complete chapter
Chapter1:TheNurse'sRoleinaChangingMaternal–ChildHealthCareEnvironment
MULTIPLECHOICE
1. Whichprincipleofteachingshouldthenurseusetoensurelearninginafamilysituation?
a. Motivatethefamilywithpraiseandpositivefeedback.
b. Learningisbestaccomplishedwiththelectureformat.
c. Presentcomplexsubjectmaterialfirstwhilethefamilyisalertandreadytolearn.
d. Familiesshouldbetaughtusingmedicaljargonsotheywillbeabletounderstandthetech
nicallanguageusedbyphysicians.
ANS:A
Praiseandpositivefeedbackareparticularlyimportantwhenafamilyistryingtomasterafrustratingtask
suchasbreastfeeding.Alivelydiscussionstimulatesmorelearningthanastraightlecture,whichtendstoi
nhibitquestions.Learningisenhancedwhentheteachingisstructuredtopresentthesimpletasksbeforet
hecomplexmaterial.EventhoughafamilymayunderstandEnglishfairlywell,theymaynotunderstandt
hemedicalterminologyorslangtermsthatareused.
PTS:1DIF:CognitiveLevel:ApplicationREF:18,19
OBJ:NursingProcessStep:PlanningMSC:ClientNeeds:HealthPromotionandMaintenance
2. Whichnursinginterventionisanindependentfunctionofthenurse?
a. Administeringoralanalgesics
b. Requestingdiagnosticstudies
c. Teachingtheclientperinealcare
d. Providingwoundcaretoasurgicalincision
,ANS:C
Nursesarenowresponsibleforvariousindependentfunctions,includingteaching,counseling,andinter
veninginnonmedicalproblems.Interventionsinitiatedbythephysicianandcarriedoutbythenursearec
alleddependentfunctions.Administratingoralanalgesicsisadependentfunction;itisinitiatedbyaphysi
cianandcarriedoutbyanurse.Requestingdiagnosticstudiesisadependentfunction.Providingwoundc
areisadependentfunction;itisusuallyinitiatedbythephysicianthroughdirectordersorprotocol.
PTS:1DIF:CognitiveLevel:UnderstandingREF:24OBJ:
NursingProcessStep:Assessment
MSC:ClientNeeds:SafeandEffectiveCareEnvironment
3. Whichmosttherapeuticresponsetotheclientsstatement,Imafraidtohaveacesareanbirthshouldb
emadebythenurse?
a. EverythingwillbeOK.
b. Dontworryaboutit.Itwillbeoversoon.
c. Whatconcernsyoumostaboutacesareanbirth?
d. Thephysicianwillbeinlaterandyoucantalktohim.
ANS:C
Theresponse,Whatconcernsyoumostaboutacesareanbirthfocusesonwhattheclientissayingandasksf
orclarification,whichisthemosttherapeuticresponse.Theresponse,Everythingwillbeokisbelittlingth
eclientsfeelings.Theresponse,Dontworryaboutit.Itwillbeoversoonwillindicatethattheclientsfeeling
sarenotimportant.Theresponse,Thephysicianwillbeinlaterandyoucantalktohimdoesnotallowthecli
enttoverbalizeherfeelingswhenshewishestodothat.
PTS:1DIF:CognitiveLevel:ApplicationREF:18OBJ:Nu
rsingProcessStep:Implementation
, MSC:ClientNeeds:PsychosocialIntegrity
4. Whichactionshouldthenursetaketoevaluatetheclientslearningaboutperforminginfantcare?
a. Demonstrateinfantcareprocedures.
b. Allowtheclienttoverbalizetheprocedure.
c. Routinelyassesstheinfantforcleanliness.
d. Observetheclientassheperformstheprocedure.
ANS:D
Theclientscorrectperformanceoftheprocedureunderthenursessupervisionisthebestproofofherabilit
y.Demonstrationisanexcellentteachingmethod,butnotanevaluationmethod.Duringverbalizationoft
heprocedure,thenursemaynotpickupontechniquesthatareincorrect.Itisnotthebesttoolforevaluation.
Routinelyassessingtheinfantforcleanlinesswillnotensurethattheproperprocedureiscarriedout.Then
ursemaymissseeingthatunsafetechniquesbeingused.
PTS:1DIF:CognitiveLevel:ApplicationREF:21
OBJ:NursingProcessStep:EvaluationMSC:ClientNeeds:HealthPromotionandMaintenance
5. Anurseisreviewingteachingandlearningprinciples.Whichsituationismostconducivetolearnin
g?
a. Anauditoriumisbeingusedasaclassroomfor300students.
b. AteacherwhospeaksverylittleSpanishisteachingaclassofHispanicstudents.
c. Aclassiscomposedofstudentsofvariousagesandeducationalbackgrounds.
d. AnAsiannurseprovidesnutritionalinformationtoagroupofpregnantAsianwome
n.
ANS:D