INTRODUCTORY MATERNITY AND
PEDIATRIC NURSING 4TH EDITION
HATFIELD TEST BANK
,Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
MULTIPLE CHOICE
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
a. Motivate the family with praise and positive feedback.
b. Learning is best accomplished with the lecture format.
c. Present complex subject material first while the family is alert and ready to learn.
d. Families should be taught using medical jargon so they will be able to understand
the technical language used by physicians.
ANS: A
Praise and positive feedback are particularly important when a family is trying to master a
frustrating task such as breastfeeding. A lively discussion stimulates more learning than a
straight lecture, which tends to inhibit questions. Learning is enhanced when the teaching is
structured to present the simple tasks before the complex material. Even though a family may
understand English fairly well, they may not understand the medical terminology or slang terms
that are used.
PTS: 1 DIF: Cognitive Level: Application REF: 18, 19
OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance
2. Which nursing intervention is an independent function of the nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the client perineal care
d. Providing wound care to a surgical incision
,ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling,
and intervening in nonmedical problems. Interventions initiated by the physician and carried out
by the nurse are called dependent functions. Administrating oral analgesics is a dependent
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is
a dependent function. Providing wound care is a dependent function; it is usually initiated by the
physician through direct orders or protocol.
PTS: 1 DIF: Cognitive Level: Understanding REF: 24
OBJ: Nursing Process Step: Assessment
MSC: Client Needs: Safe and Effective Care Environment
3. Which most therapeutic response to the clients statement, Im afraid to have a cesarean birth
should be made by the nurse?
a. Everything will be OK.
b. Dont worry about it. It will be over soon.
c. What concerns you most about a cesarean birth?
d. The physician will be in later and you can talk to him.
ANS: C
The response, What concerns you most about a cesarean birth focuses on what the client is
saying and asks for clarification, which is the most therapeutic response. The response,
Everything will be ok is belittling the clients feelings. The response, Dont worry about it. It will
be over soon will indicate that the clients feelings are not important. The response, The physician
will be in later and you can talk to him does not allow the client to verbalize her feelings when
she wishes to do that.
PTS: 1 DIF: Cognitive Level: Application REF: 18
OBJ: Nursing Process Step: Implementation
, MSC: Client Needs: Psychosocial Integrity
4. Which raction rshould rthe rnurse rtake rto revaluate rthe rclients rlearning rabout rperforming
rinfant rcare?
a. Demonstrate rinfant rcare rprocedures.
b. Allow rthe rclient rto rverbalize rthe rprocedure.
c. Routinely rassess rthe rinfant rfor rcleanliness.
d. Observe rthe rclient ras rshe rperforms rthe rprocedure.
ANS: rD
The rclients rcorrect rperformance rof rthe rprocedure runder rthe rnurses rsupervision ris rthe rbest
rproof rof rher rability. rDemonstration ris ran rexcellent rteaching rmethod, rbut rnot ran revaluation
rmethod. rDuring rverbalization rof rthe rprocedure, rthe rnurse rmay rnot rpick rup ron rtechniques
rthat rare rincorrect. rIt ris rnot rthe rbest rtool rfor revaluation. rRoutinely rassessing rthe rinfant rfor
rcleanliness rwill rnot rensure rthat rthe rproper rprocedure ris rcarried rout. rThe rnurse rmay rmiss
rseeing rthat runsafe rtechniques rbeing r used.
PTS: r1 rDIF: rCognitive rLevel: rApplication rREF: r21
OBJ: rNursing rProcess rStep: rEvaluation rMSC: rClient rNeeds: rHealth rPromotion rand
rMaintenance
5. A rnurse ris rreviewing rteaching rand rlearning rprinciples. rWhich rsituation ris rmost
rconducive rto rlearning?
a. An rauditorium ris rbeing rused ras ra rclassroom rfor r300 rstudents.
b. A rteacher rwho rspeaks rvery rlittle rSpanish ris rteaching ra rclass rof rHispanic rstudents.
c. A rclass ris rcomposed rof rstudents rof rvarious rages rand reducational rbackgrounds.
d. An rAsian rnurse rprovides rnutritional rinformation rto ra rgroup rof rpregnant
rAsian rwomen.
ANS: rD
PEDIATRIC NURSING 4TH EDITION
HATFIELD TEST BANK
,Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
MULTIPLE CHOICE
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
a. Motivate the family with praise and positive feedback.
b. Learning is best accomplished with the lecture format.
c. Present complex subject material first while the family is alert and ready to learn.
d. Families should be taught using medical jargon so they will be able to understand
the technical language used by physicians.
ANS: A
Praise and positive feedback are particularly important when a family is trying to master a
frustrating task such as breastfeeding. A lively discussion stimulates more learning than a
straight lecture, which tends to inhibit questions. Learning is enhanced when the teaching is
structured to present the simple tasks before the complex material. Even though a family may
understand English fairly well, they may not understand the medical terminology or slang terms
that are used.
PTS: 1 DIF: Cognitive Level: Application REF: 18, 19
OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance
2. Which nursing intervention is an independent function of the nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the client perineal care
d. Providing wound care to a surgical incision
,ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling,
and intervening in nonmedical problems. Interventions initiated by the physician and carried out
by the nurse are called dependent functions. Administrating oral analgesics is a dependent
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is
a dependent function. Providing wound care is a dependent function; it is usually initiated by the
physician through direct orders or protocol.
PTS: 1 DIF: Cognitive Level: Understanding REF: 24
OBJ: Nursing Process Step: Assessment
MSC: Client Needs: Safe and Effective Care Environment
3. Which most therapeutic response to the clients statement, Im afraid to have a cesarean birth
should be made by the nurse?
a. Everything will be OK.
b. Dont worry about it. It will be over soon.
c. What concerns you most about a cesarean birth?
d. The physician will be in later and you can talk to him.
ANS: C
The response, What concerns you most about a cesarean birth focuses on what the client is
saying and asks for clarification, which is the most therapeutic response. The response,
Everything will be ok is belittling the clients feelings. The response, Dont worry about it. It will
be over soon will indicate that the clients feelings are not important. The response, The physician
will be in later and you can talk to him does not allow the client to verbalize her feelings when
she wishes to do that.
PTS: 1 DIF: Cognitive Level: Application REF: 18
OBJ: Nursing Process Step: Implementation
, MSC: Client Needs: Psychosocial Integrity
4. Which raction rshould rthe rnurse rtake rto revaluate rthe rclients rlearning rabout rperforming
rinfant rcare?
a. Demonstrate rinfant rcare rprocedures.
b. Allow rthe rclient rto rverbalize rthe rprocedure.
c. Routinely rassess rthe rinfant rfor rcleanliness.
d. Observe rthe rclient ras rshe rperforms rthe rprocedure.
ANS: rD
The rclients rcorrect rperformance rof rthe rprocedure runder rthe rnurses rsupervision ris rthe rbest
rproof rof rher rability. rDemonstration ris ran rexcellent rteaching rmethod, rbut rnot ran revaluation
rmethod. rDuring rverbalization rof rthe rprocedure, rthe rnurse rmay rnot rpick rup ron rtechniques
rthat rare rincorrect. rIt ris rnot rthe rbest rtool rfor revaluation. rRoutinely rassessing rthe rinfant rfor
rcleanliness rwill rnot rensure rthat rthe rproper rprocedure ris rcarried rout. rThe rnurse rmay rmiss
rseeing rthat runsafe rtechniques rbeing r used.
PTS: r1 rDIF: rCognitive rLevel: rApplication rREF: r21
OBJ: rNursing rProcess rStep: rEvaluation rMSC: rClient rNeeds: rHealth rPromotion rand
rMaintenance
5. A rnurse ris rreviewing rteaching rand rlearning rprinciples. rWhich rsituation ris rmost
rconducive rto rlearning?
a. An rauditorium ris rbeing rused ras ra rclassroom rfor r300 rstudents.
b. A rteacher rwho rspeaks rvery rlittle rSpanish ris rteaching ra rclass rof rHispanic rstudents.
c. A rclass ris rcomposed rof rstudents rof rvarious rages rand reducational rbackgrounds.
d. An rAsian rnurse rprovides rnutritional rinformation rto ra rgroup rof rpregnant
rAsian rwomen.
ANS: rD
