Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman Test Bank

,Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman
Test Bank

Chapter 1

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 followinagb i rpb .rcionmc/ t ieps tles: 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.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7

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 d ise as e, 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 hist oarbyi r b.. cCo ma / nt e cs ter 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.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process

,Reference:p.12 v v




3. A nurse is conducting an orientation program for a group of newly hired nurses. As
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part of the program, the nurse is reviewing the issuea ob i rfb .icno fmo/ tre m
v v v v s t ed consent. The nurse v v v v v v v v v v v v v v v v v v




determines that the teaching was effective when the group identifies which situation
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as a violation of informed consent?
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A. Performingaprocedure ona15-year-oldwithout parental consent v v v v v v v v




B. Servingasawitnesstothesignature processonanoapbierbr.caotmiv/teest permit
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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 the
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spouse of a unconscious woman
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Answer:A v




Rationale: In most states, only clients over the age of 18 can legally provide consent for
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health care. Serving as a witness to the signature process, asking
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whethertheclientunderstandswhatsheissigning,andagbirebt.ctoi mn / gt esvt erbalconsentoverthe
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phone for emergency procedures are all key to informed consent and are not violations.
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Questionformat:Multiple Choice v v v




Chapter1:PerspectivesonMaternalandChildHealthCaabr i er b
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Cognitive Level: Analyze v v




ClientNeeds:Safe, Effective Care Environment: ManagementofCare
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Integrated Process: Nursing Process
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Reference:p.45 v v




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 wouabldirb.bcoem/ttehset
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responsibility of the nurse providing care to this woman?
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A. Askingrelevantquestions todetermine theclient's understanding
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B. Providinga detailed descriptionof the risks andbenefits of the procedure v v v v v v v v v v v



C. Explaining the exact steps that will occur during the pa rb oi rbc.ceo dm u/ terset v v v v v v v v v
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D. Offeringsuggestionsforalternativeoptions fortreatment v v v v v v




v Answer: A v




Rationale: The nurse's responsibilities related to informed consent include: Ensuring the
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consent form is completed with signatures from the client; serving as a witness tothe
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signatureprocess;anddeterminingwhetherthecalbiierbn.ctomu/tnesdt erstandswhatsheis signing
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by asking her pertinent questions. The physician, advanced practice nurse, or midwife
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is responsible for informing the client about the procedure and obtaining consent by
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providing a detailed description of the procedure or treatment, itspotentialrisksand
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benefits,andalternativemethodsa ab ivrba.ciolma/btelset .
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Question format: Multiple Choice v v v




Chapter1: Perspectives onMaternalandChild Health Care
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Cognitive Level: Apply
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ClientNeeds:Safe, Effective Care Environment:ManagementofCare
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, Integrated Process: Nursing Process v v v




Reference: p. 45
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5. A9-month-oldwithglaucomarequiressurgery.Theinabfiarbn.cto'ms/tepsat rents
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aredivorced.To obtain informedconsent,whichactionwould be most
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appropriate?
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A. Contactingthefather for informedconsent v v v v v




B. Obtaininginformed consentfrom the mother v v v v v




C. Seekinga court ruling on the course of care v v v v v v v v




D. Determiningsole orjoint custodybythe parents v v v v v v v




Answer: D
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Rationale: The most appropriate action would be to determine legal custody by court
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decree. If the parents have joint custody, then either parent may give consent,butitis
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always besttohaveconsentgivenbybaboi rtbh.copma/terset nts.Theparentwith only physical
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custody may give consent for emergency care. The last resort is getting a court ruling;
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usually this is not necessary unless the parents disagree about the care of the child.
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Questionformat: Multiple Choice v v v




Chapter 1: Perspectives onMaternaland ChildHealth Care
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Cognitive Level: Apply
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ClientNeeds:Safe,EffectiveCareEnvironment:Manageam
v birbe.cnotm/otefstCareIntegrated
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Process: Nursing Process
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Reference:p.47 v v




6. Whichstatementmadebyanursingstudentwouldbea bsirtb.cionmd/tiecsat tethat
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hereducation on family-centered care was fully understood?
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A. "Childbirthaffectsthe entirefamily, andrelationships willchange." v v v v v v v v




B. "Familiesareusuallynotcapableofmakinghealthcaarbei rbd. ceo mc/itseisot nsforthemselves,
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especially in stressful situations."
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C. "Mothersare the onlyfamilymember affected by childbirth." v v v v v v v v




D. "Since childbirth is a medical procedure, it may affect everyone."
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Answer: A
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Rationale: Childbirth affectsthe entire family, andrelatioabnirbs . hc oi mp / st es wt illchange. Childbirth
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is viewed as a normal life event, not a medical procedure. Families are very capable of
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making health care decisions about their own care with proper information and
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support.
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Question format: Multiple Choice v v v




Chapter1: Perspectives on Maternaland ChildHealth Care
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Cognitive Level: Apply
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Client Needs: Psychosocial Integrity
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Integrated Process: Nursing Process v v v




Reference: p. 15
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7. Which aspect of client wellnesshas not been afocusaobfi rbh.ceo ma/lttehs t
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duringthe21stcentury ? v v v v