Ricci Chapter 2 - Test Bank - 4th Edition || A+ Graded Already.
1. The nurse is providing care to a pregnant woman who speaks a different language from that of
the nurse. When communicating with this client, the nurse demonstrates best practice by which
action?
A. speaking to the client in a loud voice at a slow pace
B. standing close to the client while using a strong emphatic tone
C. having a family member communicate the information to the client
D. arranging for an interpreter to be present during any communication Correct Answer: D
Rationale: The nurse should arrange for an interpreter when communicating with a client who
speaks another language. Speaking loudly, standing close to the client, and speaking
emphatically would be of little benefit if the client does not understand the spoken language.
Additionally, it can be interpreted as threatening to the client. Having a family member
communicate the information to the client is inappropriate, violates client confidentiality (if the
client has not given permission for that member to have the information), and does not ensure
that the client will receive the correct information.
2. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which activity
would deviate from the characteristics of family-centered care?
A. softening unpleasant information or prognoses
B. evaluating and changing the nursing plan of care
C. collaborating with the child and family as equals
D. showing respect for the family's beliefs and wishes Correct Answer: A
Rationale: Family-centered care requires that the nurse provide open and honest information to
the child and family. It is inappropriate to soften unpleasant information or prognoses.
Evaluating and changing the nursing plan of care to fit the needs of the child and family,
collaborating with them as equals, and showing respect for their beliefs and wishes are
guidelines for family-centered care.
3. The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which activity would be considered the tertiary level of prevention?
A. arranging for a physical therapy session
B. teaching parents to administer albuterol
C. reminding parent to give a full course of antibiotics
D. giving a DTaP vaccination at the proper interval Correct Answer: A
Rationale: The tertiary level of prevention involves restorative, rehabilitative, or quality of life
care such as arranging for a physical therapy session. Teaching parents to administer albuterol
and reminding a parent to give the full course of antibiotics as prescribed are part of the
secondary level of prevention, which focuses on diagnosis and treatment of illness. Giving a
DTaP vaccination at the proper interval is an example of the primary level of prevention, which
centers on health promotion and illness prevention.
4. A pregnant client tells her nurse that she is interested in arranging a home birth. After
educating the client on the advantages and disadvantages of a home birth, which statement would
indicate that the client understood the information?
A. "I like having the privacy, but it might be too expensive for me to set up in my home."
, B. "I want to have more control, but I am concerned if an emergency would arise."
C. "It is safer because I will have a midwife."
D. "The midwife is trained to resolve any emergency, and she can bring any pain meds." Correct
Answer: B
Rationale: Home births have many advantages, such as having more control over the birth, being
the least expensive option, creating a good relationship with a midwife, and having more
flexibility in the comfort of your home. However, the limited availability of pain medication and
danger to the mother and baby if an emergency arises are two of the main disadvantages.
5. A nurse is reading a journal article about the changes in health care delivery and funding that
have occurred over the years. Which factor would the nurse expect to find as a current trend in
maternal and child health care settings?
A. increase in ambulatory care
B. decrease in family poverty level
C. increase in hospitalization of children
D. decrease in managed care Correct Answer: A
Rationale: The health care system has moved from reactive treatment strategies in hospitals to a
proactive approach in the community, resulting in an increased emphasis on health promotion
and illness prevention in the community through the use of community-based settings such as
ambulatory care. Poverty levels have not decreased, and the hospitalization of children has not
increased. Case management also is a primary focus of care.
6. The nurse would recommend the use of which supplement as a primary prevention strategy to
prevent neural tube defects in the future offspring of pregnant women?
A. calcium
B. folic acid
C. vitamin C
D. iron Correct Answer: B
Rationale: Prevention of neural tube defects in the offspring of pregnant women via the use of
folic acid is an example of a primary prevention strategy. Calcium, vitamin C, and iron have no
effect on the prevention of neural tube defects.
7. Which action would the nurse include in a primary prevention program in the community to
help reduce the incidence of HIV infection?
A. Provide treatment for clients who test positive for HIV.
B. Monitor viral load counts periodically.
C. Educate clients on how to practice safe sex.
D. Offer testing for clients who practice unsafe sex. Correct Answer: C
Rationale: Primary prevention involves preventing disease before it occurs. Therefore, educating
clients about safe sex practices would be an example of a primary prevention strategy. Providing
treatment for clients who test positive for HIV, monitoring viral loads periodically, and offering
testing for clients practicing unprotected sex are examples of secondary preventive strategies,
which focus on early detection and treatment of adverse health conditions.
8. The nurse is preparing the discharge plan for a woman whose newborn requires ventilatory
support at home. Which action by the nurse would be most appropriate to do when assuming the
1. The nurse is providing care to a pregnant woman who speaks a different language from that of
the nurse. When communicating with this client, the nurse demonstrates best practice by which
action?
A. speaking to the client in a loud voice at a slow pace
B. standing close to the client while using a strong emphatic tone
C. having a family member communicate the information to the client
D. arranging for an interpreter to be present during any communication Correct Answer: D
Rationale: The nurse should arrange for an interpreter when communicating with a client who
speaks another language. Speaking loudly, standing close to the client, and speaking
emphatically would be of little benefit if the client does not understand the spoken language.
Additionally, it can be interpreted as threatening to the client. Having a family member
communicate the information to the client is inappropriate, violates client confidentiality (if the
client has not given permission for that member to have the information), and does not ensure
that the client will receive the correct information.
2. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which activity
would deviate from the characteristics of family-centered care?
A. softening unpleasant information or prognoses
B. evaluating and changing the nursing plan of care
C. collaborating with the child and family as equals
D. showing respect for the family's beliefs and wishes Correct Answer: A
Rationale: Family-centered care requires that the nurse provide open and honest information to
the child and family. It is inappropriate to soften unpleasant information or prognoses.
Evaluating and changing the nursing plan of care to fit the needs of the child and family,
collaborating with them as equals, and showing respect for their beliefs and wishes are
guidelines for family-centered care.
3. The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which activity would be considered the tertiary level of prevention?
A. arranging for a physical therapy session
B. teaching parents to administer albuterol
C. reminding parent to give a full course of antibiotics
D. giving a DTaP vaccination at the proper interval Correct Answer: A
Rationale: The tertiary level of prevention involves restorative, rehabilitative, or quality of life
care such as arranging for a physical therapy session. Teaching parents to administer albuterol
and reminding a parent to give the full course of antibiotics as prescribed are part of the
secondary level of prevention, which focuses on diagnosis and treatment of illness. Giving a
DTaP vaccination at the proper interval is an example of the primary level of prevention, which
centers on health promotion and illness prevention.
4. A pregnant client tells her nurse that she is interested in arranging a home birth. After
educating the client on the advantages and disadvantages of a home birth, which statement would
indicate that the client understood the information?
A. "I like having the privacy, but it might be too expensive for me to set up in my home."
, B. "I want to have more control, but I am concerned if an emergency would arise."
C. "It is safer because I will have a midwife."
D. "The midwife is trained to resolve any emergency, and she can bring any pain meds." Correct
Answer: B
Rationale: Home births have many advantages, such as having more control over the birth, being
the least expensive option, creating a good relationship with a midwife, and having more
flexibility in the comfort of your home. However, the limited availability of pain medication and
danger to the mother and baby if an emergency arises are two of the main disadvantages.
5. A nurse is reading a journal article about the changes in health care delivery and funding that
have occurred over the years. Which factor would the nurse expect to find as a current trend in
maternal and child health care settings?
A. increase in ambulatory care
B. decrease in family poverty level
C. increase in hospitalization of children
D. decrease in managed care Correct Answer: A
Rationale: The health care system has moved from reactive treatment strategies in hospitals to a
proactive approach in the community, resulting in an increased emphasis on health promotion
and illness prevention in the community through the use of community-based settings such as
ambulatory care. Poverty levels have not decreased, and the hospitalization of children has not
increased. Case management also is a primary focus of care.
6. The nurse would recommend the use of which supplement as a primary prevention strategy to
prevent neural tube defects in the future offspring of pregnant women?
A. calcium
B. folic acid
C. vitamin C
D. iron Correct Answer: B
Rationale: Prevention of neural tube defects in the offspring of pregnant women via the use of
folic acid is an example of a primary prevention strategy. Calcium, vitamin C, and iron have no
effect on the prevention of neural tube defects.
7. Which action would the nurse include in a primary prevention program in the community to
help reduce the incidence of HIV infection?
A. Provide treatment for clients who test positive for HIV.
B. Monitor viral load counts periodically.
C. Educate clients on how to practice safe sex.
D. Offer testing for clients who practice unsafe sex. Correct Answer: C
Rationale: Primary prevention involves preventing disease before it occurs. Therefore, educating
clients about safe sex practices would be an example of a primary prevention strategy. Providing
treatment for clients who test positive for HIV, monitoring viral loads periodically, and offering
testing for clients practicing unprotected sex are examples of secondary preventive strategies,
which focus on early detection and treatment of adverse health conditions.
8. The nurse is preparing the discharge plan for a woman whose newborn requires ventilatory
support at home. Which action by the nurse would be most appropriate to do when assuming the
