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