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TEST BANK FOR Introduction to Maternity and Pediatric Nursing 8th Edition test bank All Capters (1-34)|A+ ULTIMATE GUIDE
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Introduction To Maternity And Pediatric Nursing
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Introduction To Maternity And Pediatric Nursing
TEST BANK FOR Introduction to Maternity and Pediatric Nursing 8th Edition test bank All Capters (1-34)|A+ ULTIMATE GUIDE
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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST
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BANK
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2
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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Chapter 01: The Past, Present, and Future
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MULTIPLE CHOICE nm
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
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nmpregnancy. What does the CNMs scope of practice include?
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a. Practice independent from medical supervision
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b. Comprehensive prenatal care nm nm
c. Attendance at all deliveries nm nm nm
d. Cesarean sections nm
ANS: B nm
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries,
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and ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
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nmand unwashed hands?
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a. Karl Cred nm
b. Ignaz Semmelweis nm
c. Louis Pasteur nm
d. Joseph Lister nm
ANS: B nm
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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nmunwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF:
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Page 2 TOP: The Past KEY: Nursing
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Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse,
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I am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best
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nursing response reflecting cultural sensitivity?
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a. Maternal mortality in the United States is extremely low.
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b. Anesthesia is available to relieve pain during labor and childbirth.
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c. Tell me why you are afraid of childbirth.
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d. Your condition will be monitored during labor and delivery.
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ANS: C nm
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7
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TOP: Cross-Cultural Care KEY: Nursing Process Step:
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Implementation MSC: NCLEX: Psychosocial Integrity:
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Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortality rate. What information does
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this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D nm
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live
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nm births per year. DIF: Cognitive Level: Comprehension REF: Page 12
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST
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BANK
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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women
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b. The traditional family unit
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c. Separation of labor rooms from delivery rooms
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d. A quality family experience for each patient
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ANS: D nm
Current maternity practice focuses on a high-quality family experience for all families, traditional or
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otherwise.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: The Present-Maternity Care KEY: Nursing Process Step:
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N/A MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald nm
b. Florence Nightingale nm
c. Florence Kelly nm
d. Clara Barton nm
ANS: A nm
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: The Past KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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NURSINGTB.COM
7. What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Childrens asylums were founded. nm nm nm
ANS: C nm
School hot lunch programs were developed as a result of research by the Childrens Bureau on
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the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge REF:
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Page 4 TOP: The Past KEY: Nursing
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Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure of preschool
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children?
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a. WIC
b. Title XIX of Medicaid
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c. The Childrens Charter
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d. Head Start nm
ANS: D nm
Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: Page 3
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process
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Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and
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Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome and
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timeframe from different areas of care provision?
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST
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BANK
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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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a. Clinical pathways nm
b. Nursing outcome criteria nm nm
c. Standards of care nm nm
d. Nursing care plan nm nm
ANS: A nm
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
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nmthat define patient care across disciplines. Expected progress within a specified timeline is
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identified.
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DIF: Cognitive Level: Knowledge REF: Page 12
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TOP: Health Care Delivery Systems KEY: Nursing Process
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Step: N/A MSC: NCLEX: Safe, Effective Care Environment:
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Coordinated Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother,
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nmand collected admission data. What is the next step the student will take to develop a nursing
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care plan for this child?
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a. Identify measurable outcomes with a timeline.
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b. Choose specific nursing interventions for the child.
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c. Determine appropriate nursing diagnoses.
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d. State nursing actions related to the childs medical diagnosis.
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ANS: C nm
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
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Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: Page 11
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TOP: Nursing Process KEY: Nursing Process Step: Nursing
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Diagnosis MSC: NCLEX: Safe, Effective Care Environment:
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Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition of
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the LVN/LPN scope of practice. What resource can the nurseNsUuR
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gIeN
stGtoTBth.C
eOstM
nmudent? nm nm nm nm nm nm
a. American Nurses Association nm nm
b. States board of nursing
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c. Joint Commission nm
d. Association of Womens Health, Obstetric and Neonatal Nurses
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ANS: B nm
The scope of practice of the LVN/LPN is published by the states board of nursing.
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DIF: Cognitive Level: Comprehension REF: Page
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3 OBJ: 18 TOP: Critical Thinking
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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12. What was recommended by Karl Cred in 1884?
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a. All women should be delivered in a hospital setting.
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b. Chemical means should be used to combat infection.
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c. Podalic version should be done on all fetuses.
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d. Silver nitrate should be placed in the eyes of newborns.
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ANS: D nm
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce
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nmthe incidence of blindness.
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DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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13. What is the purpose of the White House Conference on Children and Youth?
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a. Set criteria for normal growth patterns.
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST
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BANK
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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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b. Examine the number of live births in minority populations.
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c. Raise money to support well-child clinics in rural areas.
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d. Promote comprehensive child welfare.
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ANS: D nm
White House Conferences on Children and Youth are held every 10 years to promote
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comprehensive child welfare.
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DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: White House Conferences KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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14. How many hours of hospital stay does legislation currently allow for a postpartum
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nmpatient who has delivered vaginally without complications?
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a. 24
b. 48
c. 36
d. 72
ANS: B nm
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours;
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patients who have had a cesarean delivery usually stay 4 days.
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DIF: Cognitive Level: Knowledge REF:
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Page 6 TOP: Hospital Terms for
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Postpartum Patients KEY: Nursing Process
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Step: Planning
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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15. How does the clinical pathway or critical pathway improve quality of care?
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a. Lists diagnosis-specific implementations
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b. Outlines expected progress with stated timelines
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c. Prioritizes effective nursing diagnoses
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d. Describes common complications
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ANS: B nm
Critical pathways outline expected progress with stated timelines. Any deviation from those
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timelines is called a variance.
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DIF: Cognitive Level: Comprehension REF: Page 12
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TOP: Critical Pathway KEY: Nursing Process Step:
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Implementation MSC: NCLEX: Safe, Effective Care
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Environment: Coordinated Care
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16. A patient asks the nurse to explain what is meant by gene therapy. What is the nurses best
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response?
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a. Gene therapy can replace missing genes.
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b. Gene therapy evaluates the parents genes.
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c. Gene therapy can change the sex of the fetus.
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d. Gene therapy supports the regeneration of defective genes.
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ANS: A nm
Gene therapy can replace missing or defective genes.
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DIF: Cognitive Level: Knowledge REF: Page 8
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TOP: Gene Therapy KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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17. The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs).
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nmWhat is the nurses best response when the patient asks how DRGs reduce medical care
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costs?
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a. By determining payment based on diagnosis
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b. By requiring two medical opinions to confirm a diagnosis
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