Introductory Maternity and Pediatric Nursing 4th Edition, Hatfield Test Bank Complete Guide.

Introductory Maternity and Pediatric Nursing 4th Edition, Hatfield Test Bank Complete Guide. The nurse is writing an expected outcome for the nursing diagnosisacute pain related to trauma of tissue, secondary to vaginal birth, as evidenced by client stating pain of 8 on a scale of 10. Which is a correctly stated expected outcome for this problem? a. Client will state that pain is a 2 on a scale of 10. b. Client will have a reduction in pain after administration of the prescribed analgesic. c. Client will state an absence of pain 1 hour after administration of the prescribed analgesic. [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank d. Client will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic. ANS: D The outcome should be client-centered, measurable, realistic, and attainable and have a time frame. Client stating that pain is now 2 on a scale of 10 lacks a time frame. Client having a reduction in pain after administration of the prescribed analgesic lacks a measurement. Client stating an absence of pain 1 hour after the administration of prescribed analgesic is unrealistic. PTS: 1 DIF: Cognitive Level: Application REF: 25 OBJ: Nursing Process Step: Planning MSC: Client Needs: Physiologic Integrity 11. Which nursing diagnosis should the nurse set as a priority for a laboring client? a. Risk for anxiety related to upcoming birth b. Risk for imbalanced nutrition related to NPO status c. Risk for altered family processes related to new addition to the family d. Risk for injury (maternal) related to altered sensations and positional or physical changes ANS: D The nurse should determine which problem needs immediate attention. Risk for injury is the problem that has the priority at this time because it is a safety problem. Risk for anxiety, imbalanced nutrition, and altered family processes are not the priorities at this time. PTS: 1 DIF: Cognitive Level: Application REF: 24, 25 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Safe and Effective Care Environment 12. Regarding advanced roles of nursing, which statement is true with regard to clinical practice? [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank a. Family nurse practitioners (FNPs) can assist with childbirth care in the hospital setting. b. Clinical nurse specialists provide primary care to obstetric clients. c. Neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants. d. A certified nurse midwife (CNM) is not considered to be an advanced practice nurse. ANS: C Neonatal NPs provide care for the high-risk neonate in the birth room and in the neonatal intensive care unit, as needed. FNPs do not participate in childbirth care but can take care of uncomplicated pregnancies and postbirth care outside of the hospital setting. CNSs work in hospital settings but do not provide primary care services to clients. A CNM is an advanced practice nurse who receives additional certification in the specific area of midwifery. PTS: 1 DIF: Cognitive Level: Application REF: 17 OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Management of Care: Legal Rights and Responsibilities 13. You are taking care of a couple postbirth who are very eager to learn about bathing techniques that they can use for their newborn. Which teaching technique could the nurse use to facilitate parents learning about giving a bath to their newborn infant? a. Provide direct, step-by-step demonstration to each parent separately to foster individual retention and comprehension. b. Present information to parents prior to discharge so that the information will be current. c. Have each parent bathe the newborn each time the infant comes to the room and provide commentary after the skill repetition. d. Demonstrate bathing techniques on the newborn infant with parents in attendance. ANS: D [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank Demonstration of bathing techniques is a form of role modeling that would enhance teaching and learning outcomes. Presenting the information at the time of discharge will not allow for identification of concerns and/or evaluation of whether the skill has been acquired. Although it may be advantageous to have each parent bathe their newborn, this action would not be advised in terms of time management and safety related to maintenance of core temperature. PTS: 1 DIF: Cognitive Level: Application REF: 21 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Health Promotion: Teaching/Learning 14. Which statement is true regarding the shortage of nurses in the United States? a. There are a larger proportion of younger nurses in the workforce as compared with older nurses. b. As a result of decreased RN-to-client ratios, there is a decrease in client mortality in the clinical setting. c. Increased needs for baccalaureate nurses are not being met by current enrollment. d. There are adequate classroom and clinical facilities for training RNs. ANS: C According to an Institute of Medicine (IOM) report, by the year 2020, there will only be 50% of RNs with baccalaureate degrees. The required demand is at 80%. There are a larger proportion of older nurses in the workforce based on current research by the IOM. Increased RN-to-client ratios has resulted in decreased client mortality in the clinical setting. There are limitations of classroom and clinical facilities to train new nurses adequately. PTS: 1 DIF: Cognitive Level: Application REF: 16 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Health Promotion: Teaching/Learning [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank 15. A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification? a. There is stratification of communication in a directed manner between nursing staff and administration. b. There is increased job satisfaction of nurses, with a low staff turnover rate. c. Physicians are certified in their respective specialty areas. d. All nurses have baccalaureate degrees and certification in their clinical specialty area. ANS: B Magnet status is a certification offered by the ANCC (American Nurses Credentialing Center) in which hospitals apply based on designated criteria that consider nurse job satisfaction, staff patterns, strength, quality of nursing staff, and open communication. It is not based on physician status. Although the expectation is that at least 80% of the nurses will have baccalaureate degrees, most hospitals that achieve Magnet status have 50% of RNs at that level. Also, certification is not required for all nurses at this point. The expectation with Magnet status is that nurses will continue to expand their knowledge by earning additional degrees and certification. PTS: 1 DIF: Cognitive Level: Application REF: 17 OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion: Teaching/Learning 16. Which of the following indicates a nurses role as a researcher? a. Reading peer-reviewed journal articles b. Working as a member of the interdisciplinary team to provide client care c. Helping client to obtain home care post-discharge from the hospital d. Delegating tasks to unlicensed personnel to allow for more teaching time with clients ANS: A [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank A nurse in a researcher role should look to improve her or his knowledge base by reading and reviewing evidence-based practice information as found in peer-reviewed journals. Working as a member of the interdisciplinary team to provide client care indicates that the nurse is working as a collaborator. Helping the client to obtain home care post-discharge from the hospital indicates that the nurse is working as a client advocate. Delegating tasks to unlicensed personnel to allow for more teaching time with clients indicates that the nurse is working as a manager. PTS: 1 DIF: Cognitive Level: Application REF: 21 OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion: Teaching/Learning 17. A 16-year-old primipara has just completed her first prenatal visit with the health care provider. The nurse is preparing to teach her about nutrition during pregnancy. What must the nurse include in the patients teaching plan? a. Provide her with pictures of dairy products. b. Ask her, Are you ready to hear this information now? c. Read directly from the pamphlet prepared for teen mothers. d. Provide a comfortable and warm setting after she has put on her street clothes. ANS: D The nurse must structure teaching for teens in a way that suits them best. For teaching to be most effective, the physical environment must be comfortable and distractions to learning must be kept at a minimum. Pictures, videos, and computer-based materials are more effective teaching tools for younger clients. Patients must have an attitude of readiness and openness for the teaching to be effective. However, if the environment is not conducive to learning, efforts for effective teaching will be minimized. PTS: 1 DIF: Cognitive Level: Application REF: 18 OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank 18. The nurse states to the newly pregnant patient, Tell me how you feel about being pregnant. Which communication technique is the nurse using with this patient? a. Clarifying b. Paraphrasing c. Reflection d. Structuring ANS: A The nurse is attempting to follow up and check the accuracy of the patients message. Paraphrasing is restating words other than those used by the patient. Reflection is verbalizing comprehension of what the patient has said. Structuring takes place when the nurse has set guidelines or set priorities. PTS: 1 DIF: Cognitive Level: Understanding REF: 19 OBJ: Nursing Process Step: Analysis MSC: Client Needs: Health Promotion and Maintenance 19. The pregnant woman tells the nurse, I think something may be wrong with my pregnancy. Which statement by the nurse demonstrates therapeutic communication? a. Most women worry; I felt the same way when I was pregnant. b. Tell me more about what concerns you about this pregnancy. c. That is a very common concern, but your pregnancy will turn out just fine. d. You should focus on taking care of yourself and not worry so much. ANS: B Questioning is a therapeutic communication technique in which additional information is elicited by using open-ended questions. The remaining options are examples of three behaviors that block communicationinappropriate self-disclosure, providing false reassurance, and giving advice. PTS: 1 DIF: Cognitive Level: Analysis REF: 18 [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank OBJ: Nursing Process Step: Implementation MSC: Client Needs: Psychosocial Integrity