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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 CA$25.05
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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
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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

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  • November 12, 2024
  • 577
  • 2024/2025
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  • test bank for primary care the art and science
  • primary care the art and science of advanced
  • the art and science of advanced practice nursing

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  • Test Bank For Primary Care The Art and Science of Advanced Practice Nursing – an Interprofessional Approach Sixth Edition by Debera J. Dunphy||ISBN, 978-1719644655||All Chapters||Complete Guide A+
  • Test Bank For Primary Care The Art and Science of Advanced Practice Nursing – an Interprofessional Approach Sixth Edition by Debera J. Dunphy||ISBN, 978-1719644655||All Chapters||Complete Guide A+
  • Test Bank For Primary Care The Art and Science of Advanced Practice Nursing – an Interprofessional Approach Sixth Edition by Debera J. Dunphy||ISBN, 978-1719644655||All Chapters||Complete Guide A+
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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 nurse 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.

RIGHT ANS>> B

REASONED 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 nurse 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 nurse 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 ANS>> A

REASONED 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 nurse 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
hospital patient outcomes.

RIGHT ANS>> D

REASONED EXPLANATION The greatest value of nursing research lies in the potential to
improve practice and, ultimately, to improve hospital patient outcomes. This supersedes the
contributions of nursing research toeducation programs, grant funding, or the public view of the
profession.

4. Tracy is A professional nurse 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

RIGHT ANS>> B

REASONED 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 hospital patient signed the informed consent form for a drug trial that was explained to
hospital patient by a research assistant. Later, the hospital patient admitted to his professional
nurse that he did not understand the researchassistants explanation or his own role in the study.
How should this hospital patients professional nurse respond to thisrevelation?

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

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

, C) Inform the research assistant that the hospital patients consent is likely invalid.

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

RIGHT ANS>> C

REASONED EXPLANATION Just as the staff professional nurse is not responsible for medical
consent, the staff professional nurse is not responsible for research consent. If hospital 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 hospital patients about the study, even aftera hospital patient has signed the
consent forms.

Multiple Selection

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

A) Interdisciplinary consensus

B) Nursing tradition

C) Research studies

D) Hospital patient preferences and values

E) Clinical expertise

RIGHT ANS>> C,

D, E

REASONED 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 hospital patient caredata with clinician expertise and hospital 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 professional nurse who has
been working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
proposed the useof 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 nurse reconcile Mrs. Mayes views with the principles of
EBP?

A) The professional nurse should explain that reliable and valid research evidence overrides the hospital
patients opinion.

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