Test Bank Complete_
Maternal-Child Nursing Care With The Women’s Health Companion:
Optimizing Outcomes For Mothers, Children, And Families 2nd Edition,
By Susan L. Ward & Shelton M. Hisley
All Chapters 1-35| 7 Units| Latest Edition With Well Detailed Answers| Rated A+
From: [Bestmaxsolutions.Stuvia
,PART 1: MATERNAL-CHILD CARE NURSING, 2ND EDITION ------------------------------------------------ 4
UNIT I. FOUNDATIONS IN MATERNAL, FAMILY, AND CHILD CARE ----------------------------------------------------------- 4
Chapter 1: Traditional And Community Nursing Care For Women, Families, And Children -------------------------- 4
Chapter 2: Contemporary Issues In Women’s, Families’, And Children’s Health Care ------------------------------- 33
Chapter 3: The Evolving Family --------------------------------------------------------------------------------------------------- 60
Chapter 4: Caring For Women, Families, And Children Across The Life Span ------------------------------------------ 94
UNIT II. THE PROCESS OF HUMAN REPRODUCTION -------------------------------------------------------------------------- 133
Chapter 5: Reproductive Anatomy And Physiology ------------------------------------------------------------------------- 133
Chapter 6: Human Sexuality And Fertility ------------------------------------------------------------------------------------- 166
Chapter 7: Conception And Development Of The Embryo And Fetus -------------------------------------------------- 203
UNIT III. THE PRENATAL JOURNEY ------------------------------------------------------------------------------------------------- 240
Chapter 8: Physiological And Psychosocial Changes During Pregnancy ------------------------------------------------ 240
Chapter 9: The Prenatal Assessment ------------------------------------------------------------------------------------------- 266
Chapter 10: Promoting A Healthy Pregnancy -------------------------------------------------------------------------------- 307
Chapter 11: Caring For The Woman Experiencing Complications During Pregnancy ------------------------------- 344
UNIT IV. THE BIRTH EXPERIENCE --------------------------------------------------------------------------------------------------- 390
Chapter 12: The Process Of Labor And Birth --------------------------------------------------------------------------------- 390
Chapter 13: Promoting Patient Comfort During Labor And Birth -------------------------------------------------------- 430
Chapter 14: Caring For The Woman Experiencing Complications During Labor And Birth ------------------------ 457
UNIT V. CARE OF THE NEW FAMILY ----------------------------------------------------------------------------------------------- 498
Chapter 15: Caring For The Postpartal Woman And Her Family --------------------------------------------------------- 498
Chapter 16: Caring For The Woman Experiencing Complications During The Postpartal Period ----------------- 531
Chapter 17: Physiological Transition Of The Newborn --------------------------------------------------------------------- 565
Chapter 18: Caring For The Normal Newborn -------------------------------------------------------------------------------- 584
Chapter 19: Caring For The Newborn At Risk --------------------------------------------------------------------------------- 622
UNIT VI. CARING FOR THE CHILD AND FAMILY --------------------------------------------------------------------------------- 659
Chapter 20: Caring For The Developing Child -------------------------------------------------------------------------------- 659
Chapter 21: Caring For The Child In The Hospital, The Community, And Across Care Settings ------------------- 695
Chapter 22: Caring For The Child With A Psychosocial Or Cognitive Condition -------------------------------------- 734
UNIT VII. ONGOING CARE OF THE CHILD IN THE HOSPITAL AND IN THE COMMUNITY ------------------------------ 760
Chapter 23: Caring For The Child With A Respiratory Condition --------------------------------------------------------- 760
Chapter 24: Caring For The Child With A Gastrointestinal Condition --------------------------------------------------- 802
Chapter 25: Caring For The Child With An Immunological Or Infectious Condition --------------------------------- 834
Chapter 26: Caring For The Child With A Cardiovascular Condition ----------------------------------------------------- 866
Chapter 27: Caring For The Child With An Endocrinological Or Metabolic Condition ------------------------------- 902
Chapter 28: Caring For The Child With A Neurological Or Sensory Condition ---------------------------------------- 936
Chapter 29: Caring For The Child With A Musculoskeletal Condition --------------------------------------------------- 975
Chapter 30: Caring For The Child With A Integumentary Condition -------------------------------------------------- 1016
Chapter 31: Caring For The Child With A Genitourinary Condition ---------------------------------------------------- 1044
Chapter 32: Caring For The Child With A Hematological Condition --------------------------------------------------- 1072
Chapter 33: Caring For The Child With Cancer ----------------------------------------------------------------------------- 1099
Chapter 34: Caring For The Child With A Chronic Condition Or The Dying Child ----------------------------------- 1134
Chapter 35: Caring For The Critically ill Child ------------------------------------------------------------------------------- 1156
PART 2: THE WOMEN’S HEALTH COMPANION, 2ND EDITION --------------------------------------- 1190
,1. Promoting Mental Health and Physical Safety through an Understanding of Intimate Partner Violence - 1190
2. Promoting Reproductive Health through an Understanding of Premenstrual Syndrome --------------------- 1194
3. Promoting Breast Health ------------------------------------------------------------------------------------------------------- 1197
4. Promoting Reproductive Health through an Understanding of Various Gynecological Disorders ----------- 1201
5. Promoting Reproductive Health through an Understanding of Sexually Transmitted Diseases ------------- 1205
6. Promoting Reproductive Health through an Understanding of Cervical and Cytology Screening, Human
Papillomavirus, and Cervical Cancer -------------------------------------------------------------------------------------------- 1209
7. Promoting Menopausal Health ----------------------------------------------------------------------------------------------- 1213
,PART 1: MATERNAL-CHILD CARE NURSING, 2ND EDITION
UNIT I. FOUNDATIONS IN MATERNAL, FAMILY, AND CHILD CARE
Chapter 1: Traditional And Community Nursing Care For Women, Families, And Children
Susan L. Ward: Maternal-Child Nursing Care With The Women’s Health Companion: Optimizing Outcomes For Mothers, Children, And Families 2nd Edition
MULTIPLE CHOICE
1. The Clinic Nurse Understands The New Description Of Nursing Art/Aesthetics As The
Way That Nurses And Patients Help Each Other Through A Circular Process. What Is
The Event That Begins This Process?
A. A Health Threat
B. Experiencing New Possibilities For Health
C. Hope And Understanding For The Future
D. Relationship Building
ANS: A
Nursing Aesthetics Consists Of The Low-Tech, High-Touch Caring In A Nurse–Patient
Encounter. This Transformative Process Begins With A Health Threat. The Event That
Begins The Process Is Not Experiencing New Possibilities For Health, Hope And
Understanding For The Future, Or Relationship Building.
Cognitive Level: Knowledge/Remembering Content Area: Pediatrics/Maternity
Patient Needs: Safe And Effective Care Environment: Management Of Care Integrated
Process: Caring
Difficulty: Moderate
PTS: 1
2. A Nurse Manager In A Community Clinic Is Concerned Because The Local Refugee
Population Does Not Seek Health Care Routinely. What Action By The Nurse Would Be
Most Helpful?
A. Assess Clinic Staff And Procedures For Evidence Of Ethnocentrism.
B. Put Up Flyers Advertising The Clinic’s Services In Local Retailers.
,C. Reward Preventative Health Patients With Coupons For Needed Items.
D. Try To Meet With Community Leaders To Work On The Problem.
ANS: A
Ethnocentrism Is The View That The Beliefs, Values, And Behaviors Of One Culture
Are Superior To Those Of Other Cultures. Ethnocentrism Is Dangerous In Health Care
Because It Is Blind To The Possibilities Of Other Solutions And Viewpoints And
Alienates People In Need Of Health Care. The Nurse Manager Would Be Wise To
Assess The Clinic’s Staff And Procedures For Ethnocentrism.
Meeting With A Community Leader Is Always A Good Idea To Learn The Viewpoints
Of The Community, But Unless Ethnocentric Behaviors Change, It Is Unlikely That The
Refugee Community Will Increase Its Use Of The Clinic. Flyers And Incentives May
Also Be Helpful In Some Cases, But Not As Helpful As Reducing The Barriers Imposed
By Ethnocentrism.
Cognitive Level: Application/Applying Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion And Maintenance Integrated Process: Caring
Difficulty: Moderate
PTS: 1
3. The Nursing Faculty Explains To Students That Ethnopluralism Is An Important Force
Shaping Health Care Today. What Concept Is Most Important In Understanding This
Trend?
A. The Decreased Need For Cultural Competency
B. The Growth In One Ethnic Group In A Single Area
C. The Increased Impact Of Diverse Cultures On Health Care
D. The Percentage Increase Of The Non-Caucasian Population
ANS: C
Ethnopluralism Means Diverse Cultures. As The Population Of Different Ethnic
(Non-Euro-Caucasian) Groups Grows, Their Impact On Health Care Will Increase
Exponentially. Ethnopluralism Is Not Just The Growth Of One Ethnic Group In One
Location. It Is Also More Than Just The Percentage Change In The Non-Euro-Caucasian
,Population, Although That Is Part Of The Phenomenon. As Ethnopluralism Continues To
Impact Health Care, Providers Will Need To Be More, Not Less, Culturally Competent.
Cognitive Level: Knowledge/Remembering Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity Integrated Process: Teaching/Learning Difficulty:
Moderate
PTS: 1
4. A Nursing Faculty Member Is Explaining Recent Shifts In Nursing Practice. What
Change Has Been Important In Applying The Nursing Process?
A. A Change To A Spiral Or Circular Process
B. A Focus On More Independent Nursing Actions
C. A Return To The Nurse-As-Expert Model Of Care
D. An Emphasis On Attaining A Disease-Free State
ANS: A
The Nursing Process Has Recently Changed From A Linear One To A Spiral Or Circular
Process In Which The Patient/Family Is Motivated Toward Promotion, Maintenance,
And Restoration Of Health. The Focus Has Not Changed To Include More Independent
Actions, A Return To The Nurse-As-Expert Model, Or An Emphasis On Attaining A
Disease-Free State Of Being.
Cognitive Level: Comprehension/Understanding Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion And Maintenance Integrated Process:
Teaching/Learning
Difficulty: Easy
PTS: 1
5. A Nurse Is Working In An Urban Clinic With A Diverse Population. What Action By
The Nurse Is Most Important?
A. Determine Patients’ Definitions Of Health And Desired Outcomes Of Health
Care.
B. Explain Policies Such As Appointment Cancellations To Ensure Compliance.
,C. Learn To Speak One Or Two Common Languages Of The Patients In The Clinic.
D. Read About Different Folk Remedies Common Among The Populations Seen.
ANS: A
Divergent Populations Enter The Health-Care System With Differing Beliefs About
Health Care And Wellness And Differing Expectations For The Outcomes Of Such
Experiences. Understanding These Expectations Will Help The Nurse Plan Care That
Has A Better Chance Of Meeting These Expectations. Learning Languages And
Becoming Familiar With Folk Remedies Is Helpful As Well, But These Two Solutions
Are Very Limited In Scope And A Nurse Cannot Hope To Become Proficient In All The
Languages/Behaviors Of Every Population Seen, Leaving Some Patients With A
Lessened Experience. Explaining Policies Is Important Too, But Simply Telling Someone
The Rules Does Not Take His Or Her Cultural Norms Into Account And May Not Be
Successful.
Cognitive Level: Application/Applying Content Area: Pediatrics/Maternity Patient
Needs: Psychosocial Integrity
Integrated Process: Nursing Process: Assessment Difficulty: Moderate
PTS: 1
6. A Nurse Is Working With A Minority Group That Has A High Incidence Of
Cardiovascular Disease, Including Hypertension And Stroke. When Participating In A
Community Health Fair With This Group, What Action By The Nurse Will Be Most
Effective?
A. Educate The Participants About Weight Loss And A Low-Sodium, Low-Fat Diet.
B. Explain The Genetic Basis For The High Incidence Of Cardiovascular Disease In
The Group.
C. Help Participants Make Lifestyle Changes That Are Culturally Congruent.
D. Present Statistics On The Mortality And Morbidity Of Cardiovascular Disease.
ANS: C
,The Ever-Increasing Culturally Diverse Population Interacting With The Health-Care
System Brings Its Own Beliefs, Values, And Health-Related Practices That Impact
Health And Well-Being. In Order To Help People Make Healthy Lifestyle Changes, The
Changes Must Be Culturally Congruent And Acceptable. Forcing An Incongruent
Practice Makes It Highly Unlikely To Succeed. Education Is Important, But It Must Be
Done In A Culturally Congruent Way.
Pathophysiology And Statistical Knowledge, By Itself, Is Not Likely To Be Beneficial.
Cognitive Level: Application/Applying Content Area: Pediatrics/Maternity Patient
Needs: Psychosocial Integrity Integrated Process: Teaching/Learning Difficulty:
Difficult
PTS: 1
7. What Does The Practicing Nurse Understand To Be The Most Important Influence On
Interdependent, Assertive Nursing Practice Today?
A. Higher Education Of Registered Nurses
B. Improved Working Conditions And Salaries
C. Increased Numbers Of Female Physicians
D. Use Of The Nursing Process For Patient Care
ANS: D
Nurses Were Passive, Deferential, And Compliant To The Knowledge And Orders Of
Mostly Male Physicians Until The Late 20th Century. The Nursing Process Changed
That. The Nursing Process Is A Framework For Systematic Problem Solving And
Implementation Of Both Independent And Dependent Nursing Actions. The Nursing
Process Allows Nurses To Make Decisions Regarding Patient Care Based On Critical
Thinking And Clinical Judgment. The Other Options Listed Were Not Vital In Creating
A Nursing Practice That Is Interdependent And Assertive.
Cognitive Level: Analysis/Analyzing Content Area: Pediatrics/Maternity
Patient Needs: Safe And Effective Care Environment: Management Of Care Integrated
Process: Nursing Process
Difficulty: Difficult
,PTS: 1
8. A Child Who Has Been Hospitalized For A Long Time Is Preparing To Go Home,
Where Care Will Be Continued. Which Action By The Nurse Is Most Beneficial To
Assist The Family In This Transition?
A. Advise The Family To Call The Local Visiting Nurses Association For Home
Visits.
B. Call The Child’s School To Inquire About Requirements For Returning To
School.
C. Consult A Social Worker To Help Evaluate Insurance Coverage And
Transportation.
D. Give The Family Brochures For The Local Support Group For Chronically Ill
Children.
ANS: C
Preparing A Family For Home-Based Care, Or Other Community-Based Care, Involves
Ensuring That The Family Is Able To Provide The Care Needed By The Child At Home
Or In Another Setting. This Can Include Discussing Specialized Equipment In The
Home, Health Insurance Coverage, Transportation, And/Or Returning To School. If The
Family Needs Or Desires Visiting Nurses, The Nursing Staff Or Social Worker At The
Hospital Should Arrange This For The Family. Calling The School To Get Information
About The Child’s Return To School Yields Helpful Information, But May Not Be
Needed Yet, And Is Too Limited In Scope To Be The Best Answer. Simply Giving
Parents Brochures For Support Groups May Or May Not Be Helpful; The Parents May
Not Be Literate Or May Not Understand The Benefit Without Discussion.
Cognitive Level: Analysis/Analyzing Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion And Maintenance Integrated Process: Communication
And Documentation Difficulty: Difficult
PTS: 1
, 9. A Nurse Manager Wants To Make The Pediatric Clinic A More Family-Centered
Health-Care Setting. Which Of The Following Actions By The Nursing Staff Would Best
Meet This Goal?
A. Encourage Family Members To Be Present In The Exam Room And To Ask
Questions.
B. Incorporate The Use Of A Community Health Map For All New Patients In The
Clinic.
C. Recognize Family Members As Experts On Their Child And Incorporate Them In
Decision Making.
D. Use Evidence-Based Practice To Develop Policies And Procedures Used In The
Clinic.
ANS: C
The Role Of The Family-Centered Nurse Is To Facilitate And Assist The Family In
Making Informed Choices That Lead To The Outcome The Patient And Family Desire.
This Requires The Nurse To Give Up The Paternalistic Role Of Authority On Health
Care. The Family Knows The Child Best And Should Be Assumed To Make Decisions
That Are In The Best Interests Of Both Child And Family.
The Other Options Are All Good Interventions, But Are Too Limited In Scope To Be
The Best Way To Create A Family-Centered Environment.
Cognitive Level: Analysis/Analyzing Content Area: Pediatrics/Maternity Patient Needs:
Psychosocial Integrity Integrated Process: Caring Difficulty: Difficult
PTS: 1
10. A Clinic Nurse Is Explaining To A Student Nurse The Function Of The Community
Health Map In Assessing Families. Which Description Of This Assessment Tool Is Most
Accurate?
A. It Assesses How The Family Interacts With Outside Social Systems.
B. It Locates Health-Care Settings In, Or Close To, Their Neighborhood.
C. It Outlines Family Problems And Social Resources To Help With Them.
D. It Shows How The Health Of The Community Impacts Each Family.
Maternal-Child Nursing Care With The Women’s Health Companion:
Optimizing Outcomes For Mothers, Children, And Families 2nd Edition,
By Susan L. Ward & Shelton M. Hisley
All Chapters 1-35| 7 Units| Latest Edition With Well Detailed Answers| Rated A+
From: [Bestmaxsolutions.Stuvia
,PART 1: MATERNAL-CHILD CARE NURSING, 2ND EDITION ------------------------------------------------ 4
UNIT I. FOUNDATIONS IN MATERNAL, FAMILY, AND CHILD CARE ----------------------------------------------------------- 4
Chapter 1: Traditional And Community Nursing Care For Women, Families, And Children -------------------------- 4
Chapter 2: Contemporary Issues In Women’s, Families’, And Children’s Health Care ------------------------------- 33
Chapter 3: The Evolving Family --------------------------------------------------------------------------------------------------- 60
Chapter 4: Caring For Women, Families, And Children Across The Life Span ------------------------------------------ 94
UNIT II. THE PROCESS OF HUMAN REPRODUCTION -------------------------------------------------------------------------- 133
Chapter 5: Reproductive Anatomy And Physiology ------------------------------------------------------------------------- 133
Chapter 6: Human Sexuality And Fertility ------------------------------------------------------------------------------------- 166
Chapter 7: Conception And Development Of The Embryo And Fetus -------------------------------------------------- 203
UNIT III. THE PRENATAL JOURNEY ------------------------------------------------------------------------------------------------- 240
Chapter 8: Physiological And Psychosocial Changes During Pregnancy ------------------------------------------------ 240
Chapter 9: The Prenatal Assessment ------------------------------------------------------------------------------------------- 266
Chapter 10: Promoting A Healthy Pregnancy -------------------------------------------------------------------------------- 307
Chapter 11: Caring For The Woman Experiencing Complications During Pregnancy ------------------------------- 344
UNIT IV. THE BIRTH EXPERIENCE --------------------------------------------------------------------------------------------------- 390
Chapter 12: The Process Of Labor And Birth --------------------------------------------------------------------------------- 390
Chapter 13: Promoting Patient Comfort During Labor And Birth -------------------------------------------------------- 430
Chapter 14: Caring For The Woman Experiencing Complications During Labor And Birth ------------------------ 457
UNIT V. CARE OF THE NEW FAMILY ----------------------------------------------------------------------------------------------- 498
Chapter 15: Caring For The Postpartal Woman And Her Family --------------------------------------------------------- 498
Chapter 16: Caring For The Woman Experiencing Complications During The Postpartal Period ----------------- 531
Chapter 17: Physiological Transition Of The Newborn --------------------------------------------------------------------- 565
Chapter 18: Caring For The Normal Newborn -------------------------------------------------------------------------------- 584
Chapter 19: Caring For The Newborn At Risk --------------------------------------------------------------------------------- 622
UNIT VI. CARING FOR THE CHILD AND FAMILY --------------------------------------------------------------------------------- 659
Chapter 20: Caring For The Developing Child -------------------------------------------------------------------------------- 659
Chapter 21: Caring For The Child In The Hospital, The Community, And Across Care Settings ------------------- 695
Chapter 22: Caring For The Child With A Psychosocial Or Cognitive Condition -------------------------------------- 734
UNIT VII. ONGOING CARE OF THE CHILD IN THE HOSPITAL AND IN THE COMMUNITY ------------------------------ 760
Chapter 23: Caring For The Child With A Respiratory Condition --------------------------------------------------------- 760
Chapter 24: Caring For The Child With A Gastrointestinal Condition --------------------------------------------------- 802
Chapter 25: Caring For The Child With An Immunological Or Infectious Condition --------------------------------- 834
Chapter 26: Caring For The Child With A Cardiovascular Condition ----------------------------------------------------- 866
Chapter 27: Caring For The Child With An Endocrinological Or Metabolic Condition ------------------------------- 902
Chapter 28: Caring For The Child With A Neurological Or Sensory Condition ---------------------------------------- 936
Chapter 29: Caring For The Child With A Musculoskeletal Condition --------------------------------------------------- 975
Chapter 30: Caring For The Child With A Integumentary Condition -------------------------------------------------- 1016
Chapter 31: Caring For The Child With A Genitourinary Condition ---------------------------------------------------- 1044
Chapter 32: Caring For The Child With A Hematological Condition --------------------------------------------------- 1072
Chapter 33: Caring For The Child With Cancer ----------------------------------------------------------------------------- 1099
Chapter 34: Caring For The Child With A Chronic Condition Or The Dying Child ----------------------------------- 1134
Chapter 35: Caring For The Critically ill Child ------------------------------------------------------------------------------- 1156
PART 2: THE WOMEN’S HEALTH COMPANION, 2ND EDITION --------------------------------------- 1190
,1. Promoting Mental Health and Physical Safety through an Understanding of Intimate Partner Violence - 1190
2. Promoting Reproductive Health through an Understanding of Premenstrual Syndrome --------------------- 1194
3. Promoting Breast Health ------------------------------------------------------------------------------------------------------- 1197
4. Promoting Reproductive Health through an Understanding of Various Gynecological Disorders ----------- 1201
5. Promoting Reproductive Health through an Understanding of Sexually Transmitted Diseases ------------- 1205
6. Promoting Reproductive Health through an Understanding of Cervical and Cytology Screening, Human
Papillomavirus, and Cervical Cancer -------------------------------------------------------------------------------------------- 1209
7. Promoting Menopausal Health ----------------------------------------------------------------------------------------------- 1213
,PART 1: MATERNAL-CHILD CARE NURSING, 2ND EDITION
UNIT I. FOUNDATIONS IN MATERNAL, FAMILY, AND CHILD CARE
Chapter 1: Traditional And Community Nursing Care For Women, Families, And Children
Susan L. Ward: Maternal-Child Nursing Care With The Women’s Health Companion: Optimizing Outcomes For Mothers, Children, And Families 2nd Edition
MULTIPLE CHOICE
1. The Clinic Nurse Understands The New Description Of Nursing Art/Aesthetics As The
Way That Nurses And Patients Help Each Other Through A Circular Process. What Is
The Event That Begins This Process?
A. A Health Threat
B. Experiencing New Possibilities For Health
C. Hope And Understanding For The Future
D. Relationship Building
ANS: A
Nursing Aesthetics Consists Of The Low-Tech, High-Touch Caring In A Nurse–Patient
Encounter. This Transformative Process Begins With A Health Threat. The Event That
Begins The Process Is Not Experiencing New Possibilities For Health, Hope And
Understanding For The Future, Or Relationship Building.
Cognitive Level: Knowledge/Remembering Content Area: Pediatrics/Maternity
Patient Needs: Safe And Effective Care Environment: Management Of Care Integrated
Process: Caring
Difficulty: Moderate
PTS: 1
2. A Nurse Manager In A Community Clinic Is Concerned Because The Local Refugee
Population Does Not Seek Health Care Routinely. What Action By The Nurse Would Be
Most Helpful?
A. Assess Clinic Staff And Procedures For Evidence Of Ethnocentrism.
B. Put Up Flyers Advertising The Clinic’s Services In Local Retailers.
,C. Reward Preventative Health Patients With Coupons For Needed Items.
D. Try To Meet With Community Leaders To Work On The Problem.
ANS: A
Ethnocentrism Is The View That The Beliefs, Values, And Behaviors Of One Culture
Are Superior To Those Of Other Cultures. Ethnocentrism Is Dangerous In Health Care
Because It Is Blind To The Possibilities Of Other Solutions And Viewpoints And
Alienates People In Need Of Health Care. The Nurse Manager Would Be Wise To
Assess The Clinic’s Staff And Procedures For Ethnocentrism.
Meeting With A Community Leader Is Always A Good Idea To Learn The Viewpoints
Of The Community, But Unless Ethnocentric Behaviors Change, It Is Unlikely That The
Refugee Community Will Increase Its Use Of The Clinic. Flyers And Incentives May
Also Be Helpful In Some Cases, But Not As Helpful As Reducing The Barriers Imposed
By Ethnocentrism.
Cognitive Level: Application/Applying Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion And Maintenance Integrated Process: Caring
Difficulty: Moderate
PTS: 1
3. The Nursing Faculty Explains To Students That Ethnopluralism Is An Important Force
Shaping Health Care Today. What Concept Is Most Important In Understanding This
Trend?
A. The Decreased Need For Cultural Competency
B. The Growth In One Ethnic Group In A Single Area
C. The Increased Impact Of Diverse Cultures On Health Care
D. The Percentage Increase Of The Non-Caucasian Population
ANS: C
Ethnopluralism Means Diverse Cultures. As The Population Of Different Ethnic
(Non-Euro-Caucasian) Groups Grows, Their Impact On Health Care Will Increase
Exponentially. Ethnopluralism Is Not Just The Growth Of One Ethnic Group In One
Location. It Is Also More Than Just The Percentage Change In The Non-Euro-Caucasian
,Population, Although That Is Part Of The Phenomenon. As Ethnopluralism Continues To
Impact Health Care, Providers Will Need To Be More, Not Less, Culturally Competent.
Cognitive Level: Knowledge/Remembering Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity Integrated Process: Teaching/Learning Difficulty:
Moderate
PTS: 1
4. A Nursing Faculty Member Is Explaining Recent Shifts In Nursing Practice. What
Change Has Been Important In Applying The Nursing Process?
A. A Change To A Spiral Or Circular Process
B. A Focus On More Independent Nursing Actions
C. A Return To The Nurse-As-Expert Model Of Care
D. An Emphasis On Attaining A Disease-Free State
ANS: A
The Nursing Process Has Recently Changed From A Linear One To A Spiral Or Circular
Process In Which The Patient/Family Is Motivated Toward Promotion, Maintenance,
And Restoration Of Health. The Focus Has Not Changed To Include More Independent
Actions, A Return To The Nurse-As-Expert Model, Or An Emphasis On Attaining A
Disease-Free State Of Being.
Cognitive Level: Comprehension/Understanding Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion And Maintenance Integrated Process:
Teaching/Learning
Difficulty: Easy
PTS: 1
5. A Nurse Is Working In An Urban Clinic With A Diverse Population. What Action By
The Nurse Is Most Important?
A. Determine Patients’ Definitions Of Health And Desired Outcomes Of Health
Care.
B. Explain Policies Such As Appointment Cancellations To Ensure Compliance.
,C. Learn To Speak One Or Two Common Languages Of The Patients In The Clinic.
D. Read About Different Folk Remedies Common Among The Populations Seen.
ANS: A
Divergent Populations Enter The Health-Care System With Differing Beliefs About
Health Care And Wellness And Differing Expectations For The Outcomes Of Such
Experiences. Understanding These Expectations Will Help The Nurse Plan Care That
Has A Better Chance Of Meeting These Expectations. Learning Languages And
Becoming Familiar With Folk Remedies Is Helpful As Well, But These Two Solutions
Are Very Limited In Scope And A Nurse Cannot Hope To Become Proficient In All The
Languages/Behaviors Of Every Population Seen, Leaving Some Patients With A
Lessened Experience. Explaining Policies Is Important Too, But Simply Telling Someone
The Rules Does Not Take His Or Her Cultural Norms Into Account And May Not Be
Successful.
Cognitive Level: Application/Applying Content Area: Pediatrics/Maternity Patient
Needs: Psychosocial Integrity
Integrated Process: Nursing Process: Assessment Difficulty: Moderate
PTS: 1
6. A Nurse Is Working With A Minority Group That Has A High Incidence Of
Cardiovascular Disease, Including Hypertension And Stroke. When Participating In A
Community Health Fair With This Group, What Action By The Nurse Will Be Most
Effective?
A. Educate The Participants About Weight Loss And A Low-Sodium, Low-Fat Diet.
B. Explain The Genetic Basis For The High Incidence Of Cardiovascular Disease In
The Group.
C. Help Participants Make Lifestyle Changes That Are Culturally Congruent.
D. Present Statistics On The Mortality And Morbidity Of Cardiovascular Disease.
ANS: C
,The Ever-Increasing Culturally Diverse Population Interacting With The Health-Care
System Brings Its Own Beliefs, Values, And Health-Related Practices That Impact
Health And Well-Being. In Order To Help People Make Healthy Lifestyle Changes, The
Changes Must Be Culturally Congruent And Acceptable. Forcing An Incongruent
Practice Makes It Highly Unlikely To Succeed. Education Is Important, But It Must Be
Done In A Culturally Congruent Way.
Pathophysiology And Statistical Knowledge, By Itself, Is Not Likely To Be Beneficial.
Cognitive Level: Application/Applying Content Area: Pediatrics/Maternity Patient
Needs: Psychosocial Integrity Integrated Process: Teaching/Learning Difficulty:
Difficult
PTS: 1
7. What Does The Practicing Nurse Understand To Be The Most Important Influence On
Interdependent, Assertive Nursing Practice Today?
A. Higher Education Of Registered Nurses
B. Improved Working Conditions And Salaries
C. Increased Numbers Of Female Physicians
D. Use Of The Nursing Process For Patient Care
ANS: D
Nurses Were Passive, Deferential, And Compliant To The Knowledge And Orders Of
Mostly Male Physicians Until The Late 20th Century. The Nursing Process Changed
That. The Nursing Process Is A Framework For Systematic Problem Solving And
Implementation Of Both Independent And Dependent Nursing Actions. The Nursing
Process Allows Nurses To Make Decisions Regarding Patient Care Based On Critical
Thinking And Clinical Judgment. The Other Options Listed Were Not Vital In Creating
A Nursing Practice That Is Interdependent And Assertive.
Cognitive Level: Analysis/Analyzing Content Area: Pediatrics/Maternity
Patient Needs: Safe And Effective Care Environment: Management Of Care Integrated
Process: Nursing Process
Difficulty: Difficult
,PTS: 1
8. A Child Who Has Been Hospitalized For A Long Time Is Preparing To Go Home,
Where Care Will Be Continued. Which Action By The Nurse Is Most Beneficial To
Assist The Family In This Transition?
A. Advise The Family To Call The Local Visiting Nurses Association For Home
Visits.
B. Call The Child’s School To Inquire About Requirements For Returning To
School.
C. Consult A Social Worker To Help Evaluate Insurance Coverage And
Transportation.
D. Give The Family Brochures For The Local Support Group For Chronically Ill
Children.
ANS: C
Preparing A Family For Home-Based Care, Or Other Community-Based Care, Involves
Ensuring That The Family Is Able To Provide The Care Needed By The Child At Home
Or In Another Setting. This Can Include Discussing Specialized Equipment In The
Home, Health Insurance Coverage, Transportation, And/Or Returning To School. If The
Family Needs Or Desires Visiting Nurses, The Nursing Staff Or Social Worker At The
Hospital Should Arrange This For The Family. Calling The School To Get Information
About The Child’s Return To School Yields Helpful Information, But May Not Be
Needed Yet, And Is Too Limited In Scope To Be The Best Answer. Simply Giving
Parents Brochures For Support Groups May Or May Not Be Helpful; The Parents May
Not Be Literate Or May Not Understand The Benefit Without Discussion.
Cognitive Level: Analysis/Analyzing Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion And Maintenance Integrated Process: Communication
And Documentation Difficulty: Difficult
PTS: 1
, 9. A Nurse Manager Wants To Make The Pediatric Clinic A More Family-Centered
Health-Care Setting. Which Of The Following Actions By The Nursing Staff Would Best
Meet This Goal?
A. Encourage Family Members To Be Present In The Exam Room And To Ask
Questions.
B. Incorporate The Use Of A Community Health Map For All New Patients In The
Clinic.
C. Recognize Family Members As Experts On Their Child And Incorporate Them In
Decision Making.
D. Use Evidence-Based Practice To Develop Policies And Procedures Used In The
Clinic.
ANS: C
The Role Of The Family-Centered Nurse Is To Facilitate And Assist The Family In
Making Informed Choices That Lead To The Outcome The Patient And Family Desire.
This Requires The Nurse To Give Up The Paternalistic Role Of Authority On Health
Care. The Family Knows The Child Best And Should Be Assumed To Make Decisions
That Are In The Best Interests Of Both Child And Family.
The Other Options Are All Good Interventions, But Are Too Limited In Scope To Be
The Best Way To Create A Family-Centered Environment.
Cognitive Level: Analysis/Analyzing Content Area: Pediatrics/Maternity Patient Needs:
Psychosocial Integrity Integrated Process: Caring Difficulty: Difficult
PTS: 1
10. A Clinic Nurse Is Explaining To A Student Nurse The Function Of The Community
Health Map In Assessing Families. Which Description Of This Assessment Tool Is Most
Accurate?
A. It Assesses How The Family Interacts With Outside Social Systems.
B. It Locates Health-Care Settings In, Or Close To, Their Neighborhood.
C. It Outlines Family Problems And Social Resources To Help With Them.
D. It Shows How The Health Of The Community Impacts Each Family.
