,Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman yu yu yu yu yu yu yu yu
Test Bank
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Chapter 1 yu
1. When integrating the principles of family-centered care into the
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birthing process, the nurse would base care upon which belief?
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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 yu
Rationale: Family-centered care is based on the followinagb i rpb .rc ionmc/ t ieps tles: Birth
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yuy u
y yuu
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y u
y u
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affects the entire family, and relationships will change; birth is viewed as a
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normal, healthy event in the life of the family; and families are capable of
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making decisions about their own care if given adequate information and
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professional support.
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Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health
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Care Cognitive Level: Apply
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Client Needs: Health Promotion and
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Maintenance Integrated Process:
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Teaching/Learning Integrated Process: Caring
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Reference: p. 7 yu yu
2. The nurse is working with a group of community health members to
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develop a plan to address the special health needs of women. The group
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would design educational programs to address which priority condition?
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A. Smoking
B. Heart disease yu
C. Diabetes
D. Cancer
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B
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Rationale: The group needs to address cardiovascular
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yu as e, the number
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one cause of death in women regardless of racial or ethnic group. Smoking is
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related to heart disease and the development of cancer. However, heart
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disease and cancer
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can occur in any woman regardless of her smoking h ist oarbyi r b..cComa / nt e cs ter is the second
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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 affect
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women. However, it is not the major health problem that heart disease is.
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Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health
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Care Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Nursing Process yu yu yu
,Reference: p. 12 yu yu
3. A nurse is conducting an orientation program for a group of newly hired
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nurses. As part of the program, the nurse is reviewing the issuea ob i rfb .icno fmo/ tre m
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y ut ed consent. The nurse determines that the teaching was effective when the
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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 yu yu yu yu yu yu yu yu
B. Serving as a witness to the signature process on an oapb ier br. caotmiv/ t ees t permit
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u
y
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C. Asking whether the client understands what she is signing following
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receiving education
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D. Getting verbal consent over the phone for an em er g eanb icr by. c opmr / ot ecs te d ure
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from the spouse of a unconscious woman
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Answer: A yu
Rationale: In most states, only clients over the age of 18 can legally provide
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consent for health care. Serving as a witness to the signature process,
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asking
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whether the client understands what she is signing, anda gb i reb t. ctoimn/gt e svt erbal consent
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over the phone for emergency procedures are all key to informed consent and
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are not violations.
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Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health Caa br i er b
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Cognitive Level: Analyze yu yu
Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process
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Reference: p. 45 yu yu
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
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her fetus. To ensure informed consent, which action
yu yu yu priority
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wouabldirb.bcoem/ttehset responsibility of the nurse providing care to
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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 pa rb oi r bc. ceo dm u/ t erset
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D. Offering suggestions for alternative options for yu yu yu yu yu
treatment Answer: A
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Rationale: The nurse's responsibilities related to informed consent include:
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Ensuring the consent form is completed with signatures from the client;
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serving as a witness to the signature process; and determining whether the ca lbii er bn. c
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yu yu yu yu
to mu/ tne sdt erstands what she is signing by asking her pertinent questions. The
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yu yu yu yu yu yu yu yu yu yu
physician, advanced practice nurse, or midwife is responsible for informing
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the client about the procedure and obtaining consent by providing a detailed
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description of the procedure or treatment, its potential risks and benefits, and
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alternative methodsa ab i vr ba. c iolma/bt elset .
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y yu u
y u
y u
y u
y yu
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Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Management of Care
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, Integrated Process: Nursing yu yu
Process Reference: p. 45
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5. A 9-month-old with glaucoma requires surgery. The ina bfi ar bn. c to 'ms/ t eps
yu yu yu yu yu yu yu y
u yu yu yu yu yu yu yu yu
at rents are divorced. To obtain informed consent, which action
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would be most appropriate?
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A. Contacting the father for informed consent yu yu yu yu yu
B. Obtaining informed consent from the mother yu yu yu yu yu
C. Seeking a court ruling on the course of care yu yu yu yu yu yu yu yu
D. Determining sole or joint custody by the yu yu yu yu yu yu
yu parents Answer: D yu yu
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
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give consent, but it is always best to have consent given by ba boi rtbh. c opma/ t erset nts.
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The parent with only physical custody may give consent for emergency care. The
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last resort is getting a court ruling; usually this is not necessary unless the
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parents disagree about the care of the child.
yu yu yu yu yu yu yu yu
Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health
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Care Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Ma na geam
yu yu b i rbe. cnotm /otefs tCare
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Integrated Process: Nursing Process
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Reference: p. 47 yu yu
6. Which statement made by a nursing student would bea bsi r tb . cionmd/
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u
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i c a te that her education on family-centered care was fully
te s t
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yu yu yu yu yu yu yu yu
understood?
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A. "Childbirth affects the entire family, and relationships will change."
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B. "Families are usually not capable of making health caarbei r bd. ceo mc/itse is ot ns for
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y yu yu yu yu
themselves, especially in stressful situations."
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C. "Mothers are the only family member affected by childbirth."
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D. "Since childbirth is a medical procedure, it may affect
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yu everyone." Answer: A yu yu
Rationale: Childbirth affects the entire family, and relatioa bnir bs . hc oi mp / st e s wt ill change.
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y yu yu yu yu yu yu y u yu
Childbirth is viewed as a normal life event, not a medical procedure. Families are
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very capable of making health care decisions about their own care with
yu yu yu yu yu yu yu yu yu yu yu yu
proper information and support.
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Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health
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Care Cognitive Level: Apply
yu yu yu yu
Client Needs: Psychosocial Integrity
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Integrated Process: Nursing yu yu
Process Reference: p. 15
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7. Which aspect of client wellness has not been a focusaob fi
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during the 21st century ? yu yu yu yu
Test Bank
yu yu
Chapter 1 yu
1. When integrating the principles of family-centered care into the
yu yu yu yu yu yu yu yu
birthing process, the nurse would base care upon which belief?
yu yu yu yu yu yu yu yu yu yu
A. Birth is viewed as a medical event.
yu yu yu yu yu yu
B. Families are unable to make informed choices due to stress.
yu yu yu yu yu yu yu yu yu
C. Birth results in changes in relationships.
yu yu yu yu yu
D. Families require little information to make appropriate decisions for care.
yu yu yu yu yu yu yu yu yu
Answer: C yu
Rationale: Family-centered care is based on the followinagb i rpb .rc ionmc/ t ieps tles: Birth
yu yu yu yu yu yu yu u
yuy u
y yuu
y yu yu yu yu yu yu yu u
y u
y u
y yu
affects the entire family, and relationships will change; birth is viewed as a
yu yu yu yu yu yu yu yu yu yu yu yu yu
normal, healthy event in the life of the family; and families are capable of
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
making decisions about their own care if given adequate information and
yu yu yu yu yu yu yu yu yu yu yu
professional support.
yu yu
Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health
yu yu yu yu yu yu yu
Care Cognitive Level: Apply
yu yu yu yu
Client Needs: Health Promotion and
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Maintenance Integrated Process:
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Teaching/Learning Integrated Process: Caring
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Reference: p. 7 yu yu
2. The nurse is working with a group of community health members to
yu yu yu yu yu yu yu yu yu yu yu
develop a plan to address the special health needs of women. The group
yu yu yu yu yu yu yu yu yu yu yu yu yu
would design educational programs to address which priority condition?
yu yu yu yu yu yu yu yu yu
A. Smoking
B. Heart disease yu
C. Diabetes
D. Cancer
yu Answer:
B
yu
Rationale: The group needs to address cardiovascular
yu d ise
yu as e, the number
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one cause of death in women regardless of racial or ethnic group. Smoking is
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
related to heart disease and the development of cancer. However, heart
yu yu yu yu yu yu yu yu yu yu yu
disease and cancer
yu yu yu
can occur in any woman regardless of her smoking h ist oarbyi r b..cComa / nt e cs ter is the second
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
leading cause of death, with women having a one in three lifetime risk of
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
developing cancer. Diabetes is another important health condition that can affect
yu yu yu yu yu yu yu yu yu yu yu
women. However, it is not the major health problem that heart disease is.
yu yu yu yu yu yu yu yu yu yu yu yu yu
Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health
yu yu yu yu yu yu yu
Care Cognitive Level: Apply
yu yu yu yu
Client Needs: Health Promotion and Maintenance
yu yu yu yu yu
Integrated Process: Nursing Process yu yu yu
,Reference: p. 12 yu yu
3. A nurse is conducting an orientation program for a group of newly hired
yu yu yu yu yu yu yu yu yu yu yu yu
nurses. As part of the program, the nurse is reviewing the issuea ob i rfb .icno fmo/ tre m
yu yu yu yu s yu yu yu yu yu yu yu yu yu y u yu yu yu yu yu
y ut ed consent. The nurse determines that the teaching was effective when the
yu yu yu yu yu yu yu yu yu yu yu yu
group identifies which situation as a violation of informed consent?
yu yu yu yu yu yu yu yu yu yu
A. Performing a procedure on a 15-year-old without parental consent yu yu yu yu yu yu yu yu
B. Serving as a witness to the signature process on an oapb ier br. caotmiv/ t ees t permit
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yu yu yu
u
y
yu yu yu y u
C. Asking whether the client understands what she is signing following
yu yu yu yu yu yu yu yu yu
receiving education
yu yu
D. Getting verbal consent over the phone for an em er g eanb icr by. c opmr / ot ecs te d ure
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
from the spouse of a unconscious woman
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Answer: A yu
Rationale: In most states, only clients over the age of 18 can legally provide
yu yu yu yu yu yu yu yu yu yu yu yu yu
consent for health care. Serving as a witness to the signature process,
yu yu yu yu yu yu yu yu yu yu yu yu
asking
yu
whether the client understands what she is signing, anda gb i reb t. ctoimn/gt e svt erbal consent
yu yu yu yu yu yu yu yu
yu yu yu yu yu yu yu y u
yu
over the phone for emergency procedures are all key to informed consent and
yu yu yu yu yu yu yu yu yu yu yu yu yu
are not violations.
yu yu yu
Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health Caa br i er b
yu yu yu yu yu yu yu yu yu
Cognitive Level: Analyze yu yu
Client Needs: Safe, Effective Care Environment: Management of Care
yu yu yu yu yu yu yu yu
Integrated Process: Nursing Process
yu yu yu yu
Reference: p. 45 yu yu
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
yu yu yu yu yu yu yu yu yu yu yu yu yu
her fetus. To ensure informed consent, which action
yu yu yu priority
yu yu yu yu
wouabldirb.bcoem/ttehset responsibility of the nurse providing care to
yu yu yu yu yu yu yu yu
this woman?
yu yu
A. Asking relevant questions to determine the client's understanding
yu yu yu yu yu yu yu
B. Providing a detailed description of the risks and benefits of the procedure
yu yu yu yu yu yu yu yu yu yu yu
C. Explaining the exact steps that will occur during the pa rb oi r bc. ceo dm u/ t erset
yu yu yu yu yu yu yu yu yu
yu yu yu yu yu
D. Offering suggestions for alternative options for yu yu yu yu yu
treatment Answer: A
yu yu yu
Rationale: The nurse's responsibilities related to informed consent include:
yu yu yu yu yu yu yu yu
Ensuring the consent form is completed with signatures from the client;
yu yu yu yu yu yu yu yu yu yu yu
serving as a witness to the signature process; and determining whether the ca lbii er bn. c
yu yu yu yu yu yu yu yu yu yu yu yu yu
yu yu yu yu
to mu/ tne sdt erstands what she is signing by asking her pertinent questions. The
yu yu yu yu yu
yu yu yu yu yu yu yu yu yu yu
physician, advanced practice nurse, or midwife is responsible for informing
yu yu yu yu yu yu yu yu yu yu
the client about the procedure and obtaining consent by providing a detailed
yu yu yu yu yu yu yu yu yu yu yu yu
description of the procedure or treatment, its potential risks and benefits, and
yu yu yu yu yu yu yu yu yu yu yu yu
alternative methodsa ab i vr ba. c iolma/bt elset .
yu yu u
y yu u
y u
y u
y u
y yu
yu yu yu yu yu yu yu y u
Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health Care
yu yu yu yu yu yu yu yu
Cognitive Level: Apply
yu yu yu
Client Needs: Safe, Effective Care Environment: Management of Care
yu yu yu yu yu yu yu yu
, Integrated Process: Nursing yu yu
Process Reference: p. 45
yu yu yu yu
5. A 9-month-old with glaucoma requires surgery. The ina bfi ar bn. c to 'ms/ t eps
yu yu yu yu yu yu yu y
u yu yu yu yu yu yu yu yu
at rents are divorced. To obtain informed consent, which action
yu yu yu yu yu yu yu yu yu yu
would be most appropriate?
yu yu yu yu
A. Contacting the father for informed consent yu yu yu yu yu
B. Obtaining informed consent from the mother yu yu yu yu yu
C. Seeking a court ruling on the course of care yu yu yu yu yu yu yu yu
D. Determining sole or joint custody by the yu yu yu yu yu yu
yu parents Answer: D yu yu
Rationale: The most appropriate action would be to determine legal custody
yu yu yu yu yu yu yu yu yu yu
by court decree. If the parents have joint custody, then either parent may
yu yu yu yu yu yu yu yu yu yu yu yu yu
give consent, but it is always best to have consent given by ba boi rtbh. c opma/ t erset nts.
yu yu yu yu yu yu yu yu yu yu yu yu yu
yu yu yu yu yu yu yu
The parent with only physical custody may give consent for emergency care. The
yu yu yu yu yu yu yu yu yu yu yu yu yu
last resort is getting a court ruling; usually this is not necessary unless the
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
parents disagree about the care of the child.
yu yu yu yu yu yu yu yu
Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health
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Care Cognitive Level: Apply
yu yu yu yu
Client Needs: Safe, Effective Care Environment: Ma na geam
yu yu b i rbe. cnotm /otefs tCare
yu yu yu yu yuyu yu yu yu
Integrated Process: Nursing Process
yu yu yu yu
Reference: p. 47 yu yu
6. Which statement made by a nursing student would bea bsi r tb . cionmd/
yu yu yu yu yu yu yu yu y
u
yu yu yu yu yu
i c a te that her education on family-centered care was fully
te s t
yu yu y u
yu yu yu yu yu yu yu yu
understood?
yu
A. "Childbirth affects the entire family, and relationships will change."
yu yu yu yu yu yu yu yu
B. "Families are usually not capable of making health caarbei r bd. ceo mc/itse is ot ns for
yu yu yu yu yu yu yu yu yu yu yu yu yu u
y yu yu yu yu
themselves, especially in stressful situations."
yu yu yu yu yu
C. "Mothers are the only family member affected by childbirth."
yu yu yu yu yu yu yu yu
D. "Since childbirth is a medical procedure, it may affect
yu yu yu yu yu yu yu yu
yu everyone." Answer: A yu yu
Rationale: Childbirth affects the entire family, and relatioa bnir bs . hc oi mp / st e s wt ill change.
yu yu yu yu yu yu yu u
y yu yu yu yu yu yu y u yu
Childbirth is viewed as a normal life event, not a medical procedure. Families are
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
very capable of making health care decisions about their own care with
yu yu yu yu yu yu yu yu yu yu yu yu
proper information and support.
yu yu yu yu
Question format: Multiple Choice yu yu yu
Chapter 1: Perspectives on Maternal and Child Health
yu yu yu yu yu yu yu
Care Cognitive Level: Apply
yu yu yu yu
Client Needs: Psychosocial Integrity
yu yu yu
Integrated Process: Nursing yu yu
Process Reference: p. 15
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7. Which aspect of client wellness has not been a focusaob fi
yu yu yu yu yu yu yu yu yu yu yu yu yur bh. yuceo yuma/ltyuteyuhs yut
during the 21st century ? yu yu yu yu
