,Introductory Maternity and Pediatric ll ll ll ll
Nursing 4thEdition Hatfield Test Bank ll l l l ll
Chapter 1:The Nurse's Role in a Changing Maternal–Child Health Care Environment
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MULTIPLE CHOICE jj
1. Whichprinciple ofteachingshould the nurse use to ensure learning in a familysituation?
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a. Motivate the familywith praise and positive feedback.
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b. Learning isbest accomplished withthe lecture format.
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c. Present complex subject material first while the familyis alert and readyto learn.
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d. Families should be taught using medical jargonso theywill be able to understand
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the technical language used by physicians.
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ANS: A j
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
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straight lecture, which tends to inhibit questions. Learning is enhanced when the teaching is
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
structured to present the simple tasks before the complex material. Even though a family may
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
understand English fairlywell, theymaynot understand the medical terminologyor slang terms
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that are used.
jj jj jj
PTS:1DIF: Cognitive Level: Application REF: 18, 19
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OBJ:Nursing Process Step:Planning MSC:Client Needs: HealthPromotion and Maintenance
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2. Which nursing intervention is an independent functionofthe nurse?
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a. Administering oralanalgesics jj
b. Requestingdiagnostic studies jj
c. Teaching the client perinealcare ll j jj j
d. Providingwound care to a surgical incision j jj jj jj jj jj
,ANS: C j
Nurses are now responsible for various independent functions, including teaching, counseling,
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jj and intervening in nonmedical problems. Interventions initiated bythe physician and carried out
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jj by the nurse are called dependent functions. Administrating oral analgesics is a dependent
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jj function; it is initiated bya physician and carried out bya nurse. Requesting diagnostic studies is
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jj a dependent function. Providing wound care is a dependent function; it is usuallyinitiated bythe
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jj physician through direct orders or protocol. jj jj jj jj jj
PTS:1 DIF: Cognitive Level: UnderstandingREF: 24 OBJ:
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jj Nursing Process Step: Assessment jj jj jj
MSC:Client Needs:Safe and Effective Care Environment
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3. Which most therapeutic response to the clients statement, Imafraid to have a cesarean birth
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jj should be made by the nurse? jj jj jj jj jj
a. Everythingwill be OK. j jj jj
b. Dontworryabout it. It will be over soon. j jj jj jj jj jj jj
c. What concerns you most about acesarean birth? jj jj jj jj jj j j
d. The physician will be in later and you can talk to him.
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ANS:C j
The response, What concerns you most about a cesarean birth focuses on what the client is
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jj saying and asks for clarification, which is the most therapeutic response. The response,
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jj Everything will be ok is belittling the clients feelings. The response, Dont worry about it. It
jj jj jj jj jj jj jj jj jj jj jj jj j jj jj
jj will be over soon will indicate thatthe clients feelings are not important.The response, The
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physician will be in later and you can talk to him does not allow the client to verbalize her
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jj feelings when she wishes to do that. jj jj jj jj jj jj
PTS:1DIF:Cognitive Level: ApplicationREF:18 OBJ:
j j j jj jj j jj
jj Nursing Process Step: Implementation jj jj jj
, MSC: Client Needs:Psychosocial Integrity
jj jj jj
4. Whichactionshouldthe nursetaketo evaluate the clients learningabout performing infant
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care?
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a. Demonstrate infant care procedures. j jj j
b. Allowthe client to verbalize the procedure. j jj jj jj jj jj
c. Routinelyassess the infant for cleanliness. jj jj jj jj
d. Observe the client as she performs the procedure. jj jj jj j jj j jj
ANS: D j
The clients correct performance ofthe procedure under the nurses supervision isthe best proofof
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her ability. Demonstration is an excellent teaching method, but not anevaluation method. During
jj jj jj jj j jj j j jj jj jj j jj jj
verbalization of the procedure, the nurse may not pick up on techniques that are incorrect. It is
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
not the best tool for evaluation. Routinely assessing the infant for cleanliness will not ensure
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
that the proper procedure is carried out. The nurse may miss seeing that unsafe techniques
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
j j being used. jj
PTS:1 DIF: Cognitive Level: ApplicationREF: 21
j j j jj jj j j
OBJ:Nursing Process Step:EvaluationMSC:Client Needs: Health Promotion and Maintenance
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5. Anurse is reviewingteachingand learningprinciples. Whichsituation 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. Ateacher who speaks verylittle Spanish is teaching a class of Hispanic students.
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c. Aclass is composed ofstudents ofvarious ages and educational backgrounds.
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d. An Asian nurseprovides nutritionalinformationtoa groupofpregnant Asian
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women. jj
ANS: D j
Nursing 4thEdition Hatfield Test Bank ll l l l ll
Chapter 1:The Nurse's Role in a Changing Maternal–Child Health Care Environment
jj jj j jj j jj jj jj j jj
MULTIPLE CHOICE jj
1. Whichprinciple ofteachingshould the nurse use to ensure learning in a familysituation?
j jj j j jj jj jj jj jj jj jj j j j
a. Motivate the familywith praise and positive feedback.
j j j jj j jj
b. Learning isbest accomplished withthe lecture format.
j j jj jj j jj jj
c. Present complex subject material first while the familyis alert and readyto learn.
jj j jj jj jj jj jj j jj jj jj
d. Families should be taught using medical jargonso theywill be able to understand
j jj jj jj jj j j jj jj j j jj
the technical language used by physicians.
jj jj jj jj jj jj
ANS: A j
Praise and positive feedback are particularly important when a family is trying to master a
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
frustrating task such as breastfeeding. A lively discussion stimulates more learning than a
jj jj jj jj jj jj jj jj jj jj jj jj jj
straight lecture, which tends to inhibit questions. Learning is enhanced when the teaching is
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
structured to present the simple tasks before the complex material. Even though a family may
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
understand English fairlywell, theymaynot understand the medical terminologyor slang terms
jj jj jj jj j jj jj jj jj jj jj
that are used.
jj jj jj
PTS:1DIF: Cognitive Level: Application REF: 18, 19
j j jj jj jj j j jj
OBJ:Nursing Process Step:Planning MSC:Client Needs: HealthPromotion and Maintenance
j jj j j j j jj j j j jj
2. Which nursing intervention is an independent functionofthe nurse?
jj jj jj j jj jj j jj
a. Administering oralanalgesics jj
b. Requestingdiagnostic studies jj
c. Teaching the client perinealcare ll j jj j
d. Providingwound care to a surgical incision j jj jj jj jj jj
,ANS: C j
Nurses are now responsible for various independent functions, including teaching, counseling,
jj jj jj jj jj jj jj jj jj jj
jj and intervening in nonmedical problems. Interventions initiated bythe physician and carried out
jj jj jj jj jj jj jj j jj jj jj jj
jj by the nurse are called dependent functions. Administrating oral analgesics is a dependent
jj jj jj jj jj jj jj jj jj jj jj jj
jj function; it is initiated bya physician and carried out bya nurse. Requesting diagnostic studies is
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj a dependent function. Providing wound care is a dependent function; it is usuallyinitiated bythe
jj jj jj j jj jj jj jj jj jj jj jj j jj j
jj physician through direct orders or protocol. jj jj jj jj jj
PTS:1 DIF: Cognitive Level: UnderstandingREF: 24 OBJ:
j j j j j j j jj
jj Nursing Process Step: Assessment jj jj jj
MSC:Client Needs:Safe and Effective Care Environment
j jj j jj jj jj jj
3. Which most therapeutic response to the clients statement, Imafraid to have a cesarean birth
j j j j j j j j j j jj jj j j
jj should be made by the nurse? jj jj jj jj jj
a. Everythingwill be OK. j jj jj
b. Dontworryabout it. It will be over soon. j jj jj jj jj jj jj
c. What concerns you most about acesarean birth? jj jj jj jj jj j j
d. The physician will be in later and you can talk to him.
jj j jj jj jj jj jj jj jj jj jj
ANS:C j
The response, What concerns you most about a cesarean birth focuses on what the client is
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj saying and asks for clarification, which is the most therapeutic response. The response,
jj jj jj jj jj jj jj jj jj jj jj jj
jj Everything will be ok is belittling the clients feelings. The response, Dont worry about it. It
jj jj jj jj jj jj jj jj jj jj jj jj j jj jj
jj will be over soon will indicate thatthe clients feelings are not important.The response, The
jj jj jj jj jj jj j jj jj jj jj jj j jj jj
physician will be in later and you can talk to him does not allow the client to verbalize her
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj feelings when she wishes to do that. jj jj jj jj jj jj
PTS:1DIF:Cognitive Level: ApplicationREF:18 OBJ:
j j j jj jj j jj
jj Nursing Process Step: Implementation jj jj jj
, MSC: Client Needs:Psychosocial Integrity
jj jj jj
4. Whichactionshouldthe nursetaketo evaluate the clients learningabout performing infant
j j j jj j jj jj jj j j jj j
care?
jj
a. Demonstrate infant care procedures. j jj j
b. Allowthe client to verbalize the procedure. j jj jj jj jj jj
c. Routinelyassess the infant for cleanliness. jj jj jj jj
d. Observe the client as she performs the procedure. jj jj jj j jj j jj
ANS: D j
The clients correct performance ofthe procedure under the nurses supervision isthe best proofof
jj jj jj jj j jj jj jj jj j jj j jj jj j
her ability. Demonstration is an excellent teaching method, but not anevaluation method. During
jj jj jj jj j jj j j jj jj jj j jj jj
verbalization of the procedure, the nurse may not pick up on techniques that are incorrect. It is
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
not the best tool for evaluation. Routinely assessing the infant for cleanliness will not ensure
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
that the proper procedure is carried out. The nurse may miss seeing that unsafe techniques
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
j j being used. jj
PTS:1 DIF: Cognitive Level: ApplicationREF: 21
j j j jj jj j j
OBJ:Nursing Process Step:EvaluationMSC:Client Needs: Health Promotion and Maintenance
j j j j j j jj jj j j jj
5. Anurse is reviewingteachingand learningprinciples. Whichsituation is most conducive to
jj j j j jj j jj j jj jj jj jj
learning?
jj
a. An auditorium is being used as a classroom for 300 students.
j j jj j jj j jj j jj jj
b. Ateacher who speaks verylittle Spanish is teaching a class of Hispanic students.
jj jj jj jj jj j jj jj jj j jj
c. Aclass is composed ofstudents ofvarious ages and educational backgrounds.
j jj jj jj j jj j jj jj jj jj
d. An Asian nurseprovides nutritionalinformationtoa groupofpregnant Asian
jj jj j j j j j j j jj
women. jj
ANS: D j
