NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1
Reference
Ch. 1 — Roles in Maternal–Child and Pediatric Nursing
Stem
A newly hired pediatric nurse is assigned to a family with a 6-
year-old admitted for asthma exacerbation. The nurse notices
the parents ask many questions and prefer to be present for all
care. Which nursing role best describes the nurse’s priority
when coordinating care and teaching for this child and family?
A. Care provider — perform all treatments and limit family
presence to avoid interference.
B. Care manager — coordinate interdisciplinary care, involve
,family in planning, and ensure safe transitions.
C. Researcher — collect data for a future study on asthma
management.
D. Policy-maker — revise unit policies to prevent parental
presence during procedures.
Correct Answer
B. Care manager — coordinate interdisciplinary care, involve
family in planning, and ensure safe transitions.
Rationale — Correct (3–4 sentences)
As care manager, the nurse organizes and coordinates
interdisciplinary services, centers care on family preferences,
and plans safe transitions home—actions that reduce risk of
readmission and support adherence. In pediatric settings,
engaging caregivers improves inhaler technique, symptom
recognition, and emergency planning, directly improving safety.
This role balances direct care with system-level coordination to
prevent adverse outcomes.
Rationale — Incorrect
A. Limits family presence, which can undermine family-centered
care and decrease adherence.
C. Researcher role is inappropriate as the immediate priority is
safe clinical coordination, not data collection.
D. Policy-maker isn’t the nurse’s immediate role at bedside;
changing policies during a single admission delays patient-
centered care.
,Teaching Point (≤20 words)
Care managers coordinate interdisciplinary care and involve
families to improve safety and continuity.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
2
Reference
Ch. 1 — Legalities and Ethics
Stem
During a postpartum assessment, a nurse suspects intimate
partner violence (IPV) when the mother shows bruising and
avoids eye contact while stating “I fell.” The mother asks the
nurse not to report anything. What should the nurse do first?
A. Respect confidentiality and document the mother's
statement without notifying anyone.
B. Immediately notify child protective services only.
C. Conduct a private, nonjudgmental safety assessment and
explain mandatory reporting limits.
D. Confront the partner in the room to obtain a truthful
account.
Correct Answer
C. Conduct a private, nonjudgmental safety assessment and
explain mandatory reporting limits.
, Rationale — Correct (3–4 sentences)
The nurse must first assess safety privately, establish trust, and
clarify legal obligations. Many jurisdictions require mandatory
reporting for suspected abuse or when dependent children or
neonates are at risk; explaining reporting limits supports
informed decision-making and preserves therapeutic
relationship. This approach prioritizes immediate safety while
preparing for required notifications if risk is confirmed.
Rationale — Incorrect
A. Fails to address safety and may violate mandatory reporting
laws.
B. Notifying CPS immediately without a private assessment can
breach trust and miss immediate safety planning.
D. Confronting the partner risks escalation and jeopardizes
safety; never confront an alleged abuser in the patient's
presence.
Teaching Point (≤20 words)
Assess safety privately, explain reporting duties, and prioritize
immediate protection of mother and infant.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
3