1
,Maternal & Child Nursing Care, 5e (London et al.)
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Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
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1) A nurse is examining different nursing roles. Which statement best illustrates an advance
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d practice nursing role?
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1. A registered nurse who is the manager of a large obstetric unit
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2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
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3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
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4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in cari
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ng for high-risk infants
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Answer: 4 1 2
Explanation: A clinical nurse specialist with whom other nurses consult for expertise in carin
1 2 12 12 12 12 12 12 12 12 12 12 12 12
g for high-
12 12
risk infants would illustrate an advanced practice nursing role. This nurse has specialized kno
12 12 12 12 12 12 12 12 12 12 12 12 12
wledge and competence in a specific clinical area, and is master's-prepared.
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Page Ref: 3 12 12
Cognitive Level: Remembering 12 1 2
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
1 2 12 12 12 12 12 12 12 12 12 12 1
2a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast t
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he roles and perspectives of the nursing profession with other care professionals on the health
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care team (i.e. scope of discipline, education and licensure requirements) | NLN Competencie
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s: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team m
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embers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learn
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ing Outcome: 1.1 Identify the nursing roles available to maternal-
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newborn and pediatric nurses. 12 12 12
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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2) What is the major focus of the nurse practitioner (NP)?
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1. Leadership
2. Tertiary prevention 12
3. Physical and psychosocial clinical assessment
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4. Independent care of the high- 12 12 12 12
risk, pregnant client Answer: 3
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Explanation: Physical and psychosocial clinical assessment is the major focus of the NP.
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Page Ref: 3 12 12
Cognitive Level: Remembering 12 1 2
Client Need/Sub: Safe and Effective Care Environment/Management of Care
12 1 2 12 12 12 12 12 12
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
1 2 12 12 12 12 12 12 12 12 12 12 1
2a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast t
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he roles and perspectives of the nursing profession with other care professionals on the health
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care team (i.e. scope of discipline, education and licensure requirements) | NLN Competencie
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s: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team m
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embers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learn
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ing Outcome: 1.1 Identify the nursing roles available to maternal-
12 1 2 12 12 12 12 12 12 12
newborn and pediatric nurses. 12 12 12
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
12 1 2 12 12 12 12 12 12 12 12 12 12
2
,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
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1. Give primary care for healthy newborns.
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2. Be educated in two disciplines of nursing.
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3. Give primary care for high-risk clients who are in hospital settings.
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4. Obtain a physician consultation for all technical procedures at delivery.
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5. Be prepared to manage independently the care of women at low risk for complications duri
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ng pregnancy and birth.
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Answer: 1, 2, 5 1 2 12 12
Explanation: The CNM is prepared to manage independently the care of women at low risk fo
1 2 12 12 12 12 12 12 12 12 12 12 12 12 12 12
r complications during pregnancy and birth and the care of healthy newborns.
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The CNM is educated in the disciplines of nursing and midwifery.
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The CNM is prepared to manage independently the care of women at low risk for complicatio
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ns during pregnancy and birth and the care of healthy newborns.
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Page Ref: 3 12 12
Cognitive Level: Understanding 12 1 2
Client Need/Sub: Safe and Effective Care Environment/Management of Care
12 1 2 12 12 12 12 12 12
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
1 2 12 12 12 12 12 12 12 12 12 12 1
2a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast t
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he roles and perspectives of the nursing profession with other care professionals on the health
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care team (i.e. scope of discipline, education and licensure requirements) | NLN Competencie
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s: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team m
12 12 12 12 12 12 12 12 12 12 12 12 12
embers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learn
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ing Outcome: 1.1 Identify the nursing roles available to maternal-
12 1 2 12 12 12 12 12 12 12
newborn and pediatric nurses. 12 12 12
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
12 1 2 12 12 12 12 12 12 12 12 12 12
3
, 4) During the hospital admission process, a child's parent asks for information about famil
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y- centered care. What should the nurse explain to this parent?
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1. Mother is the principal caregiver in each family.
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2. Father is the leader in each home; thus, all communications should include him.
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3. Family serves as the constant influence and continuing support in the child's life.
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4. Child's physician is the key person in ensuring the health of a child is maintaine
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d. Answer: 3
12 1 2
Explanation: The foundation for the development of trusting relationships and partnerships wi
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th families is the recognition that the family is the principal caregiver, knows the unique natu
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re of each individual child best, plays the vital role of meeting the child's needs, and is respon
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sible for ensuring each child's health.
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Page Ref: 3 12 12
Cognitive Level: Applying 12 1 2
Client Need/Sub: Safe and Effective Care Environment/Management of Care
12 1 2 12 12 12 12 12 12
Standards: QSEN Competencies: I.B.3. Provide patient-
1 2 12 12 12 12
centered care with sensitivity and respect for the diversity of human experience | AACN Ess
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ential Competencies: IX.5. Deliver compassionate, patient-centered, evidence-
12 12 12 12 12 12
based care that respects patient and family preferences | NLN Competencies: Relationship Ce
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ntered Care; Knowledge; The role of family, culture, and community in a person's developme
12 12 12 12 12 12 12 12 12 12 12 12 12
nt | Nursing/Integrated Concepts: Nursing Process: Planning
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Learning Outcome: 1.2 Summarize the use of community-
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based nursing care in meeting the needs of childbearing and childrearing families.
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MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
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5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should t
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he nurse do to encourage the family to consider enrolling the child in this program?
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1. Assessment of the details of the family's income and expenditures
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2. Case management to limit costly, unnecessary duplication of services
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3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
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4. Education of the family about the need for keeping regular well-
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child visit appointments Answer: 3
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Explanation: In the role of an advocate, a nurse will advance the interests of another by sugg
1 2 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12
esting the family investigate its CHIP eligibility.
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Page Ref: 6 12 12
Cognitive Level: Applying 12 1 2
Client Need/Sub: Safe and Effective Care Environment/Management of Care
12 1 2 12 12 12 12 12 12
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of pa
1 2 12 12 12 12 12 12 12 12 12
tient centered care: information, communication, and education | AACN Essential Competenc
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ies: V.12. Advocate for consumers and the nursing profession | NLN Competencies: Relationsh
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ip Centered Care; Practice; Communicate information effectively; listen openly and cooperati
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vely | Nursing/Integrated Concepts: Nursing Process: Implementation
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Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
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access to health care.
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MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to th
12 1 2 12 12 12 12 12 12 12 12 12 12 12 12 12 12
e childbearing family.
12 12
4
,Maternal & Child Nursing Care, 5e (London et al.)
12 12 12 12 12 12 12 12
Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
12 1 2 12 12 12 12 12 12
1) A nurse is examining different nursing roles. Which statement best illustrates an advance
12 12 12 12 12 12 12 12 12 12 12 12
d practice nursing role?
12 12 12
1. A registered nurse who is the manager of a large obstetric unit
12 12 12 12 12 12 12 12 12 12 12
2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
12 12 12 12 12 12 12 12 12 12 12 12
3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
12 12 12 12 12 12 12 12 12 12 12 12
4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in cari
12 12 12 12 12 12 12 12 12 12 12 12 12 12
ng for high-risk infants
12 12 12
Answer: 4 1 2
Explanation: A clinical nurse specialist with whom other nurses consult for expertise in carin
1 2 12 12 12 12 12 12 12 12 12 12 12 12
g for high-
12 12
risk infants would illustrate an advanced practice nursing role. This nurse has specialized kno
12 12 12 12 12 12 12 12 12 12 12 12 12
wledge and competence in a specific clinical area, and is master's-prepared.
12 12 12 12 12 12 12 12 12 12
Page Ref: 3 12 12
Cognitive Level: Remembering 12 1 2
Client Need/Sub: Safe and Effective Care Environment/Management of Care
12 1 2 12 12 12 12 12 12
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
1 2 12 12 12 12 12 12 12 12 12 12 1
2a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast t
12 12 12 12 12 12 12 12 12 12 12 12 12
he roles and perspectives of the nursing profession with other care professionals on the health
12 12 12 12 12 12 12 12 12 12 12 12 12 12
care team (i.e. scope of discipline, education and licensure requirements) | NLN Competencie
12 12 12 12 12 12 12 12 12 12 12 12
s: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team m
12 12 12 12 12 12 12 12 12 12 12 12 12
embers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learn
12 12 12 12 12 12 12 12 12
ing Outcome: 1.1 Identify the nursing roles available to maternal-
12 1 2 12 12 12 12 12 12 12
newborn and pediatric nurses. 12 12 12
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
12 1 2 12 12 12 12 12 12 12 12 12 12
2) What is the major focus of the nurse practitioner (NP)?
12 12 12 12 12 12 12 12 12
1. Leadership
2. Tertiary prevention 12
3. Physical and psychosocial clinical assessment
12 12 12 12
4. Independent care of the high- 12 12 12 12
risk, pregnant client Answer: 3
12 12 12 1 2
Explanation: Physical and psychosocial clinical assessment is the major focus of the NP.
1 2 12 12 12 12 12 12 12 12 12 12 12 12
Page Ref: 3 12 12
Cognitive Level: Remembering 12 1 2
Client Need/Sub: Safe and Effective Care Environment/Management of Care
12 1 2 12 12 12 12 12 12
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
1 2 12 12 12 12 12 12 12 12 12 12 1
2a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast t
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he roles and perspectives of the nursing profession with other care professionals on the health
12 12 12 12 12 12 12 12 12 12 12 12 12 12
care team (i.e. scope of discipline, education and licensure requirements) | NLN Competencie
12 12 12 12 12 12 12 12 12 12 12 12
s: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team m
12 12 12 12 12 12 12 12 12 12 12 12 12
embers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learn
12 12 12 12 12 12 12 12 12
ing Outcome: 1.1 Identify the nursing roles available to maternal-
12 1 2 12 12 12 12 12 12 12
newborn and pediatric nurses. 12 12 12
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
12 1 2 12 12 12 12 12 12 12 12 12 12
2
,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
12 12 12 12 12 12 12 12 12 12 12 12
1. Give primary care for healthy newborns.
12 12 12 12 12
2. Be educated in two disciplines of nursing.
12 12 12 12 12 12
3. Give primary care for high-risk clients who are in hospital settings.
12 12 12 12 12 12 12 12 12 12
4. Obtain a physician consultation for all technical procedures at delivery.
12 12 12 12 12 12 12 12 12
5. Be prepared to manage independently the care of women at low risk for complications duri
12 12 12 12 12 12 12 12 12 12 12 12 12 12
ng pregnancy and birth.
12 12 12
Answer: 1, 2, 5 1 2 12 12
Explanation: The CNM is prepared to manage independently the care of women at low risk fo
1 2 12 12 12 12 12 12 12 12 12 12 12 12 12 12
r complications during pregnancy and birth and the care of healthy newborns.
12 12 12 12 12 12 12 12 12 12 12
The CNM is educated in the disciplines of nursing and midwifery.
12 12 12 12 12 12 12 12 12 12
The CNM is prepared to manage independently the care of women at low risk for complicatio
12 12 12 12 12 12 12 12 12 12 12 12 12 12 12
ns during pregnancy and birth and the care of healthy newborns.
12 12 12 12 12 12 12 12 12 12
Page Ref: 3 12 12
Cognitive Level: Understanding 12 1 2
Client Need/Sub: Safe and Effective Care Environment/Management of Care
12 1 2 12 12 12 12 12 12
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
1 2 12 12 12 12 12 12 12 12 12 12 1
2a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast t
12 12 12 12 12 12 12 12 12 12 12 12 12
he roles and perspectives of the nursing profession with other care professionals on the health
12 12 12 12 12 12 12 12 12 12 12 12 12 12
care team (i.e. scope of discipline, education and licensure requirements) | NLN Competencie
12 12 12 12 12 12 12 12 12 12 12 12
s: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team m
12 12 12 12 12 12 12 12 12 12 12 12 12
embers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learn
12 12 12 12 12 12 12 12 12
ing Outcome: 1.1 Identify the nursing roles available to maternal-
12 1 2 12 12 12 12 12 12 12
newborn and pediatric nurses. 12 12 12
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
12 1 2 12 12 12 12 12 12 12 12 12 12
3
, 4) During the hospital admission process, a child's parent asks for information about famil
12 12 12 12 12 12 12 12 12 12 12 12
y- centered care. What should the nurse explain to this parent?
12 12 12 12 12 12 12 12 12 12
1. Mother is the principal caregiver in each family.
12 12 12 12 12 12 12
2. Father is the leader in each home; thus, all communications should include him.
12 12 12 12 12 12 12 12 12 12 12 12
3. Family serves as the constant influence and continuing support in the child's life.
12 12 12 12 12 12 12 12 12 12 12 12
4. Child's physician is the key person in ensuring the health of a child is maintaine
12 12 12 12 12 12 12 12 12 12 12 12 12 12
d. Answer: 3
12 1 2
Explanation: The foundation for the development of trusting relationships and partnerships wi
1 2 12 12 12 12 12 12 12 12 12 12
th families is the recognition that the family is the principal caregiver, knows the unique natu
12 12 12 12 12 12 12 12 12 12 12 12 12 12 12
re of each individual child best, plays the vital role of meeting the child's needs, and is respon
12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12
sible for ensuring each child's health.
12 12 12 12 12
Page Ref: 3 12 12
Cognitive Level: Applying 12 1 2
Client Need/Sub: Safe and Effective Care Environment/Management of Care
12 1 2 12 12 12 12 12 12
Standards: QSEN Competencies: I.B.3. Provide patient-
1 2 12 12 12 12
centered care with sensitivity and respect for the diversity of human experience | AACN Ess
12 12 12 12 12 12 12 12 12 12 12 12 12 12
ential Competencies: IX.5. Deliver compassionate, patient-centered, evidence-
12 12 12 12 12 12
based care that respects patient and family preferences | NLN Competencies: Relationship Ce
12 12 12 12 12 12 12 12 12 12 12 12
ntered Care; Knowledge; The role of family, culture, and community in a person's developme
12 12 12 12 12 12 12 12 12 12 12 12 12
nt | Nursing/Integrated Concepts: Nursing Process: Planning
12 12 12 12 12 12
Learning Outcome: 1.2 Summarize the use of community-
12 1 2 12 12 12 12 12
based nursing care in meeting the needs of childbearing and childrearing families.
12 12 12 12 12 12 12 12 12 12 12
MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
12 1 2 12 12 12 12 12 12 12 12 12 12 12
5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should t
12 12 12 12 12 12 12 12 12 12 12 12 12 12
he nurse do to encourage the family to consider enrolling the child in this program?
12 12 12 12 12 12 12 12 12 12 12 12 12 12
1. Assessment of the details of the family's income and expenditures
12 12 12 12 12 12 12 12 12
2. Case management to limit costly, unnecessary duplication of services
12 12 12 12 12 12 12 12
3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
12 12 12 12 12 12 12 12 12 12 12 12
4. Education of the family about the need for keeping regular well-
12 12 12 12 12 12 12 12 12 12
child visit appointments Answer: 3
12 12 12 1 2
Explanation: In the role of an advocate, a nurse will advance the interests of another by sugg
1 2 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12
esting the family investigate its CHIP eligibility.
12 12 12 12 12 12
Page Ref: 6 12 12
Cognitive Level: Applying 12 1 2
Client Need/Sub: Safe and Effective Care Environment/Management of Care
12 1 2 12 12 12 12 12 12
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of pa
1 2 12 12 12 12 12 12 12 12 12
tient centered care: information, communication, and education | AACN Essential Competenc
12 12 12 12 12 12 12 12 12 12
ies: V.12. Advocate for consumers and the nursing profession | NLN Competencies: Relationsh
12 12 12 12 12 12 12 12 12 12 12 12
ip Centered Care; Practice; Communicate information effectively; listen openly and cooperati
12 12 12 12 12 12 12 12 12 12
vely | Nursing/Integrated Concepts: Nursing Process: Implementation
12 12 12 12 12 12
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
12 1 2 12 12 12 12 12 12 12 12 12 12 12
access to health care.
12 12 12 12
MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to th
12 1 2 12 12 12 12 12 12 12 12 12 12 12 12 12 12
e childbearing family.
12 12
4
