Test Bank for Davis Advantage for Maternal Child Nursing Care 3rd Edition Scannell Chapter 1 - 33 Updated 2023

TOP: Gene Therapy KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease • The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs). What is the nurses best response when the patient asks how DRGs reduce medical care costs? • By determining payment based on diagnosis • By requiring two medical opinions to confirm a diagnosis • By organizing HMOs • By defining a person who will require hospitalization ANS: A DRGs determine the amount of payment and length of hospital stay based on the diagnosis. DIF: Cognitive Level: Comprehension REF: Page 8 OBJ: 11 TOP: DRGs KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care • What is the best example of a Nursing Interventions Classification (NIC) intervention? • Patient will ambulate in the hall independently for 10 minutes three times a day. • Nurse will report temperature elevations to the charge nurse. • Nurse will offer extra liquids at all meals. • Patient will express pain relief after massage. ANS: C NIC is a guide to nursing actions. DIF: Cognitive Level: Comprehension REF: Page 12 | Page 14 OBJ: 15 TOP: NICs KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care • How does electronic charting ensure comprehensive charting more effectively than handwritten charting? • Provides a uniform style of chart • Requires certain responses before allowing the user to progress • All documentation is reflective of the nursing care plan • Requires a daily audit by the charge nurse ANS: B Comprehensive electronic documentation is ensured by requiring specific input in designated categories before the user can progress through the system. NN DIF: Cognitive Level: Comprehension REF: Page 15-16 OBJ: 22 TOP: Computer Charting KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care • The nurse reminds family members that the philosophy of family-centered care is to provide control to the family over health care decisions. What is the appropriate term for this type of control? • Empowerment • Insight • Regulation • O r g a n i z a t i o n A N S : A The term empowerment refers to the control a family has over its own health care decisions. DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 7 TOP: Empowerment KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort • A patient in the prenatal clinic is concerned about losing her job because of her pregnancy. The nurse instructs her that the Family Medical Leave Act (FMLA) allows an employee to be absent from work without pay. How many weeks does the FMLA allow a woman to recover from childbirth or care for a sick family member without loss of benefits or pay status? • 4 • 6 • 10 NN • 1 2 A N S : D The FMLA allows for employees to leave work for up to 12 weeks to recover from childbirth or to care for an ill family member without losing benefits or pay status. DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5 TOP: FMLA KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation • What term appropriately describes the nurse who is able to adapt health care practices to meet the needs of various cultures? • Culturally aware • Culturally sensitive • Culturally competent • Cultur ally adaptiv e ANS: C The nurse who is able to adapt health care to meet the needs of various cultures is said to be culturally competent. DIF: Cognitive Level: Knowledge REF: Page 7 OBJ: 8 TOP: Cultural Competency KEY: Nursing Process Step: N/A MSC: NCLEX: N/A • What is one major advantage to the application of critical thinking? • Problem-free care • Limitation of approaches to care • Decreased need for assessment • Proble m NN prevent ion ANS: D Critical thinking results in problem prevention in designing nursing care. DIF: Cognitive Level: Comprehension REF: Page 14 OBJ: 19 TOP: Critical Thinking KEY: Nursing Process Step: N/A MSC: NCLEX: N/A • Student practical nurses are discussing the North American Nursing Diagnosis Association International (NANDA-I) taxonomy in post conference on the acute care clinical setting. The students are aware that the role of the LPN with nursing diagnosis formulation is what? • To initiate and identify nursing diagnosis specific to patient • To update changes in nursing diagnosis as needed • To have an understanding of nursing diagnosis terminology • To accurately document nursing diagnosis on patient plan of care ANS: C The registered nurse is responsible to initiate, identify, update, and document nursing diagnoses. The licensed practical nurse is responsible to have an understanding of nursing diagnosis terminology. DIF: Cognitive Level: Comprehension REF: Page 14 OBJ: 17 TOP: NANDA-I taxonomy KEY: Nursing Process Step: Nursing Diagnosis MSC: NCLEX: Health Promotion and Maintenance: Data Collection Techniques MULTIPLE RESPONSE • What services are birthing centers able to provide? (Select all that apply.) • Prenatal care • Labor and delivery services • Classes for new mothers • Adoption referrals • Fam ily plan ning AN S: A, B, C, E NN Birthing centers are capable of providing full-service obstetric care, classes for new mothers, and family planning. Birthing centers do not offer adoption services. DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7 TOP: Birthing Centers KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care • What developments in the early 20th century encouraged women to seek hospitalization for childbirth? (Select all that apply.) • Use of specialized obstetric instruments • Use of anesthesia • Physicians closer relationships with hospitals • Focus on family-centered care • Insura nce covera ge ANS: A, B, C In the early 1900s, the development of specialized obstetric instruments, better modes of anesthesia, and the physicians reliance on hospital services were instrumental in encouraging women to seek hospitalization for childbirth. DIF: Cognitive Level: Comprehension REF: Page 3 OBJ: 7 TOP: Hospitalization for Childbirth KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control • What nonfamily-centered policies were prevalent in the 1960s? (Select all that apply.) • Waiting room for fathers • Sedation of mother during labor • Delay of reunion of mother and infant • Lenient visiting hours • Restrictions of visitations by minor children ANS: A, B, C, E Hospital policies in the 1960s provided a separate waiting room for fathers while the mother went through labor in a sedated state. The reunion of mother and infant was delayed for several hours because of the sedation. Visiting hours were rigid and disallowed the visitation of minor children. NN DIF: Cognitive Level: Comprehension REF: Page 3 OBJ: 7 TOP: Nonfamily-centered Practices KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control • The nurse is aware that there is a legal responsibility to report certain diseases and conditions to county or state health authorities. Which would be included? (Select all that apply.) • Tuberculosis • Child abuse • Industrial accidents • Sexually transmitted diseases • Foodborne infections ANS: A, B, D, E The nurse has a legal responsibility to report communicable diseases (such as tuberculosis and sexually transmitted diseases), food-borne infections, child abuse, and threats of suicide. DIF: Cognitive Level: Comprehension REF: Page 6, Legal and Ethical Considerations box OBJ: 6 TOP: Reportable Diseases KEY: Nursing Process Step: Planning MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control • An inservice program at a long-term care facility is reviewing the Nursing Outcomes Classification (NOC) with nursing staff. After the presentation the nurses review resident care plans. Which of the following are found to be appropriately written outcomes? (Select all that apply.) • Suction patient orally every 4 hours and as needed. • Auscultate lung sounds every 2 hours. • Provide Tylenol as ordered by health care provider. • Patient states Pain has decreased after medication administration. • Patient blood pressure recorded as 120/72 after dressing change. ANS: D, E NOC was developed to identify outcomes of nursing care that are directly influenced by nursing actions. Outcomes are defined as the behaviors and feelings of the patient in response to the nursing care given. Suctioning patient, auscultating lung sounds, and providing Tylenol are nursing actions. DIF: Cognitive Level: Application REF: Page 12-14 NN OBJ: 16 TOP: Nursing Outcomes Classification (NOC) KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort • Practical nursing students are using critical thinking skills to study for an upcoming test. What will these students include when studying? (Select all that apply.) • Memorization of facts first • Prioritizing information • Relating facts to other facts • Making assumptions • Reviewing before the test ANS: B, C, E Using critical thinking when studying involves understanding facts before memorizing, prioritizing information to be memorized, relating facts to other facts, using all five senses, reviewing before tests, and reading critically. Critical thinking does not involve assumption as does general thinking. DIF: Cognitive Level: Comprehension REF: Page 15 OBJ: 20 TOP: Critical Thinking KEY: Nursing Process Step: Evaluation MSC: NCLEX: Safe, Effective Care Environment • What factors have played a role in meeting the goals of Healthy People 2020 as it relates the goals for outcomes of pregnancy? (Select all that apply.) • Early prenatal care • Increased number of surgical births • NICU care • Use of prenatal glucocorticoids • F et al su rg er y A N S: A, NN C, D, E Early prenatal care, fetal surgery, use of prenatal glucocorticoids, technology, and NICU care have played a role in increasing the positive outcome of pregnancy, and the goals of Healthy People 2020 may well be met. Increase in surgical births and multiple gestations do not work toward meeting the goals of Healthy People 2020. DIF: Cognitive Level: Comprehension REF: Page 16-17 OBJ: 21 TOP: Healthy People 2020 KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection • A community health nurse is provi