Hatfield Test Bank//ALL CHAPTERS COVERED
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Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
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MULTIPLE CHOICE f
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
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a. Motivate the family with praise and positive feedback. f f f f f f f
b. Learning is best accomplished with the lecture format. f f f f f f f
c. Present complex subject material first while the family is alert and ready to learn.
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d. Families should be taught using medical jargon so they will be able to understand
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the technical language used by physicians.
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ANS: A f
Praise and positive feedback are particularly important when a family is trying to master a
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frustrating task such as breastfeeding. A lively discussion stimulates more learning than a straight
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lecture, which tends to inhibit questions. Learning is enhanced when the teaching is structured to
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present the simple tasks before the complex material. Even though a family may understand
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English fairly well, they may not understand the medical terminology or slang terms that are used.
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PTS: 1 DIF: Cognitive Level: Application REF: 18, 19
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OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance
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2. Which nursing intervention is an independent function of the nurse?
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a. Administering oral analgesics f f
b. Requesting diagnostic studies f f
c. Teaching the client perineal care f f f f
d. Providing wound care to a surgical incision f f f f f f
,ANS: C f
Nurses are now responsible for various independent functions, including teaching, counseling,
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and intervening in nonmedical problems. Interventions initiated by the physician and carried out
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by the nurse are called dependent functions. Administrating oral analgesics is a dependent
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function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a
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dependent function. Providing wound care is a dependent function; it is usually initiated by the
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physician through direct orders or protocol.
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PTS: 1 DIF: Cognitive Level: Understanding REF: 24
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OBJ: Nursing Process Step: Assessment
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MSC: Client Needs: Safe and Effective Care Environment
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3. Which most therapeutic response to the clients statement, Im afraid to have a cesarean birth
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should be made by the nurse?
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a. Everything will be OK. f f f
b. Dont worry about it. It will be over soon. f f f f f f f f
c. What concerns you most about a cesarean birth? f f f f f f f
d. The physician will be in later and you can talk to him.
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ANS: C f
The response, What concerns you most about a cesarean birth focuses on what the client is saying
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and asks for clarification, which is the most therapeutic response. The response, Everything will
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be ok is belittling the clients feelings. The response, Dont worry about it. It will be over soon will
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indicate that the clients feelings are not important. The response, The physician will be in later and
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f you can talk to him does not allow the client to verbalize her feelings when she wishes to do that.
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PTS: 1 DIF: Cognitive Level: Application REF: 18 OBJ:
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Nursing Process Step: Implementation
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, MSC: Client Needs: Psychosocial Integrity
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4. Which action should the nurse take to evaluate the clients learning about performing infant
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f care?
a. Demonstrate infant care procedures. f f f
b. Allow the client to verbalize the procedure.f f f f f f
c. Routinely assess the infant for cleanliness. f f f f f
d. Observe the client as she performs the procedure. f f f f f f f
ANS: D f
The clients correct performance of the procedure under the nurses supervision is the best proof of
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her ability. Demonstration is an excellent teaching method, but not an evaluation method. During
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verbalization of the procedure, the nurse may not pick up on techniques that are incorrect. It is not
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the best tool for evaluation. Routinely assessing the infant for cleanliness will not ensure that the
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proper procedure is carried out. The nurse may miss seeing that unsafe techniques being used.
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PTS: 1 DIF: Cognitive Level: Application REF: 21
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OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Health Promotion and Maintenance
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5. A nurse is reviewing teaching and learning principles. Which situation is most conducive to
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learning?
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a. An auditorium is being used as a classroom for 300 students.
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b. A teacher who speaks very little Spanish is teaching a class of Hispanic students.
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c. A class is composed of students of various ages and educational backgrounds.
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d. An Asian nurse provides nutritional information to a group of pregnant Asian
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women. f
ANS: D f