,Maternity and Pediatric Nursing 4th Edition c c c c c
Ricci Kyle Carman Test Bank c c c c c
Chapter 1 c
1. When integrating the principles of family-centered care into the birthing
c c c c c c c c c
process, the nurse would base care upon which belief? A. Birth is viewed as a
c c c c c c c c c c c c c c c
medical event.
c c
B. Families are unable to make informed choices due to stress.
c c c c c c c c c
C. Birth results in changes in relationships.
c c c c c
D. Families require little information to make appropriate decisions for care.
c c c c c c c c c
Answer: C c
Rationale: Family-centered care is based on the followinagbirpb.rcionmc/tiepstles: Birth
c c c c c c c c
affects the entire family, and relationships will change; birth is viewed as a normal,
c c c c c c c c c c c c c c
healthy event in the life of the family; and families are capable of making decisions
c c c c c c c c c c c c c c c
about their own care if given adequate information and professional support.
c c c c c c c c c c c
Question format: Multiple Choice c c c
Chapter 1: Perspectives on Maternal and Child Health Care
c c c c c c c c
Cognitive Level: Apply
c c c
Client Needs: Health Promotion and Maintenance
c c c c c
Integrated Process: Teaching/Learning
c c c
Integrated Process: Caring
c c c
Reference: p. 7 c c
2. The nurse is working with a group of community health members to develop a
c c c c c c c c c c c c c
plan to address the special health needs of women. The group would design
c c c c c c c c c c c c c
educational programs to address which priority condition?
c c c c c c c
A. Smoking
B. Heart disease c
C. Diabetes
D. Cancer
Answer: B
c c
Rationale: The group needs to address cardiovascular di s e a s e , th e number one
c c c c c c c c c c c c c c c c c
cause of death in women regardless of racial or ethnic group. Smoking is related to
c c c c c c c c c c c c c c c
heart disease and the development of cancer. However, heart disease and cancer can
c c c c c c c c c c c c c
o r y . C an c
occur in any woman regardless of her smoking hist a b irb .c om / te ster is the
c c c c c c c c c c c
second leading cause of death, with women having a one in three lifetime risk of
c c c c c c c c c c c c c c
,developing cancer. Diabetes is another important health condition that can affectwomen.
c c c c c c c c c c c
However, it is not the major health problem that heart disease is.
c c c c c c c c c c c c
Question format: Multiple Choice c c c
Chapter 1: Perspectives on Maternal and Child Health Care
c c c c c c c c
Cognitive Level: Apply
c c c
Client Needs: Health Promotion and Maintenance
c c c c c
Integrated Process: Nursing Process
c c c c
Reference: p. 12 c c
3. A nurse is conducting an orientation program for a group of newly hired nurses.As
c c c c c c c c c c c c c c
part of the program, the nurse is reviewing the issueaobirfb.icnofmo/tremst ed consent.
c c c c c c c c c c c c
The nurse determines that the teaching was effective when the group identifies
c c c c c c c c c c c c
which situation as a violation of informed consent?
c c c c c c c c
A. Performing a procedure on a 15-year-old without parental consent c c c c c c c c
B. Serving as a witness to the signature process on an oapbier br.caotmiv/ tees t permit
c c c c c c c c c c
c c c c
C. Asking whether the client understands what she is signing following receiving
c c c c c c c c c c
education
c
D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from the
c c c c c c c c c c
spouse of a unconscious woman
c c c c c
Answer: A c
Rationale: In most states, only clients over the age of 18 can legally provide consentfor
c c c c c c c c c c c c c c c
health care. Serving as a witness to the signature process, asking
c c c c c c c c c c c
whether the client understands what she is signing, andagbirebt.ctoimn/gtesvt erbalconsent
c c c c c c c c c c
over the phone for emergency procedures are all key to informed consent and are not
c c c c c c c c c c c c c c c
violations.
c
Question format: Multiple Choice c c c
Chapter 1: Perspectives on Maternal and Child Health Caabrierb
c c c c c c c c
Cognitive Level: Analyze
c c c
Client Needs: Safe, Effective Care Environment: Management of Care
c c c c c c c c
Integrated Process: Nursing Process
c c c c
Reference: p. 45 c c
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
c c c c c c c c c c c c c c
fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset
c c c priorityc c c c c
responsibility of the nurse providing care to this woman?
c c c c c c c c c
A. Asking relevant questions to determine the client's understanding
c c c c c c c
, B. Providing a detailed description of the risks and benefits of the procedure
c c c c c c c c c c c
C. Explaining the exact steps that will occur during the parboirbc.ceodmu/terset D. c c c c c c c c c
c
Offeringsuggestions for alternative options for treatment
c c c c c c c
Answer: A c
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
c c c c c c c c c
the consent form is completed with signatures from the client; serving as a witnessto
c c c c c c c c c c c c c c c
the signature process; and determining whether the calbiier bn.cto mu/tne sdt erstands
c c c c c c c c c c c c
what she is signing by asking her pertinent questions. The physician, advanced
c c c c c c c c c c c c
practice nurse, or midwife is responsible for informing the client about the procedureand
c c c c c c c c c c c c c c
obtaining consent by providing a detailed description of the procedure or treatment,
c c c c c c c c c c c c
its potential risks and benefits, and alternative methods aabivrba.ciolma/btelset
c c c c c c c c c
.
Question format: Multiple Choice c c c
Chapter 1: Perspectives on Maternal and Child Health Care
c c c c c c c c
Cognitive Level: Apply
c c c
Client Needs: Safe, Effective Care Environment: Management of Care
c c c c c c c c
Integrated Process: Nursing Process c c c
Reference: p. 45
c c c
5. A 9-month-old with glaucoma requires
c surgery. The c c c c c
inabfiarbn.cto'ms/tepsat rents are divorced. To obtain informed consent,
c c c c c c c c
which action would be most appropriate?
c c c c c c
A. Contacting the father for informed consent c c c c c
B. Obtaining informed consent from the mother c c c c c
C. Seeking a court ruling on the course of care c c c c c c c c
D. Determining sole or joint custody by the parents c c c c c c c
Answer: D c
Rationale: The most appropriate action would be to determine legal custody by
c c c c c c c c c c c
court decree. If the parents have joint custody, then either parent may give
c c c c c c c c c c c c c
consent, but it is always best to have consent given by ba boi rtbh. c opma/ t erset nts. The
c c c c c c c c c c c c
c c c c c c c
c
parent with only physical custody may give consent for emergency care. The last
c c c c c c c c c c c c c
resort is
c c
getting a court ruling; usually this is not necessary unless the parents disagree aboutthe
c c c c c c c c c c c c c c
care of the child.
c c c c
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