3. A nurse is conducting an orientation program for a group of newly hired nurses.
Ricci Kyle Carman Test Bank As part of the program, the nurse is reviewing the issue a ob i rfb .icnofmo/trem s t ed consent. The
nurse determines that the teaching was effective when the group identifies which
Chapter 1
situation as a violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
1. When integrating the principles of family-centered care into the birthing B. Serving as a witness to the signature process on an oapbi er br. caotmiv/ t eest permit
process, the nurse would base care upon which belief? C. Asking whether the client understands what she is signing following receiving
A. Birth is viewed as a medical event. education
B. Families are unable to make informed choices due to stress. D.Getting verbal consent over the phone for an emergeanbicrby.c opmr/ot ecstedure from the
C. Birth results in changes in relationships. spouse of a unconscious woman
D. Families require little information to make appropriate decisions for care.
Answer: A
Answer: C
Rationale: In most states, only clients over the age of 18 can legally provide
Rationale: Family-centered care is based on the followinagb i rpb.rcionmc/t iepstles: Birth affects consent for health care. Serving as a witness to the signature process, asking
the entire family, and relationships will change; birth is viewed as a normal, healthy whether the client understands what she is signing, a nd a gb i rebt.ctoimn/gt e svt erbal consent over
event in the life of the family; and families are capable of making decisions about the phone for emergency procedures are all key to informed consent and are not
their own care if given adequate information and professional support. violations.
Question format: Multiple Choice Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Chapter 1: Perspectives on Maternal and Child Health Caabr i er b
Cognitive Level: Apply Cognitive Level: Analyze
Client Needs: Health Promotion and Maintenance Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning Integrated Process: Nursing Process
Integrated Process: Caring Reference: p. 45
Reference: p. 7
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
2. The nurse is working with a group of community health members to develop her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset priority
a plan to address the special health needs of women. The group would design responsibility of the nurse providing care to this woman?
educational programs to address which priority condition? A. Asking relevant questions to determine the client's understanding
A. Smoking B. Providing a detailed description of the risks and benefits of the procedure
B. Heart disease C. Explaining the exact steps that will occur during the parbo i r bc.ceod
mu/t erset
C. Diabetes D. Offering suggestions for alternative options for treatment
D. Cancer
Answer: A
Answer: B
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
Rationale: The group needs to address cardiovascular dise as e, the number one cause the consent form is completed with signatures from the client; serving as a witness
of death in women regardless of racial or ethnic group. Smoking is related to heart to the signature process; and determining whether the calbii erbn.c to mu/tnesdt erstands what she
disease and the development of cancer. However, heart disease and cancer is signing by asking her pertinent questions. The physician, advanced practice
can occur in any woman regardless of her smoking hist oarbyir b..cComa/nt ecster is the second nurse, or midwife is responsible for informing the client about the procedure and
leading cause of death, with women having a one in three lifetime risk of obtaining consent by providing a detailed description of the procedure or treatment,
developing cancer. Diabetes is another important health condition that can affect its potential risks and benefits, and alternative methods a ab i v
r ba
. c iolm
a/bt elset .
women. However, it is not the major health problem that heart disease is. Question format: Multiple Choice
Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: Management of Care
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
, Integrated Process: Nursing Process A. Disease prevention
Reference: p. 45 B. Health promotion
C. Wellness
5. A 9-month-old with glaucoma requires surgery. The i nabfi arb n. c to'ms/t epsat D. Analysis of morbidity and mortality
rents are divorced. To obtain informed consent, which action would be
most appropriate? Answer: D
A. Contacting the father for informed consent
B. Obtaining informed consent from the mother Rationale: The focus on health has shifted to disease pr eabvireb.ncotmio/t n
e s,t health promotion,
C. Seeking a court ruling on the course of care and wellness. In the last century, much of the focus was on analyzing morbidity
D. Determining sole or joint custody by the parents and mortality rates.
Question format: Multiple Choice
Answer: D Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Rationale: The most appropriate action would be to determine legal custody by Client Needs: Health Promotion and Maintenance
court decree. If the parents have joint custody, then either parent may give Integrated Process: Nursing Process
consent, but it is always best to have consent given by baboirtbh.c opma/t erset nts. The parent Reference: , p. Health Status of Women and Children
with only physical custody may give consent for emergency care. The last resort is
getting a court ruling; usually this is not necessary unless the parents disagree 8. A nurse is planning a continuum of care for a client dua briirbn.cgomp/treest gnancy,
about the care of the child. labor, and childbirth. What is the most important factor in enhancing the
Question format: Multiple Choice birthing experience?
Chapter 1: Perspectives on Maternal and Child Health Care A. Adhering to strict specific routines
Cognitive Level: Apply B. Involving a pediatric physician
Client Needs: Safe, Effective Care Environment: Manageam b ir be.cnotm/otefst Care C. Educating the client about the importance of a suppora tb irp
b.e
corms/o
ten
st
Integrated Process: Nursing Process D. Assigning several nurses as a support team
Reference: p. 47
Answer: C
6. Which statement made by a nursing student would be a bsir tb. cionmd/ tiecs a
t te
Rationale: Educating the client about the importance of a support person during
that her education on family-centered care was fully understood?
labor and delivery has been shown to improve and enhance the birthing experience.
A. "Childbirth affects the entire family, and relationships will change."
Question format: Multiple Choice
B."Families are usually not capable of making health caarbei r bd.ceomc/itse is ot ns for themselves, Chapter 1: Perspectives on Maternal and Child Health Care
especially in stressful situations."
Cognitive Level: Remember
C. "Mothers are the only family member affected by childbirth." Client Needs: Health Promotion and Maintenance
D. "Since childbirth is a medical procedure, it may affect everyone." Integrated Process: Teaching/Learning
Reference: p. 5-7
Answer: A
9. The nurse is administering a number of therapeutic i natbeir br.vcoemn/t teisot ns for
Rationale: Childbirth affects the entire family, and relati oa bnir bs.hc oimp/st e swt ill change. neonates,infants, and children on the pediatric unit. Which intervention
Childbirth is viewed as a normal life event, not a medical procedure. Families are contributes to an increase in chronic illness seen in early childhood?
very capable of making health care decisions about their own care with proper A. Administering antibiotics to prevent lethal infections
information and support. B. Vaccinating children to prevent childhood diseases
Question format: Multiple Choice C. Using mechanical ventilation for premature infants
Chapter 1: Perspectives on Maternal and Child Health Care
D. Using corticosteroids as a treatment for asthma
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Answer: C
Integrated Process: Nursing Process
Reference: p. 15 Rationale: Using mechanical ventilation and medications to foster lung development
in premature infants increases their survival rate. Yet t haebi ribn.cfoamn/t tesst who survive are
7. Which aspect of client wellness has not been a focus aobfir bh.ceoma/lt tehs t often faced with myriad chronic illnesses. Administering antibiotics to prevent lethal
during the 21st century ?