Ricci Kyle Carman Test Bank jl jl jl jl jl
Chapter 1 jl
1. When integrating the principles of family-centered care into the birthing
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process, the nurse would base care upon which belief? A. Birth is viewed as a
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medical event.
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B. Families are unable to make informed choices due to stress.
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C. Birth results in changes in relationships.
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D. Families require little information to make appropriate decisions for care.
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Answer: C jl
Rationale: Family-centered care is based on the followinagbirpb.rcionmc/tiepstles: Birth
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affects the entire family, and relationships will change; birth is viewed as a normal,
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healthy event in the life of the family; and families are capable of making decisions
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about their own care if given adequate information and professional support.
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Question format: Multiple Choice jl jl jl
Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Teaching/Learning
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Integrated Process: Caring
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Reference: p. 7 jl jl
2. The nurse is working with a group of community health members to develop a
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plan to address the special health needs of women. The group would design
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educational programs to address which priority condition?
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A. Smoking
B. Heart disease jl
C. Diabetes
D. Cancer
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Rationale: The group needs to address cardiovascular di s e a s e , th e number one cause
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of death in women regardless of racial or ethnic group. Smoking is related to heart
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disease and the development of cancer. However, heart disease and cancer can occur in
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o r y . C an c
any woman regardless of her smoking hist a b irb .c om / te ster is the
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second leading cause of death, with women having a one in three lifetime risk of
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,developing cancer. Diabetes is another important health condition that can affect jl jl jl jl jl jl jl jl jl jl
women. However, it is not the major health problem that heart disease is.
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Question format: Multiple Choice jl jl jl
Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance Integrated
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jlProcess: Nursing Process jl jl
Reference: p. 12 jl jl
3. A nurse is conducting an orientation program for a group of newly hired nurses.
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As part of the program, the nurse is reviewing the issueaobirfb.icnofmo/tremst ed
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consent. The nurse determines that the teaching was effective when the group
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identifies which situation as a violation of informed consent?
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A. Performing a procedure on a 15-year-old without parental consent jl jl jl jl jl jl jl jl
B. Serving as a witness to the signature process on an oapbier br.caotmiv/ tees t permit
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C. Asking whether the client understands what she is signing following receiving
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education
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D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from the
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spouse of a unconscious woman
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Answer: A jl
Rationale: In most states, only clients over the age of 18 can legally provide consent for
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health care. Serving as a witness to the signature process, asking
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whether the client understands what she is signing, andagbirebt.ctoimn/gtesvt erbal
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consent over the phone for emergency procedures are all key to informed consent
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and are not violations.
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Question format: Multiple Choice jl jl jl
Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cognitive
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Level: Analyze
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process
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Reference: p. 45 jl jl
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
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fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset
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responsibility of the nurse providing care to this woman?
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A. Asking relevant questions to determine the client's understanding
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, B. Providing a detailed description of the risks and benefits of the procedure jl jl jl jl jl jl jl jl jl jl jl
C. Explaining the exact steps that will occur during the parboirbc.ceodmu/terset D. j l j l j l j l j l j l j l j l j l
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Offering suggestions for alternative options for treatment
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Answer: A jl
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
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the consent form is completed with signatures from the client; serving as a witness to
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the signature process; and determining whether the calbiier bn.cto mu/tne sdt erstands
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what she is signing by asking her pertinent questions. The physician, advanced
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practice nurse, or midwife is responsible for informing the client about the procedure and
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obtaining consent by providing a detailed description of the procedure or treatment,
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its potential risks and benefits,and alternative methods aabivrba.ciolma/btelset
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Question format: Multiple Choice jl jl jl
Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process jl jl jl
Reference: p. 45
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5. A 9-month-old with glaucoma requires
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inabfiarbn.cto'ms/tepsat rents are divorced. To obtain informed consent,
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which action would be most appropriate?
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A. Contacting the father for informed consent jl jl jl jl jl
B. Obtaining informed consent from the mother jl jl jl jl jl
C. Seeking a court ruling on the course of care jl jl jl jl jl jl jl jl
D. Determining sole or joint custody by the parents jl jl jl jl jl jl jl
Answer: D jl
Rationale: The most appropriate action would be to determine legal custody by
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court decree. If the parents have joint custody, then either parent may give
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consent, but it is always best to have consent given by ba boi rtbh. c opma/ t erset nts. The
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parent with only physical custody may give consent for emergency care. The last
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resort is
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getting a court ruling; usually this is not necessary unless the parents disagree about
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the care of the child.
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