Test Bank for Davis Advantage for Maternal Child Nursing Care 3rd Edition Scannell Chapter 1 - 33 Updated 2023

Davis Advantage for Maternal Child Nursing Care 3rd Edition Scannell Test Bank Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Continuum MULTIPLE CHOICE 1. A nurse wishes to improve their cultural sensitivity while working with patients. Which action by the nurse would best indicate progress toward this goal? A. Demonstrate good knowledge of different cultural health beliefs B. Effectively respond to the needs of people of different cultures C. Interact respectfully with patients who have differing health beliefs D. Recognize that they will never be the expert in other cultures ANS: C Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 13 Heading: Cultural Practices Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive Level: Analysis [Analyzing] Concept: Diversity; Critical Thinking Difficulty: Difficult Feedback A. Cultural competence is the ability to interact effectively with people of different cultures and requires a certain level of knowledge about those cultures. B. Cultural competence is the ability to interact effectively with people of different cultures and requires a certain level of knowledge about those cultures. C. Cultural sensitivity is a way of approaching people who hold health beliefs different from one’s own. A nurse with this characteristic is respectful of and open to others. D. Cultural humility is the recognition that one will never master all information about another culture. 2. A nurse manager is evaluating staff members on their cultural competence. Which action best demonstrates this characteristic? A. Attends workshops on cultural diversity and health practices B. Participates in community health events with minority populations C. Plans care with the family members within their cultural beliefs D. Uses family members as interpreters to make them feel importantANS: C Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 16 Heading: Table 1.2 Strategies and Measures to Improve Maternal Health Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive Level: Evaluation [Evaluating] Concept: Diversity; Critical Thinking Difficulty: Difficult Feedback A. Attending workshops is a good way to learn about diverse cultures, but this action is too limited in scope to demonstrate cultural competence. B. Participating in community events with diverse populations can increase cultural knowledge, but this action is too limited in scope to demonstrate cultural competence. C. The culturally sensitive nurse can understand and respond to the needs of individuals and families from different cultures. This nurse plans interventions with a solid knowledge of the values and practices of the members of the culture. Being open, listening to the family, and involving them in care demonstrates respect, unifies the nurse–patient relationship, and will motivate the patient (and family) to make positive health changes. D. Nurses should use professional interpreters when needed. 3. A patient wishes to use complementary therapy when managing a chronic health condition. Which action by the nurse is most appropriate? A. Advise the patient that stopping medical treatment may cause it to worsen. B. Inform the patient that there are no complementary therapies for this condition. C. Investigate herbs that can be substituted for prescription drugs. D. Suggest the patient add massage therapy to the medical regimen. ANS: D Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 18 Heading: Complementary and Alternative Therapies Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive Level: Analysis [Analyzing]Concept: Promoting Health Difficulty: Moderate Feedback A. Because the patient is asking about complementary therapy, there is no need to warn them of the effects of stopping treatment. B. There are always complementary therapies that can be added to a medical regimen. C. Substituting herbs for prescription medication is an example of alternative therapy. D. Complementary therapy is nontraditional medical treatment used together with conventional medical treatment. Adding massage to the medical regimen is an example of using complementary therapy. 4. A nurse is working with a family that uses multiple complementary and alternative medicine (CAM) modalities. What action by the nurse is best? A. Allow the family to continue these practices as desired. B. Assess how these practices reflect religious beliefs. C. Inform the family that most of these practices do not work. D. Provide evidence-based information about the therapies. ANS: D Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 18 Heading: Complementary and Alternative Therapies Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Concept: Family; Promoting Health Difficulty: Moderate Feedback A. Although the nurse cannot stop the family from using CAM, they should not pass up the opportunity to provide and discuss information about CAM. B. A culturally competent nurse will assess how religious and spiritual beliefs affect health-care practices, but the nurse needs to advocate for the patient/family by providing solid information. C. Many CAM practices have demonstrated benefit, so telling the family they don’t work is false information. D. The nurse working with individuals or families who use CAM practices should respect the beliefs, values, and desires of the patient. The nurse should encourage families to make decisions regarding CAM practices based on evidence and research into their effects. The nurse can best assist in this by providing anddiscussing information. 5. A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar. What action by the nurse will best promote effective communication? A. Call for a professional interpreter to translate information. B. Pattern voice tone and eye contact after the patient’s behaviors. C. Talk slowly and deliberately using simple language and cues. D. Use nonverbal communication as much as possible with the patient. ANS: B Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 13 Heading: Cultural Practices Integrated Processes: Communication and Documentation Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Diversity; Critical Thinking Difficulty: Difficult Feedback A. There is no indication that this patient does not speak English, so using an interpreter is inappropriate. B. In the situation where the nurse is unfamiliar with the patient’s culture, the nurse should pattern verbal and nonverbal communication after the patient’s own style. C. There is no indication that this patient does not speak English, so talking slowly using simple language is inappropriate. D. There is no indication that this patient does not speak English, so using mostly nonverbal communication is inappropriate. 6. A nurse manager expects all employees to be patient advocates. Which nursing action best demonstrates this nursing role? A. Arranging a family–physician conference to clarify treatment plans B. Encouraging treatment options based on personal beliefs and values C. Giving contact information for governmental assistance agencies D. Working on a political campaign to reduce poverty in the stateANS: A Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 17 Heading: Health Disparities Integrated Processes: Caring Client Need: Safe and Effective Care Environment – Management of Care Cognitive Level: Evaluation [Evaluating] Concept: Critical Thinking; Nursing Roles Difficulty: Difficult Feedback A. In the advocate role, the nurse should promote patient-/family-centered care and work to provide the patient with more control, power, and self-determination in the health-care setting. The nurse who arranges a family–physician conference to clarify treatment plans is advocating for the patient. B. The nurse advocate must ensure he or she is speaking for the patient and the patient’s desires, not inserting personal values and beliefs into the process. C. Giving contact information for assistance agencies is a way of demonstrating advocacy but is too limited in scope to be the best answer. D. Working on political campaigns is a way of demonstrating advocacy but is too limited in scope to be the best answer. 7. A patient and family have the nursing diagnosis of impaired verbal communication secondary to a language barrier. What action by the patient/family would best indicate that short-term goals for this diagnosis have been met? A. Able to communicate long-term desires for health of the patient B. Demonstrates comprehension by head nodding and saying “yes” C. States understanding of condition and treatment via an interpreter D. Understands how nonverbal communication varies between cultures ANS: C Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 14 Heading: Box 1-2 National Standards on Culturally and Linguistically Appropriate Services Integrated Processes: Communication and Documentation Client Need: Psychosocial Integrity Cognitive Level: Evaluation [Evaluating]Concept: Promoting Health Difficulty: Moderate Feedback A. Communicating long-term desires is a better long-term outcome for this diagnosis. B. Nodding the head and saying “yes” do not always indicate agreement, understanding, or approval. In some cultures, this behavior signifies respect. C. For a language barrier, using a professional interpreter is not only the best way to manage communication, it is also legally required. The best short-term goal for the patient and family is to obtain understanding of the patient’s illness and treatment and state, through the interpreter, that this is the case. D. Understanding the differences in nonverbal communication between cultures is not an appropriate short-term goal. 8. A nurse is working with family members who have been striving to improve their functioning as a family unit. What behavior would suggest to the nurse that the family is meeting its goals? A. The children are in multiple activities to develop talents. B. The desire to be understood guides most communication. C. Family members gave up some activities to eat dinner together on most nights. D. The parents have a strong desire for the children to succeed. ANS: C Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 13 Heading: Bowen Family Systems Theory Integrated Processes: Nursing Process: Evaluation Client Need: Psychosocial Integrity Cognitive Level: Evaluation [Evaluating] Concept: Family; Critical Thinking Difficulty: Difficult Feedback A. Children being involved in multiple activities often cuts into family time and can be disruptive. B. Communication should be guided by the desire to understand the other first, then to be understood. C. Effective tools for families include ways to enhance family performance. One very effective tool is to put the family first in this very chaotic world. Giving up some activities to eat dinner together shows the family is putting the unit first over individual desires. D. A strong desire for the children’s success does not guarantee successful familyfunctioning. 9. A nurse works a great deal with refugees and is frustrated because, as a group, they don’t seem to want to implement desired health behaviors. What action by the nurse would be most helpful? A. Conduct a health screening and educational event each month. B. Provide written information in the group’s native language. C. Teach selected group representatives to be lay health educators. D. Try to establish relationships within the refugee community. ANS: C Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 12