Test Bank for Primary Care Art and Science of Advanced Practice Nursing an Interprofessional Approach 5th Edition Dunphy

Test Bank for Primary Care Art and Science of Advanced Practice Nursing an Interprofessional Approach 5th Edition Dunphy
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.
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.
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
3. 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
4. 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