Test Bank for Primary Care Art & Science of Advanced Practice Nursing 6th Edition Dunphy, Exams of Nursing

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TESTgiBANKgiFOR PRIMARY giANgiINTERPROFESSIONALgiCAREgiARTgiANDgiSCIENCEgiAPPROACHgiOFgigiADVANCED6THgiEDITIONgiPRACTICEgiDUNPHYgiNURSINGgi– Chaptergi1.giPrimarygiCaregiingithegiTwenty-FirstgiCentury:giAgiCirclegiofgiCaring 1.ng (^) giongitheAgigiincidencenursegihasgigiofconductedginosocomialgiagiliteraturegi(hospital-gireviewgiingiangieffortgitogiidentifygithegieffectgiofgihandwashi acquired)iofgi<0.01.gigiinfectionsThisgiindicatesgiingiacutegithatgicaregisettings.giAngiarticlegipresentedgifindingsgiatgiagilevelgiofgisignificanceg

A) Thegicontrolgigroupgiandgithegiexperimentalgigroupgiweregimoregithangi99%gisimilar. B) Thegifindingsgiofgithegistudygihavegilessgithangi1%gichancegiofgibeinggiattributablegitogichance. C) Thegieffectsgiofgithegiinterventiongiwereginearlygizero. D) Thegiclinicalgisignificancegiofgithegifindingsgiwasgilessgithangi1:100. Ans:giB Feedback: resultsgimostgiThegilikelygilevelgirepresentgiofgisignificancegiaginogichancegiisgithegievent.gilevelgigiatAgigiwhichlevelgiofgithegisignificancegiresearchergigibelievesofgi<0.01gigithatindicatesgithegistudygithatgigi theregiisgilessgithangi1%giprobabilitygithatgithegiresultgiisgiduegitogichance.

2. of (^) giparentsAgiginursewhogihavegihasgireadgiagineonatalgiagiqualitativegiloss.giWhichgiresearchgiofgithegistudygifollowinggiingiordergiquestionsgitogiunderstandgishouldgithegithegilivedginursegiexperiencegiprioritizegigi whengiappraisinggithegiresultsgiofgithisgistudy? A) Howgiwellgididgithegiauthorsgicapturegithegipersonalgiexperiencesgiofgithesegiparents? B) findings? Howgiwellgididgithegiauthorsgicontrolgiforgiconfoundinggivariablesgithatgimaygihavegiaffectedgithegi

Ans:giD Feedback:mately,gitogigiimproveThegigreatestgipatientgivaluegioutcomes.giofginursinggiThisgiresearchgisupersedesgiliesgigiinthegithegicontributionsgipotentialgitogigiofimproveginursinggipracticegiresearchgiand,gitogieducgiulti ationgiprograms,gigrantgifunding,giorgithegipublicgiviewgiofgithegiprofession.

4. busy (^) giurbanTracygihospital.giisgiaginursegiShegiwithgihasgigianoticedgibaccalaureategithatgimanygidegreeginewgiwhogimothersgiworksgiabandongiingithegilaborgibreast-giandgideliverygiunitgiofgiagi feedingncouragegitheirgimoregibabiesgiwomengiwhengitogigicontinuetheygiexperiencegibreast-giearlygichallengesgiandgiwondersgiwhatgicouldgibegidonegitogie feeding.medgiatgipromotinggiWhatgirolegibreast-feeding?giisgiTracygimostgilikelygitogiplaygiingiagiresearchgiprojectgithatgitestsgiangiinterventiongiai

A) Applyinggiforgigrantgifundinggiforgithegiresearchgiproject B) Posinggithegiclinicalgiproblemgitogionegiorgimoreginursinggiresearchers C) Planninggithegimethodologygiofgithegiresearchgiproject D) Carryinggioutgithegiinterventiongiandgisubmittinggithegiresultsgiforg ipublicationgiAns:giB Feedback:iapplications,giAgigimajormethodologicalgirolegiforgistaffgiplanning,ginursesgigiisandgitogipublicationgiidentifygiquestionsgisubmissiongiorgiproblemsgiareginormallygiforgiresearch.gicarriedgigioutGrantgibygg inursesgiwhogihavegiadvancedgidegreesgiinginursing.

5. by (^) giagiresearchAgipatientgiassistant.gisignedgiLater,githegiinformedgithegipatientgiconsentgiadmittedgiformgigitoforgihisgiagigidrugnursegitrialgithatgithatgihegigiwasdidginotgiexplainedgiunderstandgitogipatientgithegiregi searchndgitogithisgiassistantsgirevelation?giexplanationgiorgihisgiowngirolegiingithegistudy.giHowgishouldgithisgipatientsginursegirespo

A) Explaingithegiresearchgiprocessgitogithegipatientgiingigreatergidetail. B) Describegithegidetailsgiofgiagirandomizedgicontrolledgitrialgiforgithegipatient.

C) Informgithegiresearchgiassistantgithatgithegipatientsgiconsentgiisgilikelygiinvalid. D) Explaingitogithegipatientgithatgihisgiwrittengiconsentgiisginowgilegallygibinding. Ans:giC Feedback:ponsiblegiforgiJustgiresearchgiasgithegigiconsent.staffginursegiIfgipatientsgiisginotgiresponsiblegiwhogihavegigiagreedforgimedicalgitogiparticipategiconsent,giexhibitgithegistaffgiambivalenceginursegiisginotgiorgiresgiu ncertaintyegiresearchgigiaboutteamgigiwhoparticipating,giisgimanaginggidogiginotconsentsgitrygitogigitoconvincegispeakgiwithgithemgiconcernedgitogiparticipate.gipatientsgiAskgiaboutgithegipersongithegistudy,gifromgievegith ngiaftergiagipatientgihasgisignedgithegiconsentgiforms. MultiplegiSelection 6.based (^) gipracticeAginursegi(EBP)gileadergiamonggiisgiattemptinggitheginursesgitogiincreasegiongiagiunit.githegiAgiawarenessginursegiwhogiofgiisgievidence-giimplementinggiEBPgiintegratesgi whichgiofgithegifollowing?gi(Selectgiallgithatgiapply.) A) Interdisciplinarygiconsensus B) Nursinggitradition C) Researchgistudies D) Patientgipreferencesgiandgivalues

Feedback:videncegiandgiPatientgitheginursesgipreferencesgiclinicalgishouldgiexpertise;gibegiintegratedgievidencegigidoesintogigiEBPnotgitrumpgiandgiconsideredgithegipatientsgialongsidegipreferences.giresearchgiThegigifae milydencegishouldgiingimoregibegigidetailinvolved,giisginotgibutgiagigidemonstrationthisgiisginotgiangiexplicitgiofgiEBP.gidimensiongiofgiEBP.giSimilarly,giexplaininggithegievi

8.term (^) gicareThegifacilitygiadministratorsgiaregiconsideredgiofgiagilong-githegiusegiofgispecialized,gipressure- giavereducinggisoughtgimattressesgiinputgifromgiingithegiorderginursesgitogireducegiongithegigitheunit,giincidencegiallgiofgiwhomgiofgipressuregiaregiawaregiulcersgiofgithegiamonggineedgigitoresidents.giimplementgiTheygithegihg ibasedprinciplesgipracticegiofgievidence-gi(EBP)giingithisgidecision.giWhichgiofgithegifollowinggievidencegisourcesgishouldgitheginurs esgiprioritize? A) Agiqualitativegistudygithatgiexploresgithegiexperiencegiofgilivinggiwithgiagipressuregiulcer B) pressure Agiulcersgicasegistudygiamonggithatgipatientsgidescribesgithegimeasuresgithatginursesgiongiagigeriatricgiunitgitookgitogireducegi

C) question Testimonialsgifromgiexperiencedgicliniciansgiaboutgithegieffectivenessgiofgithegimattressgiingi

D)reducing Agigimattressrandomizedgiwithgicontrolledgistandardgigimattressestrialgithatgicomparedgithegipressure-

Ans:giD Feedback:pertgiopiniongiThegiaregimostgilowgigireliableongithegihierarchygievidencegigiofisgigiconsideredevidence.giRCTs.giQualitativegistudies,gicasegistudies,giandgiex

9.based (^) gipracticeHospitalgi(EBP)giadministratorsgiingitheirgiattemptgiaregiapplyinggitogiascertaingithegiprinciplesgithegimostgiofgiefficientgievidence-giandgieffectivegiwaygitogicom municate gievidence.gibetweengiWhichgigiofnursesgithegifollowinggiwhogiaregigioninformationgidifferentgigiunits,sourcesgiagiprojectgishouldgithatgithegigiadministratorswillgiconsidergimanygiprioritize?gitypesgiof

A) Agisystematicgireviewgiaboutgicommunicationgiinginursinggicontexts

B) Nursesgiideasgiaboutgicommunicationgimethods C) Thegiresultsgiofgiagichartgireview D) ThegihospitalsgiaccreditationgistatusgiAns:giA

Feedback:verginursesgigiSystematicideasgiorgiagichartgireviewsgireview,giaregiassignedgithoughgibothgiagihighgiaregivaluegipotentialgiingiEBP.giconsiderations.giReviewsgiwouldgiThegigibehospitalsgiprioritizedgiaccregio ditationgistatusgiisginotgiagirelevantgiconsideration. 10.based (^) gipracticeAginursegi(EBP)gihasgiresolvedgiprocessgitogitogiapplygithegiwaygithegigithatevidence-giadmissiongiassessmentsgiaregiconductedgiandgidocumen tedgiongiagiunit.giHowgishouldgitheginursegibegingithegiprocessgiofgiestablishinggiEBP? A) Gathergievidencegishowinggithegishortcomingsgiofgicurrentgipractices B) Formulategiagicleargiandgiconcisegiquestiongitogibegiaddressed C) Elicitgisupportgifromgitheginursesgiwhogiaregimostgioftengiresponsiblegiforgiadmissions D) SearchgithegiliteraturegiforgievidencegithatgiisgipotentiallygirelevantgitogithegipracticegineedgiAns:giB Feedback: agisearchgiofgigiThethegigiliteraturefirstgistepgigioringigiapplyingthegirecruitmentgiEBPgiisgiofgitogiparticipants.giaskgiagiclear,gigifocusedAngiassessmentgiquestion.giofgigiThisthegishortcomingsgishouldgiprecedegiofgigi thegicurrentgisystemgiisginotgiangiexplicitgicomponentgiofgithegiEBPgiprocess.

C) Adoptgithegichangesgiidentifiedgiingithegireviewgiprocess D) AssessgithegioutcomesgiofgitheginewgipracticegiAns:giD Feedback:tgiprocessgiingiThegiplacegifinalgiingigistepthegiinstitution.giingithegiUNCgirubricgiisgitogiAssessgithegichangegiusinggithegiqualitygiimprovemen

13. subject (^) giAofgiginursesexualgihasgihealth.gibeengiHowever,giaskedgitogigimaketheginursegiagipresentationgidoesginotgihavegitogiagiagigroupgibackgroundgiofgihighgiingischoolgithisgipracticegistudentsgiareagiongigitheandgigi requiresbasedgiguidelines.girapidgiaccessgiWhichgitogievidence-giofgithegifollowinggistrategiesgiisgimostgilikelygitogiprovidegitheginursegiwithgivalid giandgireliablegievidencegiingiagitime-efficientgimanner? A) SearchgithegiCochranegiLibrarygiofgiSystematicgiReviews B) Googlegisearchgitermsgisuchgiasgisexualgihealthgiteensgiandgisexualgieducation C) SearchgiMedlinegiusinggiPubMedgiandgiordergirelevantgiarticles D) Scangithegimostgirecentgiissuesgiofginursinggijournalsgithatgiaddressgithisgiareagiofgipractice Feedback: CochranegigiLibrary.ForgisomegiOftengiproblems,githisgireviewgiagisystematicgiisgidonegigibyreviewgiangiexpertgimaygigibepanelgiavailablegiprovidinggifromgiexcellentgiagisourceg i giinformationsuchgiasgithegigio nngigiwhichagiGooglegitogigibasesearchgidecisions.giandgiisgimoregiThisgiefficientgiapproachgithangiisgimoregisearchinggilikelygijournalgitogiproducegimanuallygivalidgigiorandgiorderinggireliablegiarticlesgiresultsgigithrotha ughgiPubMed.
14. will (^) gibegiTheimplementedginursesgiatgigiaovergiuniversitygitheginextgihospitalgi 12 gimonths.gihavegigiThebeenginursesgiinformedgishouldgithatgibegiagigicomputerizedawaregithatgisuchgirecordgiasgisystemgisystemgipgi resentsgiparticulargichallengesgiingithegiareagiof A) vulnerabilitygitogierrorsgiingichartinggiandgithegiinabilitygitogimakegichanges. B) patientgiprivacygiandgiconfidentialitygiofgirecords.

C) enforcinggicompliancegiwithgithegisystemgiongithegipartgiofginurses. D) ensuringgicompatibilitygiwithgidifferentgicomputergioperatinggisystems. Ans:giB Feedback:oplegiingimanygiConcernsgisitesgifargiaboutgiremovedgiprivacygifromgibecomegiwheregigithemagnifiedgipatientgigiiswhengilocated,giinformationgiagisituationgiisgigiavailablethatgiexistsgitogiwhengimanygipe

computerizedfgicompliance,gigirecordscompatibility,giaregiused.giorgigiThisvulnerabilitygiisgiusuallygitogiconsideredgierrors. giagimoregiimportantgiconcerngithangiissuesgio

15. atgithe (^) gihospitalAginursegibecausegiisginervousgihegidoesgiaboutginotgithegiconsidergiimpedinggihimselfgiintroductiongitogibegitechnologicallygiofgicomputerizedgiadept.ginursinggiHowgicaregishouldgirecordsgithisgigi nursegibestgirespondgitogithisgisituation? A) Takegicoursesgiingiadvancedgipracticeginursinggitogibuildgihisgiknowledge. B) Exploregiemploymentgiopportunitiesgiingisettingsgithatgiusegiwrittengidocumentationgisystems. C) Advocategiforgiagidelaygiingithegiintroductiongiofgithegiproposedgisystem. D) Seekgioutgiopportunitiesgitogilearngithegirelevantgiknowledgegiandgipracticegitheginecessarygiskills. Ans:giD

Chaptergi2.giCaringgiandgithegiAdvancedgiPracticegiNurse MultiplegiChoice

1. the (^) gifollowingAgigoalginursinggiofgicommunitygiactionsginursinggireflectgigithisisgitogigoal?giprovidegiprimarygipreventiongifromgidisease.giWhichgiofgi

A)healthy (^) giAfoodsginursegiandgicreatesgidistributesgiagipamphletgiitgiingithegidiscussinggineighborhoodgiheart-gicommunitygicenter.

B) emergency Aginursegidepartment.gistartsgiangiintravenousgilinegiongiagidehydratedgibabygiwhogihasgibeengibroughtgitogithegi

C) Aginursegiperformsgirange-of-motiongiexercisesgiforgiagipatientgiingitraction. D) pressure Agiulcers.ginursegirepositionsgiangielderlygipatientgiconfinedgitogiagiwheelchairgitogiavoidgithegiformationgiofgi

Ans:giA

Feedback:arygipreventiongiPrimarygicangigibepreventiongiaimedgiatgigiinvolvesstoppinggigithethegigieffortscausegiofgitogidisease.gipreventgigiGeneralizeddiseasegifromgieffortsgievergioccurring.gitogieducategiPrimgipeop leesgigiregardingongipreventinggihealthygilong-gidietsgiaregiaimedgiatgithisgitypegiofgiprimarygiprevention.giTertiarygipreventiongifocus termatient,gidisabilitygirehydratinggiandgigiarestoringgipatient,gigiorfunctionalgiassistinggicapacity,giwithgiexercises.giasgiexemplifiedgibygirepositioninggiangiimmobilegip

2.based (^) ginursing.AginursegiWhichgidecidesgiofgitogithegipursuegifollowinggiagicareergistatementsgiingicommunity-girepresentsgithegienvironmentgiingiwhichgitheginurs egiwillgibegiworking? A) Community-basedginursinggiisgilimitedgitogiworkgiingipublicgiclinics,gischools,giandgiindustry. B) Thegikeygitogicommunity-basedgisettingsgiisgithatgitheginursegiisgiingicharge. C) taken (^) gibyThegitheginursegiclient.giservesgiasgiangieducator,giguide,giandgiresourcegipersongiandgideterminesgithegiactiongi

D) Caregiingithegicommunitygiisgicost-effective. Ans:giD Feedback:effectivegiandgiCaregioftengiingigithemoregicommunitygiacceptablegiisgigitocost-githegiclientgibecausegiitgicausesgilessgidisruptiongiingilife.giItgitakesgi placepgiwithgiingiclients.giagiwidegivarietygiofgisettingsgiandgiinvolvesgitheginursegienteringgiintogiagicollaborativegirelationshi

3.term (^) ginursingThegimovementgicaregifacilitygiofgigiinvolvesagiclientgifromgiplanninggiacutegitogicaregiprovidegitogiagilong-gicontinuitygiofgicare.giWhatgiisgithegitermgifo rgithisgitypegiofgiplanning? A) Dischargegiplanning B) Comprehensivegiplanning C) Ongoinggiplanning D) TransitiongiplanninggiAns:giD

A)based (^) gicredentialsMostgialternativegitogipracticegihealthcaregitheirgimedicine.gipractitionersgidoginotgihavegieducation-

B) mandates Alternativegiconfidentialitygiprovidersgiingiconventionalgiareginotgiusuallygihealthcaregiincludedgisettings.giingithegifederalgiHIPAAgilegislationgithatgi

C) Thegicostgiofgialternativegitherapygiisginevergicoveredgibygiinsurancegicarriersgiorgihealthcaregiplans. D) ItgiisgieasygitogifindgiaccurategisafetygiandgiefficacygidatagiforgialternativegimedicinegiongithegiInternet. Ans:giB

Feedback:litygiandgiAccountabilitygiAlternativegiprovidersgiActgiofgi 1996 giaregigilegislationnotginormallygithatgiincludedgimandatesgiingigitheconfidentialitygifederalgiHealthgiingiconventionalgiInsurancegiPortabigihealt hcaremationgisettings.gicangibegigidifficultAlternativegitogifindgipractitionersgiandgicostsgigifordogiginottreatmentginecessarilygimaygigibelackgicoveredgicredentials.gibygisomegiAccurategiinsurancegionlinegiplans.giinfor

6.icommunity. TheregiNursesgiisgiangiincreasinggiwhogiaregitogitrendgiprovidegiforgiginursingexcellentgicaregicaregitogiingimovegiagicommunitygifromgithegigisettinghospitalgishouldgisettinggiprioritizegiintogithegg iwhichgiofgithegifollowing? A) Integratinggiculturegiandgifamilygiintogithegiplanninggiandgideliverygiofgicare B) Becominggimoregiassertivegiingiclientgieducationgiandgithegiplanninggiofgiclientgicare

C) Encouraginggiclientsgitogilimitgitheirgiinteractionsgiwithgiphysicians D) A TeachinggiclientsgitogireplacegibiomedicalgiinterventionsgiwithgicomplementarygitherapiesgiAns:gi Feedback: gicompetentgiTheginursing.gimovegiCommunitygitogicommunityginursinggicaregiheightensgidoesginotgiginecessarilythegiimportancegirequiregiofgifamily-centered,githatgiaginursegibecomegiculturally-gimoregias sertiveacegibiomedicalgiwithgiclient.giinterventionsgiItgiwouldgibegiorgisimplistic,giavoidgidoctors.giandgiingimostgicasesgiinappropriate,gitogiguidegiclientsgitogirepl

7. importance Ingispitegiofgicommunity-basedgiofgithegiimportantgirolegihealthcaregithatgihospitalsgiandgicommunity-giplaygiingiAmericangihealthcare,githeregiisgigrowinggi basedhygiofgigicommunitynursing.giWhichgicare?giofgithegifollowinggistatementsgibestgiconveysgiagicentralgiaspectgiofgithegiphilosop

A) Thegiclientg iisgiingichargegiofgihisgiorgihergihealthgiandgihealthcaregiingithegicommunity. B) Nursesgimaximizegitheirgiscopegiofgipracticegiinginoninstitutionalgisettings. C) Communitygisettingsgiallowgiforgithegigreatestginumbergiandgivarietygiofgitreatmentgioptions. D) Theginursegibecomesgithegikeygimembergiofgithegihealthcaregiteamgiingiagicommunitygisetting. Ans:giA

Feedback:ge.giThegimovegiAgicentralgitowardgipremisegicommunitygiofgicommunitygicaregiisginotgigihealthcaremotivatedgigibyisgithegiangigiincreasedfactgithatgipatients/clientsgirolegiforginurses.giaregiTheregiingichar

A) alternatives. Discussgithisgiobservationgiwithgithegiclientgiandgihergisongiingiangiopengimannergiandgiexploregi

B) Organizegicaregisogithatgiitgitakesgiplacegiatgitimesgiwhengithegisongiisginotgipresentg iingithegihome. C) care. Accommodategithisgiaspectgiofgithegiclientsgifamilygidynamicsgiwhengiplanninggiandgicarryinggioutgi

D) Teachgithegiclientgiassertivenessgiskillsgithatgishegicangiapplygiingihergiinteractionsgiwithgihergison. Ans:giC Feedback:ers.giItgiisginotgiThegitheginursegiresponsibilitygishouldgirespectgiofgithegiginursethegiclientsgitogireorganizegidesiregitogiorgiorganizegiovercomegihergithisgicaregifamilysgiingithegigiwaydynamics.githatgishegipref

10.standing Agidiagnosisgiclientgiwithgiofgiagichronicgilong- giobstructivegipulmonarygidiseasegi(COPD)gihasgibeengienrolledgiingiagidis easem? gimanagementgiprogram.giWhichgiofgithegifollowinggiactivitiesgiwillgibegiprioritizedgiingithisgiprogra

A) Providinggicomprehensivegiandgievidence-basedgicaregiofgithegiclientsgiCOPD B) Creatinggicollaborativegirelationshipsgibetweengithegiclientgiandgithegicaregiteam C) EnsuringgithatgithegiclientgiqualifiesgiforgiMedicaregiandgiMedicaid

D) Liaisinggibetweengithegiclientgiandgihisgihealthgimaintenancegiorganizationgi(HMO)giAns:giA Feedback:basedgicaregigiDiseaseforgiangiindividualgimanagementgiwithgifocusesgiagispecificgiongigichronicprovidinggiillness.githegibestgiThisgievidence-gidoesginotginecessitategienrollmentgi inementgiangiHMO,gibutgithisgiMedicare,giisgiagimeansgiorgigiMedicaid.togithegiendgigiCollaborativeofgipositivegihealthgirelationshipsgioutcomesgifacilitategirathergithangieffectivegiangiendgidiseasegiingiitself.gimanag

11.nate (^) gidisparities.OnegiofgithegiWhatgiexpressedgihealthgigiindicatorgoalsgiofgiHealthygicangimostgiPeoplegiaccuratelygi (^2020) gigaugegiisgitogiachievegiwhethergihealthgithisgigoalgiequitygiisgibeinggiandgielimigiachie ved? A) Environmentalgiquality B) Injurygiandgiviolence C) Mentalgihealth D) Accessgitogihealthcaregiservices

Ans:giD Feedback: giandgitheregigiaHealthgifewergigiequitydisparitiesgiisgiachievedgiingihealthgiwhengiaccessgiallgiandgiAmericansgihealthgioutcomes.gihavegiequitablegiEnvironmentalgiaccessgitogigihealthquality,giservicesgimental givehealthgiofgihealthgiandgiinjury,giequitygigiandandgigiviolencethegieliminationgiaregiimportantgiofgidisparities.gihealthgiindicatorsgibutgithesegiaregilessgidirectlygiindicati