{"id":119331,"date":"2023-09-08T23:10:58","date_gmt":"2023-09-08T23:10:58","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=119331"},"modified":"2023-09-08T23:11:00","modified_gmt":"2023-09-08T23:11:00","slug":"test-bank-primary-care-art-and-science-of-advanced-practice-nursing-an-interprofessional-approach-5th-edition-test-bank-all-chapters-complete-guide-2022","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/08\/test-bank-primary-care-art-and-science-of-advanced-practice-nursing-an-interprofessional-approach-5th-edition-test-bank-all-chapters-complete-guide-2022\/","title":{"rendered":"Test Bank Primary Care: Art and Science of Advanced Practice Nursing – An Interprofessional Approach 5th Edition Test Bank – All Chapters | Complete Guide 2022"},"content":{"rendered":"\n

1 | P a g e
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<\/p>\n\n\n\n

    \n
  1. A 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.
    Ans: B
    Feedback: 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.<\/li>\n\n\n\n
  2. A nurse 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 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?
    Ans: A
    Feedback: 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 a
    qualitative methodology.<\/li>\n\n\n\n
  3. A 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 nurses colleague best defend the
    importance of nursing research?<\/li>\n<\/ol>\n\n\n\n

    2 | P a g e
    A) The existence of nursing research means that nurses 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 patient
    outcomes.
    Ans: D
    Feedback: The greatest value of nursing research lies in the potential to improve practice and,
    ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
    education programs, grant funding, or the public view of the profession.<\/p>\n\n\n\n

      \n
    1. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a busy
      urban hospital. 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
      Ans: B
      Feedback: A major role for staff nurses is to identify questions or problems for research. Grant
      applications, methodological planning, and publication submission are normally carried out by
      nurses who have advanced degrees in nursing.<\/li>\n\n\n\n
    2. A patient signed the informed consent form for a drug trial that was explained to patient by a
      research assistant. Later, the patient admitted to his nurse that he did not understand the research
      assistants explanation or his own role in the study. How should this patients nurse respond to this
      revelation?
      A) Explain the research process to the patient in greater detail.
      B) Describe the details of a randomized controlled trial for the patient.<\/li>\n<\/ol>\n\n\n\n

      3 | P a g e
      C) Inform the research assistant that the patients consent is likely invalid.
      D) Explain to the patient that his written consent is now legally binding.
      Ans: C
      Feedback: Just as the staff nurse is not responsible for medical consent, the staff nurse is not
      responsible for research consent. If 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 patients about the study, even after
      a patient has signed the consent forms.
      Multiple Selection<\/p>\n\n\n\n

        \n
      1. A nurse leader is attempting to increase the awareness of evidence-based practice (EBP) among
        the nurses on a unit. A nurse who is implementing EBP integrates which of the following? (Select all
        that apply.)
        A) Interdisciplinary consensus
        B) Nursing tradition
        C) Research studies
        D) Patient preferences and values
        E) Clinical expertise
        Ans: C, D, E
        Feedback: 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 patient care
        data with clinician expertise and patient preferences and values.
        Multiple Choice<\/li>\n\n\n\n
      2. 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 nurse 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 nurse reconcile Mrs. Mayes views with the principles of EBP?
        A) The nurse should explain that reliable and valid research evidence overrides the patients opinion.
        B) The nurse should explain the evidence to the patient in greater detail.<\/li>\n<\/ol>\n\n\n\n

        4 | P a g e
        C) The nurse should integrate the patients preferences into the plan of care.
        D) The nurse should involve the patients family members in the decision-making process.
        Ans: C
        Feedback: Patient preferences should be integrated into EBP and considered alongside research
        evidence and the nurses clinical expertise; evidence does not trump the patients preferences. The
        family should be involved, but this is not an explicit dimension of EBP. Similarly, explaining the
        evidence in more detail is not a demonstration of EBP.<\/p>\n\n\n\n

          \n
        1. The administrators of a long-term care facility are considered the use of specialized, pressurereducing mattresses in order to reduce the incidence of pressure ulcers among residents. They have
          sought input from the nurses on the unit, all of whom are aware of the need to implement the
          principles of evidence-based practice (EBP) in this decision. Which of the following evidence
          sources should the nurses prioritize?
          A) A qualitative study that explores the experience of living with a pressure ulcer
          B) A case study that describes the measures that nurses on a geriatric unit took to reduce pressure
          ulcers among patients
          C) Testimonials from experienced clinicians about the effectiveness of the mattress in question
          D) A randomized controlled trial that compared the pressure-reducing mattress with standard
          mattresses
          Ans: D
          Feedback: The most reliable evidence is considered RCTs. Qualitative studies, case studies, and
          expert opinion are low on the hierarchy of evidence.<\/li>\n\n\n\n
        2. Hospital administrators are applying the principles of evidence-based practice (EBP) in their
          attempt to ascertain the most efficient and effective way to communicate between nurses who are on
          different units, a project that will consider many types of evidence. Which of the following
          information sources should the administrators prioritize?
          A) A systematic review about communication in nursing contexts
          B) Nurses ideas about communication methods
          C) The results of a chart review
          D) The hospitals accreditation status
          Ans: A<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          1 | P a g ePrimary Care: Art and Science of Advanced Practice Nursing – AnInterprofessional Approach 5th edition Dunphy Test BankChapter 1. Primary Care in the Twenty-First Century: A Circle of Caring 2 | P a g eA) The existence of nursing research means that nurses are now able to access federal grant money,something […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-119331","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119331","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=119331"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119331\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=119331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=119331"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=119331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}