss. Which of the following questions should the nurse prioritize
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when appraising the results of this study?
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A) How well did the authors capture the personal experiences of these parents?
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B) How well did the authors control for confounding variables that may have affected the findings?
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C) Did the authors use statistical measures that were appropriate to the phenomenon in question?
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D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A kk
Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
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subjective experiences of individuals. Statistical measures and variables are not dimensions of a
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qualitative methodology.
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3. A nurse has expressed skepticism to a colleague about the value of nursing research, claiming
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that nursing research has little relevance to practice. How can the nurses colleague best defend
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the importance of nursing research?
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,A) The existence of nursing research means that nurses are now able to access federal grant
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money, something that didnt use to be the case.
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B) Nursing research has allowed the development of masters and doctoral programs and has
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greatly increased the credibility of the profession.
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C) The growth of nursing research has caused nursing to be viewed as a true profession, rather
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than simply as a trade or a skill.
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D) The application of nursing research has the potential to improve nursing practice and
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patient outcomes.
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Ans: D kk
Feedback: The greatest value of nursing research lies in the potential to improve practice and,
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ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
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education programs, grant funding, or the public view of the profession.
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4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a
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busy urban hospital. She has noticed that many new mothers abandon breast-feeding their
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babies when they experience early challenges and wonders what could be done to encourage
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more women to continue breast-feeding. What role is Tracy most likely to play in a research
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project that tests an intervention aimed at promoting breast-feeding?
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A) Applying for grant funding for the research project kk kk kk kk kk kk kk
B) Posing the clinical problem to one or more nursing researchers
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C) Planning the methodology of the research project kk kk kk kk kk kk
D) Carrying out the intervention and submitting the results for
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publication Ans: B
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Feedback: A major role for staff nurses is to identify questions or problems for research.
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Grant applications, methodological planning, and publication submission are normally
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carried out by nurses who have advanced degrees in nursing.
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5. A patient signed the informed consent form for a drug trial that was explained to patient by
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a research assistant. Later, the patient admitted to his nurse that he did not understand the
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research assistants explanation or his own role in the study. How should this patients nurse
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respond to this revelation?
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A) Explain the research process to the patient in greater detail.
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B) Describe the details of a randomized controlled trial for the patient.
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, C) Inform the research assistant that the patients consent is likely invalid.
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D) Explain to the patient that his written consent is now legally binding.
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Ans: C kk
Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse is not
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responsible for research consent. If patients who have agreed to participate exhibit ambivalence or
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uncertainty about participating, do not try to convince them to participate. Ask the person from
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the research team who is managing consents to speak with concerned patients about the study, even
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after a patient has signed the consent forms.
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Multiple Selection kk
6. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP) among
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the nurses on a unit. A nurse who is implementing EBP integrates which of the following? (Select
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all that apply.)
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A) Interdisciplinary consensus kk
B) Nursing tradition kk
C) Research studies kk
D) Patient preferences and values kk kk kk
E) Clinical expertise kk
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Feedback: Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-solving
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approach to the delivery of healthcare that integrates the best evidence from studies and patient
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care data with clinician expertise and patient preferences and values.
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Multiple Choice kk
7. Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow
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to heal and which now poses a threat of osteomyelitis. The wound care nurse who has been
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working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
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proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the
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suggestion repugnant and adamantly opposes this treatment despite the sizable body of evidence
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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.
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B) The nurse should explain the evidence to the patient in greater detail.
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