Maternity and Pediatric z@ z@ z@
Nursing 5th Edition Ricci z@ z@ z@ z@
Kyle Carman Test Bank z@ z@ z@
Maternity and Pediatric Nursing 5th Edition R z@ z@ z@ z@ z@ z@
icci Kyle Carman Test Bank z@ z@ z@ z@
Chapter 1 z@
1. When integrating the principles of family-
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centered care into the birthing process, the nurse would base care up
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on which belief? A. Birth is viewed as a medical event.
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B. Families are unable to make informed choices due to stress.
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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 z@
Rationale: Family-centered care is based on the following
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princ/iples: Birth affects the entire family, and relationships will change; birth is
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viewed as a normal, healthy event in the life of the family; and families are
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capable of making decisions about their own care if given adequate informatio
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n and professional support.
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Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health C
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are Cognitive Level: Apply
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,Client Needs: Health Promotion and Maintenan
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ce Integrated Process: Teaching/Learning Inte
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grated Process: Caring
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Reference: p. 7 z@ z@
2. The nurse is working with a group of community health members to dev
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elop a plan to address the special health needs of women. The group wou
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ld design educational programs to address which priority condition?
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A. Smoking
B. Heart diseasez@
C. Diabetes
D. Cancer z
@Answer: z@
B
Rationale: The group needs to address cardiovascular di s e a s e , th e number
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one cause of death in women regardless of racial or ethnic group. Smoking
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is related to heart disease and the development of cancer. However, heart disea
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se and cancer can occur in any woman regardless of her smoking history,
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cancer is the *# z@
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 affe
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ct women. However, it is not the major health problem that heart disease is.
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Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health C
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are Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance Integra
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ted Process: Nursing Process
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Reference: p. 12 z@ z@
3. A nurse is conducting an orientation program for a group of newly hired n
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urses. As part of the program, the nurse is reviewing the issue
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Informed consent. The nurse determines that the teaching was effective when
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the group identifies which situation as a violation of informed consent?
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A. Performing a procedure on a 15-year-old without parental consent
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B. Serving as a witness to the signature process on an oapbier br.caotmiv/ tees t permit
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C. Asking whether the client understands what she is signing following recei
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ving education
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D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from t
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he spouse of a unconscious woman
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Answer: A z@
Rationale: In most states, only clients over the age of 18 can legally provide co
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nsent for health care. Serving as a witness to the signature process, asking
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whether the client understands what she is signing, andagbirebt.ctoimn/gtesvt erbal c
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onsent over the phone for emergency procedures are all key to informed cons
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ent and are not violations.
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Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cog
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nitive Level: Analyze
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Client Needs: Safe, Effective Care Environment: Management of C
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are Integrated Process: Nursing Process
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Reference: p. 45 z@ z@
4. A pregnant woman is to undergo an invasive procedure to evaluate the status
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@of her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset
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priority 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 parboirbc.ceodmu/terset D.
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z @
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Offering suggestions for alternative options for treatment
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Answer: A z@
Rationale: The nurse's responsibilities related to informed consent include: Ensuri
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ng the consent form is completed with signatures from the client; serving as a
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z@witness to the signature process; and determining whether the calbiier bn.cto mu/t
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ne sdt erstands what she is signing by asking her pertinent questions. The phy
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sician, advanced practice nurse, or midwife is responsible for informing the client
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@about the procedure and obtaining consent by providing a detailed description
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of the procedure or treatment, its potential risks and benefits, and alternative m
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ethods aabivrba.ciolma/btelset
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.
Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health C
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are Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process z@ z@ z@
Reference: p. 45
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5. A 9-month- z@
old with glaucoma requires surgery. The inabfiarbn.cto'ms/tepsat rents
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@are divorced. To obtain informed consent, which action would be
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most appropriate?
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A. Contacting the father for informed consent z@ z@ z@ z@ z@
B. Obtaining informed consent from the mother z@ z@ z@ z@ z@
C. Seeking a court ruling on the course of care
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D. Determining sole or joint custody by the parents z@ z@ z@ z@ z@ z@ z@
Answer: D z@
Rationale: The most appropriate action would be to determine legal custody
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by court decree. If the parents have joint custody, then either parent may gi
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ve consent, but it is always best to have consent given by ba boi rtbh. c opma/ t e
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z@ z@ z@ z@ z@ z@
rset nts. The parent with only physical custody may give consent for emergen
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cy care. The last resort is
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getting a court ruling; usually this is not necessary unless the parents disagree a
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bout the care of the child.
z@ z@ z@ z@ z@
Nursing 5th Edition Ricci z@ z@ z@ z@
Kyle Carman Test Bank z@ z@ z@
Maternity and Pediatric Nursing 5th Edition R z@ z@ z@ z@ z@ z@
icci Kyle Carman Test Bank z@ z@ z@ z@
Chapter 1 z@
1. When integrating the principles of family-
z@ z@ z@ z@ z@
centered care into the birthing process, the nurse would base care up
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
on which belief? A. Birth is viewed as a medical event.
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
B. Families are unable to make informed choices due to stress.
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
C. Birth results in changes in relationships.
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D. Families require little information to make appropriate decisions for care.
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
Answer: C z@
Rationale: Family-centered care is based on the following
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princ/iples: Birth affects the entire family, and relationships will change; birth is
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
viewed as a normal, healthy event in the life of the family; and families are
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
capable of making decisions about their own care if given adequate informatio
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
n and professional support.
z@ z@ z@
Question format: Multiple Choice
z@ z@ z@
Chapter 1: Perspectives on Maternal and Child Health C
z@ z@ z@ z@ z@ z@ z@ z@
are Cognitive Level: Apply
z@ z@ z@
,Client Needs: Health Promotion and Maintenan
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ce Integrated Process: Teaching/Learning Inte
z@ z@ z@ z@
grated Process: Caring
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Reference: p. 7 z@ z@
2. The nurse is working with a group of community health members to dev
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
elop a plan to address the special health needs of women. The group wou
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
ld design educational programs to address which priority condition?
z@ z@ z@ z@ z@ z@ z@ z@
A. Smoking
B. Heart diseasez@
C. Diabetes
D. Cancer z
@Answer: z@
B
Rationale: The group needs to address cardiovascular di s e a s e , th e number
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
one cause of death in women regardless of racial or ethnic group. Smoking
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
is related to heart disease and the development of cancer. However, heart disea
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
se and cancer can occur in any woman regardless of her smoking history,
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
cancer is the *# z@
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 affe
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
ct women. However, it is not the major health problem that heart disease is.
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
Question format: Multiple Choice
z@ z@ z@
Chapter 1: Perspectives on Maternal and Child Health C
z@ z@ z@ z@ z@ z@ z@ z@
are Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance Integra
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ted Process: Nursing Process
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Reference: p. 12 z@ z@
3. A nurse is conducting an orientation program for a group of newly hired n
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
urses. As part of the program, the nurse is reviewing the issue
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
Informed consent. The nurse determines that the teaching was effective when
# z@ z@ z@ z@ z@ z@ z@ z@ z@
the group identifies which situation as a violation of informed consent?
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
A. Performing a procedure on a 15-year-old without parental consent
z@ z@ z@ z@ z@ z@ z@ z@
B. Serving as a witness to the signature process on an oapbier br.caotmiv/ tees t permit
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
z@ z@ z@ z @
C. Asking whether the client understands what she is signing following recei
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
ving education
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D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from t
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he spouse of a unconscious woman
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Answer: A z@
Rationale: In most states, only clients over the age of 18 can legally provide co
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nsent for health care. Serving as a witness to the signature process, asking
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whether the client understands what she is signing, andagbirebt.ctoimn/gtesvt erbal c
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onsent over the phone for emergency procedures are all key to informed cons
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
ent and are not violations.
z@ z@ z@ z@
Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cog
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nitive Level: Analyze
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Client Needs: Safe, Effective Care Environment: Management of C
z@ z@ z@ z@ z@ z@ z@ z@
are Integrated Process: Nursing Process
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Reference: p. 45 z@ z@
4. A pregnant woman is to undergo an invasive procedure to evaluate the status
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z
@of her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset
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priority 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 parboirbc.ceodmu/terset D.
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z @
z@
Offering suggestions for alternative options for treatment
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Answer: A z@
Rationale: The nurse's responsibilities related to informed consent include: Ensuri
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ng the consent form is completed with signatures from the client; serving as a
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
z@witness to the signature process; and determining whether the calbiier bn.cto mu/t
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ne sdt erstands what she is signing by asking her pertinent questions. The phy
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
sician, advanced practice nurse, or midwife is responsible for informing the client
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z
@about the procedure and obtaining consent by providing a detailed description
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of the procedure or treatment, its potential risks and benefits, and alternative m
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
ethods aabivrba.ciolma/btelset
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.
Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health C
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are Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process z@ z@ z@
Reference: p. 45
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5. A 9-month- z@
old with glaucoma requires surgery. The inabfiarbn.cto'ms/tepsat rents
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@are divorced. To obtain informed consent, which action would be
z@ z@ z@ z@ z@ z@ z@ z@ z@
most appropriate?
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A. Contacting the father for informed consent z@ z@ z@ z@ z@
B. Obtaining informed consent from the mother z@ z@ z@ z@ z@
C. Seeking a court ruling on the course of care
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D. Determining sole or joint custody by the parents z@ z@ z@ z@ z@ z@ z@
Answer: D z@
Rationale: The most appropriate action would be to determine legal custody
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by court decree. If the parents have joint custody, then either parent may gi
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ve consent, but it is always best to have consent given by ba boi rtbh. c opma/ t e
z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@ z@
z@ z@ z@ z@ z@ z@
rset nts. The parent with only physical custody may give consent for emergen
z@
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cy care. The last resort is
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getting a court ruling; usually this is not necessary unless the parents disagree a
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bout the care of the child.
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