PEDIATRIC NURSING 4TH EDITION
HATFIELD TEST BANK
,Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
MULTIPLE CHOICE
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
a. Motivate the family with praise and positive feedback.
b. Learning is best accomplished with the lecture format.
c. Present complex subject material first while the family is alert and ready to learn.
d. Families should be taught using medical jargon so they will be able to understand
the technical language used by physicians.
ANS: A
Praise and positive feedback are particularly ‘important ‘when ‘a ‘family ‘is ‘trying ‘to ‘master ‘a
‘frustrating ‘task ‘such ‘as ‘breastfeeding. ‘A ‘lively ‘discussion ‘stimulates ‘more ‘learning ‘than ‘a
‘straight ‘lecture, ‘which ‘tends ‘to ‘inhibit ‘questions. ‘Learning ‘is ‘enhanced ‘when ‘the ‘teaching
‘is ‘structured ‘to ‘present ‘the ‘simple ‘tasks ‘before ‘the ‘complex ‘material. ‘Even ‘though ‘a ‘family
‘may ‘understand ‘English ‘fairly ‘well, ‘they ‘may ‘not ‘understand ‘the ‘medical ‘terminology ‘or
‘slang ‘terms ‘that ‘are ‘used.
PTS: ‘1 ‘DIF: ‘Cognitive ‘Level: ‘Application ‘REF: ‘18, ‘19
OBJ: ‘Nursing ‘Process ‘Step: ‘Planning ‘MSC: ‘Client ‘Needs: ‘Health ‘Promotion ‘and ‘Maintenance
2. Which ‘nursing ‘intervention ‘is ‘an ‘independent ‘function ‘of ‘the ‘nurse?
a. Administering ‘oral ‘analgesics
b. Requesting ‘diagnostic ‘studies
c. Teaching ‘the ‘client ‘perineal ‘care
d. Providing ‘wound ‘care ‘to ‘a ‘surgical ‘incision
,ANS: ‘C
Nurses ‘are ‘now ‘responsible ‘for ‘various ‘independent ‘functions, ‘including ‘teaching,
‘counseling, ‘and ‘intervening ‘in ‘nonmedical ‘problems. ‘Interventions ‘initiated ‘by ‘the ‘physician
‘and ‘carried ‘out ‘by ‘the ‘nurse ‘are ‘called ‘dependent ‘functions. ‘Administrating ‘oral ‘analgesics
‘is ‘a ‘dependent ‘function; ‘it ‘is ‘initiated ‘by ‘a ‘physician ‘and ‘carried ‘out ‘by ‘a ‘nurse. ‘Requesting
‘diagnostic ‘studies ‘is ‘a ‘dependent ‘function. ‘Providing ‘wound ‘care ‘is ‘a ‘dependent ‘function; ‘it
‘is ‘usually ‘initiated ‘by ‘the ‘physician ‘through ‘direct ‘orders ‘or ‘protocol.
PTS: ‘1 ‘DIF: ‘Cognitive ‘Level: ‘Understanding ‘REF:
‘24 ‘OBJ: ‘Nursing ‘Process ‘Step: ‘Assessment
MSC: ‘Client ‘Needs: ‘Safe ‘and ‘Effective ‘Care ‘Environment
3. Which ‘most ‘therapeutic ‘response ‘to ‘the ‘clients ‘statement, ‘Im ‘afraid ‘to ‘have ‘a ‘cesarean
‘birth ‘should ‘be ‘made ‘by ‘the ‘nurse?
a. Everything ‘will ‘be ‘OK.
b. Dont ‘worry ‘about ‘it. ‘It ‘will ‘be ‘over ‘soon.
c. What ‘concerns ‘you ‘most ‘about ‘a ‘cesarean ‘birth?
d. The ‘physician ‘will ‘be ‘in ‘later ‘and ‘you ‘can ‘talk ‘to ‘him.
ANS: ‘C
The ‘response, ‘What ‘concerns ‘you ‘most ‘about ‘a ‘cesarean ‘birth ‘focuses ‘on ‘what ‘the ‘client ‘is
‘saying ‘and ‘asks ‘for ‘clarification, ‘which ‘is ‘the ‘most ‘therapeutic ‘response. ‘The ‘response,
‘Everything ‘will ‘be ‘ok ‘is ‘belittling ‘the ‘clients ‘feelings. ‘The ‘response, ‘Dont ‘worry ‘about ‘it. ‘It
‘will ‘be ‘over ‘soon ‘will ‘indicate ‘that ‘the ‘clients ‘feelings ‘are ‘not ‘important. ‘The ‘response, ‘The
‘physician ‘will ‘be ‘in ‘later ‘and ‘you ‘can ‘talk ‘to ‘him ‘does ‘not ‘allow ‘the ‘client ‘to ‘verbalize ‘her
‘feelings ‘when ‘she ‘wishes ‘to ‘do ‘that.
PTS: ‘1 ‘DIF: ‘Cognitive ‘Level: ‘Application ‘REF: ‘18
‘OBJ: ‘Nursing ‘Process ‘Step: ‘Implementation
, MSC: ‘Client ‘Needs: ‘Psychosocial ‘Integrity
4. Which ‘raction ‘rshould ‘rthe ‘rnurse ‘rtake ‘rto ‘revaluate ‘rthe ‘rclients ‘rlearning ‘rabout
‘rperforming ‘rinfant ‘rcare?
a. Demonstrate ‘rinfant ‘rcare ‘rprocedures.
b. Allow ‘rthe ‘rclient ‘rto ‘rverbalize ‘rthe ‘rprocedure.
c. Routinely ‘rassess ‘rthe ‘rinfant ‘rfor ‘rcleanliness.
d. Observe ‘rthe ‘rclient ‘ras ‘rshe ‘rperforms ‘rthe ‘rprocedure.
ANS: ‘rD
The ‘rclients ‘rcorrect ‘rperformance ‘rof ‘rthe ‘rprocedure ‘runder ‘rthe ‘rnurses ‘rsupervision ‘ris ‘rthe
‘rbest ‘rproof ‘rof ‘rher ‘rability. ‘rDemonstration ‘ris ‘ran ‘rexcellent ‘rteaching ‘rmethod, ‘rbut ‘rnot ‘ran
‘revaluation ‘rmethod. ‘rDuring ‘rverbalization ‘rof ‘rthe ‘rprocedure, ‘rthe ‘rnurse ‘rmay ‘rnot ‘rpick ‘rup
‘ron ‘rtechniques ‘rthat ‘rare ‘rincorrect. ‘rIt ‘ris ‘rnot ‘rthe ‘rbest ‘rtool ‘rfor ‘revaluation. ‘rRoutinely
‘rassessing ‘rthe ‘rinfant ‘rfor ‘rcleanliness ‘rwill ‘rnot ‘rensure ‘rthat ‘rthe ‘rproper ‘rprocedure ‘ris
‘rcarried ‘rout. ‘rThe ‘rnurse ‘rmay ‘rmiss ‘rseeing ‘rthat ‘runsafe ‘rtechniques ‘rbeing ‘ r used.
PTS: ‘r1 ‘rDIF: ‘rCognitive ‘rLevel: ‘rApplication ‘rREF: ‘r21
OBJ: ‘rNursing ‘rProcess ‘rStep: ‘rEvaluation ‘rMSC: ‘rClient ‘rNeeds: ‘rHealth ‘rPromotion ‘rand
‘rMaintenance
5. A ‘rnurse ‘ris ‘rreviewing ‘rteaching ‘rand ‘rlearning ‘rprinciples. ‘rWhich ‘rsituation ‘ris ‘rmost
‘rconducive ‘rto ‘rlearning?
a. An ‘rauditorium ‘ris ‘rbeing ‘rused ‘ras ‘ra ‘rclassroom ‘rfor ‘r300 ‘rstudents.
b. A ‘rteacher ‘rwho ‘rspeaks ‘rvery ‘rlittle ‘rSpanish ‘ris ‘rteaching ‘ra ‘rclass ‘rof ‘rHispanic ‘rstudents.
c. A ‘rclass ‘ris ‘rcomposed ‘rof ‘rstudents ‘rof ‘rvarious ‘rages ‘rand ‘reducational ‘rbackgrounds.
d. An ‘rAsian ‘rnurse ‘rprovides ‘rnutritional ‘rinformation ‘rto ‘ra ‘rgroup ‘rof
‘rpregnant ‘rAsian ‘rwomen.
ANS: ‘rD