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Nursing Research in Canada 4th
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Chapter 01: The Role of Research in Nursing
LoBiondo-Wood: Nursing Research in Canada, 4th Edition
MULTIPLE CHOICE
1. A key step to the development of nursing research was
a. the endowment of nursing research chairs.
b. universities offering baccalaureate nursing programs.
c. a baccalaureate degree becoming the entry to practice.
d. the Canadian Nurses Association developing a research mandate.
ANS: B
Feedback
A Endowment of nursing research chairs did not occur until the number of nurses
with PhD degrees increased.
B Universities offering baccalaureate nursing programs provided an introduction to
research within the BScN programs and led to further nursing education at the
MSN and PhD levels.
C Baccalaureate degrees becoming the entry to practice did not occur until the
twenty-first century.
D The Canadian Nurses Association did not develop a research mandate until the
end of the twentieth century.
DIF: Cognitive Level: Application
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
2. How is nursing research significant to the profession of nursing?
a. Responsibility is more specifically defined.
b. Liability within the practice of nursing is decreased.
c. A specialized body of knowledge is generated for use in the delivery of health
care.
d. The scope of nursing practice is expanded into areas formerly reserved for other
disciplines.
ANS: C
Feedback
A Research aids in documenting accountability of nurses, but professional
guidelines regarding responsibility already exist.
B Liability is a legal concept. Research does not promote liability.
C Theory-based nursing research provides a foundation for evidence-informed
nursing care.
D Nursing research expands the discipline of nursing as it pertains to nursing
practice.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
3. Why are nursing practice–oriented scientific investigations valuable?
a. They validate the effectiveness of particular nursing interventions.
b. They encourage consumers to question the quality of health care.
c. They limit the theory base for clinical decision making.
d. They mandate health care reform.
ANS: A
Feedback
A Practice-focused research supports the effectiveness of nursing interventions and
reinforces quality of nursing care.
B On the contrary, they help reassure consumers about the quality of health care.
C They support the development of the theory base for clinical decision making.
D They reinforce the effectiveness of current nursing practice.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
Copyright © 2018, Elsevier Inc. All Rights Reserved. 2
4. When a change in nursing practice results in decreased cost of care, what additional factor must be considered before general
implementation of this change?
a. Ensuring compliance of the change by nurses with diverse educational
backgrounds
b. Maintaining or improving the quality of care resulting from the change in practice
c. Encouraging patients to be active partners in their health care decisions
d. Disseminating the change beyond the discipline of nursing
ANS: B
Feedback
A Not all nurses are responsible for supervising compliance with new measures.
B Nurses are accountable to maintain quality patient care despite cost-cutting
measures.
C Nurses should encourage patient participation in care despite cost-cutting
measures.
D Nurses are not responsible for reforming other disciplines.
DIF: Cognitive Level: Analysis
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
5. Why do nurses who do not conduct research need to understand the nursing research process?
a. To identify potential participants for clinical research studies
b. To assist in collecting accurate data for clinical research studies
c. To teach patients and families about the usefulness of participation in research
d. To be able to evaluate nursing research reports for relevance to their own clinical
practice
ANS: D
Feedback
A Nurses who do not conduct research would not influence participant
identification.
B Nurses who do not conduct research would not influence data collection.
C Nurses who do not conduct research would not influence participant recruitment.
D Nurses should be able to understand the research process by reading research
reports and determining if they should modify their practice based on research
evidence.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
6. How are nursing theory and nursing research related?
a. Nursing theory and nursing research are independent of each other and have no
direct relationship.
b. Without nursing theory, research conducted by nurses would not have an impact
on nursing practice.
c. Nursing research drives the direction and specific content of nursing theory.
d. Both advance the knowledge base of nursing.
ANS: D
Feedback
A Theory and research are related to each other.
B Research studies may be conducted without a clear theoretical framework and
still influence practice.
C Quantitative nursing research tests nursing theory but does not influence content.
D Theory and nursing research both influence how nursing practice is conducted.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
Copyright © 2018, Elsevier Inc. All Rights Reserved. 3
7. Which action demonstrates the role of an intelligent consumer of nursing research?
a. Designing a research study
b. Analyzing data to determine outcomes
c. Evaluating the credibility of the research findings
d. Replicate the study in another setting to confirm the findings
ANS: C
Feedback
A A consumer applies research to practice. Consumers are not responsible for
designing a study.
B A consumer does not conduct data analysis of a study. The study’s primary
investigator analyzes data.
C A consumer of nursing research needs to understand the research process to
determine the merit and relevance of evidence for research studies.
D A consumer can apply research findings to practice but does not have to
replicate the study itself.
DIF: Cognitive Level: Evaluation
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
8. In designating research functions to nursing staff, which of the following functions would you designate to a staff registered nurse?
a. Protecting human participants by promoting the ethical principles of research
b. Providing expert consultation about the way in which clinical services are
delivered
c. Developing methods to monitor the quality of nursing practice in the clinical
setting
d. Providing leadership by assisting others in applying scientific knowledge in
nursing practice
ANS: A
Feedback
A All nurses are responsible for protecting human participants in research.
B Nurses are at the bedside implementing protocols. Expert consultation is
reserved for MSN- or PhD-level nurses.
C Developing methods is reserved for nurses with advanced education.
D Providing leadership is reserved for nurses with advanced education.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
9. Which of the following statements regarding the role of the nurse in research is true?
a. Nurses must be prepared at the baccalaureate level or higher to have any role in
nursing research.
b. Master’s-prepared nurses (those with MSN, MN, or MS degrees) are primarily
responsible for using the findings of nursing research in clinical practice.
c. One role of the registered nurse is to identify issues in clinical practice that are
suitable for research.
d. Regardless of nursing education, the only nurse who should interpret research
findings is the one who has the most comprehensive understanding of statistical
analysis methods.
ANS: C
Feedback
A Having a role in nursing research or implementing findings is not limited to
BScN and MSN nurses only.
B Master’s-prepared nurses can provide leadership to supervise how research
findings are applied in the clinical area. All levels of nurses can apply research
findings to practice.
C Nurses should have an awareness of the relevance of nursing research and ask
clinical questions.
D Data analysis is usually conducted by an MSN- or PhD-level nurse.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
Copyright © 2018, Elsevier Inc. All Rights Reserved. 4
10. Which of Florence Nightingale’s actions formed the foundation for modern-day nursing research methods?
a. Establishing the St. Thomas Hospital School of Nursing in England
b. Writing the curricula for the nineteenth–century nurse training programs
c. Lobbying the British parliament to enact changes in law for better health care
d. Collecting data systematically on the health status of British soldiers during the
Crimean War
ANS: D
Feedback
A Establishing a school of nursing is not a form of scientific investigation.
B Developing curricula is not a form of scientific investigation.
C Lobbying a parliament is more about advocacy and health care reform.
D Systematic, objective data collection during the Crimean War formed the basis
for modern-day nursing research methods.
DIF: Cognitive Level: Knowledge
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
11. What was the focus of most nursing research studies conducted during the first half of the twentieth century?
a. Nursing education methods and outcomes
b. Effects of sanitation on health promotion and disease prevention
c. Use of epidemiology as a method of identifying risk for specific illnesses
d. Identification of the most effective means to disseminate positive findings from
nursing research
ANS: A
Feedback
A Nursing education has been documented to have been the focus of nursing
research in the early twentieth century.
B Disease prevention was a focus in the 1960s.
C Florence Nightingale used epidemiology in her early research.
D Dissemination of nursing research findings grew in the 1980s.
DIF: Cognitive Level: Knowledge
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
12. What was the outcome of the 1932 Weir report?
a. Recognition of research as part of the roles and responsibilities of the registered
nurse
b. Recommendation of changes to improve standards of education and practice
c. Establishment of multiple entry levels to the nursing profession
d. Publication of the Canadian Journal of Nursing
ANS: B
Feedback
A The focus was on advancing the delivery of nursing education to improve
practice.
B The Weir report identified serious problems in nursing education that affected
nursing practice.
C The standardization of BScN, MSN, and PhD programs was suggested, but it
took 50 years for its full adoption.
D No publication called the Canadian Journal of Nursing exists.
DIF: Cognitive Level: Knowledge
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
13. What action or strategy can limit the depth of nursing research?
a. Addressing physiological and psychological responses to actual or potential
health problems
b. Employing both qualitative methods and quantitative methods in the same study
c. Developing programs of research that build on prior investigations
d. Using singular measures to assess phenomena
ANS: D
Feedback
A Addressing the physical and psychological aspects of a phenomenon provides
depth to research outcomes.
B Multiple-method studies can provide greater depth of understanding of a
phenomenon.
C Building on prior research allows for deeper exploration of human phenomena.
D Using a single measure will not allow a researcher to examine the complexity of
human phenomena.
DIF: Cognitive Level: Analysis
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
Copyright © 2018, Elsevier Inc. All Rights Reserved. 5
14. Which of the following is the overall value of developing evidence-informed nursing practice?
a. Demonstration of how nursing makes a difference in patient outcomes
b. Implementation of the most cost-effective nursing practice patterns
c. Separation of nursing research from the research of other disciplines
d. Development of new nursing theories
ANS: B
Feedback
A Evidence-informed practice provides a research foundation for nursing
interventions.
B Implementation of more cost-effective nursing interventions may occur based on
evidence, but it is not the overall value of developing evidence-informed nursing
practice.
C Developing a unique body of nursing knowledge is important but is not the
overall value of developing evidence-informed nursing practice.
D Developing nursing theory is important, but evidence-informed nursing practice
is focused on the more concrete aspects of clinical practice.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
15. How does an international research perspective contribute to the discipline and science of nursing?
a. By unifying the definition of the term health
b. By increasing the dissemination potential of research findings
c. By emphasizing the cultural aspects of nursing care
d. By testing innovative and cost-effective patient care delivery models
ANS: D
Feedback
A Nursing models can be tested in a variety of settings, which strengthens the
credibility of the evidence. Health is a subjective term.
B Dissemination of findings is one of the benefits of an international perspective,
but the primary focus is testing of models.
C Emphasis on cultural considerations is one of the benefits of an international
perspective, but the primary focus is testing of models.
D An international research perspective can lead to the formation of a global
research community.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
16. Which of the following is the identified priority for future nursing research efforts?
a. Improvement in patient quality of life
b. Cost containment of health care delivery
c. Promotion of excellence in nursing science
d. Promotion of advanced education in nursing
ANS: C
Feedback
A Patient quality of life is a desired outcome but not the identified priority for
future nursing research.
B Cost containment is not the identified priority for future nursing research.
C Nursing is rising to the challenge of developing the science to improve health
care. Advancing nursing science is therefore a priority.
D Promotion of advanced education in nursing is not the identified priority for
future nursing research.
DIF: Cognitive Level: Knowledge
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
Copyright © 2018, Elsevier Inc. All Rights Reserved. 6
17. Review the information from four abstracts below and identify which study is an example of outcome-based research.
a. This study used a school-based community sample (N = 920) to examine
trajectories of depressive symptoms, self-esteem, and expressed anger in the
critical years of emerging adulthood (ages 18 to 25).
b. To identify reasons for lower organ donation rates by knowledge and attitudes
about brain death, donation, and transplantation and trust in the health care system
were examined.
c. An exploratory study was undertaken with a racially diverse group of custodial
grandfathers to fill a gap in the literature about the vulnerability for elder abuse,
exploitation, and neglect as expressed by older Indigenous, Caucasian, and South
Asian custodial grandfathers.
d. A multicentre, international clinical trial was conducted in 3,500 patients with
documented coronary heart disease to determine whether a brief education and
counselling intervention delivered by a nurse can reduce prehospital delay in the
face of symptoms.
ANS: D
Feedback
A Exploration of anger in adulthood is not an outcomes research study.
B Surveying families about consent for organ donation is not an outcomes research
study.
C Exploration of elder abuse is not an outcomes research study.
D Outcomes research examines how nursing interventions affect patient outcomes.
This study examines the effectiveness of nursing interventions.
DIF: Cognitive Level: Evaluation
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
18. Why should a nursing research study that demonstrates a positive outcome for a specific intervention be replicated before the
intervention can be accepted for implementation?
a. Findings that are reproducible in a series of replicated studies increase the
generalizability of the results.
b. Being able to replicate existing studies increases the opportunity for nurses to be
involved in nursing research.
c. Replicated studies provide more data for statistical analysis and measurement of
reliability.
d. If a high level of significance is associated with the study results, replication is
unnecessary.
ANS: A
Feedback
A Studies that can be replicated in and generalized to many settings demonstrate
the reliability of the study results.
B Replication is not an excuse for involving nurses in research.
C Multiple replications of a study will neither generate new data nor ensure
reliability.
D Even studies that have a high level of significance should be replicated.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
19. How is using multiple measures to assess a clinical phenomenon useful to nursing research or practice?
a. When multiple measures are used, qualitative data and quantitative data are
always obtained.
b. Using multiple measures reduces the number of participants needed in a sample
size to reach statistical significance.
c. Comparison of various methods of measurement may reduce the need to use
invasive methods in measuring physical parameters in future studies.
d. The results of studies using multiple measures to assess a clinical phenomenon
are more likely to be published in journals other than nursing journals as well.
ANS: C
Feedback
A Not all studies that have multiple measures use both quantitative and qualitative
approaches.
B Using multiple measures does not reduce the number of participants in a study.
C Qualitative data help provide essential descriptive data on how patients
experience a particular phenomenon.
D Multiple-method studies should be conducted with the intent of disseminating
the results through professional nursing journals.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
Copyright © 2018, Elsevier Inc. All Rights Reserved. 7
20. Taking into account the future priorities of nursing research, which of the following studies would most likely be funded by the
Canadian Health Services Research Foundation (CHSRF)? A study to
a. examine trajectories of depressive symptoms, self-esteem, and expressed anger in
the critical years of emerging adulthood (ages 18 to 25).
b. identify reasons for lower organ donation rates
c. fill a gap in the literature about the vulnerability for elder abuse, exploitation, and
neglect as expressed by older Indigenous, Caucasian, and South Asian e custodial
grandfathers.
d. determine whether a brief education and counselling intervention delivered by a
nurse can reduce prehospital delay in the face of symptoms.
ANS: D
Feedback
A While mental health is a priority of CHSRF, this study is not the most likely to
be funded.
B Organ donation is not a priority for CHSRF at this time.
C Older adults are considered a vulnerable population and studies relevant to this
population are a priority of CHSRF; however, interventions studies are granted
higher priority.
D Intervention studies that examine ways to improve service and health among
those suffering with chronic illness are of the highest priority to CHSRF.
DIF: Cognitive Level: Application
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
Exploring the Variety of Random
Documents with Different Content
terrible sentiment that was born of it, the heart-breaking longing
inspired by her idealized image.
Passion, when it rises to this dimension in the mind of a man, has
beautiful attributes as well as vile, it holds in its hands pictures of
perfect innocence, besides the others.
The devil takes care of that!
He saw Jane not only as she was, but as she had been, fair, and
fresh, and innocent, against the background of the beeches round
Glenbruach, and the sea lochs, and the purple hills.
What he did with his body that day in Arita, or where he
wandered, he could never tell, for his mind was fighting a battle so
fierce that all intelligent perception of outward things was blurred.
At the end of it he found himself in a tea house sitting before
some food which he had apparently ordered, and the battle was
won. So he told himself.
As a matter of fact, he was worn out. Passion was exhausted,
fighting against fate, attempting to escape from the pursuing devils,
beating himself against the trees, he had fallen beneath them, telling
himself that the battle was won, wondering at himself that he ever
could have even dreamed of the ruinous course of action which lust
had urged him to.
But the trees remained steadfast and unharmed, waiting only for
the renewal of the madman’s strength and the inevitable end.
It was dark when he reached the Nagasaki station. He picked a
riksha from a row of them standing outside with hoods up, for it had
been raining slightly, and looking absurdly like a row of tiny,
unhorsed hansom cabs, and told the man to take him to the House
of the Clouds.
He came up the hill-path, and as he came the wind, blowing
against him, brought a perfume with it, the perfume of rain-wet
azaleas. During the day and the previous night dozens of blossoms
had broken forth, filling the garden with their fragrance and beauty;
dozens more would be born ere the morrow under the light of the
silvery moon now gliding up over the hill-tops behind a tracery of
flying, fleecy clouds.
As he approached the house, he saw through the open panel
space the silhouettes of Pine-breeze and Cherry-blossom.
They were sitting opposite to each other on their heels upon the
lamplit matting, and seemed at first to be engaged in the game of
kitsune-ken, but almost instantly he perceived that they were playing
at no game, but were engaged in conversation. Alarmed
conversation, to judge by the movements of their hands, now up-
flung, now flung out sideways. Sweetbriar San was promenading the
matting with tail fluffed out, now rubbing against Pine-breeze, now
against Cherry-blossom, attempting apparently to join in the
conversation, and seeming to share in the excitement.
Something had happened of a tragic nature—but what? Two steps
brought him on to the veranda two more into the house with his
boots on, despite the clause in the lease.
The Mousmés gave two little shrieks, wheeled round, and kow-
towed before the August One.
“What is the matter?” he asked. “Has anything happened? Is
Campanula San safe?”
Campanula San was quite safe.
Then why all this? What had they been conversing about with so
many exclamations?
Confused replies.
“Go,” he said, “and bring me some tea, and ask Lotus-bud to
come hither.”
In a few moments Lotus-bud, wearing a very white face,
appeared, and kow-towed.
He questioned her. At first her answers were vague, and then it all
came out.
Things had happened. Campanula San had gone into the town
that day, and had met he whose head was like the rising sun
(George du Telle in plain prose); and he with the sun-bright head
had walked with her, and had spoken dishonorable words. Oh,
shame!—he had offered her gold.
“God!” said Leslie, staring at the bent figure on the matting before
him.
He remained speechless for a moment, then he took out his
watch and looked at it: it was eleven o’clock.
He turned furiously and strode out of the room: on the veranda
he stopped like a horse suddenly reined in.
Jane’s image had appeared before him, turning him back.
Suppose he were to go to the hotel now and drag George du Telle
out and beat him within an inch of his life, as was his intention a
moment ago?
The idea of Jane in the midst of that scene brought his fury down
from boiling point.
He returned to the room, where Lotus-bud was still on her knees,
with her hands clasped.
Where was Campanula San now?
In bed and asleep. She had returned, it seems, greatly troubled at
noon, and had confided her trouble to Lotus-bud, making her
promise to tell no one—Leslie San especially—and Lotus-bud had
promised—with the result we have already seen.
For a moment he thought of waking Campanula, but he dismissed
the thought. The thing had occurred and was irremediable, the
question now remained, what was he to do about George du Telle.
He went up to bed. In times past he could have obtained his
remedy.
Where lay his remedy now? The law could do nothing; there
remained only physical force.
A wheezy pug dog protected by a woman’s skirts, that is what
George du Telle was. Leslie knew that if once he could catch the
brute by the scruff of the neck, the only struggle would be with
himself as to the limits of chastisement to be inflicted.
If he could only get him away from Jane up a back street
anywhere, just for five minutes! The thing was to be done. With the
help of the astute M’Gourley he felt it was to be done, and would be
done on the morrow.
He got up and went to a rack on the wall where he kept his
sticks, and took down a whangee cane half an inch thick, a most
efficient instrument for the chastisement of a brute. He made it sing
through the air, then he put it on the rack again and returned to
bed, and slept soundly, far more soundly than he had slept the night
before.
CHAPTER XXIV
GEORGE DU TELLE
He was awakened by voices. Sunlight was streaming into the
room, the sparrows were bickering round the trees, and from below
came the voice of Pine-breeze crying, “Irashi, condescend to enter!”
Then Jane’s voice: “I don’t understand what you say. Stop
rubbing the matting with your nose. I want your master.” Then an
octave higher, “Richard!”
“Hullo!” cried Leslie, leaning on his elbow, and scarcely able to
credit his ears.
“Oh, you are there! Come down at once, I must speak to you.
Quick!”
“What on earth has happened?”
“All sorts of things.”
“I’ll be down in two minutes, but for goodness sake tell me what
is the matter.”
“Can I speak without any one understanding?”
“Oh, that’s all right.”
“Well, then, George has bolted.”
“George has what?”
“Gone away.”
“Where has he gone to?”
“Oh! come down and I’ll tell you everything. Dick! Dick! is that a
bath I hear you dragging over the floor? Dick, if you dare to have
the impudence to keep me waiting whilst you take a bath, I’ll—I’ll
come up and pull you out of it. Do come on!”
“Directly!”
“Well, don’t be long,” grumbled Jane; and she apparently took her
seat on the cushions upon the matting, for he could hear her
grumbling about the absence of chairs.
This was a new development of affairs. George bolted! It was just
what one might have expected of the man, to insult a girl and then
fly from the wrath to come.
It was rather a relief, too, viewed by the light of morning. No man
likes the task of thrashing a dog that has misbehaved: the thing has
to be done, but it is unpleasant, and if the creature runs away and
hides, so much the better. And the thrashing of a fat, wheezy pug
without teeth or means of defense was what the punishment of
George du Telle would amount to.
He dressed rapidly and came down to the room where Jane was
sitting on a cushion, trying to read the Japan Mail.
“Oh, there you are! Come and sit down. No, not beside me; right
opposite, if you please.”
“Tell me all about it.”
“Oh, there’s not much to tell. I was in bed nearly all yesterday
with a headache, and George went off for a walk in the afternoon;
said he was going to call on you. I told him you had gone to
Nagoya.”
“Arita.”
“It’s all the same—then he went out, I don’t know where, and
that is the last I’ve seen of him. At nine yesterday evening they
brought me a note saying he had gone to Osaka, and to follow with
our luggage.”
Leslie whistled.
“What are you whistling about?”
“Osaka! Why, that’s over three hundred miles away!”
“Where is it?”
“On the Inland Sea.”
“Where’s that?”
“Oh, it runs from here up to—well, practically to Osaka. At least, it
doesn’t exactly reach from here, you have to go through the Straits
of Tsu-shima.”
“Well, I don’t care what Straits you have to go through; he’s gone
to Osaka on important business the note said. Now, what business
can have taken him there. What do they do at Osaka?”
“Make all sorts of things, from machinery to tea-pots, and so on.”
“Well, he can’t have gone to buy machinery or tea-pots—what
can it mean? He was so good, too, yesterday; brought me up some
antipyrine, and wanted to fetch a doctor, and plumped up my
pillows, and then went out and off to Osaka without a word, and
how did he get there? He says follow by next boat to-morrow. I was
going to ask the hotel people, but I didn’t like to. I just told them I
knew he was going, and I was going to follow him to-morrow.”
“There’s no railway to Osaka,” said Leslie, “for this bit of Japan is
an island. He must have gone by a Holt liner; one started last
evening. The Canadian Pacific boats don’t stop at Osaka, they go
right on to Yokohama. I suppose he means for you to follow by the
Messagerie boat that leaves to-morrow evening.”
“I’ll give him tea-pots,” said Jane gloomily, “when I catch him!
The idea of his leaving me like that! In a strange country, too. I
wonder what is the meaning of it all!”
“Perhaps he went away—because of a girl.”
“You mean he’s run away with some girl!” flashed Jane. “Why
don’t you say so if you mean it?”
“Because I don’t mean it. I said ‘because of a girl,’ not ‘with a
girl.’”
“Dick, you know something!”
“Yes, I do.”
Jane turned pale, and he hated to see her like that, but he had
suddenly made up his mind to tell her all.
“He met Campanula yesterday afternoon, and, not to put too fine
a point upon it, insulted her.”
“Oh, Dick!” said Jane, turning, if possible, paler than before. She
stared at him in a frightened way, then she recovered herself. “There
must be some mistake; she must have misunderstood him. He
couldn’t have done such a thing; however foolish he may be, he’s a
gentleman.”
“Yes, a gentleman in England, but not a gentleman in Japan. He—
God damn it!” blazed out Leslie suddenly, bringing his fist down with
a bang on the matting—“he offered her money.”
“I must go to him at once,” said Jane, making as if to rise, “and
ask him if this thing is true.”
“Sit down for a while; you can’t possibly get to Osaka to-day. Oh,
it’s true enough. I was in a boiling rage last night when I came home
and heard it all. I was going down to the hotel with a stick to have it
out, and then I thought of you, and the disgrace and uproar there
would be, so I just bit on the bullet and went to bed. Honestly, I was
going to have got him somewhere by himself to-day, and have it out
with him, but it seems he prefers insulting women to facing men.
Forgive me, Jane, for all this; I feel bitter about it, but I hate to have
to say these things to you.”
“It was good of you to think of me last night,” said Jane in a
broken voice, gazing at the matting as she spoke, then looking up
full in his face, “very good of you.”
“Oh, I suppose it’s really nothing, after all,” he said. “Those
confounded fools that write books about Japan have got it into
English people’s heads that every ‘Jap-girl,’ as they call them, is a
what’s-its-name at heart. Let’s say no more on the matter, the affair
is closed. Have some breakfast?”
“No, thanks; I’m too much troubled and worried,” said Jane,
sighing and folding her hands in her lap.
“Oh, don’t trouble about it. I told you because—well, I thought
you ought to know.”
“Richard,” said she, looking up, “if you meet George again—”
“Don’t be a bit alarmed. I will do nothing to him except to cut
him. He has run away; that closes the affair entirely. A man can only
be really angry with a man.”
“Richard,” said she, now half tearfully, “I’m going to say
something I want to say. Men don’t understand women. I’m fond of
George. Men are always talking about love, and so are novels. I
never loved George that way. I don’t think I ever loved any one
really in that way, but I have an affection for George; I suppose that
is the best name to give it. I know he’s ugly, I know he’s a lot of
things he ought not to be, yet I feel he belongs to me.
“It’s the sort of feeling one has for an—for an animal. I’m just
telling you what I feel. An animal may be terribly ugly, yet one may
love it. George has been very good to me, and he has grown into my
life; that is the only way I can express it.
“Do you know, Dick, when you have your face very close to
another person’s face you cannot tell what they are like. Well, it’s
just the same with marriage. After people have been married some
time they don’t see each other as they saw each other before; they
have lost their identity—each is part of the other. And, Dick, I know
George has been wicked, but ought we not to remember, the day
before yesterday—”
“Yes,” he said; “the day before yesterday I kissed you.”
“It was a moment of weakness on my part,” continued Jane. “We
are all very weak and wicked, but I have always been faithful to my
husband—I should say, to myself. It is strange to talk like this.”
“The whole affair is closed,” he said. “Let us wipe the slate clean
and begin again.”
Sitting opposite to her here in the morning light he was a very
different person from the man wandering about Arita yesterday,
pursued by her image.
The course of a great passion like his is not a high level line. If a
man were to live through such a phase of existence at Italian opera
heights he would be mad or dead in a very few days.
Its course is most like the temperature chart of a typhoid fever
case: tremendous ups and downs, fever point now, a few hours later
almost normal.
He clapped his hands, and Pine-breeze appeared.
“Breakfast,” he said. “You’ll stay to breakfast,” turning to Jane.
“And there is something I forgot day before yesterday. You have
come to see Japan—well, look here—”
He went to a big lacquer cabinet where he kept his papers, and
returned with a large, square, cream-colored card covered with
Chinese ideographs.
“What is it?” said Jane, turning it over.
“An invitation to a garden-party. A man named Kamamura is
giving it to-morrow at O-Mura.”
“A Japanese garden-party!” said Jane, with interest in her voice.
“Yes, very Japanese. He told me to bring any of my friends.”
“But to-morrow,” said Jane—“I am going away to-morrow.”
The words went through him like a pang.
“Never mind,” he said. “Your boat does not start till evening; you
will have plenty of time to get back.”
“I’d love to go,” she said; “but—are you sure it’s all right for me to
go without an invitation?”
“Perfectly, or I would not bring you.”
Pine-breeze entered with a tray.
“Where,” enquired Leslie, “is Campanula San?” Campanula San
had not risen yet; she had a headache.
CHAPTER XXV
RETROSPECTION
“I’ll go up and see her,” said Jane, when they had finished
breakfast. “May I?”
“Yes, if you like; Pine-breeze will show you the way—but, Jane,
say nothing to her of what occurred yesterday; she thinks nobody
knows except one of the servants here.”
“I’ll say nothing,” replied Jane; “but I’ve got some antikamnia
tabloids in my pocket, fortunately, and I’ll just make her take one.”
“All right,” said Leslie; “but for goodness sake don’t poison her.”
This was another point on which Jane had not altered. As a girl
she had been possessed by a passion for drugs, and would swallow
anything in the way of medicine she came across or was given. She
had always been doctoring rabbits and other unfortunate animals,
and had once nearly poisoned herself by taking half a bottle of pain-
killer for a dose. And now here she was, nearly fifteen years after, in
Japan, going upstairs to doctor Campanula, with just the same
manner and seriousness of face with which long ago, medicine bottle
in hand, she would give the order: “Prize its mouth open, Dick; don’t
hurt it. Steady now, I’m going to pour.”
Quarter of an hour later she came down triumphant.
“She took it like a lamb. She’s the dearest child! Now I’m off. I
have a hundred things to do. Will you walk down with me as far as
the hotel?”
He accompanied her to the hotel, and neither of them spoke
much on the way.
“I won’t ask you in,” said Jane, when they reached the door,
“because it wouldn’t be proper. Now let me see. To-morrow is the
garden-party; we might do something to-day, you and Campanula
and I—might not we?”
“We could run over to Mogi,” he said. “We can get rikshas, have
luncheon there, and come back to tea at my place; and to-night
there’s an affair on at the O Suwa temple, we might go there. Shall I
call for you at twelve or so?”
“Yes,” said Jane, “if you’ll bring a chaperon. You see, now George
is away I must be awfully ‘propindicular,’ like that person in Uncle
Remus—the Terrapin—wasn’t it?”
“I’ll bring Campanula—or one of the Mousmés, at a pinch.”
“Campanula chaperoning me!” said Jane with a laugh. “Well, I
don’t care. It’s only for the sake of Mrs. Grundy.”
“There is no Japanese Mrs. Grundy.”
“No, but there is an English one.”
They parted, and Jane entered the hotel.
She went to her bedroom, got her writing-case out of a
portmanteau, and began to write. She was writing a letter to
George.
The first began:
“Your abominable conduct has been discovered. You have
heaped shame on me, you have heaped shame on yourself—”
When she got as far as this she found that it was too
melodramatic, somehow, and the “heaped shames” did not ring true,
so she tore it up and began again:
“My cousin, Richard Leslie, sent for me this morning in great
distress. How you could have acted as you did towards that
sweet child surpasses me. Fortunately for yourself you have run
away—”
She tore this up too, flew into a temper with herself, and then
wrote as follows:
“George,—I’ve heard everything. Dick is furious, but he’s not
going to do anything, so just stay at Osaka till I come, and don’t
go bolting off anywhere else. And don’t drink too much port, for
if you get another attack of gout I won’t nurse you.—Jane.
“P.S.—You ought to be ashamed of yourself.”
She sealed this classical epistle and addressed it. Then she
remembered that she might just as well have left it unwritten, for
there was no communication to be had with Osaka till the morrow;
and if she posted it, it would go by the same boat as herself. So she
tore it up.
Then she sat down on the side of her bed and bit a corner of her
handkerchief.
She was thinking.
To-morrow she would never see Dick again, most probably, after
that.
She had never loved Dick, that is to say in the good old Family
Herald way. Their boy and girl relationship had been anything but
sentimental.
Recalling the past she could conjure up no tender pictures.
She could see herself clinging to a rod bent like a bow, and
shouting to Dick: “Now then, chucklehead, gaff him!”
She could see herself tramping after him like a squaw after a
chief on rabbiting expeditions—dozens of pictures like this, but none
of them sentimental. She had never thought of marriage till the day
she received a letter from Dick, asking her to marry him; to which
she replied by writing half a dozen letters refusing him, which letters
she tore up one after the other, and then wrote a seventh accepting
him, which she posted.
Now one of the worst evils in an accepted proposal of marriage is
this. That directly they hear of it, the girl’s relations, male and
female, take their implements—nets, ferrets, and so on—and go off
rabbiting in your past.
Dick had not much of a past as far as size goes, but it was well
stocked with game for hunters such as these.
So well stocked that old Mr. Deering, a retired London wine
merchant who had taken a country seat in Scotland, near
Glenbruach, put his foot down and forbade Jane to have anything
more to do with her cousin: an order which would have driven her
straight into his arms, had not the unfortunate Dick, hearing of the
inquisition that had been made, come North inflamed with rage and
whisky.
Men drank harder even in the ‘eighties than they do now, and
Scotland was never the home of abstinence; yet the scene Dick
Leslie created in Callander went beyond the bounds of even Scottish
convention, and utterly destroyed any chance of his marriage with
Jane du Telle.
Remembering his description of the affair which he gave to
M’Gourley on the Nikko road, you will agree with me that he was not
a man who viewed his own acts—well, as others viewed them.
In this, however, he was by no means singular.
Jane, sitting on her bed and biting the corner of her handkerchief,
was at the same time looking back over the past. She was a person
with an infinite capacity for affection, with no capacity at all for a
Grand Passion. Her life was made up of a bundle of petty interests,
and her history was the history of a pure and somewhat
commonplace soul.
She had loved Dick as a brother in the past, and now that he had
come into her life again after all those years (even after that terrible
scene long ago), bringing with him so much from the happy days
that were for ever gone, her heart went out to him as it had never
gone to human being before.
And to-morrow she must say good-bye to him, and never,
perhaps, see him again.
They must part; there was no other thing to be done. She was
her own mistress, with plenty of money at her command; she could
have flown in the face of society, and made Dick forever her own.
Such a course did not even occur to her, for she was a creature
bound by the laws of convention, almost as rigidly as you or I by the
laws of gravity.
Out of very light-heartedness she would do things and say things
that would have been dangerous symptoms in a woman of a sterner
mold; and men had often pursued her, led on by this laughing spirit
that vanished behind a veil, which, being lifted, disclosed an
adamant door.
Her great danger lay in her compassionate emotions, and all the
womanly nature that lay behind them. Her great danger lay in
Richard Leslie, for he was the only being that had ever aroused them
to their full strength.
All at once she cast herself upon the bed, and after the fashion of
her childhood, buried her face in a pillow, and sobbed, and “grat.”
When she had occupied herself thus for some ten minutes, she
rose and looked at herself in the glass, and wondered at her own
distorted image, and how she could possibly be such a fool. But she
felt better; the pain of parting with Dick was not quite so bad, and
she felt kindlier towards George.
If his conduct had taken place in England, I doubt if her anger
would have been so soon assuaged. But they were in Japan—and
the Japs, you know!—
PART THREE
THE BROKEN LATH
CHAPTER XXVI
THE BROKEN LATH
A heat wave from the Pacific had stolen over Nagasaki, and the
windless night was filled with stars and lights.
Stars in the sky, and stars in the harbor, long wavy reflections of
light from the ships in the anchorage, and ten thousand lanterns
spangling the mysterious city.
A spangle of colored lamps that spread away to the base of the O
Suwa hill which they stormed, covering it with a thousand sparkles
like phosphoric sea-spray, and cresting its summit with a burning
zone, bright as the snow crest of Fuji.
It was a gala night, and the O Suwa, that galaxy of temples, had
called the true believers in love and beauty to worship in the name
of religion.
From the great double temple, which is the crowning glory of the
hill, Leslie and his companions looked down upon shrine after shrine,
broad flights of steps stained with the soft amber and pink of lantern
light, and the colored crowd ever shifting, and murmurous as the
sea.
The shadow spaces and the vagueness of night made great
distances in this dim but splendid picture, till the moon, rising over
the hill-top, chased the shadows away, paled the lamps, and drew
the distances together.
Touched by her light the crowd below became sonorous as a
musical glass touched by the finger; the murmur of voices, the ripple
of laughter, the sigh of moving silk and the flutter of a thousand fans
intensified, rose blended and mixed, and dwelt in the air a nimbus of
sound. The native city beyond grew more distinct, yet more unreal in
the moonlight, which strengthened the black shadows of the wooded
cliffs and converted the harbor into a trembling mirror.
“We shall never see anything again so beautiful as that,” said
Jane, “so mysterious, so strange.”
He did not reply. A small hand had stolen into his; it was
Campanula’s. She, too, was gazing at the scene around and below
them, filled with who knows what thoughts.
They were not alone here on the utmost heights; women, gayly
dressed, were passing into the temple behind them to pray and clap
their hands before their gods. Women surrounded them, laughing,
chattering, dispelling quaint perfumes on the air from large
incessantly-waving fans. From the tea houses behind the temple
came the thready music of chamécens and sounds of unseen
festivity; and from the great park beyond, through the hot night, the
perfume of azaleas and the odor of the dew-wet cryptomeria trees.
“Come,” said Jane, “let us go and take the picture with us before
it gets dulled. I will never forget this night—there is something in the
air of this place I have never felt before. No, thanks, I don’t want to
see the tea houses, I am quite content with this; let us go down
right through it, and home.”
They descended the broad flights of steps through the
murmuring, laughing, and perfumed crowd. There was something in
the air indeed, something as intoxicating as wine, yet far more
subtle, subtle as a poison or a love philter.
They found rikshas to take them back, and the whole party
returned to the hotel, where they left Jane.
“To-morrow at noon,” she said to Leslie, as she turned to enter.
“Yes, or even a little later; the train doesn’t start till after one.”
“Good-night!” She waved her hand in the lamplit portico and
vanished.
They had no need of lanterns to show the way up the hill-path to
the House of the Clouds; the path was a tangle of moonlight and
lilac-bough shadows, a tremulous carpet upon which above them
they perceived a creeping and colored thing.
It was Cherry-blossom. She, too, had been at the festival at the O
Suwa, and was now returning, wearied out and walking like a
somnambulist, a lantern painted with butterflies held before her
nodding at the end of a bamboo cane.
In the house, when he had fastened the shoji and taken his night
lantern from Pine-breeze, he turned to where Campanula was
standing, a vague figure in the dimly-lit room. Yielding to a sudden
impulse he picked her up from the ground, just as he might have
picked up a child, and kissed her—kissed her just as he had kissed
her when she was a child that day, years ago, in the valley by the
Nikko road.
That night sleep was impossible. The lights of the O Suwa burned
before him, the perfume of the azaleas and cryptomerias pursued
him, lighting always and leading him always to the same image—
Jane.
He lay considering what the future would be when Jane was
gone; the rainy season would soon be upon them, and then the
autumn and the winter and the spring again after that, and the
years to come.
Whilst thus torturing his soul his mind was steadfastly making a
resolve. A resolve that, come what might, Jane must not go out of
his life. That to-morrow he must act in such a way as to make her
for ever his own.
Come what might!
There was no time left for thought, scarcely enough for action.
He had quite ceased to battle with himself, to say this is right or
this is wrong. Time had cut all these arguments short with the
command: “Act now, now, in the next twenty-four hours! for after
that your chance is gone.”
Then he began to sketch out the plan that had been vaguely
forming in his brain all the evening—a plan that the villainous
conduct of George du Telle made possible and practicable, and, to
Leslie’s mind, almost plausible.
As he lay thus, a faint sigh came through the lattice of the
window. The wind had risen, and was moving the cherry branches
and the azaleas.
Then came another sound—the sound of a stick tapping on the
garden path, as if some blind person were cautiously feeling their
way round the house.
Up along the garden path, pausing now, now advancing, now
dying away, now returning, somebody was promenading in front of
the house, keeping watch and ward like a sentry, somebody whose
feet made no sound, somebody blind.
A feeling of sick terror came over him—terror not to be borne.
He pulled the mosquito-net aside, and rose, shivering and
trembling, feeling that he must look out at all hazards—even at the
worst.
He pulled the slats aside and looked out. Nobody. The moonlight
lay on the azaleas and the garden path, but of the prowler there was
no sign.
Then he saw the cause of the sound. A lath broken from the
house wall was hanging with tip touching the path, and tapping
upon it as the wind shook it.
He returned to bed, and tried to snatch a few hours’ sleep, but
the sound of the blind man tapping his way continued all night long
—now faint, now loud, and insistent as the wind rose and fell.
CHAPTER XXVII
THE “EMPRESS OF JAPAN”
If Mr. Kamamura had sent a special messenger to Paradise to pick
from the aviary there a blue-winged and bright-eyed day for his
garden-party, he would not have obtained a better one than that
which came by chance.
A haze hid its coming. Just after sunrise, looking from Leslie’s
garden one could scarcely see Nagasaki down below—a toy town,
seen through faint blue gauze, it seemed. The wind came in puffs,
hot from the Pacific, shaking the cherry branches.
The great double cherry-blossoms were falling. The close, even
moss under the trees was white, like ground after a mild snowstorm.
There was something in the atmosphere which loosened the
petals this morning. At each puff of wind a fresh shower fell, sifting
through the air to scatter softly on the ground. It was a ghostly sight
in the gray and silent dawn; the trees seemed despoiling
themselves, casting their blossoms from them in sorrow or fear.
In the veranda stood the crimson garden umbrella, all damp with
dew, and four pairs of clogs in a row. The house was deathly still;
and one might have likened it to a tomb, had it not possessed so
much the appearance of a bandbox, looped and latticed.
Presently a faint sound might have been heard. A panel slid back,
and a figure appeared, holding in its hand a lighted paper lantern.
It was Campanula, clad in blue, her feet peeping from beneath
her skirt like two white mice.
She put out the lantern, and hung it on a hook. Then she put on
a pair of clogs, and clicked down the steps. She went down the
path, through the little gate, and vanished from sight; and as her
footsteps died away, silence returned to the house and the garden.
Then in a few minutes a glorious transformation scene took place.
The haze turned to a golden mist; it became sundered by rivers of
clear air, and from it leaped the sun, like Helios from the sea.
Instantly the silence of the orchard became broken by the
bickering of birds; a cock crowed somewhere in the back premises,
and he was answered by the cock that lived half-way down the hill
at the cooper’s shop—who was answered, a minute later, by all the
roosters in Nagasaki.
The mist vanished entirely now, the sun began steadily to mount
into the vault of perfect blue; his slanting rays shot through the
cherry orchard, striking here the bole of a tree glistening with great
tears of fragrant gum, and there on the ground besnowed with
blossom, even the fierce old hills of the landscape garden lost
something of their ruggedness in the warm and mellow light.
Then the house began to awaken. Pine-breeze appeared on the
veranda, and after Pine-breeze the other Mousmés all busy, or
appearing so, dragging out futon to air for a moment in the morning
brightness, and lacquer screens to be dusted.
“Summer has come in the night,” said Lotus-bud, pointing out the
fallen cherry-blossoms.
“Yes,” chimed in Pine-breeze, “but spring has gone.”
“I dreamt last night of frost.” This from Cherry-blossom, who was
busily engaged watching the others at work.
Frost is a bad dream in Japan, and the Mousmés conferred in
murmurs as to what it might mean.
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Test Bank for Foundations in Nursing Research 6th Edition by Nieswiadomy
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Canadian Fundamentals of Nursing Revised Reprint 4th edition Potter Test Bank
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Test Bank for Nursing Research in Canada 4th Edition By LoBiondo-Wood

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  • 5. Copyright © 2018, Elsevier Inc. All Rights Reserved. 1 Nursing Research in Canada 4th Full chapter download at: https://testbankbell.com/product/test-bank-for-nursing-research-in-canada-4th-edition-by- lobiondo-wood/ Chapter 01: The Role of Research in Nursing LoBiondo-Wood: Nursing Research in Canada, 4th Edition MULTIPLE CHOICE 1. A key step to the development of nursing research was a. the endowment of nursing research chairs. b. universities offering baccalaureate nursing programs. c. a baccalaureate degree becoming the entry to practice. d. the Canadian Nurses Association developing a research mandate. ANS: B Feedback A Endowment of nursing research chairs did not occur until the number of nurses with PhD degrees increased. B Universities offering baccalaureate nursing programs provided an introduction to research within the BScN programs and led to further nursing education at the MSN and PhD levels. C Baccalaureate degrees becoming the entry to practice did not occur until the twenty-first century. D The Canadian Nurses Association did not develop a research mandate until the end of the twentieth century. DIF: Cognitive Level: Application MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 2. How is nursing research significant to the profession of nursing? a. Responsibility is more specifically defined. b. Liability within the practice of nursing is decreased. c. A specialized body of knowledge is generated for use in the delivery of health care. d. The scope of nursing practice is expanded into areas formerly reserved for other disciplines. ANS: C Feedback A Research aids in documenting accountability of nurses, but professional guidelines regarding responsibility already exist. B Liability is a legal concept. Research does not promote liability. C Theory-based nursing research provides a foundation for evidence-informed nursing care. D Nursing research expands the discipline of nursing as it pertains to nursing practice. DIF: Cognitive Level: Comprehension MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 3. Why are nursing practice–oriented scientific investigations valuable? a. They validate the effectiveness of particular nursing interventions. b. They encourage consumers to question the quality of health care. c. They limit the theory base for clinical decision making. d. They mandate health care reform. ANS: A Feedback A Practice-focused research supports the effectiveness of nursing interventions and reinforces quality of nursing care. B On the contrary, they help reassure consumers about the quality of health care. C They support the development of the theory base for clinical decision making. D They reinforce the effectiveness of current nursing practice. DIF: Cognitive Level: Comprehension MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
  • 6. Copyright © 2018, Elsevier Inc. All Rights Reserved. 2 4. When a change in nursing practice results in decreased cost of care, what additional factor must be considered before general implementation of this change? a. Ensuring compliance of the change by nurses with diverse educational backgrounds b. Maintaining or improving the quality of care resulting from the change in practice c. Encouraging patients to be active partners in their health care decisions d. Disseminating the change beyond the discipline of nursing ANS: B Feedback A Not all nurses are responsible for supervising compliance with new measures. B Nurses are accountable to maintain quality patient care despite cost-cutting measures. C Nurses should encourage patient participation in care despite cost-cutting measures. D Nurses are not responsible for reforming other disciplines. DIF: Cognitive Level: Analysis MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 5. Why do nurses who do not conduct research need to understand the nursing research process? a. To identify potential participants for clinical research studies b. To assist in collecting accurate data for clinical research studies c. To teach patients and families about the usefulness of participation in research d. To be able to evaluate nursing research reports for relevance to their own clinical practice ANS: D Feedback A Nurses who do not conduct research would not influence participant identification. B Nurses who do not conduct research would not influence data collection. C Nurses who do not conduct research would not influence participant recruitment. D Nurses should be able to understand the research process by reading research reports and determining if they should modify their practice based on research evidence. DIF: Cognitive Level: Comprehension MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 6. How are nursing theory and nursing research related? a. Nursing theory and nursing research are independent of each other and have no direct relationship. b. Without nursing theory, research conducted by nurses would not have an impact on nursing practice. c. Nursing research drives the direction and specific content of nursing theory. d. Both advance the knowledge base of nursing. ANS: D Feedback A Theory and research are related to each other. B Research studies may be conducted without a clear theoretical framework and still influence practice. C Quantitative nursing research tests nursing theory but does not influence content. D Theory and nursing research both influence how nursing practice is conducted. DIF: Cognitive Level: Comprehension MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
  • 7. Copyright © 2018, Elsevier Inc. All Rights Reserved. 3 7. Which action demonstrates the role of an intelligent consumer of nursing research? a. Designing a research study b. Analyzing data to determine outcomes c. Evaluating the credibility of the research findings d. Replicate the study in another setting to confirm the findings ANS: C Feedback A A consumer applies research to practice. Consumers are not responsible for designing a study. B A consumer does not conduct data analysis of a study. The study’s primary investigator analyzes data. C A consumer of nursing research needs to understand the research process to determine the merit and relevance of evidence for research studies. D A consumer can apply research findings to practice but does not have to replicate the study itself. DIF: Cognitive Level: Evaluation MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 8. In designating research functions to nursing staff, which of the following functions would you designate to a staff registered nurse? a. Protecting human participants by promoting the ethical principles of research b. Providing expert consultation about the way in which clinical services are delivered c. Developing methods to monitor the quality of nursing practice in the clinical setting d. Providing leadership by assisting others in applying scientific knowledge in nursing practice ANS: A Feedback A All nurses are responsible for protecting human participants in research. B Nurses are at the bedside implementing protocols. Expert consultation is reserved for MSN- or PhD-level nurses. C Developing methods is reserved for nurses with advanced education. D Providing leadership is reserved for nurses with advanced education. DIF: Cognitive Level: Comprehension MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 9. Which of the following statements regarding the role of the nurse in research is true? a. Nurses must be prepared at the baccalaureate level or higher to have any role in nursing research. b. Master’s-prepared nurses (those with MSN, MN, or MS degrees) are primarily responsible for using the findings of nursing research in clinical practice. c. One role of the registered nurse is to identify issues in clinical practice that are suitable for research. d. Regardless of nursing education, the only nurse who should interpret research findings is the one who has the most comprehensive understanding of statistical analysis methods. ANS: C Feedback A Having a role in nursing research or implementing findings is not limited to BScN and MSN nurses only. B Master’s-prepared nurses can provide leadership to supervise how research findings are applied in the clinical area. All levels of nurses can apply research findings to practice. C Nurses should have an awareness of the relevance of nursing research and ask clinical questions. D Data analysis is usually conducted by an MSN- or PhD-level nurse. DIF: Cognitive Level: Comprehension MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
  • 8. Copyright © 2018, Elsevier Inc. All Rights Reserved. 4 10. Which of Florence Nightingale’s actions formed the foundation for modern-day nursing research methods? a. Establishing the St. Thomas Hospital School of Nursing in England b. Writing the curricula for the nineteenth–century nurse training programs c. Lobbying the British parliament to enact changes in law for better health care d. Collecting data systematically on the health status of British soldiers during the Crimean War ANS: D Feedback A Establishing a school of nursing is not a form of scientific investigation. B Developing curricula is not a form of scientific investigation. C Lobbying a parliament is more about advocacy and health care reform. D Systematic, objective data collection during the Crimean War formed the basis for modern-day nursing research methods. DIF: Cognitive Level: Knowledge MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 11. What was the focus of most nursing research studies conducted during the first half of the twentieth century? a. Nursing education methods and outcomes b. Effects of sanitation on health promotion and disease prevention c. Use of epidemiology as a method of identifying risk for specific illnesses d. Identification of the most effective means to disseminate positive findings from nursing research ANS: A Feedback A Nursing education has been documented to have been the focus of nursing research in the early twentieth century. B Disease prevention was a focus in the 1960s. C Florence Nightingale used epidemiology in her early research. D Dissemination of nursing research findings grew in the 1980s. DIF: Cognitive Level: Knowledge MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 12. What was the outcome of the 1932 Weir report? a. Recognition of research as part of the roles and responsibilities of the registered nurse b. Recommendation of changes to improve standards of education and practice c. Establishment of multiple entry levels to the nursing profession d. Publication of the Canadian Journal of Nursing ANS: B Feedback A The focus was on advancing the delivery of nursing education to improve practice. B The Weir report identified serious problems in nursing education that affected nursing practice. C The standardization of BScN, MSN, and PhD programs was suggested, but it took 50 years for its full adoption. D No publication called the Canadian Journal of Nursing exists. DIF: Cognitive Level: Knowledge MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 13. What action or strategy can limit the depth of nursing research? a. Addressing physiological and psychological responses to actual or potential health problems b. Employing both qualitative methods and quantitative methods in the same study c. Developing programs of research that build on prior investigations d. Using singular measures to assess phenomena ANS: D Feedback A Addressing the physical and psychological aspects of a phenomenon provides depth to research outcomes. B Multiple-method studies can provide greater depth of understanding of a phenomenon. C Building on prior research allows for deeper exploration of human phenomena. D Using a single measure will not allow a researcher to examine the complexity of human phenomena. DIF: Cognitive Level: Analysis MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
  • 9. Copyright © 2018, Elsevier Inc. All Rights Reserved. 5 14. Which of the following is the overall value of developing evidence-informed nursing practice? a. Demonstration of how nursing makes a difference in patient outcomes b. Implementation of the most cost-effective nursing practice patterns c. Separation of nursing research from the research of other disciplines d. Development of new nursing theories ANS: B Feedback A Evidence-informed practice provides a research foundation for nursing interventions. B Implementation of more cost-effective nursing interventions may occur based on evidence, but it is not the overall value of developing evidence-informed nursing practice. C Developing a unique body of nursing knowledge is important but is not the overall value of developing evidence-informed nursing practice. D Developing nursing theory is important, but evidence-informed nursing practice is focused on the more concrete aspects of clinical practice. DIF: Cognitive Level: Comprehension MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 15. How does an international research perspective contribute to the discipline and science of nursing? a. By unifying the definition of the term health b. By increasing the dissemination potential of research findings c. By emphasizing the cultural aspects of nursing care d. By testing innovative and cost-effective patient care delivery models ANS: D Feedback A Nursing models can be tested in a variety of settings, which strengthens the credibility of the evidence. Health is a subjective term. B Dissemination of findings is one of the benefits of an international perspective, but the primary focus is testing of models. C Emphasis on cultural considerations is one of the benefits of an international perspective, but the primary focus is testing of models. D An international research perspective can lead to the formation of a global research community. DIF: Cognitive Level: Comprehension MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 16. Which of the following is the identified priority for future nursing research efforts? a. Improvement in patient quality of life b. Cost containment of health care delivery c. Promotion of excellence in nursing science d. Promotion of advanced education in nursing ANS: C Feedback A Patient quality of life is a desired outcome but not the identified priority for future nursing research. B Cost containment is not the identified priority for future nursing research. C Nursing is rising to the challenge of developing the science to improve health care. Advancing nursing science is therefore a priority. D Promotion of advanced education in nursing is not the identified priority for future nursing research. DIF: Cognitive Level: Knowledge MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
  • 10. Copyright © 2018, Elsevier Inc. All Rights Reserved. 6 17. Review the information from four abstracts below and identify which study is an example of outcome-based research. a. This study used a school-based community sample (N = 920) to examine trajectories of depressive symptoms, self-esteem, and expressed anger in the critical years of emerging adulthood (ages 18 to 25). b. To identify reasons for lower organ donation rates by knowledge and attitudes about brain death, donation, and transplantation and trust in the health care system were examined. c. An exploratory study was undertaken with a racially diverse group of custodial grandfathers to fill a gap in the literature about the vulnerability for elder abuse, exploitation, and neglect as expressed by older Indigenous, Caucasian, and South Asian custodial grandfathers. d. A multicentre, international clinical trial was conducted in 3,500 patients with documented coronary heart disease to determine whether a brief education and counselling intervention delivered by a nurse can reduce prehospital delay in the face of symptoms. ANS: D Feedback A Exploration of anger in adulthood is not an outcomes research study. B Surveying families about consent for organ donation is not an outcomes research study. C Exploration of elder abuse is not an outcomes research study. D Outcomes research examines how nursing interventions affect patient outcomes. This study examines the effectiveness of nursing interventions. DIF: Cognitive Level: Evaluation MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 18. Why should a nursing research study that demonstrates a positive outcome for a specific intervention be replicated before the intervention can be accepted for implementation? a. Findings that are reproducible in a series of replicated studies increase the generalizability of the results. b. Being able to replicate existing studies increases the opportunity for nurses to be involved in nursing research. c. Replicated studies provide more data for statistical analysis and measurement of reliability. d. If a high level of significance is associated with the study results, replication is unnecessary. ANS: A Feedback A Studies that can be replicated in and generalized to many settings demonstrate the reliability of the study results. B Replication is not an excuse for involving nurses in research. C Multiple replications of a study will neither generate new data nor ensure reliability. D Even studies that have a high level of significance should be replicated. DIF: Cognitive Level: Comprehension MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance 19. How is using multiple measures to assess a clinical phenomenon useful to nursing research or practice? a. When multiple measures are used, qualitative data and quantitative data are always obtained. b. Using multiple measures reduces the number of participants needed in a sample size to reach statistical significance. c. Comparison of various methods of measurement may reduce the need to use invasive methods in measuring physical parameters in future studies. d. The results of studies using multiple measures to assess a clinical phenomenon are more likely to be published in journals other than nursing journals as well. ANS: C Feedback A Not all studies that have multiple measures use both quantitative and qualitative approaches. B Using multiple measures does not reduce the number of participants in a study. C Qualitative data help provide essential descriptive data on how patients experience a particular phenomenon. D Multiple-method studies should be conducted with the intent of disseminating the results through professional nursing journals. DIF: Cognitive Level: Comprehension MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
  • 11. Copyright © 2018, Elsevier Inc. All Rights Reserved. 7 20. Taking into account the future priorities of nursing research, which of the following studies would most likely be funded by the Canadian Health Services Research Foundation (CHSRF)? A study to a. examine trajectories of depressive symptoms, self-esteem, and expressed anger in the critical years of emerging adulthood (ages 18 to 25). b. identify reasons for lower organ donation rates c. fill a gap in the literature about the vulnerability for elder abuse, exploitation, and neglect as expressed by older Indigenous, Caucasian, and South Asian e custodial grandfathers. d. determine whether a brief education and counselling intervention delivered by a nurse can reduce prehospital delay in the face of symptoms. ANS: D Feedback A While mental health is a priority of CHSRF, this study is not the most likely to be funded. B Organ donation is not a priority for CHSRF at this time. C Older adults are considered a vulnerable population and studies relevant to this population are a priority of CHSRF; however, interventions studies are granted higher priority. D Intervention studies that examine ways to improve service and health among those suffering with chronic illness are of the highest priority to CHSRF. DIF: Cognitive Level: Application MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion and Maintenance
  • 12. Exploring the Variety of Random Documents with Different Content
  • 13. terrible sentiment that was born of it, the heart-breaking longing inspired by her idealized image. Passion, when it rises to this dimension in the mind of a man, has beautiful attributes as well as vile, it holds in its hands pictures of perfect innocence, besides the others. The devil takes care of that! He saw Jane not only as she was, but as she had been, fair, and fresh, and innocent, against the background of the beeches round Glenbruach, and the sea lochs, and the purple hills. What he did with his body that day in Arita, or where he wandered, he could never tell, for his mind was fighting a battle so fierce that all intelligent perception of outward things was blurred. At the end of it he found himself in a tea house sitting before some food which he had apparently ordered, and the battle was won. So he told himself. As a matter of fact, he was worn out. Passion was exhausted, fighting against fate, attempting to escape from the pursuing devils, beating himself against the trees, he had fallen beneath them, telling himself that the battle was won, wondering at himself that he ever could have even dreamed of the ruinous course of action which lust had urged him to. But the trees remained steadfast and unharmed, waiting only for the renewal of the madman’s strength and the inevitable end. It was dark when he reached the Nagasaki station. He picked a riksha from a row of them standing outside with hoods up, for it had been raining slightly, and looking absurdly like a row of tiny, unhorsed hansom cabs, and told the man to take him to the House of the Clouds.
  • 14. He came up the hill-path, and as he came the wind, blowing against him, brought a perfume with it, the perfume of rain-wet azaleas. During the day and the previous night dozens of blossoms had broken forth, filling the garden with their fragrance and beauty; dozens more would be born ere the morrow under the light of the silvery moon now gliding up over the hill-tops behind a tracery of flying, fleecy clouds. As he approached the house, he saw through the open panel space the silhouettes of Pine-breeze and Cherry-blossom. They were sitting opposite to each other on their heels upon the lamplit matting, and seemed at first to be engaged in the game of kitsune-ken, but almost instantly he perceived that they were playing at no game, but were engaged in conversation. Alarmed conversation, to judge by the movements of their hands, now up- flung, now flung out sideways. Sweetbriar San was promenading the matting with tail fluffed out, now rubbing against Pine-breeze, now against Cherry-blossom, attempting apparently to join in the conversation, and seeming to share in the excitement. Something had happened of a tragic nature—but what? Two steps brought him on to the veranda two more into the house with his boots on, despite the clause in the lease. The Mousmés gave two little shrieks, wheeled round, and kow- towed before the August One. “What is the matter?” he asked. “Has anything happened? Is Campanula San safe?” Campanula San was quite safe. Then why all this? What had they been conversing about with so many exclamations? Confused replies.
  • 15. “Go,” he said, “and bring me some tea, and ask Lotus-bud to come hither.” In a few moments Lotus-bud, wearing a very white face, appeared, and kow-towed. He questioned her. At first her answers were vague, and then it all came out. Things had happened. Campanula San had gone into the town that day, and had met he whose head was like the rising sun (George du Telle in plain prose); and he with the sun-bright head had walked with her, and had spoken dishonorable words. Oh, shame!—he had offered her gold. “God!” said Leslie, staring at the bent figure on the matting before him. He remained speechless for a moment, then he took out his watch and looked at it: it was eleven o’clock. He turned furiously and strode out of the room: on the veranda he stopped like a horse suddenly reined in. Jane’s image had appeared before him, turning him back. Suppose he were to go to the hotel now and drag George du Telle out and beat him within an inch of his life, as was his intention a moment ago? The idea of Jane in the midst of that scene brought his fury down from boiling point. He returned to the room, where Lotus-bud was still on her knees, with her hands clasped. Where was Campanula San now?
  • 16. In bed and asleep. She had returned, it seems, greatly troubled at noon, and had confided her trouble to Lotus-bud, making her promise to tell no one—Leslie San especially—and Lotus-bud had promised—with the result we have already seen. For a moment he thought of waking Campanula, but he dismissed the thought. The thing had occurred and was irremediable, the question now remained, what was he to do about George du Telle. He went up to bed. In times past he could have obtained his remedy. Where lay his remedy now? The law could do nothing; there remained only physical force. A wheezy pug dog protected by a woman’s skirts, that is what George du Telle was. Leslie knew that if once he could catch the brute by the scruff of the neck, the only struggle would be with himself as to the limits of chastisement to be inflicted. If he could only get him away from Jane up a back street anywhere, just for five minutes! The thing was to be done. With the help of the astute M’Gourley he felt it was to be done, and would be done on the morrow. He got up and went to a rack on the wall where he kept his sticks, and took down a whangee cane half an inch thick, a most efficient instrument for the chastisement of a brute. He made it sing through the air, then he put it on the rack again and returned to bed, and slept soundly, far more soundly than he had slept the night before.
  • 17. CHAPTER XXIV GEORGE DU TELLE He was awakened by voices. Sunlight was streaming into the room, the sparrows were bickering round the trees, and from below came the voice of Pine-breeze crying, “Irashi, condescend to enter!” Then Jane’s voice: “I don’t understand what you say. Stop rubbing the matting with your nose. I want your master.” Then an octave higher, “Richard!” “Hullo!” cried Leslie, leaning on his elbow, and scarcely able to credit his ears. “Oh, you are there! Come down at once, I must speak to you. Quick!” “What on earth has happened?” “All sorts of things.” “I’ll be down in two minutes, but for goodness sake tell me what is the matter.” “Can I speak without any one understanding?” “Oh, that’s all right.” “Well, then, George has bolted.” “George has what?” “Gone away.”
  • 18. “Where has he gone to?” “Oh! come down and I’ll tell you everything. Dick! Dick! is that a bath I hear you dragging over the floor? Dick, if you dare to have the impudence to keep me waiting whilst you take a bath, I’ll—I’ll come up and pull you out of it. Do come on!” “Directly!” “Well, don’t be long,” grumbled Jane; and she apparently took her seat on the cushions upon the matting, for he could hear her grumbling about the absence of chairs. This was a new development of affairs. George bolted! It was just what one might have expected of the man, to insult a girl and then fly from the wrath to come. It was rather a relief, too, viewed by the light of morning. No man likes the task of thrashing a dog that has misbehaved: the thing has to be done, but it is unpleasant, and if the creature runs away and hides, so much the better. And the thrashing of a fat, wheezy pug without teeth or means of defense was what the punishment of George du Telle would amount to. He dressed rapidly and came down to the room where Jane was sitting on a cushion, trying to read the Japan Mail. “Oh, there you are! Come and sit down. No, not beside me; right opposite, if you please.” “Tell me all about it.” “Oh, there’s not much to tell. I was in bed nearly all yesterday with a headache, and George went off for a walk in the afternoon; said he was going to call on you. I told him you had gone to Nagoya.” “Arita.”
  • 19. “It’s all the same—then he went out, I don’t know where, and that is the last I’ve seen of him. At nine yesterday evening they brought me a note saying he had gone to Osaka, and to follow with our luggage.” Leslie whistled. “What are you whistling about?” “Osaka! Why, that’s over three hundred miles away!” “Where is it?” “On the Inland Sea.” “Where’s that?” “Oh, it runs from here up to—well, practically to Osaka. At least, it doesn’t exactly reach from here, you have to go through the Straits of Tsu-shima.” “Well, I don’t care what Straits you have to go through; he’s gone to Osaka on important business the note said. Now, what business can have taken him there. What do they do at Osaka?” “Make all sorts of things, from machinery to tea-pots, and so on.” “Well, he can’t have gone to buy machinery or tea-pots—what can it mean? He was so good, too, yesterday; brought me up some antipyrine, and wanted to fetch a doctor, and plumped up my pillows, and then went out and off to Osaka without a word, and how did he get there? He says follow by next boat to-morrow. I was going to ask the hotel people, but I didn’t like to. I just told them I knew he was going, and I was going to follow him to-morrow.” “There’s no railway to Osaka,” said Leslie, “for this bit of Japan is an island. He must have gone by a Holt liner; one started last evening. The Canadian Pacific boats don’t stop at Osaka, they go
  • 20. right on to Yokohama. I suppose he means for you to follow by the Messagerie boat that leaves to-morrow evening.” “I’ll give him tea-pots,” said Jane gloomily, “when I catch him! The idea of his leaving me like that! In a strange country, too. I wonder what is the meaning of it all!” “Perhaps he went away—because of a girl.” “You mean he’s run away with some girl!” flashed Jane. “Why don’t you say so if you mean it?” “Because I don’t mean it. I said ‘because of a girl,’ not ‘with a girl.’” “Dick, you know something!” “Yes, I do.” Jane turned pale, and he hated to see her like that, but he had suddenly made up his mind to tell her all. “He met Campanula yesterday afternoon, and, not to put too fine a point upon it, insulted her.” “Oh, Dick!” said Jane, turning, if possible, paler than before. She stared at him in a frightened way, then she recovered herself. “There must be some mistake; she must have misunderstood him. He couldn’t have done such a thing; however foolish he may be, he’s a gentleman.” “Yes, a gentleman in England, but not a gentleman in Japan. He— God damn it!” blazed out Leslie suddenly, bringing his fist down with a bang on the matting—“he offered her money.” “I must go to him at once,” said Jane, making as if to rise, “and ask him if this thing is true.”
  • 21. “Sit down for a while; you can’t possibly get to Osaka to-day. Oh, it’s true enough. I was in a boiling rage last night when I came home and heard it all. I was going down to the hotel with a stick to have it out, and then I thought of you, and the disgrace and uproar there would be, so I just bit on the bullet and went to bed. Honestly, I was going to have got him somewhere by himself to-day, and have it out with him, but it seems he prefers insulting women to facing men. Forgive me, Jane, for all this; I feel bitter about it, but I hate to have to say these things to you.” “It was good of you to think of me last night,” said Jane in a broken voice, gazing at the matting as she spoke, then looking up full in his face, “very good of you.” “Oh, I suppose it’s really nothing, after all,” he said. “Those confounded fools that write books about Japan have got it into English people’s heads that every ‘Jap-girl,’ as they call them, is a what’s-its-name at heart. Let’s say no more on the matter, the affair is closed. Have some breakfast?” “No, thanks; I’m too much troubled and worried,” said Jane, sighing and folding her hands in her lap. “Oh, don’t trouble about it. I told you because—well, I thought you ought to know.” “Richard,” said she, looking up, “if you meet George again—” “Don’t be a bit alarmed. I will do nothing to him except to cut him. He has run away; that closes the affair entirely. A man can only be really angry with a man.” “Richard,” said she, now half tearfully, “I’m going to say something I want to say. Men don’t understand women. I’m fond of George. Men are always talking about love, and so are novels. I never loved George that way. I don’t think I ever loved any one really in that way, but I have an affection for George; I suppose that
  • 22. is the best name to give it. I know he’s ugly, I know he’s a lot of things he ought not to be, yet I feel he belongs to me. “It’s the sort of feeling one has for an—for an animal. I’m just telling you what I feel. An animal may be terribly ugly, yet one may love it. George has been very good to me, and he has grown into my life; that is the only way I can express it. “Do you know, Dick, when you have your face very close to another person’s face you cannot tell what they are like. Well, it’s just the same with marriage. After people have been married some time they don’t see each other as they saw each other before; they have lost their identity—each is part of the other. And, Dick, I know George has been wicked, but ought we not to remember, the day before yesterday—” “Yes,” he said; “the day before yesterday I kissed you.” “It was a moment of weakness on my part,” continued Jane. “We are all very weak and wicked, but I have always been faithful to my husband—I should say, to myself. It is strange to talk like this.” “The whole affair is closed,” he said. “Let us wipe the slate clean and begin again.” Sitting opposite to her here in the morning light he was a very different person from the man wandering about Arita yesterday, pursued by her image. The course of a great passion like his is not a high level line. If a man were to live through such a phase of existence at Italian opera heights he would be mad or dead in a very few days. Its course is most like the temperature chart of a typhoid fever case: tremendous ups and downs, fever point now, a few hours later almost normal. He clapped his hands, and Pine-breeze appeared.
  • 23. “Breakfast,” he said. “You’ll stay to breakfast,” turning to Jane. “And there is something I forgot day before yesterday. You have come to see Japan—well, look here—” He went to a big lacquer cabinet where he kept his papers, and returned with a large, square, cream-colored card covered with Chinese ideographs. “What is it?” said Jane, turning it over. “An invitation to a garden-party. A man named Kamamura is giving it to-morrow at O-Mura.” “A Japanese garden-party!” said Jane, with interest in her voice. “Yes, very Japanese. He told me to bring any of my friends.” “But to-morrow,” said Jane—“I am going away to-morrow.” The words went through him like a pang. “Never mind,” he said. “Your boat does not start till evening; you will have plenty of time to get back.” “I’d love to go,” she said; “but—are you sure it’s all right for me to go without an invitation?” “Perfectly, or I would not bring you.” Pine-breeze entered with a tray. “Where,” enquired Leslie, “is Campanula San?” Campanula San had not risen yet; she had a headache.
  • 24. CHAPTER XXV RETROSPECTION “I’ll go up and see her,” said Jane, when they had finished breakfast. “May I?” “Yes, if you like; Pine-breeze will show you the way—but, Jane, say nothing to her of what occurred yesterday; she thinks nobody knows except one of the servants here.” “I’ll say nothing,” replied Jane; “but I’ve got some antikamnia tabloids in my pocket, fortunately, and I’ll just make her take one.” “All right,” said Leslie; “but for goodness sake don’t poison her.” This was another point on which Jane had not altered. As a girl she had been possessed by a passion for drugs, and would swallow anything in the way of medicine she came across or was given. She had always been doctoring rabbits and other unfortunate animals, and had once nearly poisoned herself by taking half a bottle of pain- killer for a dose. And now here she was, nearly fifteen years after, in Japan, going upstairs to doctor Campanula, with just the same manner and seriousness of face with which long ago, medicine bottle in hand, she would give the order: “Prize its mouth open, Dick; don’t hurt it. Steady now, I’m going to pour.” Quarter of an hour later she came down triumphant. “She took it like a lamb. She’s the dearest child! Now I’m off. I have a hundred things to do. Will you walk down with me as far as the hotel?”
  • 25. He accompanied her to the hotel, and neither of them spoke much on the way. “I won’t ask you in,” said Jane, when they reached the door, “because it wouldn’t be proper. Now let me see. To-morrow is the garden-party; we might do something to-day, you and Campanula and I—might not we?” “We could run over to Mogi,” he said. “We can get rikshas, have luncheon there, and come back to tea at my place; and to-night there’s an affair on at the O Suwa temple, we might go there. Shall I call for you at twelve or so?” “Yes,” said Jane, “if you’ll bring a chaperon. You see, now George is away I must be awfully ‘propindicular,’ like that person in Uncle Remus—the Terrapin—wasn’t it?” “I’ll bring Campanula—or one of the Mousmés, at a pinch.” “Campanula chaperoning me!” said Jane with a laugh. “Well, I don’t care. It’s only for the sake of Mrs. Grundy.” “There is no Japanese Mrs. Grundy.” “No, but there is an English one.” They parted, and Jane entered the hotel. She went to her bedroom, got her writing-case out of a portmanteau, and began to write. She was writing a letter to George. The first began: “Your abominable conduct has been discovered. You have heaped shame on me, you have heaped shame on yourself—”
  • 26. When she got as far as this she found that it was too melodramatic, somehow, and the “heaped shames” did not ring true, so she tore it up and began again: “My cousin, Richard Leslie, sent for me this morning in great distress. How you could have acted as you did towards that sweet child surpasses me. Fortunately for yourself you have run away—” She tore this up too, flew into a temper with herself, and then wrote as follows: “George,—I’ve heard everything. Dick is furious, but he’s not going to do anything, so just stay at Osaka till I come, and don’t go bolting off anywhere else. And don’t drink too much port, for if you get another attack of gout I won’t nurse you.—Jane. “P.S.—You ought to be ashamed of yourself.” She sealed this classical epistle and addressed it. Then she remembered that she might just as well have left it unwritten, for there was no communication to be had with Osaka till the morrow; and if she posted it, it would go by the same boat as herself. So she tore it up. Then she sat down on the side of her bed and bit a corner of her handkerchief. She was thinking. To-morrow she would never see Dick again, most probably, after that. She had never loved Dick, that is to say in the good old Family Herald way. Their boy and girl relationship had been anything but sentimental. Recalling the past she could conjure up no tender pictures.
  • 27. She could see herself clinging to a rod bent like a bow, and shouting to Dick: “Now then, chucklehead, gaff him!” She could see herself tramping after him like a squaw after a chief on rabbiting expeditions—dozens of pictures like this, but none of them sentimental. She had never thought of marriage till the day she received a letter from Dick, asking her to marry him; to which she replied by writing half a dozen letters refusing him, which letters she tore up one after the other, and then wrote a seventh accepting him, which she posted. Now one of the worst evils in an accepted proposal of marriage is this. That directly they hear of it, the girl’s relations, male and female, take their implements—nets, ferrets, and so on—and go off rabbiting in your past. Dick had not much of a past as far as size goes, but it was well stocked with game for hunters such as these. So well stocked that old Mr. Deering, a retired London wine merchant who had taken a country seat in Scotland, near Glenbruach, put his foot down and forbade Jane to have anything more to do with her cousin: an order which would have driven her straight into his arms, had not the unfortunate Dick, hearing of the inquisition that had been made, come North inflamed with rage and whisky. Men drank harder even in the ‘eighties than they do now, and Scotland was never the home of abstinence; yet the scene Dick Leslie created in Callander went beyond the bounds of even Scottish convention, and utterly destroyed any chance of his marriage with Jane du Telle. Remembering his description of the affair which he gave to M’Gourley on the Nikko road, you will agree with me that he was not a man who viewed his own acts—well, as others viewed them.
  • 28. In this, however, he was by no means singular. Jane, sitting on her bed and biting the corner of her handkerchief, was at the same time looking back over the past. She was a person with an infinite capacity for affection, with no capacity at all for a Grand Passion. Her life was made up of a bundle of petty interests, and her history was the history of a pure and somewhat commonplace soul. She had loved Dick as a brother in the past, and now that he had come into her life again after all those years (even after that terrible scene long ago), bringing with him so much from the happy days that were for ever gone, her heart went out to him as it had never gone to human being before. And to-morrow she must say good-bye to him, and never, perhaps, see him again. They must part; there was no other thing to be done. She was her own mistress, with plenty of money at her command; she could have flown in the face of society, and made Dick forever her own. Such a course did not even occur to her, for she was a creature bound by the laws of convention, almost as rigidly as you or I by the laws of gravity. Out of very light-heartedness she would do things and say things that would have been dangerous symptoms in a woman of a sterner mold; and men had often pursued her, led on by this laughing spirit that vanished behind a veil, which, being lifted, disclosed an adamant door. Her great danger lay in her compassionate emotions, and all the womanly nature that lay behind them. Her great danger lay in Richard Leslie, for he was the only being that had ever aroused them to their full strength.
  • 29. All at once she cast herself upon the bed, and after the fashion of her childhood, buried her face in a pillow, and sobbed, and “grat.” When she had occupied herself thus for some ten minutes, she rose and looked at herself in the glass, and wondered at her own distorted image, and how she could possibly be such a fool. But she felt better; the pain of parting with Dick was not quite so bad, and she felt kindlier towards George. If his conduct had taken place in England, I doubt if her anger would have been so soon assuaged. But they were in Japan—and the Japs, you know!— PART THREE THE BROKEN LATH
  • 30. CHAPTER XXVI THE BROKEN LATH A heat wave from the Pacific had stolen over Nagasaki, and the windless night was filled with stars and lights. Stars in the sky, and stars in the harbor, long wavy reflections of light from the ships in the anchorage, and ten thousand lanterns spangling the mysterious city. A spangle of colored lamps that spread away to the base of the O Suwa hill which they stormed, covering it with a thousand sparkles like phosphoric sea-spray, and cresting its summit with a burning zone, bright as the snow crest of Fuji. It was a gala night, and the O Suwa, that galaxy of temples, had called the true believers in love and beauty to worship in the name of religion. From the great double temple, which is the crowning glory of the hill, Leslie and his companions looked down upon shrine after shrine, broad flights of steps stained with the soft amber and pink of lantern light, and the colored crowd ever shifting, and murmurous as the sea. The shadow spaces and the vagueness of night made great distances in this dim but splendid picture, till the moon, rising over the hill-top, chased the shadows away, paled the lamps, and drew the distances together. Touched by her light the crowd below became sonorous as a musical glass touched by the finger; the murmur of voices, the ripple
  • 31. of laughter, the sigh of moving silk and the flutter of a thousand fans intensified, rose blended and mixed, and dwelt in the air a nimbus of sound. The native city beyond grew more distinct, yet more unreal in the moonlight, which strengthened the black shadows of the wooded cliffs and converted the harbor into a trembling mirror. “We shall never see anything again so beautiful as that,” said Jane, “so mysterious, so strange.” He did not reply. A small hand had stolen into his; it was Campanula’s. She, too, was gazing at the scene around and below them, filled with who knows what thoughts. They were not alone here on the utmost heights; women, gayly dressed, were passing into the temple behind them to pray and clap their hands before their gods. Women surrounded them, laughing, chattering, dispelling quaint perfumes on the air from large incessantly-waving fans. From the tea houses behind the temple came the thready music of chamécens and sounds of unseen festivity; and from the great park beyond, through the hot night, the perfume of azaleas and the odor of the dew-wet cryptomeria trees. “Come,” said Jane, “let us go and take the picture with us before it gets dulled. I will never forget this night—there is something in the air of this place I have never felt before. No, thanks, I don’t want to see the tea houses, I am quite content with this; let us go down right through it, and home.” They descended the broad flights of steps through the murmuring, laughing, and perfumed crowd. There was something in the air indeed, something as intoxicating as wine, yet far more subtle, subtle as a poison or a love philter. They found rikshas to take them back, and the whole party returned to the hotel, where they left Jane. “To-morrow at noon,” she said to Leslie, as she turned to enter.
  • 32. “Yes, or even a little later; the train doesn’t start till after one.” “Good-night!” She waved her hand in the lamplit portico and vanished. They had no need of lanterns to show the way up the hill-path to the House of the Clouds; the path was a tangle of moonlight and lilac-bough shadows, a tremulous carpet upon which above them they perceived a creeping and colored thing. It was Cherry-blossom. She, too, had been at the festival at the O Suwa, and was now returning, wearied out and walking like a somnambulist, a lantern painted with butterflies held before her nodding at the end of a bamboo cane. In the house, when he had fastened the shoji and taken his night lantern from Pine-breeze, he turned to where Campanula was standing, a vague figure in the dimly-lit room. Yielding to a sudden impulse he picked her up from the ground, just as he might have picked up a child, and kissed her—kissed her just as he had kissed her when she was a child that day, years ago, in the valley by the Nikko road. That night sleep was impossible. The lights of the O Suwa burned before him, the perfume of the azaleas and cryptomerias pursued him, lighting always and leading him always to the same image— Jane. He lay considering what the future would be when Jane was gone; the rainy season would soon be upon them, and then the autumn and the winter and the spring again after that, and the years to come. Whilst thus torturing his soul his mind was steadfastly making a resolve. A resolve that, come what might, Jane must not go out of his life. That to-morrow he must act in such a way as to make her for ever his own.
  • 33. Come what might! There was no time left for thought, scarcely enough for action. He had quite ceased to battle with himself, to say this is right or this is wrong. Time had cut all these arguments short with the command: “Act now, now, in the next twenty-four hours! for after that your chance is gone.” Then he began to sketch out the plan that had been vaguely forming in his brain all the evening—a plan that the villainous conduct of George du Telle made possible and practicable, and, to Leslie’s mind, almost plausible. As he lay thus, a faint sigh came through the lattice of the window. The wind had risen, and was moving the cherry branches and the azaleas. Then came another sound—the sound of a stick tapping on the garden path, as if some blind person were cautiously feeling their way round the house. Up along the garden path, pausing now, now advancing, now dying away, now returning, somebody was promenading in front of the house, keeping watch and ward like a sentry, somebody whose feet made no sound, somebody blind. A feeling of sick terror came over him—terror not to be borne. He pulled the mosquito-net aside, and rose, shivering and trembling, feeling that he must look out at all hazards—even at the worst. He pulled the slats aside and looked out. Nobody. The moonlight lay on the azaleas and the garden path, but of the prowler there was no sign.
  • 34. Then he saw the cause of the sound. A lath broken from the house wall was hanging with tip touching the path, and tapping upon it as the wind shook it. He returned to bed, and tried to snatch a few hours’ sleep, but the sound of the blind man tapping his way continued all night long —now faint, now loud, and insistent as the wind rose and fell.
  • 35. CHAPTER XXVII THE “EMPRESS OF JAPAN” If Mr. Kamamura had sent a special messenger to Paradise to pick from the aviary there a blue-winged and bright-eyed day for his garden-party, he would not have obtained a better one than that which came by chance. A haze hid its coming. Just after sunrise, looking from Leslie’s garden one could scarcely see Nagasaki down below—a toy town, seen through faint blue gauze, it seemed. The wind came in puffs, hot from the Pacific, shaking the cherry branches. The great double cherry-blossoms were falling. The close, even moss under the trees was white, like ground after a mild snowstorm. There was something in the atmosphere which loosened the petals this morning. At each puff of wind a fresh shower fell, sifting through the air to scatter softly on the ground. It was a ghostly sight in the gray and silent dawn; the trees seemed despoiling themselves, casting their blossoms from them in sorrow or fear. In the veranda stood the crimson garden umbrella, all damp with dew, and four pairs of clogs in a row. The house was deathly still; and one might have likened it to a tomb, had it not possessed so much the appearance of a bandbox, looped and latticed. Presently a faint sound might have been heard. A panel slid back, and a figure appeared, holding in its hand a lighted paper lantern. It was Campanula, clad in blue, her feet peeping from beneath her skirt like two white mice.
  • 36. She put out the lantern, and hung it on a hook. Then she put on a pair of clogs, and clicked down the steps. She went down the path, through the little gate, and vanished from sight; and as her footsteps died away, silence returned to the house and the garden. Then in a few minutes a glorious transformation scene took place. The haze turned to a golden mist; it became sundered by rivers of clear air, and from it leaped the sun, like Helios from the sea. Instantly the silence of the orchard became broken by the bickering of birds; a cock crowed somewhere in the back premises, and he was answered by the cock that lived half-way down the hill at the cooper’s shop—who was answered, a minute later, by all the roosters in Nagasaki. The mist vanished entirely now, the sun began steadily to mount into the vault of perfect blue; his slanting rays shot through the cherry orchard, striking here the bole of a tree glistening with great tears of fragrant gum, and there on the ground besnowed with blossom, even the fierce old hills of the landscape garden lost something of their ruggedness in the warm and mellow light. Then the house began to awaken. Pine-breeze appeared on the veranda, and after Pine-breeze the other Mousmés all busy, or appearing so, dragging out futon to air for a moment in the morning brightness, and lacquer screens to be dusted. “Summer has come in the night,” said Lotus-bud, pointing out the fallen cherry-blossoms. “Yes,” chimed in Pine-breeze, “but spring has gone.” “I dreamt last night of frost.” This from Cherry-blossom, who was busily engaged watching the others at work. Frost is a bad dream in Japan, and the Mousmés conferred in murmurs as to what it might mean.
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