Test Bank ForMaternal-
<! <! <!
Child Nursing 6th Edition Chapter 1-
<! <! <! <! <!
55 Complete 2024: UPDATED 2025 WIT
<! <!<! <! <! <!
H VERIFIED QUESTIONS AND ANSW
<! <! <! <!
ERS
Test Bank Complete For
<! <! <!
Maternal Child Nursing 6th Edition
<! <! <! <!
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing Mc
<! <! <! <! <! <! <! <! <! <! <!
Kinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
<! <! <! <! <! <! <!
MULTIPLE CHOICE <!
1. Which factor significantly contributed to the shift from home births to hospital births in th
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
e early 20th century?
<! <! <!
a. Puerperal sepsis was identified as a risk factor in labor and delivery. <! <! <! <! <! <! <! <! <! <! <!
b. Forceps were developed to facilitate difficult births. <! <! <! <! <! <!
c. The importance of early parental-infant contact was identified.
<! <! <! <! <! <! <!
d. Technologic developments became available to physicians. <! <! <! <! <!
ANS: D <!
Technologic developments were available to physicians, not lay midwives. So in-
<! <! <! <! <! <! <! <! <! <!
hospital births increased in order to take advantage of these advancements. Puerperal sepsis h
<! <! <! <! <! <! <! <! <! <! <! <! <!
as been a known problem for generations. In the late 19th century, Semmelweis discovered ho
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
w it could be prevented with improved hygienic practices. The development of forceps is an
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <
example of a technology advance made in the early 20th century but is not the only reason
! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
birthplaces moved. Unlike home births, early hospital births hindered bonding between pare
<! <! <! <! <! <! <! <! <! <! <!
nts and their infants.
<! <! <!
PTS:1 DIF: <!
Cognitive Level: Remembering <! <!
OBJ:Integrated Process: Teaching-Learning
<! <! <!
MSC:Client Needs: Safe and Effective Care Environment <! <! <! <! <! <!
2. Family-centered maternity care developed in response to <! <! <! <! <! <!
a. demands by physicians for family involvement in childbirth. <! <! <! <! <! <! <!
b. the Sheppard-Towner Act of 1921.<! <! <! <!
c. parental requests that infants be allowed to remain with them rather than in
<! <! <! <! <! <! <! <! <! <! <! <! <!
a nursery. <!
d. changes in pharmacologic management of labor. <! <! <! <! <!
ANS: C <!
As research began to identify the benefits of early extended parent-
<! <! <! <! <! <! <! <! <! <!
infant contact, parents began to insist that the infant remain with them. This gradually devel
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
oped into the practice of rooming-in and finally to family-centered maternity care. Family-
<! <! <! <! <! <! <! <! <! <! <! <!
centered care was a request by parents, not physicians. The Sheppard-
<! <! <! <! <! <! <! <! <! <!
Towner Act of 1921 provided funds for <! <! <! <! <! <!
state-
managed programs for mothers and children. The changes in pharmacologic management of
<! <! <! <! <! <! <! <! <! <! <! <!
labor were not a factor in family-centered maternity care.
<! <! <! <! <! <! <! <!
PTS:1 DIF: <!
Cognitive Level: Remembering <! <!
OBJ:Integrated Process: Teaching-
<! <! <!
Learning MSC:Client Needs: Psychosocial Integrity
<! <! <! <!
3. Which setting for childbirth allows the least amount of parent-infant contact?
<! <! <! <! <! <! <! <! <! <!
a. Labor/delivery/recovery/postpartum room < !
b. Birth center <!
c. Traditional hospital birth <! <!
d. Home birth <!
, ANS: C <!
In the traditional hospital setting, the mother may see the infant for only short feeding periods
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
, and the infant is cared for in a separate nursery. While this is slowly changing, to more clos
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
ely resemble other birthing models, the traditional hospital birth still offers the least amount
<! <! <! <! <! <! <! <! <! <! <! <! <! <
of parent-
! <!
infant contact. The labor/delivery/recovery/postpartum room setting allows increased parent-
<! <! <! <! <! <! <! <!
infant contact. Birth centers are set up to allow an increase in parent-infant contact.
<! <! <! <! <! <! <! <! <! <! <! <! <!
Home births allow an increase in parent-infant contact.
<! <! <! <! <! <! <!
PTS:1 DIF: <! Cognitive Level: Remembering <! <!
OBJ:Nursing Process: Planning MSC:Client Needs: Health Promotion and
<! <! <! <! <! <! <! <
! Maintenance
4. The maternity nurse should have a clear understanding of the correct use of a clinica
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
l pathway. One characteristic of clinical pathways is that they
<! <! <! <! <! <! <! <! <!
a. are developed and implemented by nurses.
<! <! <! <! <!
b. are used primarily in the pediatric setting.
<! <! <! <! <! <!
c. set specific time lines for sequencing interventions.
<! <! <! <! <! <!
d. are part of the nursing process.<! <! <! <! <!
ANS: C <!
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
<! <! <! <! <! <! <! <! <! <! <! <! <!
particular health problem. They are used to identify patient outcomes, specify timelines to a
<! <! <! <! <! <! <! <! <! <! <! <! <!
chieve those outcomes, direct appropriate interventions and sequencing of interventions, incl
<! <! <! <! <! <! <! <! <! <!
ude interventions from a variety of disciplines, promote collaboration, and involve a compre
<! <! <! <! <! <! <! <! <! <! <! <!
hensive approach to care. They are developed by multiple health care professionals and refl
<! <! <! <! <! <! <! <! <! <! <! <! <!
ect interdisciplinary care. They can be used in multiple settings and for patients throughout t
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
he life span. They are not part of the nursing process but can be used in conjunction with th
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
e nursing process to provide care to patients.
<! <! <! <! <! <! <!
PTS:1 DIF: <! Cognitive Level: Remembering <! <!
OBJ:Nursing Process: Planning MSC:Client Needs: Safe and Effective Ca
<! <! <! <! <! <! <! <!
re Environment
<!
5. A nurse wishes to work to reduce infant mortality in the United States. Which activity woul
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
d this nurse most likely participate in?
<! <! <! <! <! <!
a. Creating pamphlets in several different languages using an interpreter.
<! <! <! <! <! <! <! <!
b. Assisting women to enroll in Medicaid by their third trimester. <! <! <! <! <! <! <! <! <!
c. Volunteering to provide prenatal care at community centers. <! <! <! <! <! <! <!
d. Working as an intake counselor at a women‘s shelter. <! <! <! <! <! <! <! <!
ANS: C <!
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
likely participate in community service providing prenatal care outreach activities in commu
<! <! <! <! <! <! <! <! <! <! <!
nity centers, particularly in low-
<! <! <! <!
income areas. Pamphlets in other languages, enrolling in Medicaid, and working at a women
<! <! <! <! <! <! <! <! <! <! <! <! <!
‘s shelter all might impact infant mortality, but the greatest effect would be from assisting w
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
omen to get consistent prenatal care.
<! <! <! <! <!
PTS:1 DIF: Cognitive Level: Applying
<! <! <!
OBJ:Nursing Process: Implementation MSC:Client Needs: Health Promotion and Maintenance
<! <! <! <! <! <! <!
6. Which statement is true regarding the ―quality assurance‖ or ―incident‖ report?
<! <! <! <! <! <! <! <! <! <!
a. The report assures the legal department that no problem exists.
<! <! <! <! <! <! <! <! <!
b. Reports are a permanent part of the patient‘s chart. <! <! <! <! <! <! <! <!
, c. The nurse‘s notes should contain, ―Incident report filed, and copy placed in chart.‖
<! <! <! <! <! <! <! <! <! <! <! <!
d. This report is a form of documentation of an event that may result in legal action.
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
ANS: D <!
An incident report is used when something occurs that might result in legal action, such as a
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
patient fall or medication error. It warns the legal department that there may be a problem in
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
a particular patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
‘ notes should not contain any reference to them.
<! <! <! <! <! <! <! <!
PTS:1 DIF: <!
Cognitive Level: Remembering OBJ: <! <! <!
Integrated Process: Communication and Documentation MS <! <! <! <! <!
C:Client Needs: Safe and Effective Care Environment
<! <! <! <! <! <!
7. Which woman would be most likely to seek prenatal care?
<! <! <! <! <! <! <! <! <!
a. A 15-year-old who tells her friends, ―I don‘t believe I‘m pregnant.‖
<! <! <! <! <! <! <! <! <! <!
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
<! <! <! <! <! <! <! <! <! <! <! <!
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
ANS: B <!
The patient who acknowledges the pregnancy early, has access to health care, and has no re
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
ason to avoid health care is most likely to seek prenatal care. Being in denial about the preg
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
nancy increases the risk of not seeking care. This patient is also 15, and other social factors
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
may discourage her from seeking care as well. Women who abuse substances are less likely t
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
o receive prenatal care. Some women see pregnancy and delivery as a natural occurrence an
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
d do not seek health care.
<! <! <! <! <!
PTS:1 DIF: Cognitive Level: Understanding
<! <! <!
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
<! <! <! <! <! <! <!
8. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
nurse administers an analgesic but does not perform any assessments. The woman then has
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
a tonic-
<!
clonic seizure, falls out of bed, and fractures her femur. How would the actions of the nur
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
se be interpreted in relation to standards of care?
<! <! <! <! <! <! <! <!
a. Negligent: the nurse failed to assess the woman for possible complications <! <! <! <! <! <! <! <! <! <!
b. Negligent: because the nurse medicated the woman <! <! <! <! <! <!
c. Not negligent: the woman had signed a waiver concerning the use of side rails
<! <! <! <! <! <! <! <! <! <! <! <! <!
d. Not negligent: the woman did not inform the nurse of her symptoms as soon a
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
s they occurred <! <!
ANS: A <!
There are four elements to malpractice, which is negligence in the performance of professi
<! <! <! <! <! <! <! <! <! <! <! <! <!
onal duties: duty, breach of duty, damage, and proximate cause. The nurse was negligent b
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
ecause she or he did not perform any assessments, which is the first step of the nursing pro
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
cess and is a standard of care. By not assessing the patient, the nurse did not meet establishe
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
d standards of care, and thus is guilty of professional negligence, or malpractice.
<! <! <! <! <! <! <! <! <! <! <! <!
PTS:1 DIF: <! Cognitive Level: Remembering <! <!
OBJ:Nursing Process: Evaluation MSC:Client Needs: Safe and Effective Ca<! <! <! <! <! <! <! <!
re Environment
<!
9. Which patient situation fails to meet the first requirement of informed consent?
<! <! <! <! <! <! <! <! <! <! <!
a. The patient does not understand the physician‘s explanations.
<! <! <! <! <! <! <!
<! <! <!
Child Nursing 6th Edition Chapter 1-
<! <! <! <! <!
55 Complete 2024: UPDATED 2025 WIT
<! <!<! <! <! <!
H VERIFIED QUESTIONS AND ANSW
<! <! <! <!
ERS
Test Bank Complete For
<! <! <!
Maternal Child Nursing 6th Edition
<! <! <! <!
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing Mc
<! <! <! <! <! <! <! <! <! <! <!
Kinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
<! <! <! <! <! <! <!
MULTIPLE CHOICE <!
1. Which factor significantly contributed to the shift from home births to hospital births in th
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
e early 20th century?
<! <! <!
a. Puerperal sepsis was identified as a risk factor in labor and delivery. <! <! <! <! <! <! <! <! <! <! <!
b. Forceps were developed to facilitate difficult births. <! <! <! <! <! <!
c. The importance of early parental-infant contact was identified.
<! <! <! <! <! <! <!
d. Technologic developments became available to physicians. <! <! <! <! <!
ANS: D <!
Technologic developments were available to physicians, not lay midwives. So in-
<! <! <! <! <! <! <! <! <! <!
hospital births increased in order to take advantage of these advancements. Puerperal sepsis h
<! <! <! <! <! <! <! <! <! <! <! <! <!
as been a known problem for generations. In the late 19th century, Semmelweis discovered ho
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
w it could be prevented with improved hygienic practices. The development of forceps is an
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <
example of a technology advance made in the early 20th century but is not the only reason
! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
birthplaces moved. Unlike home births, early hospital births hindered bonding between pare
<! <! <! <! <! <! <! <! <! <! <!
nts and their infants.
<! <! <!
PTS:1 DIF: <!
Cognitive Level: Remembering <! <!
OBJ:Integrated Process: Teaching-Learning
<! <! <!
MSC:Client Needs: Safe and Effective Care Environment <! <! <! <! <! <!
2. Family-centered maternity care developed in response to <! <! <! <! <! <!
a. demands by physicians for family involvement in childbirth. <! <! <! <! <! <! <!
b. the Sheppard-Towner Act of 1921.<! <! <! <!
c. parental requests that infants be allowed to remain with them rather than in
<! <! <! <! <! <! <! <! <! <! <! <! <!
a nursery. <!
d. changes in pharmacologic management of labor. <! <! <! <! <!
ANS: C <!
As research began to identify the benefits of early extended parent-
<! <! <! <! <! <! <! <! <! <!
infant contact, parents began to insist that the infant remain with them. This gradually devel
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
oped into the practice of rooming-in and finally to family-centered maternity care. Family-
<! <! <! <! <! <! <! <! <! <! <! <!
centered care was a request by parents, not physicians. The Sheppard-
<! <! <! <! <! <! <! <! <! <!
Towner Act of 1921 provided funds for <! <! <! <! <! <!
state-
managed programs for mothers and children. The changes in pharmacologic management of
<! <! <! <! <! <! <! <! <! <! <! <!
labor were not a factor in family-centered maternity care.
<! <! <! <! <! <! <! <!
PTS:1 DIF: <!
Cognitive Level: Remembering <! <!
OBJ:Integrated Process: Teaching-
<! <! <!
Learning MSC:Client Needs: Psychosocial Integrity
<! <! <! <!
3. Which setting for childbirth allows the least amount of parent-infant contact?
<! <! <! <! <! <! <! <! <! <!
a. Labor/delivery/recovery/postpartum room < !
b. Birth center <!
c. Traditional hospital birth <! <!
d. Home birth <!
, ANS: C <!
In the traditional hospital setting, the mother may see the infant for only short feeding periods
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
, and the infant is cared for in a separate nursery. While this is slowly changing, to more clos
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
ely resemble other birthing models, the traditional hospital birth still offers the least amount
<! <! <! <! <! <! <! <! <! <! <! <! <! <
of parent-
! <!
infant contact. The labor/delivery/recovery/postpartum room setting allows increased parent-
<! <! <! <! <! <! <! <!
infant contact. Birth centers are set up to allow an increase in parent-infant contact.
<! <! <! <! <! <! <! <! <! <! <! <! <!
Home births allow an increase in parent-infant contact.
<! <! <! <! <! <! <!
PTS:1 DIF: <! Cognitive Level: Remembering <! <!
OBJ:Nursing Process: Planning MSC:Client Needs: Health Promotion and
<! <! <! <! <! <! <! <
! Maintenance
4. The maternity nurse should have a clear understanding of the correct use of a clinica
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
l pathway. One characteristic of clinical pathways is that they
<! <! <! <! <! <! <! <! <!
a. are developed and implemented by nurses.
<! <! <! <! <!
b. are used primarily in the pediatric setting.
<! <! <! <! <! <!
c. set specific time lines for sequencing interventions.
<! <! <! <! <! <!
d. are part of the nursing process.<! <! <! <! <!
ANS: C <!
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
<! <! <! <! <! <! <! <! <! <! <! <! <!
particular health problem. They are used to identify patient outcomes, specify timelines to a
<! <! <! <! <! <! <! <! <! <! <! <! <!
chieve those outcomes, direct appropriate interventions and sequencing of interventions, incl
<! <! <! <! <! <! <! <! <! <!
ude interventions from a variety of disciplines, promote collaboration, and involve a compre
<! <! <! <! <! <! <! <! <! <! <! <!
hensive approach to care. They are developed by multiple health care professionals and refl
<! <! <! <! <! <! <! <! <! <! <! <! <!
ect interdisciplinary care. They can be used in multiple settings and for patients throughout t
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
he life span. They are not part of the nursing process but can be used in conjunction with th
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
e nursing process to provide care to patients.
<! <! <! <! <! <! <!
PTS:1 DIF: <! Cognitive Level: Remembering <! <!
OBJ:Nursing Process: Planning MSC:Client Needs: Safe and Effective Ca
<! <! <! <! <! <! <! <!
re Environment
<!
5. A nurse wishes to work to reduce infant mortality in the United States. Which activity woul
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
d this nurse most likely participate in?
<! <! <! <! <! <!
a. Creating pamphlets in several different languages using an interpreter.
<! <! <! <! <! <! <! <!
b. Assisting women to enroll in Medicaid by their third trimester. <! <! <! <! <! <! <! <! <!
c. Volunteering to provide prenatal care at community centers. <! <! <! <! <! <! <!
d. Working as an intake counselor at a women‘s shelter. <! <! <! <! <! <! <! <!
ANS: C <!
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
likely participate in community service providing prenatal care outreach activities in commu
<! <! <! <! <! <! <! <! <! <! <!
nity centers, particularly in low-
<! <! <! <!
income areas. Pamphlets in other languages, enrolling in Medicaid, and working at a women
<! <! <! <! <! <! <! <! <! <! <! <! <!
‘s shelter all might impact infant mortality, but the greatest effect would be from assisting w
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
omen to get consistent prenatal care.
<! <! <! <! <!
PTS:1 DIF: Cognitive Level: Applying
<! <! <!
OBJ:Nursing Process: Implementation MSC:Client Needs: Health Promotion and Maintenance
<! <! <! <! <! <! <!
6. Which statement is true regarding the ―quality assurance‖ or ―incident‖ report?
<! <! <! <! <! <! <! <! <! <!
a. The report assures the legal department that no problem exists.
<! <! <! <! <! <! <! <! <!
b. Reports are a permanent part of the patient‘s chart. <! <! <! <! <! <! <! <!
, c. The nurse‘s notes should contain, ―Incident report filed, and copy placed in chart.‖
<! <! <! <! <! <! <! <! <! <! <! <!
d. This report is a form of documentation of an event that may result in legal action.
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
ANS: D <!
An incident report is used when something occurs that might result in legal action, such as a
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
patient fall or medication error. It warns the legal department that there may be a problem in
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
a particular patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
‘ notes should not contain any reference to them.
<! <! <! <! <! <! <! <!
PTS:1 DIF: <!
Cognitive Level: Remembering OBJ: <! <! <!
Integrated Process: Communication and Documentation MS <! <! <! <! <!
C:Client Needs: Safe and Effective Care Environment
<! <! <! <! <! <!
7. Which woman would be most likely to seek prenatal care?
<! <! <! <! <! <! <! <! <!
a. A 15-year-old who tells her friends, ―I don‘t believe I‘m pregnant.‖
<! <! <! <! <! <! <! <! <! <!
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
<! <! <! <! <! <! <! <! <! <! <! <!
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
ANS: B <!
The patient who acknowledges the pregnancy early, has access to health care, and has no re
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
ason to avoid health care is most likely to seek prenatal care. Being in denial about the preg
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
nancy increases the risk of not seeking care. This patient is also 15, and other social factors
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
may discourage her from seeking care as well. Women who abuse substances are less likely t
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
o receive prenatal care. Some women see pregnancy and delivery as a natural occurrence an
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
d do not seek health care.
<! <! <! <! <!
PTS:1 DIF: Cognitive Level: Understanding
<! <! <!
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
<! <! <! <! <! <! <!
8. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
nurse administers an analgesic but does not perform any assessments. The woman then has
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
a tonic-
<!
clonic seizure, falls out of bed, and fractures her femur. How would the actions of the nur
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
se be interpreted in relation to standards of care?
<! <! <! <! <! <! <! <!
a. Negligent: the nurse failed to assess the woman for possible complications <! <! <! <! <! <! <! <! <! <!
b. Negligent: because the nurse medicated the woman <! <! <! <! <! <!
c. Not negligent: the woman had signed a waiver concerning the use of side rails
<! <! <! <! <! <! <! <! <! <! <! <! <!
d. Not negligent: the woman did not inform the nurse of her symptoms as soon a
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
s they occurred <! <!
ANS: A <!
There are four elements to malpractice, which is negligence in the performance of professi
<! <! <! <! <! <! <! <! <! <! <! <! <!
onal duties: duty, breach of duty, damage, and proximate cause. The nurse was negligent b
<! <! <! <! <! <! <! <! <! <! <! <! <! <!
ecause she or he did not perform any assessments, which is the first step of the nursing pro
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
cess and is a standard of care. By not assessing the patient, the nurse did not meet establishe
<! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <! <!
d standards of care, and thus is guilty of professional negligence, or malpractice.
<! <! <! <! <! <! <! <! <! <! <! <!
PTS:1 DIF: <! Cognitive Level: Remembering <! <!
OBJ:Nursing Process: Evaluation MSC:Client Needs: Safe and Effective Ca<! <! <! <! <! <! <! <!
re Environment
<!
9. Which patient situation fails to meet the first requirement of informed consent?
<! <! <! <! <! <! <! <! <! <! <!
a. The patient does not understand the physician‘s explanations.
<! <! <! <! <! <! <!
