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