,
,
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c. By organizing HMOs
d. 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
TOP: DRGs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
18. What is the best example of a Nursing Interventions Classification (NIC) intervention?
a. Patient will ambulate in the hall independently for 10 minutes three times a day.
b. Nurse will report temperature elevations to the charge nurse.
c. Nurse will offer extra liquids at all meals.
d. Patient will express pain relief after massage.
ANS: C
NIC is a guide to nursing actions.
DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 15 TOP: NICs KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
19. How does electronic charting ensure comprehensive charting more effectively than handwritten charting?
a. Provides a uniform style of chart
b. Requires certain responses before allowing the user to progress
c. All documentation is reflective of the nursing care plan
d. 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.
DIF: Cognitive Level: Comprehension REF: Page 15
TOP: Computer Charting KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
20. 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?
a. Empowerment
b. Insight
c. Regulation
d. Organization
ANS: A
The term empowerment refers to the control a family has over its own health care decisions.
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: Empowerment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
21. 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?
a. 4
b. 6
c. 10
d. 12
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ANS: 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
TOP: FMLA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
22. What term appropriately describes the nurse who is able to adapt health care practices to meet the needs of
various cultures?
a. Culturally aware
b. Culturally sensitive
c. Culturally competent
d. Culturally adaptive
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
TOP: Cultural Competency KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
23. What is one major advantage to the application of critical thinking?
a. Problem-free care
b. Limitation of approaches to care
c. Decreased need for assessment
d. Problem prevention
ANS: D
Critical thinking results in problem prevention in designing nursing care.
DIF: Cognitive Level: Comprehension REF: Page 14
TOP: Critical Thinking KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
24. 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?
a. To initiate and identify nursing diagnosis specific to patient
b. To update changes in nursing diagnosis as needed
c. To have an understanding of nursing diagnosis terminology
d. 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
TOP: NANDA-I taxonomy KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Health Promotion and Maintenance: Data Collection Techniques
MULTIPLE RESPONSE
25. What services are birthing centers able to provide? (Select all that apply.)
a. Prenatal care
b. Labor and delivery services
c. Classes for new mothers
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d. Adoption referrals
e. Family planning
ANS: A, B, C, E
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
TOP: Birthing Centers KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
26. What developments in the early 20th century encouraged women to seek hospitalization for childbirth?
(Select all that apply.)
a. Use of specialized obstetric instruments
b. Use of anesthesia
c. Physicians closer relationships with hospitals
d. Focus on family-centered care
e. Insurance coverage
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
TOP: Hospitalization for Childbirth KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
27. What nonfamily-centered policies were prevalent in the 1960s? (Select all that apply.)
a. Waiting room for fathers
b. Sedation of mother during labor
c. Delay of reunion of mother and infant
d. Lenient visiting hours
e. 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.
DIF: Cognitive Level: Comprehension REF: Page 3
TOP: Nonfamily-centered Practices KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
28. 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.)
a. Tuberculosis
b. Child abuse
c. Industrial accidents
d. Sexually transmitted diseases
e. Food-borne 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
OBJ: 6 TOP: Reportable Diseases
KEY: Nursing Process Step: Planning
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Test Bank - Introduction to Maternity and Pediatric Nursing 7e (by Leifer) 9
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
29. 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.)
a. Suction patient orally every 4 hours and as needed.
b. Auscultate lung sounds every 2 hours.
c. Provide Tylenol as ordered by health care provider.
d. Patient states Pain has decreased after medication administration.
e. 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
TOP: Nursing Outcomes Classification (NOC)
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
30. 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.)
a. Memorization of facts first
b. Prioritizing information
c. Relating facts to other facts
d. Making assumptions
e. 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
TOP: Critical Thinking KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment
31. 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.)
a. Early prenatal care
b. Increased number of surgical births
c. NICU care
d. Use of prenatal glucocorticoids
e. Fetal surgery
ANS: A, 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
TOP: Healthy People 2020 KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
32. A community health nurse is providing specialized care to patients in the home setting. What kind of
specialized care may this nurse be providing? (Select all that apply.)
a. Glucose monitoring
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Test Bank - Introduction to Maternity and Pediatric Nursing 7e (by Leifer) 10
b. Heparin therapy
c. Family education
d. Total parenteral nutrition
e. Provision of referral services
ANS: A, B, D
Glucose monitoring, heparin therapy, and total parenteral nutrition are categorized as specialized care that may
be provided by the community health nurse. Family education and provision of referral are categorized as
therapeutic care.
DIF: Cognitive Level: Application REF: Page 16
TOP: Community Health KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
COMPLETION
33. The nurse who is very conscientious about hand hygiene is following the concepts set out by
and .
ANS:
Lister, Pasteur OR Pasteur, Lister
Both Lister and Pasteur set out that handwashing could reduce incidence of infection by cross-contamination.
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: Handwashing KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control
34. The first White House Conference on Children and Youth was called by President
.
ANS:
Theodore Roosevelt
Theodore Roosevelt called the first White House Conference in 1909.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: White House Conferences KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
35. The nurse reviewing the specific recovery goals set out on a clinical pathway observed that two goals were
not met by their designated timeline. The nurse records a negative for these two goals.
ANS:
variance
Using a clinical pathway model with goals and associated timelines, the nurse must record a negative variance
when a timeline is not met and consider a new approach or an extended timeline.
DIF: Cognitive Level: Comprehension REF: Page 12
TOP: Variances KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
36. . is purposeful, goal-directed thinking based on scientific
evidence rather than assumption or memorization.
ANS:
Critical thinking
Critical thinking is purposeful and goal-directed thinking as opposed to general thinking, which involves
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random or memorized thoughts.
DIF: Cognitive Level: Knowledge REF: Page 14
TOP: Critical Thinking KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care