Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
MULTIPLE CHOICE
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
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a. Motivate the family with praise and positive feedback.
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b. Learning is best accomplished with the lecture format.
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c. Present complex subject material first while the family is alert and ready to learn.
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d. Families should be taught using medical jargon so they will be able to understand
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the technical language used by physicians.
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ANS: A T
Praise and positive feedback are particularly important when a family is trying to master a
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frustrating task such as breastfeeding. A lively discussion stimulates more learning than a
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straight lecture, which tends to inhibit questions. Learning is enhanced when the teaching is
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structured to present the simple tasks before the complex material. Even though a family may
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understand English fairly well, they may not understand the medical terminology or slang terms
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that are used.
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PTS: 1 DIF: Cognitive Level: Application REF: 18, 19
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OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance
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2. Which nursing intervention is an independent function of the nurse?
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a. Administering oral analgesics T T
b. Requesting diagnostic studies T T
c. Teaching the client perineal care T T T T
d. Providing wound care to a surgical incision T T T T T T
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Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
ANS: C T
Nurses are now responsible for various independent functions, including teaching, counseling,
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and intervening in nonmedical problems. Interventions initiated by the physician and carried out
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by the nurse are called dependent functions. Administrating oral analgesics is a dependent
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function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a
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dependent function. Providing wound care is a dependent function; it is usually initiated by the
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physician through direct orders or protocol.
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PTS: 1 DIF: Cognitive Level: Understanding REF: 24
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OBJ: Nursing Process Step: Assessment
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MSC: Client Needs: Safe and Effective Care Environment
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3. Which most therapeutic response to the clients statement, Im afraid to have a cesarean birth
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should be made by the nurse?
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a. Everything will be OK. T T T
b. Dont worry about it. It will be over soon.
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c. What concerns you most about a cesarean birth?
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d. The physician will be in later and you can talk to him.
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ANS: C T
The response, What concerns you most about a cesarean birth focuses on what the client is saying
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and asks for clarification, which is the most therapeutic response. The response, Everything will
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be ok is belittling the clients feelings. The response, Dont worry about it. It will be over soon will
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indicate that the clients feelings are not important. The response, The physician will be in later and
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you can talk to him does not allow the client to verbalize her feelings when she wishes to do that.
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PTS: 1 DIF: Cognitive Level: Application REF: 18 OBJ:
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Nursing Process Step: Implementation
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Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
MSC: Client Needs: Psychosocial Integrity
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4. Which action should the nurse take to evaluate the clients learning about performing infant
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care?
a. Demonstrate infant care procedures. T T T
b. Allow the client to verbalize the procedure.
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c. Routinely assess the infant for cleanliness. T T T T T
d. Observe the client as she performs the procedure. T T T T T T T
ANS: D T
The clients correct performance of the procedure under the nurses supervision is the best proof of
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her ability. Demonstration is an excellent teaching method, but not an evaluation method. During
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verbalization of the procedure, the nurse may not pick up on techniques that are incorrect. It is not
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the best tool for evaluation. Routinely assessing the infant for cleanliness will not ensure that the
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proper procedure is carried out. The nurse may miss seeing that unsafe techniques being used.
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PTS: 1 DIF: Cognitive Level: Application REF: 21
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OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Health Promotion and Maintenance
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5. A nurse is reviewing teaching and learning principles. Which situation is most conducive to
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learning?
a. An auditorium is being used as a classroom for 300 students.
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b. A teacher who speaks very little Spanish is teaching a class of Hispanic students.
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c. A class is composed of students of various ages and educational backgrounds.
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d. An Asian nurse provides nutritional information to a group of pregnant Asian
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women.
ANS: D T
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Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
A clients culture influences the learning process; thus, a situation that is most conducive to
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learning is one in which the teacher has knowledge and understanding of the clients cultural
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beliefs. A large class is not conducive to learning. It does not allow questions, and the teacher
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cannot see nonverbal cues from the students to ensure understanding. The ability to understand
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the language in which teaching is done determines how much the client learns. Clients for whom
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English is not their primary language may not understand idioms, nuances, slang terms, informed
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usage of words, or medical terms. The teacher should be fluent in the language of the student.
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Developmental levels and educational levels influence how a person learns best. For the teacher to
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present the information in the best way, the class should be at the same level.
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PTS: 1 DIF: Cognitive Level: Application REF: 20
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OBJ: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity
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6. Which is the step of the nursing process in which the nurse determines the appropriate
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interventions for the identified nursing diagnosis? T T T T T
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A T
The third step in the nursing process involves planning care for problems that were identified
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during assessment. The evaluation phase is determining whether the goals have been met. During
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the assessment phase, data are collected. The intervention phase is when the plan of care is
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carried out. T
PTS: 1 DIF: Cognitive Level: Understanding REF: 24
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OBJ: Nursing Process Step: Planning
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MSC: Client Needs: Safe and Effective Care Environment
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