MaternityandPediatricNursing4thEdition s e
Ricci Kyle Carman Test Bank
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Chapter1
1. Whenintegratingtheprinciplesoffamily-centeredcareintothebirthingprocess, the
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nursewouldbasecareuponwhichbelief?
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A. Birthisviewedasamedicalevent. e
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B. Familiesareunabletomakeinformedchoicesduetostress. e
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C. Birthresultsinchangesinrelationships. e
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D. Familiesrequirelittleinformationtomakeappropriatedecisionsforcare. e
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Rationale:Family-centeredcareisbasedonthefollowinagbir pb . rc ionmc/teipstles:Birthaffectsthe e
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entirefamily,andrelationshipswillchange;birthisviewedasanormal,healthyeventin the
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lifeofthefamily;andfamiliesarecapableofmakingdecisionsabouttheirowncare ifgiven
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adequateinformationandprofessionalsupport.
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Chapter1:PerspectivesonMaternalandChildHealthCare e
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CognitiveLevel:Apply
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Client Needs:HealthPromotionandMaintenance
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IntegratedProcess:Teaching/Learning
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IntegratedProcess:Caring
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Reference:p.7 e
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2. Thenurseisworkingwithagroupofcommunityhealthmemberstodevelopa e
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plantoaddressthespecialhealthneedsofwomen.Thegroupwoulddesigneducational
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programs to addresswhichpriority condition?
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A. Smoking Answer:B
B. Heartdisease e
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C. Diabetes
D. Cancer
Rationale:Thegroupneedstoaddresscardiovasculardiasbeirba.csoem,/tetshtenumberonecauseof ,f ,f e
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deathinwomenregardlessofracialorethnicgroup.Smokingisrelatedtoheartdisease and
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thedevelopmentofcancer.However,heartdiseaseandcancer
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canoccurinanywomanregardlessofhersmokinghistoarbyirb..c Co ma / nt e cs teristhesecondleading
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causeofdeath,withwomenhavingaoneinthreelifetimeriskofdevelopingcancer.
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Diabetesisanotherimportanthealthconditionthatcanaffect e
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women.However,itisnotthemajorhealthproblemthatheartdiseaseis.
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Questionformat:MultipleChoice
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Chapter1:PerspectivesonMaternalandChildHealthCare
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CognitiveLevel:Apply e
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ClientNeeds:HealthPromotionandMaintenance
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IntegratedProcess:NursingProcess e
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Reference:p.12 e
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3. Anurseisconductinganorientationprogramforagroupofnewlyhirednurses.As part
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oftheprogram,thenurseis reviewing the issueaboirfb.icnomfo/tresm
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t edconsent.Thenurse e
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determinesthattheteachingwaseffectivewhenthegroupidentifieswhichsituation as a
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violation ofinformed consent?
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A. Performingaprocedureona15-year-oldwithoutparentalconsent e
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B. Servingas awitness to the signature process onanoapbei rrba.tciv e
o m / te st
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C. Askingwhethertheclientunderstandswhatsheissigningfollowingreceiving
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D. Gettingverbalconsentoverthephoneforanemergeanbicrby.copmr / ot ecstedurefromthe ,f ,f se e
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spouseofaunconsciouswoman
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Answer:A e
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Rationale:Inmoststates,onlyclientsovertheageof18canlegallyprovideconsentfor e
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healthcare.Servingasawitnesstothesignatureprocess,askingwhethertheclient
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understands whatsheissigning,a ndabgireb.tc toi mn / gt es vt erbalconsentover
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thephoneforemergencyproceduresareallkeytoinformedconsentandarenot
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violations.
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Chapter1:Perspectives onMaternalandChildHealthCaa brier b .com/test
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CognitiveLevel:Analyze
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ClientNeeds:Safe,EffectiveCareEnvironment:ManagementofCare
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IntegratedProcess:NursingProcess
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Reference:p.45 e
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4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
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fetus.Toensure informedconsent,whichactionw ouabldi rb. bc oem/ttehs tepriority responsibility ofthe
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nurseprovidingcaretothiswoman?
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A. Askingrelevantquestionstodeterminetheclient'sunderstanding e
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B. Providingadetaileddescriptionoftherisksandbenefitsoftheprocedure e
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C. Explainingtheexactstepsthatwilloccurduringthepa rb ior bc. ceo dm u re
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D. Offeringsuggestionsforalternativeoptionsfortreatment e
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Answer:A e
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Rationale:Thenurse'sresponsibilitiesrelatedtoinformedconsentinclude:Ensuringthe e
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consentformiscompletedwithsignaturesfromtheclient;servingasawitnessto the
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signatureprocess;anddeterminingwhetherthecalbiierbn.ctomu/tnesdt erstandswhatsheissigningby
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askingherpertinentquestions.Thephysician,advancedpracticenurse,ormidwife is
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responsibleforinformingtheclientabouttheprocedureandobtainingconsentby providing
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adetaileddescriptionoftheprocedureortreatment,itspotentialrisksand
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benefits,andalternativemetho ds a abirvb a. cio l ma / bt elset.
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Chapter1:PerspectivesonMaternalandChildHealthCare Cognitive
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Level:Apply
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ClientNeeds:Safe,EffectiveCareEnvironment:ManagementofCare
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IntegratedProcess:NursingProcess
Reference:p.45
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5. A 9-month-oldwithglaucomarequiressurgery.The i nabfirab n. cot'ms/tepstarentsare
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divorced.Toobtaininformedconsent,whichactionwouldbemostappropriate?
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A. Contactingthefatherforinformedconsent e
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B. Obtaininginformedconsentfromthemother e
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C. Seekingacourtrulingonthecourseofcare e
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D. Determiningsoleorjointcustodybytheparents e
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Rationale:Themostappropriateactionwouldbetodeterminelegalcustodybycourt e
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decree.Iftheparentshavejointcustody,theneitherparentmaygiveconsent,but itis
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always best tohave consent givenbybaboirtbh.copma/terset nts.Theparentwithonlyphysical
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custodymaygiveconsentforemergencycare.Thelastresortisgettingacourtruling;
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usuallythisisnotnecessaryunlesstheparentsdisagree
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about the care of the child. Questionformat:MultipleChoice abirb.com/test
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Chapter1:PerspectivesonMaternalandChildHealthCare
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CognitiveLevel:Apply
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Client Needs:Safe,EffectiveCareEnvironment:M anageam
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Reference:p.47 e
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6. Whichstatementmadebyanursingstudentwouldbeabsirtb.cionmd/tiecsattethather ,f ,f e
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educationonfamily-centeredcarewasfullyunderstood? e
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A. "Childbirthaffectstheentirefamily,andrelationshipswillchange." e
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B. "Familiesareusually not capableofmakinghealthcaarbeirbd.c eo mc/itsesiot nsforthemselves,
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especially in stressfulsituations."
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C. "Mothersaretheonlyfamilymemberaffectedbychildbirth." e
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D. "Sincechildbirthisamedicalprocedure,itmayaffecteveryone."
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Answer:A e
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Rationale:Childbirthaffectstheentirefamily,andrelatioabnirbs.hcoimp/stes wt
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Childbirthisviewedasanormallifeevent,notamedicalprocedure.Familiesare
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verycapableofmakinghealthcaredecisionsabouttheirowncarewithproperinformation and
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support.
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Chapter1:PerspectivesonMaternalandChildHealthCare
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CognitiveLevel:Apply
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ClientNeeds:PsychosocialIntegrity
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IntegratedProcess:NursingProcess
Reference:p.15
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7. Whichaspect ofclient wellnesshasnotbeenafocusaobifrbh.ceoma/ltetsht
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duringthe21st
century?
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