Nursing 5th Edition Ricci x$ x$ x$ x$
Kyle Carman Test Bank x$ x$ x$
Maternity and Pediatric Nursing 5th Edition Ri x$ x$ x$ x$ x$ x$
cci Kyle Carman Test Bank x$ x$ x$ x$
Chapter 1 x$
1. When integrating the principles of family-
x$ x$ x$ x$ x$
centered care into the birthing process, the nurse would base care upo
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
n which belief? A. Birth is viewed as a medical event.
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
B. Families are unable to make informed choices due to stress.
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
C. Birth results in changes in relationships.
x$ x$ x$ x$ x$ x$
D. Families require little information to make appropriate decisions for care.
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
Answer: C x$
Rationale: Family- x$
centered care is based on the followinagbirpb.rcionmc/tiepstles: Birth affects the entire
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
family, and relationships will change; birth is viewed as a normal, healthy event i
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
n the life of the family; and families are capable of making decisions about their
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
own care if given adequate information and professional support.
x$ x$ x$ x$ x$ x$ x$ x$
Question format: Multiple Choice
x$ x$ x$
Chapter 1: Perspectives on Maternal and Child Health Car
x$ x$ x$ x$ x$ x$ x$ x$
e Cognitive Level: Apply
x$ x$ x$
Client Needs: Health Promotion and Maintenanc
x$ x$ x$ x$ x$
e Integrated Process: Teaching/Learning Integr
x$ x$ x$ x$
ated Process: Caring
x$ x$
Reference: p. 7 x$ x$
,2. The nurse is working with a group of community health members to deve
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
lop a plan to address the special health needs of women. The group would
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
design educational programs to address which priority condition?
x$ x$ x$ x$ x$ x$ x$
A. Smoking
B. Heart disease x$
C. Diabetes
D. Cancer x
Answer:
$ x$
B
Rationale: The group needs to address cardiovascular di s e a s e , th e number on
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
e cause of death in women regardless of racial or ethnic group. Smoking is rela
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
ted to heart disease and the development of cancer. However, heart disease and ca
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
o r y . C an c
ncer can occur in any woman regardless of her smoking hist a b irb .c om / te st
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
er is the
x$ x$
second leading cause of death, with women having a one in three lifetime risk of
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
,developing cancer. Diabetes is another important health condition that can affect
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
women. However, it is not the major health problem that heart disease is.
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
Question format: Multiple Choicex$ x$ x$
Chapter 1: Perspectives on Maternal and Child Health Car
x$ x$ x$ x$ x$ x$ x$ x$
e Cognitive Level: Apply
x$ x$ x$
Client Needs: Health Promotion and Maintenance Integrat
x$ x$ x$ x$ x$ x$
ed Process: Nursing Process
x$ x$ x$
Reference: p. 12 x$ x$
3. A nurse is conducting an orientation program for a group of newly hired nurs
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
es. As part of the program, the nurse is reviewing the issueaobirfb.icnofmo/tremst e
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
d consent. The nurse determines that the teaching was effective when the grou
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
p identifies which situation as a violation of informed consent?
x$ x$ x$ x$ x$ x$ x$ x$ x$
A. Performing a procedure on a 15-year-old without parental consent
x$ x$ x$ x$ x$ x$ x$ x$
B. Serving as a witness to the signature process on an oapbier br.caotmiv/ tees t permit
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
x$ x$ x$ x $
C. Asking whether the client understands what she is signing following receivin
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
g education
x$
D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from th
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
e spouse of a unconscious woman
x$ x$ x$ x$ x$
Answer: A x$
Rationale: In most states, only clients over the age of 18 can legally provide conse
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
nt for health care. Serving as a witness to the signature process, asking
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
whether the client understands what she is signing, andagbirebt.ctoimn/gtesvt erbal co
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
nsent over the phone for emergency procedures are all key to informed consent
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
and are not violations.
x$ x$ x$
Question format: Multiple Choice x$ x$ x$
Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cogni
x$ x$ x$ x$ x$ x$ x$ x$ x$
tive Level: Analyze
x$ x$
Client Needs: Safe, Effective Care Environment: Management of Car
x$ x$ x$ x$ x$ x$ x$ x$
e Integrated Process: Nursing Process
x$ x$ x$ x$
Reference: p. 45 x$ x$
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset
x$ x$ x$ x$ x$ x$ x$ x$
priority responsibility of the nurse providing care to this woman?
x$ x$ x$ x$ x$ x$ x$ x$ x$
A. Asking relevant questions to determine the client's understanding
x$ x$ x$ x$ x$ x$ x$
, B. Providing a detailed description of the risks and benefits of the procedure
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
C. Explaining the exact steps that will occur during the parboirbc.ceodmu/terset D. Off
x $ x $ x $ x $ x $ x $ x $ x $ x $
x $
x$
ering suggestions for alternative options for treatment
x$ x$ x$ x$ x$ x$
Answer: A x$
Rationale: The nurse's responsibilities related to informed consent include: Ensurin
x$ x$ x$ x$ x$ x$ x$ x$ x$
g the consent form is completed with signatures from the client; serving as a wit
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
ness to the signature process; and determining whether the calbiier bn.cto mu/tne sdt e
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
rstands what she is signing by asking her pertinent questions. The physician, adv
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
anced practice nurse, or midwife is responsible for informing the client about the pr
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
ocedure and obtaining consent by providing a detailed description of the procedu
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
re or treatment, its potential risks and benefits, and alternative methods aabivrba.ciolm
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
a/btelset
.
Question format: Multiple Choice x$ x$ x$
Chapter 1: Perspectives on Maternal and Child Health Car
x$ x$ x$ x$ x$ x$ x$ x$
e Cognitive Level: Apply
x$ x$ x$
Client Needs: Safe, Effective Care Environment: Management of Care
x$ x$ x$ x$ x$ x$ x$ x$
Integrated Process: Nursing Process x$ x$ x$ x$
Reference: p. 45 x$ x$
5. A 9-month- x$
old with glaucoma requires surgery. The inabfiarbn.cto'ms/tepsat rents
x$ x$ x$ x$ x$ x$ x$ x$
are divorced. To obtain informed consent, which action would be
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
most appropriate? x$
A. Contacting the father for informed consent x$ x$ x$ x$ x$
B. Obtaining informed consent from the mother x$ x$ x$ x$ x$
C. Seeking a court ruling on the course of care
x$ x$ x$ x$ x$ x$ x$ x$
D. Determining sole or joint custody by the parents x$ x$ x$ x$ x$ x$ x$
Answer: D x$
Rationale: The most appropriate action would be to determine legal custody by
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
court decree. If the parents have joint custody, then either parent may give co
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
nsent, but it is always best to have consent given by ba boi rtbh. c opma/ t erset nts. Th
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
x$ x$ x$ x$ x$ x$ x$
x$
e parent with only physical custody may give consent for emergency care. The
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
last resort is
x$ x$
getting a court ruling; usually this is not necessary unless the parents disagree abo
x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$ x$
ut the care of the child.
x$ x$ x$ x$ x$