,MaternityandPediatricNursing4thEdition
RicciKyleCarmanTestBank b
Chapter1 b
1. When integrating the principles of family-centered care into the birthing
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process, the nurse would base care upon which belief? A. Birth is viewed as a
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medicalevent.
b b
B. Familiesareunabletomakeinformedchoicesduetostress. b b b b b b b b b
C. Birthresultsinchangesinrelationships.
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D. Familiesrequirelittleinformationtomakeappropriate decisionsforcare. b b b b b b b b b
Answer:C b
Rationale: Family-centered care is based on the followinagbirpb.rcionmc/tiepstles: Birth
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affects the entire family, and relationships will change; birth is viewed as a normal,
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healthy event in the life of the family; and families are capable of making decisions
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abouttheirowncareifgivenadequateinformationandprofessionalsupport.
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Questionformat:MultipleChoice b b b
Chapter1:PerspectivesonMaternalandChildHealthCare
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CognitiveLevel:Apply
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ClientNeeds:HealthPromotionandMaintenance
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Integrated Process: Teaching/Learning Integrated
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Process:Caring
b b
Reference:p.7 b b
2. The nurse is working with a group of community health members to develop aplan
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to address the special health needs of women. The group would design
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educationalprograms toaddresswhich prioritycondition?
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A. Smoking
B. Heartdisease b
C. Diabetes
D. Cancer
Answer:B
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Rationale: The group needs to address cardiovascular dis e a s e ,the number onecause
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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 cancercan occur in
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o r y . C an c
any woman regardless of her smoking hist a b irb .c om / te ster is the
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second leading cause of death, with women having a one in three lifetime risk of
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,developing cancer. Diabetes is another important health condition that can affectwomen.
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However,itisnotthemajorhealthproblemthatheartdiseaseis.
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Questionformat:MultipleChoice b b b
Chapter1:PerspectivesonMaternalandChildHealthCare
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CognitiveLevel:Apply
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ClientNeeds:HealthPromotionandMaintenanceIntegrated
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Process:NursingProcess
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Reference:p.12 b b
3. A nurseisconductinganorientationprogram foragroupofnewlyhirednurses.Aspart of
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the program, the nurse is reviewing the issueaobirfb.icnofmo/tremst ed consent.The nurse
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determines that the teaching was effective when the group identifies which situation
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asaviolationofinformedconsent?
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A. Performingaprocedureona15-year-oldwithoutparentalconsent b b b b b b b b
B. Servingasawitnesstothesignatureprocessonanoapbier br.caotmiv/ tees t permit
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b b b b
C. Asking whether the client understands what she is signing following receiving
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education
b
D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from the
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spouseofaunconsciouswoman
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Answer:A b
Rationale: Inmoststates, onlyclientsoverthe age of18 canlegallyprovide consentfor health
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care.Servingasawitnesstothesignatureprocess,asking
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whether the client understands what she is signing, andagbirebt.ctoimn/gtesvt erbalconsent
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over the phone for emergency procedures are all key to informed consent and are not
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violations.
b
Questionformat:MultipleChoice b b b
Chapter1:PerspectivesonMaternalandChildHealthCaabrierbCognitive
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Level:Analyze
b b
ClientNeeds:Safe,EffectiveCareEnvironment:ManagementofCare
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IntegratedProcess:NursingProcess
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Reference:p.45 b b
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
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fetus.Toensureinformedconsent,whichactionwouabldirb.bcoem/ttehset
b b b priority
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responsibilityofthenurseprovidingcaretothiswoman?
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A. Askingrelevantquestionstodeterminetheclient'sunderstanding
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, B. Providingadetaileddescriptionoftherisksandbenefitsoftheprocedure b b b b b b b b b b b
C. Explaining the exact steps that will occur during the parboirbc.ceodmu/terset b b b b b b b b b
D.Offeringsuggestionsforalternativeoptionsfortreatment
b
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Answer:A b
Rationale: The nurse's responsibilities related to informed consent include: Ensuringthe
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consent form is completed with signatures from the client; serving as a witnessto the
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signature process; and determining whether the calbiier bn.cto mu/tne sdt erstands what
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she is signing by asking her pertinent questions. The physician, advanced practice
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nurse, ormidwife is responsible for informing the clientabout the procedureand obtaining
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consent by providing a detailed description of the procedure or treatment,
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its potentialrisksandbenefits,andalternativemethodsaabivrba.ciolma/btelset
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.
Questionformat:MultipleChoice b b b
Chapter1:PerspectivesonMaternalandChildHealthCare
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CognitiveLevel:Apply
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ClientNeeds:Safe,EffectiveCareEnvironment:ManagementofCare
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IntegratedProcess:NursingProcess b b b
Reference:p.45
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5. A 9-month-old with glaucoma requires surgery.
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inabfiarbn.cto'ms/tepsat rents are divorced. To obtain informed consent,
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whichactionwouldbemostappropriate?
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A. Contactingthefatherforinformedconsent b b b b b
B. Obtaininginformedconsentfromthemother b b b b b
C. Seekingacourtrulingonthecourseofcare b b b b b b b b
D. Determiningsoleorjointcustodybytheparents b b b b b b b
Answer:D b
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 itis
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always best to have consent given by ba boi rtbh. c opma/ t erset nts. The parent with only
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physical custody may give consent for emergency care. The last resortis
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getting a court ruling; usually this is not necessary unless the parents disagree aboutthe care
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ofthechild.
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