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Ricci Chapter 2 - Test Bank - 4th Edition
Questions and Correct Answers/ Latest
Update / Already Graded
1. The nurse is providing care to a pregnant woman who speaks a
different language from that of
the nurse. When communicating with this client, the nurse
demonstrates best practice by which
action?
A. speaking to the client in a loud voice at a slow pace
B. standing close to the client while using a strong emphatic tone
C. having a family member communicate the information to the client
D. arranging for an interpreter to be present during any
communication
Ans: Answer: D
Rationale: The nurse should arrange for an interpreter when
communicating with a client who
speaks another language. Speaking loudly, standing close to
the client, and speaking
emphatically would be of little benefit if the client does not
understand the spoken language.
Additionally, it can be interpreted as threatening to the client.
Having a family member
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communicate the information to the client is inappropriate,
violates client confidentiality (if the
client has not given permission for that member to have the
information), and does not ensure
that the client will receive the correct information.
2. The nurse is caring for a 2-week-old newborn girl with a metabolic
disorder. Which activity
would deviate from the characteristics of family-centered care?
A. softening unpleasant information or prognoses
B. evaluating and changing the nursing plan of care
C. collaborating with the child and family as equals
D. showing respect for the family's beliefs and wishes
Ans: Answer: A
Rationale: Family-centered care requires that the nurse provide
open and honest information to
the child and family. It is inappropriate to soften unpleasant
information or prognoses.
Evaluating and changing the nursing plan of care to fit the
needs of the child and family,
collaborating with them as equals, and showing respect for
their beliefs and wishes are
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guidelines for family-centered care.
3. The nurse is providing home care for a 6-year-old girl with multiple
medical challenges.
Which activity would be considered the tertiary level of prevention?
A. arranging for a physical therapy session
B. teaching parents to administer albuterol
C. reminding parent to give a full course of antibiotics
D. giving a DTaP vaccination at the proper interval
Ans: Answer: A
Rationale: The tertiary level of prevention involves restorative,
rehabilitative, or quality of life
care such as arranging for a physical therapy session. Teaching
parents to administer albuterol
and reminding a parent to give the full course of antibiotics as
prescribed are part of the
secondary level of prevention, which focuses on diagnosis and
treatment of illness. Giving a
DTaP vaccination at the proper interval is an example of the
primary level of prevention, which
centers on health promotion and illness prevention.
All rights reserved © 2025/ 2026 |
Ricci Chapter 2 - Test Bank - 4th Edition
Questions and Correct Answers/ Latest
Update / Already Graded
1. The nurse is providing care to a pregnant woman who speaks a
different language from that of
the nurse. When communicating with this client, the nurse
demonstrates best practice by which
action?
A. speaking to the client in a loud voice at a slow pace
B. standing close to the client while using a strong emphatic tone
C. having a family member communicate the information to the client
D. arranging for an interpreter to be present during any
communication
Ans: Answer: D
Rationale: The nurse should arrange for an interpreter when
communicating with a client who
speaks another language. Speaking loudly, standing close to
the client, and speaking
emphatically would be of little benefit if the client does not
understand the spoken language.
Additionally, it can be interpreted as threatening to the client.
Having a family member
All rights reserved © 2025/ 2026 |
, Page |2
communicate the information to the client is inappropriate,
violates client confidentiality (if the
client has not given permission for that member to have the
information), and does not ensure
that the client will receive the correct information.
2. The nurse is caring for a 2-week-old newborn girl with a metabolic
disorder. Which activity
would deviate from the characteristics of family-centered care?
A. softening unpleasant information or prognoses
B. evaluating and changing the nursing plan of care
C. collaborating with the child and family as equals
D. showing respect for the family's beliefs and wishes
Ans: Answer: A
Rationale: Family-centered care requires that the nurse provide
open and honest information to
the child and family. It is inappropriate to soften unpleasant
information or prognoses.
Evaluating and changing the nursing plan of care to fit the
needs of the child and family,
collaborating with them as equals, and showing respect for
their beliefs and wishes are
All rights reserved © 2025/ 2026 |
, Page |3
guidelines for family-centered care.
3. The nurse is providing home care for a 6-year-old girl with multiple
medical challenges.
Which activity would be considered the tertiary level of prevention?
A. arranging for a physical therapy session
B. teaching parents to administer albuterol
C. reminding parent to give a full course of antibiotics
D. giving a DTaP vaccination at the proper interval
Ans: Answer: A
Rationale: The tertiary level of prevention involves restorative,
rehabilitative, or quality of life
care such as arranging for a physical therapy session. Teaching
parents to administer albuterol
and reminding a parent to give the full course of antibiotics as
prescribed are part of the
secondary level of prevention, which focuses on diagnosis and
treatment of illness. Giving a
DTaP vaccination at the proper interval is an example of the
primary level of prevention, which
centers on health promotion and illness prevention.
All rights reserved © 2025/ 2026 |
