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Maternal Child Nursing Care Womens Health 2nd Edition By Ward Hisley - Test Bank
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Chapter 3: The Evolving Family MULTIPLE CHOICE 1. The clinic nurse is taking a history from a woman who came to the clinic to get test results. The patient brought a coworker with her because she is worried. The patient asks to have her coworker remain in the exam room when the doctor descri...

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  • August 20, 2023
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  • 2023/2024
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,Chapter 1: Traditional and Community Nursing Care for Women, Families, and
Children


MULTIPLE CHOICE

1. The clinic nurse understands the new description of nursing art/aesthetics as the way that
nurses and patients help each other through a circular process. What is the event that begins
this process?
A. A health threat
B. Experiencing new possibilities for health
C. Hope and understanding for the future
D. Relationship building
ANS: A
Nursing aesthetics consists of the low-tech, high-touch caring in a nurse–patient encounter.
This transformative process begins with a health threat. The event that begins the process is
not experiencing new possibilities for health, hope and understanding for the future, or
relationship building.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Caring
Difficulty: Moderate

PTS: 1

2. A nurse manager in a community clinic is concerned because the local refugee population
does not seek health care routinely. What action by the nurse would be most helpful?
A. Assess clinic staff and procedures for evidence of ethnocentrism.
B. Put up flyers advertising the clinic’s services in local retailers.
C. Reward preventative health patients with coupons for needed items.
D. Try to meet with community leaders to work on the problem.
ANS: A
Ethnocentrism is the view that the beliefs, values, and behaviors of one culture are superior to
those of other cultures. Ethnocentrism is dangerous in health care because it is blind to the
possibilities of other solutions and viewpoints and alienates people in need of health care. The
nurse manager would be wise to assess the clinic’s staff and procedures for ethnocentrism.
Meeting with a community leader is always a good idea to learn the viewpoints of the
community, but unless ethnocentric behaviors change, it is unlikely that the refugee
community will increase its use of the clinic. Flyers and incentives may also be helpful in
some cases, but not as helpful as reducing the barriers imposed by ethnocentrism.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Caring
Difficulty: Moderate

, PTS: 1

3. The nursing faculty explains to students that ethnopluralism is an important force shaping
health care today. What concept is most important in understanding this trend?
A. The decreased need for cultural competency
B. The growth in one ethnic group in a single area
C. The increased impact of diverse cultures on health care
D. The percentage increase of the non-Caucasian population
ANS: C
Ethnopluralism means diverse cultures. As the population of different ethnic (non-Euro-
Caucasian) groups grows, their impact on health care will increase exponentially.
Ethnopluralism is not just the growth of one ethnic group in one location. It is also more than
just the percentage change in the non-Euro-Caucasian population, although that is part of the
phenomenon. As ethnopluralism continues to impact health care, providers will need to be
more, not less, culturally competent.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity
Integrated Process: Teaching/Learning
Difficulty: Moderate

PTS: 1

4. A nursing faculty member is explaining recent shifts in nursing practice. What change has
been important in applying the nursing process?
A. A change to a spiral or circular process
B. A focus on more independent nursing actions
C. A return to the nurse-as-expert model of care
D. An emphasis on attaining a disease-free state
ANS: A
The nursing process has recently changed from a linear one to a spiral or circular process in
which the patient/family is motivated toward promotion, maintenance, and restoration of
health. The focus has not changed to include more independent actions, a return to the nurse-
as-expert model, or an emphasis on attaining a disease-free state of being.

Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

5. A nurse is working in an urban clinic with a diverse population. What action by the nurse is
most important?
A. Determine patients’ definitions of health and desired outcomes of health care.
B. Explain policies such as appointment cancellations to ensure compliance.

, C. Learn to speak one or two common languages of the patients in the clinic.
D. Read about different folk remedies common among the populations seen.
ANS: A
Divergent populations enter the health-care system with differing beliefs about health care and
wellness and differing expectations for the outcomes of such experiences. Understanding
these expectations will help the nurse plan care that has a better chance of meeting these
expectations. Learning languages and becoming familiar with folk remedies is helpful as well,
but these two solutions are very limited in scope and a nurse cannot hope to become proficient
in all the languages/behaviors of every population seen, leaving some patients with a lessened
experience. Explaining policies is important too, but simply telling someone the rules does not
take his or her cultural norms into account and may not be successful.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity
Integrated Process: Nursing Process: Assessment
Difficulty: Moderate

PTS: 1

6. A nurse is working with a minority group that has a high incidence of cardiovascular disease,
including hypertension and stroke. When participating in a community health fair with this
group, what action by the nurse will be most effective?
A. Educate the participants about weight loss and a low-sodium, low-fat diet.
B. Explain the genetic basis for the high incidence of cardiovascular disease in the
group.
C. Help participants make lifestyle changes that are culturally congruent.
D. Present statistics on the mortality and morbidity of cardiovascular disease.
ANS: C
The ever-increasing culturally diverse population interacting with the health-care system
brings its own beliefs, values, and health-related practices that impact health and well-being.
In order to help people make healthy lifestyle changes, the changes must be culturally
congruent and acceptable. Forcing an incongruent practice makes it highly unlikely to
succeed. Education is important, but it must be done in a culturally congruent way.
Pathophysiology and statistical knowledge, by itself, is not likely to be beneficial.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity
Integrated Process: Teaching/Learning
Difficulty: Difficult

PTS: 1

7. What does the practicing nurse understand to be the most important influence on
interdependent, assertive nursing practice today?
A. Higher education of registered nurses
B. Improved working conditions and salaries
C. Increased numbers of female physicians

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