Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman Test Bank

Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman Test Bank Chapter 1 1. When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief? A. Birth is viewed as a medical event. B. Families are unable to make informed choices due to stress. C. Birth results in changes in relationships. D. Families require little information to make appropriate decisions for care. Answer: C Rationale: Family-centered care is based on the followinagbi rpb .rcionmc/ tieps tles: Birth affects the entire family, and relationships will change; birth is viewed as a normal, healthy event in the life of the family; and families are capable of making decisions about their own care if given adequate information and professional support. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Integrated Process: Caring Reference: p. 7 2. The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which priority condition? A. Smoking B. Heart disease C. Diabetes D. Cancer Answer: B Rationale: The group needs to address cardiovascular d ise as e, the number one cause of death in women regardless of racial or ethnic group. Smoking is related to heart disease and the development of cancer. However, heart disease and cancer can occur in any woman regardless of her smoking histoarbyi rb..cComa/nt e cs ter is the second leading cause of death, with women having a one in three lifetime risk of developing cancer. Diabetes is another important health condition that can affect women. However, it is not the major health problem that heart disease is. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process For more test banks Reference: p. 12 3. A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program, the nurse is reviewing the issuea ob i rfb .icno fmo/ tre ms t ed consent. The nurse determines that the teaching was effective when the group identifies which situation as a violation of informed consent? A. Performing a procedure on a 15-year-old without parental consent B. Serving as a witness to the signature process on an o ap bie rb r .ca o t miv /tee st permit C. Asking whether the client understands what she is signing following receiving education D. Getting verbal consent over the phone for an em er g eanb icr by. c opmr/ot ecs te d ure from the spouse of a unconscious woman Answer: A Rationale: In most states, only clients over the age of 18 can legally provide consent for health care. Serving as a witness to the signature process, asking whether the client understands what she is signing, andagb ireb t.c to imn/gtesvt erbal consent over the phone for emergency procedures are all key to informed consent and are not violations. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Caabrier b Cognitive Level: Analyze Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Nursing Process Reference: p. 45 4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her fetus. To ensure informed consent, which action responsibility of the nurse providing care to this woman? priority A. Asking relevant questions to determine the client's understanding B. Providing a detailed description of the risks and benefits of the procedure C. Explaining the exact steps that will occur during the p a r b o i rbc .ce o d m u / te r se t D. Offering suggestions for alternative options for treatment Answer: A Rationale: The nurse's responsibilities related to informed consent include: Ensuring the consent form is completed with signatures from the client; serving as a witness to the signature process; and determining whether the calbi is signing by asking her pertinent questions. The physician, advanced practice nurse, or midwife is responsible for informing the client about the procedure and obtaining consent by providing a detailed description of the procedure or treatment, its potential risks and benefits, and alternative methods aa biv r ba .c i o l ma /b te l se t . Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: Management of Care For more test banks Integrated Process: Nursing Process Reference: p. 45 5. A 9-month-old with glaucoma requires surgery. The ina bfiar 'ms/ tepsat rents are divorced. To obtain informed consent, which action would be most appropriate? A. Contacting the father for informed consent B. Obtaining informed consent from the mother C. Seeking a court ruling on the course of care D. Determining sole or joint custody by the parents Answer: D Rationale: The most appropriate action would be to determine legal custody by court decree. If the parents have joint custody, then either parent may give consent, but it is always best to have consent given by b a bo ir t bh. c op ma / t er se t nts. The parent 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 about the care of the child. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: M Integrated Process: Nursing Process Reference: p. 47 6. Which statement made by a nursingstudent would be a bs ir t b.c i on md /t i ec sa t te that her education on family-centered care was fully understood? A. "Childbirth affects the entire family, and relationships will change." B. "Families are usually not capable of making health caarbeirbd. ceo mc/itseisot ns for themselves, especially in stressful situations." C. "Mothers are the only family member affected by childbirth." D. "Since childbirth is a medical procedure, it may affect everyone." Answer: A Rationale: Childbirth affects the entire family, and relatioa bnir oi mp/st eswt ill change. Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable of making health care decisions about their own care with proper information and support. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Psychosocial Integrity Integrated Process: Nursing Process Reference: p. 15