,
,2. The nurse is working with a group of community health members to develop a plan to
address the special health needs of women. The group would design educational programs to
address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer - Answer: B
Rationale: The group needs to address cardiovascular disease, the number one cause of
death in women regardless of racial or ethnic group. Smoking is related to heart disease
and the development of cancer. However, heart disease and cancer can occur in any woman
regardless of her smoking history. Cancer is the second leading cause of death, with
women having a one in three lifetime risk of developing cancer. Diabetes is another
important health condition that can affect women. However, it is not the major health
problem that heart disease is.
1. When integrating the principles of family-centered care into the birthing process, the nurse
would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care. - Answer: C Rationale:
Family-centered care is based on the following principles: Birth affects
the entire family, and relationships will change; birth is viewed as a normal, healthy event
in the life of the family; and families are capable of making decisions about their own care
if given adequate information and professional support.
3. A nurse is conducting an orientation program for a group of newly hired nurses. As part of the
program, the nurse is reviewing the issue of informed consent. The nurse determines that the
teaching was effective when the group identifies which situation as a violation of informed
consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an operative permit
C. Asking whether the client understands what she is signing following receiving education
D. Getting verbal consent over the phone for an emergency procedure from the spouse of a
unconscious woman - Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for
health care. Serving as a witness to the signature process, asking whether the client
understands what she is signing, and getting verbal consent over the phone for emergency
procedures are all key to informed consent and are not violations.
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her fetus. To
ensure informed consent, which action would be the priority
, responsibility of the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the procedure
D. Offering suggestions for alternative options for treatment - Answer: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring the
consent form is completed with signatures from the client; serving as a witness to the
signature process; and determining whether the client understands what she is signing by
asking her pertinent questions. The physician, advanced practice nurse, or midwife is
responsible for informing the client about the procedure and obtaining consent by providing
a detailed description of the procedure or treatment, its potential risks and benefits, and
alternative methods available.
5. A 9-month-old with glaucoma requires surgery. The infant's parents are divorced. To obtain
informed consent, which action would be most appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the parents - Answer: D
Rationale: The most appropriate action would be to determine legal custody by court
decree. If the parents have joint custody, then either parent may give consent, but it is
always best to have consent given by both parents. The parent with only physical custody
may give consent for emergency care. The last resort is getting a court ruling; usually this
is not necessary unless the parents disagree about the care of the child.
6. Which statement made by a nursing student would best indicate that her education on
family-centered care was fully understood?
A. "Childbirth affects the entire family, and relationships will change."
B. "Families are usually not capable of making health care decisions for themselves, especially in
stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone." - Answer: A Rationale:
Childbirth affects the entire family, and relationships will change. Childbirth is viewed as a
normal life event, not a medical procedure. Families are very capable of making health care
decisions about their own care with proper information and support.
7. Which aspect of client wellness has not been a focus of health during the 21st century ?
A. Disease prevention
B. Health promotion
C. Wellness
D. Analysis of morbidity and mortality - Answer: D
Rationale: The focus on health has shifted to disease prevention, health promotion, and
wellness. In the last century, much of the focus was on analyzing morbidity
,2. The nurse is working with a group of community health members to develop a plan to
address the special health needs of women. The group would design educational programs to
address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer - Answer: B
Rationale: The group needs to address cardiovascular disease, the number one cause of
death in women regardless of racial or ethnic group. Smoking is related to heart disease
and the development of cancer. However, heart disease and cancer can occur in any woman
regardless of her smoking history. Cancer is the second leading cause of death, with
women having a one in three lifetime risk of developing cancer. Diabetes is another
important health condition that can affect women. However, it is not the major health
problem that heart disease is.
1. When integrating the principles of family-centered care into the birthing process, the nurse
would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care. - Answer: C Rationale:
Family-centered care is based on the following principles: Birth affects
the entire family, and relationships will change; birth is viewed as a normal, healthy event
in the life of the family; and families are capable of making decisions about their own care
if given adequate information and professional support.
3. A nurse is conducting an orientation program for a group of newly hired nurses. As part of the
program, the nurse is reviewing the issue of informed consent. The nurse determines that the
teaching was effective when the group identifies which situation as a violation of informed
consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an operative permit
C. Asking whether the client understands what she is signing following receiving education
D. Getting verbal consent over the phone for an emergency procedure from the spouse of a
unconscious woman - Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for
health care. Serving as a witness to the signature process, asking whether the client
understands what she is signing, and getting verbal consent over the phone for emergency
procedures are all key to informed consent and are not violations.
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her fetus. To
ensure informed consent, which action would be the priority
, responsibility of the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the procedure
D. Offering suggestions for alternative options for treatment - Answer: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring the
consent form is completed with signatures from the client; serving as a witness to the
signature process; and determining whether the client understands what she is signing by
asking her pertinent questions. The physician, advanced practice nurse, or midwife is
responsible for informing the client about the procedure and obtaining consent by providing
a detailed description of the procedure or treatment, its potential risks and benefits, and
alternative methods available.
5. A 9-month-old with glaucoma requires surgery. The infant's parents are divorced. To obtain
informed consent, which action would be most appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the parents - Answer: D
Rationale: The most appropriate action would be to determine legal custody by court
decree. If the parents have joint custody, then either parent may give consent, but it is
always best to have consent given by both parents. The parent with only physical custody
may give consent for emergency care. The last resort is getting a court ruling; usually this
is not necessary unless the parents disagree about the care of the child.
6. Which statement made by a nursing student would best indicate that her education on
family-centered care was fully understood?
A. "Childbirth affects the entire family, and relationships will change."
B. "Families are usually not capable of making health care decisions for themselves, especially in
stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone." - Answer: A Rationale:
Childbirth affects the entire family, and relationships will change. Childbirth is viewed as a
normal life event, not a medical procedure. Families are very capable of making health care
decisions about their own care with proper information and support.
7. Which aspect of client wellness has not been a focus of health during the 21st century ?
A. Disease prevention
B. Health promotion
C. Wellness
D. Analysis of morbidity and mortality - Answer: D
Rationale: The focus on health has shifted to disease prevention, health promotion, and
wellness. In the last century, much of the focus was on analyzing morbidity
