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centered care into the birthing process, the nurse would base care upon whic
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,h belief? A. Birth is viewed as a 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 q
Rationale: Family- q
centered care is based on the followinagbirpb.rcionmc/tiepstles: Birth affects the entire famil
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y, and relationships will change; birth is viewed as a normal, healthy event in the life of
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qthe family; and families are capable of making decisions about their own care if given
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adequate information and professional support.
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Question format: Multiple Choice q q q
Chapter 1: Perspectives on Maternal and Child Health Care C
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ognitive Level: Apply q q
Client Needs: Health Promotion and Maintenance I
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ntegrated Process: Teaching/Learning Integrated
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Process: Caring q
Reference: p. 7 q q
1. 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 ed
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ucational programs to address which priority condition? q q q q q q
A. Smoking
B. Heart disease q
C. Diabetes
D. Cancer q
Answer: B q
Rationale: The group needs to address cardiovascular di s e a s e , th e number one cau
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se 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
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o r y . C an c
in 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 wom
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en. However, it is not the major health problem that heart disease is.
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Question format: Multiple Choice q q q
Chapter 1: Perspectives on Maternal and Child Health Care C
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ognitive Level: Apply q q
Client Needs: Health Promotion and Maintenance Integrated
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Process: Nursing Process q q
Reference: p. 12 q q
2. A nurse is conducting an orientation program for a group of newly hired nurses. A
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s part of the program, the nurse is reviewing the issueaobirfb.icnofmo/tremst ed consent.
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The nurse determines that the teaching was effective when the group identifies whic
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h situation as a violation of informed consent?
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A. Performing a procedure on a 15-year-old without parental consent q q q q q q q q
B. Serving as a witness to the signature process on an oapbier br.caotmiv/ tees t permit
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q q q q
C. Asking whether the client understands what she is signing following receiving ed
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ucation
D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from the spo
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use of a unconscious womanq q q q
Answer: A q
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 consen
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t over the phone for emergency procedures are all key to informed consent and are no
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t violations.
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Question format: Multiple Choice q q q
Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cognitive
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Level: Analyze q
Client Needs: Safe, Effective Care Environment: Management of Care In
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tegrated Process: Nursing Process q q q
Reference: p. 45 q q
3. A pregnant woman is to undergo an invasive procedure to evaluate the status of her fet
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us. To ensure informed consent, which action wouabldirb.bcoem/ttehset
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priority 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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