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Maternity and Pediatric Nursing 4th Edition
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Chapter 1 v
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1. When integrating the principles of family-centered care into the birthing process,
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the nurse would base care upon which belief?
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A. Birth is viewed as a medical event.
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B. Families are unable to make informed choices due to stress. v v v v v v v v v
C. Birth results in changes in relationships.
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D. Families require little information to make appropriate decisions for care.
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Answer: C v
Rationale: Family-centered care is based on the followinagb i rpb .rc ionmc/ t eips t les: Birth affects the
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entire family, and relationships will change; birth is viewed as a normal, healthy event
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in the life of the family; and families are capable of making decisions about their own
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care if given adequate information and professional support.
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Question format: Multiple Choice v
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Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Teaching/Learning
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Integrated Process: Caring
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Reference: p. 7 v v
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2. The nurse is working with a group of community health members to develop a
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plan to address the special health needs of women. The group would design
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educational programs to address which priority condition?
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A. Smoking
B. Heart disease v
C. Diabetes
D. Cancer abirb.com/test
Answer: B
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Rationale: The group needs to address cardiovascular d iasb ei r ba. csoem,/ t etsht e number one cause
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of death in women regardless of racial or ethnic group. Smoking is related to heart
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disease and the development of cancer. However, heart disease and cancer
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can occur in any woman regardless of her smoking his toarbyi r b. . cCo ma/ nt e cs ter is the second
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leading cause of death, with women having a one in three lifetime risk of developing
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cancer. Diabetes is another important health condition that can affect
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women. However, it is not the major health problem that heart disease is.
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Question format: Multiple Choice v
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Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Nursing Process v v v
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Reference: p. 12 v v
3. A nurse is conducting an orientation program for a group of newly hired nurses. As
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part of the program, the nurse is reviewing the i s s u e a boi rfb .icno mf o/ t re smt ed consent. The
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nurse determines that the teaching was effective when the group identifies which
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situation as a violation of informed consent?
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A. Performing a procedure on a 15-year-old without parental consent v v v v v v v v
B. Serving as a witness to the signature process on an oapb i er b r. cao tmi /vt ees t permit
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C. Asking whether the client understands what she is signing following receiving
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education
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D. Getting verbal consent over the phone for an em ergeanb icr by. c opmr/ ot e cs te dur e from the
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spouse of a unconscious woman
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Answer: A v
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Rationale: In most states, only clients over the age of 18 can legally provide consent
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for health care. Serving as a witness to the signature process, asking whether the client
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understands what she is signing, a n d a bgi reb .tctoimn/ gt e s vt erbal consent over
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the phone for emergency procedures are all key to informed consent and are not
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violations.
Question format: Multiple Choice v v v
Chapter 1: Perspectives on Maternal and Child Health Caabrierb.com/test
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Cognitive Level: Analyze
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process
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Reference: p. 45 v v
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
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her fetus. To ensure informed consent, which action w o ua bl di r b . bc oem / tt ehs te priority
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responsibility of the nurse providing care to this woman?
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A. Asking relevant questions to determine the client's understanding
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B. Providing a detailed description of the risks and benefits of the procedure
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C. Explaining the exact steps that will occur during the pa rb ior bc. ceo d
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m/te st
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D. Offering suggestions for alternative options for treatment
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Answer: A v
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Rationale: The nurse's responsibilities related to informed consent include: Ensuring
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the consent form is completed with signatures from the client; serving as a witness to
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the signature process; and determining whether the ca lbii er b n. c to mu/ t ne sdt erstands what she is
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signing by asking her pertinent questions. The physician, advanced practice nurse, or
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midwife is responsible for informing the client about the procedure and obtaining
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consent by providing a detailed description of the procedure or treatment, its potential
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risks and benefits, and alternative m e t h o d s a ab i rvb a. c iolma/ bt e lset .
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Question format: Multiple Choice v v v
Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply v abirb.com/test
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process v v v
Reference: p. 45
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5. A 9-month-old with glaucoma requires surgery. The in
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. c ot'ms/ t eps tarents are v v v v v v v
divorced. To obtain informed consent, which action would be most appropriate?
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A. Contacting the father for informed consent v v v v v
B. Obtaining informed consent from the mother v v v v v
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C. Seeking a court ruling on the course of care v v v v v v v v
D. Determining sole or joint custody by the parents v v v v v v v
v Answer: D v
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Rationale: The most appropriate action would be to determine legal custody by court
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decree. If the parents have joint custody, then either parent may give consent, but it
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is always best to have consent given by ba boi r tbh. c o pm a/ t erset nts. The parent with only physical
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custody may give consent for emergency care. The last resort is getting a court
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ruling; usually this is not necessary unless the parents disagree
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about the care of the child.
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Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Manageam
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Integrated Process: Nursing Process
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Reference: p. 47 v v
6. Which statement made by a nursing student would b ea bsi r tb . ci onmd/ t iecs at te that her
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education on family-centered care was fully understood?
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A. "Childbirth affects the entire family, and relationships will change." v v v v v v v v
B. "Families are usually not capable of making health c aarbei r bd. c eo mc /it se si ot ns for themselves,
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especially in stressful situations."
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C. "Mothers are the only family member affected by childbirth." v v v v v v v v
D. "Since childbirth is a medical procedure, it may affect everyone."
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Answer: A v
Rationale: Childbirth affects the entire family, and r e l a t i oa bni r bs. hc oi mp/st e sw
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t ill change. v v v v v v
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Childbirth is viewed as a normal life event, not a medical procedure. Families are
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very capable of making health care decisions about their own care with proper information
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and support.
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Question format: Multiple Choice v abirb.com/test v v
Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Psychosocial Integrity
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Integrated Process: Nursing Process v v v
Reference: p. 15
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7. Which aspect of client wellness has not been a focusaob ifr b h. c eo ma/ lt et sht during the 21st
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century ?
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