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Test Bank FOR Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 6th edition Dunphy All Chapters 1-82 With Rationales Revised Edition Latest Update

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Test Bank FOR Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 6th edition Dunphy All Chapters 1-82 With Rationales Revised Edition Latest Update Test Bank FOR Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach ...

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  • October 5, 2024
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  • an interprofessional approach 6th edition
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Test Bank FOR Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional Approach 6th edition
Dunphy All Chapters 1-82 With Rationales Revised Edition
Latest Update 2024-2025

, Test Bank FOR Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional Approach 6th edition
Dunphy All Chapters 1-82 With Rationales Revised Edition
Latest Update 2024-2025

Test Bank FOR Primary Care: Art and Science of Advanced Practice
Nursing - AnInterprofessional Approach 6th edition Dunphy All Chapters
1-82 With Rationales Revised Edition Latest Update 2024-2025



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

1. A medic 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: 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 medic has read a qualitative research study in order to understand the lived experience of
parentswho have a neonatal loss. Which of the following questions should the medic 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: 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 medic has expressed skepticism to a colleague about the value of nursing research, claiming
that nursing research has little relevance to practice. How can the medics colleague best defend the
importance of nursing research?

, Test Bank FOR Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional Approach 6th edition
Dunphy All Chapters 1-82 With Rationales Revised Edition
Latest Update 2024-2025

A) The existence of nursing research means that medics 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 client
outcomes.

CORRECT: D

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 medic 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: B

Explanation: A major role for staff medics is to identify questions or problems for research.
Grant applications, methodological planning, and publication submission are normally carried
out bymedics 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 medic that he did not understand the research
assistants explanation or his own role in the study. How should this clients medic respond to this
revelation?

A) Explain the research process to the client in greater detail.

B) Describe the details of a randomized controlled trial for the client.

, Test Bank FOR Primary Care: Art and Science of Advanced
Practice Nursing - An Interprofessional Approach 6th edition
Dunphy All Chapters 1-82 With Rationales Revised Edition
Latest Update 2024-2025

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: C

Explanation: Just as the staff medic is not responsible for medical consent, the staff medic 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 after a
client has signed the consent forms.

Multiple Selection

6. A medic leader is attempting to increase the awareness of evidence-based practice (EBP) among
the medics on a unit. A medic 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: 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
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 medic 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 medic reconcile Mrs. Mayes views with the principles of EBP?

A) The medic should explain that reliable and valid research evidence overrides the clients opinion.

B) The medic should explain the evidence to the client in greater detail.

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