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Chapter 02 Social, Ethical, and Legal Issues Foundations of Maternal-Newborn & Women's Health
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Chapter 02 Social, Ethical, and Legal Issues Foundations of Maternal-Newborn & Women's Health
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Chapter 02: Social, Ethical, and LegalIssues Foundations of Maternal-
Newborn & Women's Health Nursing, 7th
Edition Questions and Correct Answers
1. During which phase of the cycle of violence does the batterer become contrite and remorseful?
a.
Battering
b.
Honeymoon
c.
Tension-building
d.
Increased drug taking - correct answers:ANS: B
During the honeymoon phase, the battered person wants to believe that the battering will never happen
again, and the batterer will promise anything to get back into the home. During the battering phase,
violence actually occurs, and the victim feels powerless. During the tension-building phase, the batterer
becomes increasingly hostile, swears, threatens, throws things, and pushes the battered person. Often,
the batterer increases the use of drugs during the tension-building phase.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Psychosocial Integrity
2. The United States ranks poorly in terms of worldwide infant mortality rates. Which factor has the
greatest impact on decreasing the mortality rate of infants?
a.
Providing more women's shelters
b.
Ensuring early and adequate prenatal care
c.
Resolving all language and cultural differences
,d.
Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy - correct
answers:ANS: B
Because preterm infants form the largest category of those needing expensive intensive care, early
pregnancy intervention is essential for decreasing infant mortality. The women in shelters have the same
difficulties in obtaining health care as other poor people, particularly lack of transportation and
inconvenient clinic hours. Language and cultural differences are not infant mortality issues but must be
addressed to improve overall health care. Medicaid provides health care for poor pregnant women, but
the process may take weeks to take effect. The eighth month is too late to apply and receive benefits for
this pregnancy.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance
3. The nurse is planning a teaching session for staff on ethical theories. Which situation best reflects the
Deontologic theory?
a.
Approving a physician-assisted suicide
b.
Supporting the transplantation of fetal tissue and organs
c.
Using experimental medications for the treatment of AIDS
d.
Initiating resuscitative measures on a 90-year-old patient with terminal cancer - correct answers:ANS: D
In the Deontologic theory, life must be maintained at all costs, regardless of quality of life. Approving a
physician-assisted suicide, supporting the transplantation of fetal tissue and organs, and using
experimental medications for the treatment of AIDS are examples of a utilitarian model.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Psychosocial Integrity
4. Which step of the nursing process is being used when the nurse decides whether an ethical dilemma
exists?
a.
Analysis
, b.
Planning
c.
Evaluation
d.
Assessment - correct answers:ANS: A
When a nurse uses the collected data to determine whether an ethical dilemma exists, the data are
being analyzed. Planning is done after the data have been analyzed. Evaluation occurs once the outcome
has been achieved. Assessment is the data collection phase.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Evaluation
MSC: Patient Needs: Safe and Effective Care Environment: Coordinated Care
5. The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the nurse, "Why is
elective abortion considered such an ethical issue?" Which response by the nurse is most appropriate?
a.
Abortion requires third-party consent.
b.
The U.S. Supreme Court ruled that life begins at conception.
c.
Abortion law is unclear about a woman's constitutional rights.
d.
There is a conflict between the rights of the woman and the rights of the fetus. - correct answers:ANS: D
Elective abortion is an ethical dilemma because two opposing courses of action are available. Abortion
does not require third-party consent. The Supreme Court has not ruled on when life begins. Abortion
laws are clear concerning a woman's constitutional rights.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Safe and Effective Care Environment
6. At the present time, which agency governs surrogate parenting?
a.
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