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PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE NURSING - AN INTERPROFESSIONAL APPROACH 6TH EDITION M DUNPHY TEST BANK/COMPLETE GUIDE

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PRIMARY CARE: ART AND SCIENCE OF ADVANCED PRACTICE NURSING - AN INTERPROFESSIONAL APPROACH 6TH EDITION M DUNPHY TEST BANK/COMPLETE GUIDE

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  • September 13, 2024
  • September 30, 2024
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  • 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 PRACTICE
NURSING - AN INTERPROFESSIONAL APPROACH 6TH EDITION M
DUNPHY TEST BANK

, Primary Care: Art and Science of Advanced Practice Nursing - An
Interprofessional Approach 6th edition Dunphy Test Bank



Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring

1. A RN has conducted a literature review in an effort to identify the effect of handwashing on the
incidence of nosocomial (hospice-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.

RIGHT CHOICE:- B

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 RN 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 RN 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?

RIGHT CHOICE:- A

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 RN has expressed skepticism to a colleague about the value of nursing research, claiming that
nursing research has little relevance to practice. How can the RNs colleague best defend the
importance of nursing research?

,A) The existence of nursing research means that RNs 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
victim/patient/patientoutcomes.

RIGHT CHOICE:- D

Explanation:->>>The greatest value of nursing research lies in the potential to improve practice
and, ultimately, to improve victim/patient/patient outcomes. This supersedes the contributions of
nursing research to education programs, grant funding, or the public view of the profession.

4. Tracy is an RN with a baccalaureate degree who works in the labor and delivery unit of a busy
urban hospice. 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

RIGHT CHOICE:- B

Explanation:->>>A major role for staff RNs is to identify questions or problems for research.
Grant applications, methodological planning, and publication submission are normally carried
out byRNs who have advanced degrees in nursing.

5. A victim/patient/patient signed the informed consent form for a drug trial that was explained
to victim/patient/patient by a research assistant. Later, the victim/patient/patient admitted to his
RN that he did not understand the research assistants explanation or his own role in the study.
How should this victim/patient/patients RN respond to thisrevelation?

A) Explain the research process to the victim/patient/patient in greater detail.

B) Describe the details of a randomized controlled trial for the victim/patient/patient.

, C) Inform the research assistant that the victim/patient/patients consent is likely invalid.

D) Explain to the victim/patient/patient that his written consent is now legally binding.

RIGHT CHOICE:- C

Explanation:->>>Just as the staff RN is not responsible for medical consent, the staff RN is not
responsible for research consent. If victim/patient/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
victim/patient/patients about the study, even after a victim/patient/patient has signed the consent
forms.

Multiple responses

6. A RN leader is attempting to increase the awareness of evidence-based practice (EBP) among the
RNs on a unit. A RN who is implementing EBP integrates which of the following? (Select allthat
apply.)

A) Interdisciplinary consensus

B) Nursing tradition

C) Research studies

D) Victim/patient/patient preferences and values

E) Clinical expertise

RIGHT CHOICE:-

C, D, E

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
victim/patient/patient caredata with clinician expertise and victim/patient/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 RN 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
RN reconcile Mrs. Mayes views with the principles of EBP?

A) The RN should explain that reliable and valid research evidence overrides the victim/patient/patients
opinion.

B) The RN should explain the evidence to the victim/patient/patient in greater detail.

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