, Maternity and Pediatric Nursing 4th ca ca ca ca
Edition Ricci Kyle Carman Test Bank
ca ca ca ca ca ca
Chapter 1 ca
1. When integrating the principles of family-centered care into the
ca ca ca ca ca ca ca ca
birthing process, the nurse would base care upon which belief?
ca ca ca ca ca ca ca ca ca ca
A. Birth is viewed as a medical event.
ca ca ca ca ca ca
B. Families are unable to make informed choices due to stress.
ca ca ca ca ca ca ca ca ca
C. Birth results in changes in relationships.
ca ca ca ca ca
D. Families require little information to make appropriate decisions for care.
ca ca ca ca ca ca ca ca ca
Answer: C ca
Rationale: Family-centered care is based on the followinagb i rpb .rc ionmc/ t ieps tles: Birth affects
ca ca ca ca ca ca ca ca ca ca ca ca ca ca ca ca
the entire family, and relationships will change; birth is viewed as a normal, healthy
ca ca ca ca ca ca ca ca ca ca ca ca ca ca
event in the life of the family; and families are capable of making decisions about
ca ca ca ca ca ca ca ca ca ca ca ca ca ca ca
their own care if given adequate information and professional support.
ca ca ca ca ca ca ca ca ca ca
Question format: Multiple Choice ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Care
ca ca ca ca ca ca ca ca
Cognitive Level: Apply
ca ca ca
Client Needs: Health Promotion and Maintenance
ca ca ca ca ca
Integrated Process: Teaching/Learning
ca ca ca
Integrated Process: Caring
ca ca ca
Reference: p. 7 ca ca
2. The nurse is working with a group of community health members to
ca ca ca ca ca ca ca ca ca ca ca
develop a plan to address the special health needs of women. The group
ca ca ca ca ca ca ca ca ca ca ca ca ca
would design educational programs to address which priority condition?
ca ca ca ca ca ca ca ca ca
A. Smoking
B. Heart disease ca
C. Diabetes
D. Cancer
ca Answer:
B
ca
Rationale: The group needs to address cardiovascular dise ase, the number one cause of
ca ca ca ca ca ca ca c
a ca c
a ca ca ca ca ca
death in women regardless of racial or ethnic group. Smoking is related to heart
ca ca ca ca ca ca ca ca ca ca ca ca ca ca
disease and the development of cancer. However, heart disease and cancer
ca ca ca ca ca ca ca ca ca ca ca
can occur in any woman regardless of her smoking histoarbyi r b.. cCo ma/nt ecs ter is the second
ca ca ca ca ca ca ca ca ca c
a
ca ca ca ca ca ca
ca ca ca
leading cause of death, with women having a one in three lifetime risk of
ca ca ca ca ca ca ca ca ca ca ca ca ca ca
developing cancer. Diabetes is another important health condition that can affect
ca ca ca ca ca ca ca ca ca ca ca
women. However, it is not the major health problem that heart disease is.
ca ca ca ca ca ca ca ca ca ca ca ca ca
Question format: Multiple Choice ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Care
ca ca ca ca ca ca ca ca
Cognitive Level: Apply
ca ca ca
Client Needs: Health Promotion and Maintenance
ca ca ca ca ca
Integrated Process: Nursing Process ca ca ca
,Reference: p. 12 ca ca
3. A nurse is conducting an orientation program for a group of newly hired nurses.
ca ca ca ca ca ca ca ca ca ca ca ca ca
As part of the program, the nurse is reviewing the issueaob i rfb .icno fmo/ trem
ca ca ca ca ca s t ed consent. The ca ca ca ca ca ca ca ca ca ca ca ca ca ca c a ca ca
nurse determines that the teaching was effective when the group identifies
ca ca ca ca ca ca ca ca ca ca ca
which situation as a violation of informed consent?
ca ca ca ca ca ca ca ca
A. Performing a procedure on a 15-year-old without parental consent ca ca ca ca ca ca ca ca
B. Serving as a witness to the signature process on an oapb ier br. caotmiv/ t ees t permit
ca ca ca ca ca ca ca ca ca ca
ca ca ca
c
a
ca ca ca c a
C. Asking whether the client understands what she is signing following receiving
ca ca ca ca ca ca ca ca ca ca
education
ca
D. Getting verbal consent over the phone for an emergeanb icr by. c opmr / ot ecs tedure from the
ca ca ca ca ca ca ca ca ca ca ca ca ca ca ca ca
spouse of a unconscious woman
ca ca ca ca ca
Answer: A ca
Rationale: In most states, only clients over the age of 18 can legally provide
ca ca ca ca ca ca ca ca ca ca ca ca ca
consent for health care. Serving as a witness to the signature process, asking
ca ca ca ca ca ca ca ca ca ca ca ca ca
whether the client understands what she is signing, anda gb i reb t. ctoi mn / gt e svt erbal consent over
ca ca ca ca ca ca ca ca ca c
a
ca ca ca ca ca ca ca c a
ca ca
the phone for emergency procedures are all key to informed consent and are not
ca ca ca ca ca ca ca ca ca ca ca ca ca
violations.
Question format: Multiple Choice ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Caabr i er b
ca ca ca ca ca ca ca ca ca
Cognitive Level: Analyze ca ca
Client Needs: Safe, Effective Care Environment: Management of Care
ca ca ca ca ca ca ca ca
Integrated Process: Nursing Process
ca ca ca ca
Reference: p. 45 ca ca
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
ca ca ca ca ca ca ca ca ca ca ca ca ca
her fetus. To ensure informed consent, which action
ca ca ca priority ca ca ca ca
wouabldirb.bcoem/ttehset responsibility of the nurse providing care to this
ca ca ca ca ca ca ca ca ca
woman?
ca
A. Asking relevant questions to determine the client's understanding
ca ca ca ca ca ca ca
B. Providing a detailed description of the risks and benefits of the procedure
ca ca ca ca ca ca ca ca ca ca ca
C. Explaining the exact steps that will occur during the pa rb oi rbc.ceo dm u/ t erset
ca ca ca ca ca ca ca ca ca
ca ca ca ca ca
D. Offering suggestions for alternative options for treatment ca ca ca ca ca ca
ca Answer: A ca
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
ca ca ca ca ca ca ca ca ca
the consent form is completed with signatures from the client; serving as a
ca ca ca ca ca ca ca ca ca ca ca ca ca
witness to the signature process; and determining whether the calbiier bn. cto mu/ tne sdt erstands
ca ca ca ca ca ca ca ca ca ca
ca ca ca ca ca ca ca ca ca
what she is signing by asking her pertinent questions. The physician, advanced
ca ca ca ca ca ca ca ca ca ca ca ca
practice nurse, or midwife is responsible for informing the client about the
ca ca ca ca ca ca ca ca ca ca ca ca
procedure and obtaining consent by providing a detailed description of the
ca ca ca ca ca ca ca ca ca ca ca
procedure or treatment, its potential risks and benefits, and alternative methodsa ab i vr ba. c
ca ca ca ca ca ca ca ca ca ca ca c
a
ca ca ca ca
iolma/bt elset .
ca ca c a
Question format: Multiple Choice ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Care
ca ca ca ca ca ca ca ca
Cognitive Level: Apply
ca ca ca
Client Needs: Safe, Effective Care Environment: Management of Care
ca ca ca ca ca ca ca ca
, Integrated Process: Nursing Process ca ca ca
Reference: p. 45
ca ca ca
5. A 9-month-old with glaucoma requires surgery. The ina bfi ar b n. c to 'ms/t epsat
ca ca ca ca ca ca ca c
a ca ca ca ca ca ca ca ca
rents are divorced. To obtain informed consent, which action would be
ca ca ca ca ca ca ca ca ca ca ca
most appropriate?
ca ca
A. Contacting the father for informed consent ca ca ca ca ca
B. Obtaining informed consent from the mother ca ca ca ca ca
C. Seeking a court ruling on the course of care ca ca ca ca ca ca ca ca
D. Determining sole or joint custody by the parents ca ca ca ca ca ca ca
ca Answer: D ca
Rationale: The most appropriate action would be to determine legal custody by
ca ca ca ca ca ca ca ca ca ca ca
court decree. If the parents have joint custody, then either parent may give
ca ca ca ca ca ca ca ca ca ca ca ca ca
consent, but it is always best to have consent given by ba boi rtbh. c opma/ t erset nts. The parent
ca ca ca ca ca ca ca ca ca ca ca ca
ca ca ca ca ca ca c a
ca ca
with only physical custody may give consent for emergency care. The last resort is
ca ca ca ca ca ca ca ca ca ca ca ca ca ca
getting a court ruling; usually this is not necessary unless the parents disagree
ca ca ca ca ca ca ca ca ca ca ca ca ca
about the care of the child.
ca ca ca ca ca ca
Question format: Multiple Choice ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Care
ca ca ca ca ca ca ca ca
Cognitive Level: Apply
ca ca ca
Client Needs: Safe, Effective Care Environment: Manageam
ca b irbe.cnotm/otefstCare
ca ca ca ca ca caca ca ca ca ca ca
Integrated Process: Nursing Process
ca ca ca ca
Reference: p. 47 ca ca
6. Which statement made by a nursing student would bea bsi r tb . cionmd/ tiecs at
ca ca ca ca ca ca ca ca c
a
ca ca ca ca ca ca ca
c
te that her education on family-centered care was fully
a
ca ca ca ca ca ca ca ca
understood?
ca
A. "Childbirth affects the entire family, and relationships will change." ca ca ca ca ca ca ca ca
B. "Families are usually not capable of making health caarbei r bd. ceo mc/itse isot ns for themselves,
ca ca ca ca ca ca ca ca c
a ca ca ca ca c
a ca c a ca ca
especially in stressful situations."
ca ca ca ca
C. "Mothers are the only family member affected by childbirth."ca ca ca ca ca ca ca ca
D. "Since childbirth is a medical procedure, it may affect
ca ca ca ca ca ca ca ca
ca everyone." Answer: A ca ca
Rationale: Childbirth affects the entire family, and relatioa bni r bs . hc oi mp / st e s wt ill change.
ca ca ca ca ca ca ca c
a
ca ca ca ca ca ca c a
ca
Childbirth is viewed as a normal life event, not a medical procedure. Families are
ca ca ca ca ca ca ca ca ca ca ca ca ca ca
very capable of making health care decisions about their own care with proper
ca ca ca ca ca ca ca ca ca ca ca ca ca
information and support. ca ca
Question format: Multiple Choice
ca ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Care
ca ca ca ca ca ca ca ca
Cognitive Level: Apply
ca ca ca
Client Needs: Psychosocial Integrity
ca ca ca
Integrated Process: Nursing Process ca ca ca
Reference: p. 15
ca ca ca
7. Which aspect of client wellness has not been a focusaob fi r bh. ceo ma/lt te hs
ca ca ca ca ca ca ca ca ca c
a ca ca ca ca ca ca ca ca t
during the 21st century ? ca ca ca ca
Edition Ricci Kyle Carman Test Bank
ca ca ca ca ca ca
Chapter 1 ca
1. When integrating the principles of family-centered care into the
ca ca ca ca ca ca ca ca
birthing process, the nurse would base care upon which belief?
ca ca ca ca ca ca ca ca ca ca
A. Birth is viewed as a medical event.
ca ca ca ca ca ca
B. Families are unable to make informed choices due to stress.
ca ca ca ca ca ca ca ca ca
C. Birth results in changes in relationships.
ca ca ca ca ca
D. Families require little information to make appropriate decisions for care.
ca ca ca ca ca ca ca ca ca
Answer: C ca
Rationale: Family-centered care is based on the followinagb i rpb .rc ionmc/ t ieps tles: Birth affects
ca ca ca ca ca ca ca ca ca ca ca ca ca ca ca ca
the entire family, and relationships will change; birth is viewed as a normal, healthy
ca ca ca ca ca ca ca ca ca ca ca ca ca ca
event in the life of the family; and families are capable of making decisions about
ca ca ca ca ca ca ca ca ca ca ca ca ca ca ca
their own care if given adequate information and professional support.
ca ca ca ca ca ca ca ca ca ca
Question format: Multiple Choice ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Care
ca ca ca ca ca ca ca ca
Cognitive Level: Apply
ca ca ca
Client Needs: Health Promotion and Maintenance
ca ca ca ca ca
Integrated Process: Teaching/Learning
ca ca ca
Integrated Process: Caring
ca ca ca
Reference: p. 7 ca ca
2. The nurse is working with a group of community health members to
ca ca ca ca ca ca ca ca ca ca ca
develop a plan to address the special health needs of women. The group
ca ca ca ca ca ca ca ca ca ca ca ca ca
would design educational programs to address which priority condition?
ca ca ca ca ca ca ca ca ca
A. Smoking
B. Heart disease ca
C. Diabetes
D. Cancer
ca Answer:
B
ca
Rationale: The group needs to address cardiovascular dise ase, the number one cause of
ca ca ca ca ca ca ca c
a ca c
a ca ca ca ca ca
death in women regardless of racial or ethnic group. Smoking is related to heart
ca ca ca ca ca ca ca ca ca ca ca ca ca ca
disease and the development of cancer. However, heart disease and cancer
ca ca ca ca ca ca ca ca ca ca ca
can occur in any woman regardless of her smoking histoarbyi r b.. cCo ma/nt ecs ter is the second
ca ca ca ca ca ca ca ca ca c
a
ca ca ca ca ca ca
ca ca ca
leading cause of death, with women having a one in three lifetime risk of
ca ca ca ca ca ca ca ca ca ca ca ca ca ca
developing cancer. Diabetes is another important health condition that can affect
ca ca ca ca ca ca ca ca ca ca ca
women. However, it is not the major health problem that heart disease is.
ca ca ca ca ca ca ca ca ca ca ca ca ca
Question format: Multiple Choice ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Care
ca ca ca ca ca ca ca ca
Cognitive Level: Apply
ca ca ca
Client Needs: Health Promotion and Maintenance
ca ca ca ca ca
Integrated Process: Nursing Process ca ca ca
,Reference: p. 12 ca ca
3. A nurse is conducting an orientation program for a group of newly hired nurses.
ca ca ca ca ca ca ca ca ca ca ca ca ca
As part of the program, the nurse is reviewing the issueaob i rfb .icno fmo/ trem
ca ca ca ca ca s t ed consent. The ca ca ca ca ca ca ca ca ca ca ca ca ca ca c a ca ca
nurse determines that the teaching was effective when the group identifies
ca ca ca ca ca ca ca ca ca ca ca
which situation as a violation of informed consent?
ca ca ca ca ca ca ca ca
A. Performing a procedure on a 15-year-old without parental consent ca ca ca ca ca ca ca ca
B. Serving as a witness to the signature process on an oapb ier br. caotmiv/ t ees t permit
ca ca ca ca ca ca ca ca ca ca
ca ca ca
c
a
ca ca ca c a
C. Asking whether the client understands what she is signing following receiving
ca ca ca ca ca ca ca ca ca ca
education
ca
D. Getting verbal consent over the phone for an emergeanb icr by. c opmr / ot ecs tedure from the
ca ca ca ca ca ca ca ca ca ca ca ca ca ca ca ca
spouse of a unconscious woman
ca ca ca ca ca
Answer: A ca
Rationale: In most states, only clients over the age of 18 can legally provide
ca ca ca ca ca ca ca ca ca ca ca ca ca
consent for health care. Serving as a witness to the signature process, asking
ca ca ca ca ca ca ca ca ca ca ca ca ca
whether the client understands what she is signing, anda gb i reb t. ctoi mn / gt e svt erbal consent over
ca ca ca ca ca ca ca ca ca c
a
ca ca ca ca ca ca ca c a
ca ca
the phone for emergency procedures are all key to informed consent and are not
ca ca ca ca ca ca ca ca ca ca ca ca ca
violations.
Question format: Multiple Choice ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Caabr i er b
ca ca ca ca ca ca ca ca ca
Cognitive Level: Analyze ca ca
Client Needs: Safe, Effective Care Environment: Management of Care
ca ca ca ca ca ca ca ca
Integrated Process: Nursing Process
ca ca ca ca
Reference: p. 45 ca ca
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
ca ca ca ca ca ca ca ca ca ca ca ca ca
her fetus. To ensure informed consent, which action
ca ca ca priority ca ca ca ca
wouabldirb.bcoem/ttehset responsibility of the nurse providing care to this
ca ca ca ca ca ca ca ca ca
woman?
ca
A. Asking relevant questions to determine the client's understanding
ca ca ca ca ca ca ca
B. Providing a detailed description of the risks and benefits of the procedure
ca ca ca ca ca ca ca ca ca ca ca
C. Explaining the exact steps that will occur during the pa rb oi rbc.ceo dm u/ t erset
ca ca ca ca ca ca ca ca ca
ca ca ca ca ca
D. Offering suggestions for alternative options for treatment ca ca ca ca ca ca
ca Answer: A ca
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
ca ca ca ca ca ca ca ca ca
the consent form is completed with signatures from the client; serving as a
ca ca ca ca ca ca ca ca ca ca ca ca ca
witness to the signature process; and determining whether the calbiier bn. cto mu/ tne sdt erstands
ca ca ca ca ca ca ca ca ca ca
ca ca ca ca ca ca ca ca ca
what she is signing by asking her pertinent questions. The physician, advanced
ca ca ca ca ca ca ca ca ca ca ca ca
practice nurse, or midwife is responsible for informing the client about the
ca ca ca ca ca ca ca ca ca ca ca ca
procedure and obtaining consent by providing a detailed description of the
ca ca ca ca ca ca ca ca ca ca ca
procedure or treatment, its potential risks and benefits, and alternative methodsa ab i vr ba. c
ca ca ca ca ca ca ca ca ca ca ca c
a
ca ca ca ca
iolma/bt elset .
ca ca c a
Question format: Multiple Choice ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Care
ca ca ca ca ca ca ca ca
Cognitive Level: Apply
ca ca ca
Client Needs: Safe, Effective Care Environment: Management of Care
ca ca ca ca ca ca ca ca
, Integrated Process: Nursing Process ca ca ca
Reference: p. 45
ca ca ca
5. A 9-month-old with glaucoma requires surgery. The ina bfi ar b n. c to 'ms/t epsat
ca ca ca ca ca ca ca c
a ca ca ca ca ca ca ca ca
rents are divorced. To obtain informed consent, which action would be
ca ca ca ca ca ca ca ca ca ca ca
most appropriate?
ca ca
A. Contacting the father for informed consent ca ca ca ca ca
B. Obtaining informed consent from the mother ca ca ca ca ca
C. Seeking a court ruling on the course of care ca ca ca ca ca ca ca ca
D. Determining sole or joint custody by the parents ca ca ca ca ca ca ca
ca Answer: D ca
Rationale: The most appropriate action would be to determine legal custody by
ca ca ca ca ca ca ca ca ca ca ca
court decree. If the parents have joint custody, then either parent may give
ca ca ca ca ca ca ca ca ca ca ca ca ca
consent, but it is always best to have consent given by ba boi rtbh. c opma/ t erset nts. The parent
ca ca ca ca ca ca ca ca ca ca ca ca
ca ca ca ca ca ca c a
ca ca
with only physical custody may give consent for emergency care. The last resort is
ca ca ca ca ca ca ca ca ca ca ca ca ca ca
getting a court ruling; usually this is not necessary unless the parents disagree
ca ca ca ca ca ca ca ca ca ca ca ca ca
about the care of the child.
ca ca ca ca ca ca
Question format: Multiple Choice ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Care
ca ca ca ca ca ca ca ca
Cognitive Level: Apply
ca ca ca
Client Needs: Safe, Effective Care Environment: Manageam
ca b irbe.cnotm/otefstCare
ca ca ca ca ca caca ca ca ca ca ca
Integrated Process: Nursing Process
ca ca ca ca
Reference: p. 47 ca ca
6. Which statement made by a nursing student would bea bsi r tb . cionmd/ tiecs at
ca ca ca ca ca ca ca ca c
a
ca ca ca ca ca ca ca
c
te that her education on family-centered care was fully
a
ca ca ca ca ca ca ca ca
understood?
ca
A. "Childbirth affects the entire family, and relationships will change." ca ca ca ca ca ca ca ca
B. "Families are usually not capable of making health caarbei r bd. ceo mc/itse isot ns for themselves,
ca ca ca ca ca ca ca ca c
a ca ca ca ca c
a ca c a ca ca
especially in stressful situations."
ca ca ca ca
C. "Mothers are the only family member affected by childbirth."ca ca ca ca ca ca ca ca
D. "Since childbirth is a medical procedure, it may affect
ca ca ca ca ca ca ca ca
ca everyone." Answer: A ca ca
Rationale: Childbirth affects the entire family, and relatioa bni r bs . hc oi mp / st e s wt ill change.
ca ca ca ca ca ca ca c
a
ca ca ca ca ca ca c a
ca
Childbirth is viewed as a normal life event, not a medical procedure. Families are
ca ca ca ca ca ca ca ca ca ca ca ca ca ca
very capable of making health care decisions about their own care with proper
ca ca ca ca ca ca ca ca ca ca ca ca ca
information and support. ca ca
Question format: Multiple Choice
ca ca ca ca
Chapter 1: Perspectives on Maternal and Child Health Care
ca ca ca ca ca ca ca ca
Cognitive Level: Apply
ca ca ca
Client Needs: Psychosocial Integrity
ca ca ca
Integrated Process: Nursing Process ca ca ca
Reference: p. 15
ca ca ca
7. Which aspect of client wellness has not been a focusaob fi r bh. ceo ma/lt te hs
ca ca ca ca ca ca ca ca ca c
a ca ca ca ca ca ca ca ca t
during the 21st century ? ca ca ca ca
