PEDIATRIC NURSING 4TH EDITION
HATFIELD TEST BANK
,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?
a. Motivate the family with praise and positive feedback.
b. Learning is best accomplished with the lecture format.
c. Present complex subject material first while the family is alert and ready to learn.
d. Families should be taught using medical jargon so they will be able to understand
the technical language used by physicians.
ANS: A
Praise and positive feedback are particularly important when a family is trying to master a
frustrating task such as breastfeeding. A lively discussion stimulates more learning than a
straight lecture, which tends to inhibit questions. Learning is enhanced when the teaching is
structured to present the simple tasks before the complex material. Even though a family may
understand English fairly well, they may not understand the medical terminology or slang terms
that are used.
PTS: 1 DIF: Cognitive Level: Application REF: 18, 19
OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance
2. Which nursing intervention is an independent function of the nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the client perineal care
d. Providing wound care to a surgical incision
,ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling,
and intervening in nonmedical problems. Interventions initiated by the physician and carried out
by the nurse are called dependent functions. Administrating oral analgesics is a dependent
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is
a dependent function. Providing wound care is a dependent function; it is usually initiated by the
physician through direct orders or protocol.
PTS: 1 DIF: Cognitive Level: Understanding REF: 24
OBJ: Nursing Process Step: Assessment
MSC: Client Needs: Safe and Effective Care Environment
3. Which fmost ftherapeutic fresponse fto fthe fclients fstatement, fIm fafraid fto fhave fa fcesarean
fbirth fshould fbe fmade fby fthe fnurse?
a. Everything fwill fbe fOK.
b. Dont fworry fabout fit. fIt fwill fbe fover fsoon.
c. What fconcerns fyou fmost fabout fa fcesarean fbirth?
d. The fphysician fwill fbe fin flater fand fyou fcan ftalk fto fhim.
ANS: fC
The fresponse, fWhat fconcerns fyou fmost fabout fa fcesarean fbirth ffocuses fon fwhat fthe fclient fis
fsaying fand fasks ffor fclarification, fwhich fis fthe fmost ftherapeutic fresponse. fThe fresponse,
fEverything fwill fbe fok fis fbelittling fthe fclients ffeelings. fThe fresponse, fDont fworry fabout fit. fIt
fwill fbe fover fsoon fwill findicate fthat fthe fclients ffeelings fare fnot fimportant. fThe fresponse, fThe
fphysician fwill fbe fin flater fand fyou fcan ftalk fto fhim fdoes fnot fallow fthe fclient fto fverbalize fher
ffeelings fwhen fshe fwishes fto fdo fthat.
PTS: f1 fDIF: fCognitive fLevel: fApplication fREF: f18
fOBJ: fNursing fProcess fStep: fImplementation
, MSC: fClient fNeeds: fPsychosocial fIntegrity
4. Which fraction frshould frthe frnurse frtake frto frevaluate frthe frclients frlearning frabout
frperforming frinfant frcare?
a. Demonstrate frinfant frcare frprocedures.
b. Allow frthe frclient frto frverbalize frthe frprocedure.
c. Routinely frassess frthe frinfant frfor frcleanliness.
d. Observe frthe frclient fras frshe frperforms frthe frprocedure.
ANS: frD
The frclients frcorrect frperformance frof frthe frprocedure frunder frthe frnurses frsupervision fris frthe
frbest frproof frof frher frability. frDemonstration fris fran frexcellent frteaching frmethod, frbut frnot fran
frevaluation frmethod. frDuring frverbalization frof frthe frprocedure, frthe frnurse frmay frnot frpick frup
fron frtechniques frthat frare frincorrect. frIt fris frnot frthe frbest frtool frfor frevaluation. frRoutinely
frassessing frthe frinfant frfor frcleanliness frwill frnot frensure frthat frthe frproper frprocedure fris
frcarried frout. frThe frnurse frmay frmiss frseeing frthat frunsafe frtechniques frbeing f r used.
PTS: fr1 frDIF: frCognitive frLevel: frApplication frREF: fr21
OBJ: frNursing frProcess frStep: frEvaluation frMSC: frClient frNeeds: frHealth frPromotion frand
frMaintenance
5. A frnurse fris frreviewing frteaching frand frlearning frprinciples. frWhich frsituation fris frmost
frconducive frto frlearning?
a. An frauditorium fris frbeing frused fras fra frclassroom frfor fr300 frstudents.
b. A frteacher frwho frspeaks frvery frlittle frSpanish fris frteaching fra frclass frof frHispanic frstudents.
c. A frclass fris frcomposed frof frstudents frof frvarious frages frand freducational frbackgrounds.
d. An frAsian frnurse frprovides frnutritional frinformation frto fra frgroup frof
frpregnant frAsian frwomen.
ANS: frD