Updated/Latest Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank Comprehensive Examination Questions and Answers Study Guide for Maternal Nursing Pediatric Nursing Obstetric Care Neonatal Nursing Child Growth and Development Fami

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Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Tes Bank J




Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment

MULTIPLE CHOICE

1. Which principle ofteaching should the nurse use to ensure learning in a familysituation? J J J J J J J J J J J J J




a. Motivate the familywithpraise and positive feedback. J J J J J J J




b. Learning is best accomplished withthe lecture format. J J J J J J J




c. Present complexsubject material first while the familyis alert and readyto learn.
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d. Familiesshould betaught using medicaljargonso theywill be able to understand the
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technical language used by physicians. J J J J




ANS: A J




Praise and positive feedback are particularly important when a family is trying to master a frustrating
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task such as breastfeeding. A lively discussion stimulates more learning than a straight lecture, which
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tends to inhibit questions. Learning is enhanced when the teaching is structured to present the simple
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tasks before the complex material. Even though a family may understand English fairlywell, they
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maynot understand the medicalterminologyor slang terms that are used.
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PTS: 1DIF: Cognitive Level: ApplicationREF: 18, 19
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OBJ:Nursing Process Step:Planning MSC: Client Needs: HealthPromotionand Maintenance
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2. Whichnursing intervention is an independent functionofthe nurse?
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a. Administering oralanalgesics J J




b. Requestingdiagnosticstudies J J




c. Teaching the client perinealcare J J J J




d. Providing wound care to a surgical incision J J J J J J

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Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Tes Bank J




ANS: C J




Nurses are now responsible for various independent functions, including teaching, counseling, and
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intervening in nonmedicalproblems. Interventions initiated bythe physician and carried out by the
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nurse are called dependent functions. Administrating oral analgesics is a dependent function;it is
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initiated bya physicianand carried out bya nurse. Requesting diagnostic studies is a dependent
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function. Providing wound care is a dependent function; it is usually initiated bythe physician through
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direct orders or protocol.
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PTS: 1DIF: 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 theclients statement, Imafraid to have a cesarean birth
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should be made by the nurse? J J J J J




a. Everything will be OK. J J J




b. Dont worryabout it. It will be over soon. J J J J J J J J




c. What concerns you most about acesareanbirth? J J J J J J J




d. The physicianwill be in later and you cantalk to him.
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ANS: C J




The response, What concerns you most about a cesarean birth focuses on what the client is saying and
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asks for clarification, which is the most therapeutic response. The response, Everything will be ok is
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belittling the clients feelings. The response, Dont worryabout it. It will beover soonwillindicate that
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the clients feelings are not important.The response, The physician will be in later and you can talk to
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him does not allow the client to verbalize her feelings when she wishes to do that.
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PTS:1DIF: Cognitive Level: ApplicationREF:18 OBJ:
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Nursing Process Step: Implementation J J J

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Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Tes Bank J




MSC:Client Needs: PsychosocialIntegrity
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4. Whichactionshould the nurse taketo evaluatetheclients learning about performing infant care?
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a. Demonstrate infant careprocedures. J J J




b. Allow the client to verbalize the procedure. J J J J J J




c. Routinelyassessthe infant for cleanliness. J J J J J




d. Observe the client asshe performs the procedure. J J J J J J J




ANS: D J




The clientscorrect performance ofthe procedure under the nurses supervision is the best proofof her
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ability. Demonstration is anexcellent teaching method, but not anevaluation method. During
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verbalization of the procedure, the nurse may not pick up on techniques that are incorrect. It is not the
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best tool for evaluation. Routinely assessing the infant for cleanliness will not ensure that the proper
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procedure is carried out. The nurse may miss seeing that unsafe techniques being used.
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PTS: 1DIF: Cognitive Level: ApplicationREF: 21
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OBJ:Nursing ProcessStep:EvaluationMSC: Client Needs: HealthPromotionand Maintenance
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5. Anurse is reviewing teaching and learning principles. Whichsituation is most conducive to
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learning?

a. Anauditorium is being used as a classroomfor 300 students.
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b. Ateacher who speaks verylittle Spanish is teaching a class ofHispanic students.
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c. Aclass is composed ofstudents ofvarious ages and educational backgrounds.
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d. AnAsian nurse provides nutritional informationto a groupofpregnant Asian
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women.


ANS: D J

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Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Tes Bank J




A clients culture influences the learning process; thus, a situation that is most conducive to learning is
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one in which the teacher has knowledge and understanding of the clients cultural beliefs. A large class
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is not conducive to learning. It does not allow questions, and the teacher cannot see nonverbal cues
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from the students to ensure understanding. The ability to understand the language in which teaching is
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done determines how much the client learns. Clients for whom Englishis nottheir primarylanguage
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maynot understand idioms, nuances, slangterms, informed usage ofwords, or medical terms. The
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teacher should be fluent in the language ofthe student.
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Developmentallevels and educational levels influence howaperson learns best. Fortheteacher to J J J J J J J J J J J J J J J




present the information in the best way, the class should be at the same level.
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PTS: 1DIF: Cognitive Level: ApplicationREF: 20
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OBJ:Nursing ProcessStep:Planning MSC: Client Needs: PsychosocialIntegrity
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6. Which is the stepofthe nursing process inwhichthe nurse determines the appropriate
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interventions for the identified nursing diagnosis? J J J J J




a. Planning
b. Evaluation
c. Assessment
d. Intervention


ANS: A J




The third step in the nursing process involves planning care for problems that were identified during
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assessment. Theevaluationphase isdetermining whether thegoals have been met. During the
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assessment phase, data are collected. The intervention phase is when the plan of care is carried out.
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PTS:1DIF:Cognitive Level:UnderstandingREF: 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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