1
,Maternal & Child Nursing Care, 5e (London et al.) ui ui ui ui ui ui ui ui
Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
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1) A nurse is examining different nursing roles. Which statement best illustrates an advanced
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practice nursing role? ui ui
1. A registered nurse who is the manager of a large obstetric unit
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2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
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3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
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4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring
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for high-risk infants
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Answer: 4 u i
Explanation: A clinical nurse specialist with whom other nurses consult for expertise in caring f
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or high-
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risk infants would illustrate an advanced practice nursing role. This nurse has specialized know
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ledge and competence in a specific clinical area, and is master's-prepared.
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Page Ref: 3 ui ui
Cognitive Level: Remembering ui u i
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
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member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the ro
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les and perspectives of the nursing profession with other care professionals on the healthcare tea
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m (i.e. scope of discipline, education and licensure requirements) | NLN Competencies: Teamw
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ork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, incl
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uding overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome:
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1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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2) What is the major focus of the nurse practitioner (NP)?
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1. Leadership
2. Tertiary prevention ui
3. Physical and psychosocial clinical assessment ui ui ui ui
4. Independent care of the high- ui ui ui ui
risk, pregnant client Answer: 3
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Explanation: Physical and psychosocial clinical assessment is the major focus of the NP. Pa
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ge Ref: 3
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Cognitive Level: Remembering ui u i
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
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member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the ro
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les and perspectives of the nursing profession with other care professionals on the healthcare tea
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m (i.e. scope of discipline, education and licensure requirements) | NLN Competencies: Teamw
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ork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, incl
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uding overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome:
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1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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2
,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
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1. Give primary care for healthy newborns.
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2. Be educated in two disciplines of nursing.
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3. Give primary care for high-risk clients who are in hospital settings.
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4. Obtain a physician consultation for all technical procedures at delivery.
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5. Be prepared to manage independently the care of women at low risk for complications during
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pregnancy and birth. ui ui
Answer: 1, 2, 5 u i ui ui
Explanation: The CNM is prepared to manage independently the care of women at low risk for c
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omplications during pregnancy and birth and the care of healthy newborns.
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The CNM is educated in the disciplines of nursing and midwifery.
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The CNM is prepared to manage independently the care of women at low risk for complications
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during pregnancy and birth and the care of healthy newborns.
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Page Ref: 3 ui ui
Cognitive Level: Understanding ui u i
Client Need/Sub: Safe and Effective Care Environment/Management of Care
ui u i ui ui ui ui ui ui
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
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member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the ro
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les and perspectives of the nursing profession with other care professionals on the healthcare tea
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m (i.e. scope of discipline, education and licensure requirements) | NLN Competencies: Teamw
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ork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, incl
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uding overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome:
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1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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3
, 4) During the hospital admission process, a child's parent asks for information about family-
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centered care. What should the nurse explain to this parent?
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1. Mother is the principal caregiver in each family.ui ui ui ui ui ui ui
2. Father is the leader in each home; thus, all communications should include him.
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3. Family serves as the constant influence and continuing support in the child's life.
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4. Child's physician is the key person in ensuring the health of a child is maintained.
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Answer: 3 u i
Explanation: The foundation for the development of trusting relationships and partnerships with
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families is the recognition that the family is the principal caregiver, knows the unique nature of
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each individual child best, plays the vital role of meeting the child's needs, and is responsible for
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ensuring each child's health.
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Page Ref: 3 ui ui
Cognitive Level: Applying ui u i
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: I.B.3. Provide patient- u i ui ui ui ui
centered care with sensitivity and respect for the diversity of human experience | AACN Essent
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ial Competencies: IX.5. Deliver compassionate, patient-centered, evidence-
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based care that respects patient and family preferences | NLN Competencies: Relationship Cente
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red Care; Knowledge; The role of family, culture, and community in a person's development | N
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ursing/Integrated Concepts: Nursing Process: Planning ui ui ui ui
Learning Outcome: 1.2 Summarize the use of community-
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based nursing care in meeting the needs of childbearing and childrearing families.
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MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
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5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should the
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nurse do to encourage the family to consider enrolling the child in this program?
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1. Assessment of the details of the family's income and expenditures ui ui ui ui ui ui ui ui ui
2. Case management to limit costly, unnecessary duplication of services
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3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
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4. Education of the family about the need for keeping regular well- ui ui ui ui ui ui ui ui ui ui
child visit appointments Answer: 3
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Explanation: In the role of an advocate, a nurse will advance the interests of another by suggesti
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ng the family investigate its CHIP eligibility.
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Page Ref: 6 ui ui
Cognitive Level: Applying ui u i
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of pati
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ent centered care: information, communication, and education | AACN Essential Competencies
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: V.12. Advocate for consumers and the nursing profession | NLN Competencies: Relationship C
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entered Care; Practice; Communicate information effectively; listen openly and cooperatively |
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Nursing/Integrated Concepts: Nursing Process: Implementation ui ui ui ui
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and a
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ccess to health care. ui ui ui
MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the c
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hildbearing family. ui
4
,Maternal & Child Nursing Care, 5e (London et al.) ui ui ui ui ui ui ui ui
Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
ui u i ui ui ui ui ui ui
1) A nurse is examining different nursing roles. Which statement best illustrates an advanced
ui ui ui ui ui ui ui ui ui ui ui ui ui
practice nursing role? ui ui
1. A registered nurse who is the manager of a large obstetric unit
ui ui ui ui ui ui ui ui ui ui ui
2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
ui ui ui ui ui ui ui ui ui ui ui ui
3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
ui ui ui ui ui ui ui ui ui ui ui ui
4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
for high-risk infants
ui ui
Answer: 4 u i
Explanation: A clinical nurse specialist with whom other nurses consult for expertise in caring f
u i ui ui ui ui ui ui ui ui ui ui ui ui ui
or high-
ui
risk infants would illustrate an advanced practice nursing role. This nurse has specialized know
ui ui ui ui ui ui ui ui ui ui ui ui ui
ledge and competence in a specific clinical area, and is master's-prepared.
ui ui ui ui ui ui ui ui ui ui
Page Ref: 3 ui ui
Cognitive Level: Remembering ui u i
Client Need/Sub: Safe and Effective Care Environment/Management of Care
ui u i ui ui ui ui ui ui
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
u i ui ui ui ui ui ui ui ui ui ui ui ui
member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the ro
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les and perspectives of the nursing profession with other care professionals on the healthcare tea
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m (i.e. scope of discipline, education and licensure requirements) | NLN Competencies: Teamw
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ork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, incl
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uding overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome:
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1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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2) What is the major focus of the nurse practitioner (NP)?
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1. Leadership
2. Tertiary prevention ui
3. Physical and psychosocial clinical assessment ui ui ui ui
4. Independent care of the high- ui ui ui ui
risk, pregnant client Answer: 3
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Explanation: Physical and psychosocial clinical assessment is the major focus of the NP. Pa
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ge Ref: 3
ui ui
Cognitive Level: Remembering ui u i
Client Need/Sub: Safe and Effective Care Environment/Management of Care
ui u i ui ui ui ui ui ui
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
u i ui ui ui ui ui ui ui ui ui ui ui ui
member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the ro
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les and perspectives of the nursing profession with other care professionals on the healthcare tea
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m (i.e. scope of discipline, education and licensure requirements) | NLN Competencies: Teamw
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ork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, incl
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uding overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome:
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1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
u i ui ui ui ui ui ui ui ui ui ui
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
ui u i ui ui ui ui ui ui ui ui ui ui
2
,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
ui ui ui ui ui ui ui ui ui ui ui ui
1. Give primary care for healthy newborns.
ui ui ui ui ui
2. Be educated in two disciplines of nursing.
ui ui ui ui ui ui
3. Give primary care for high-risk clients who are in hospital settings.
ui ui ui ui ui ui ui ui ui ui
4. Obtain a physician consultation for all technical procedures at delivery.
ui ui ui ui ui ui ui ui ui
5. Be prepared to manage independently the care of women at low risk for complications during
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
pregnancy and birth. ui ui
Answer: 1, 2, 5 u i ui ui
Explanation: The CNM is prepared to manage independently the care of women at low risk for c
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omplications during pregnancy and birth and the care of healthy newborns.
ui ui ui ui ui ui ui ui ui ui
The CNM is educated in the disciplines of nursing and midwifery.
ui ui ui ui ui ui ui ui ui ui
The CNM is prepared to manage independently the care of women at low risk for complications
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during pregnancy and birth and the care of healthy newborns.
ui ui ui ui ui ui ui ui ui
Page Ref: 3 ui ui
Cognitive Level: Understanding ui u i
Client Need/Sub: Safe and Effective Care Environment/Management of Care
ui u i ui ui ui ui ui ui
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
u i ui ui ui ui ui ui ui ui ui ui ui ui
member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the ro
ui ui ui ui ui ui ui ui ui ui ui ui ui
les and perspectives of the nursing profession with other care professionals on the healthcare tea
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
m (i.e. scope of discipline, education and licensure requirements) | NLN Competencies: Teamw
ui ui ui ui ui ui ui ui ui ui ui ui
ork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, incl
ui ui ui ui ui ui ui ui ui ui ui ui ui
uding overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome:
ui ui ui ui ui ui ui ui ui
1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
u i ui ui ui ui ui ui ui ui ui ui
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
ui u i ui ui ui ui ui ui ui ui ui ui
3
, 4) During the hospital admission process, a child's parent asks for information about family-
ui ui ui ui ui ui ui ui ui ui ui ui
centered care. What should the nurse explain to this parent?
ui ui ui ui ui ui ui ui ui ui
1. Mother is the principal caregiver in each family.ui ui ui ui ui ui ui
2. Father is the leader in each home; thus, all communications should include him.
ui ui ui ui ui ui ui ui ui ui ui ui
3. Family serves as the constant influence and continuing support in the child's life.
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4. Child's physician is the key person in ensuring the health of a child is maintained.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
Answer: 3 u i
Explanation: The foundation for the development of trusting relationships and partnerships with
u i ui ui ui ui ui ui ui ui ui ui u
families is the recognition that the family is the principal caregiver, knows the unique nature of
i ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui u
each individual child best, plays the vital role of meeting the child's needs, and is responsible for
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ensuring each child's health.
i ui ui ui
Page Ref: 3 ui ui
Cognitive Level: Applying ui u i
Client Need/Sub: Safe and Effective Care Environment/Management of Care
ui u i ui ui ui ui ui ui
Standards: QSEN Competencies: I.B.3. Provide patient- u i ui ui ui ui
centered care with sensitivity and respect for the diversity of human experience | AACN Essent
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ial Competencies: IX.5. Deliver compassionate, patient-centered, evidence-
ui ui ui ui ui ui
based care that respects patient and family preferences | NLN Competencies: Relationship Cente
ui ui ui ui ui ui ui ui ui ui ui ui
red Care; Knowledge; The role of family, culture, and community in a person's development | N
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
ursing/Integrated Concepts: Nursing Process: Planning ui ui ui ui
Learning Outcome: 1.2 Summarize the use of community-
ui u i ui ui ui ui ui
based nursing care in meeting the needs of childbearing and childrearing families.
ui ui ui ui ui ui ui ui ui ui ui
MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
ui u i ui ui ui ui ui ui ui ui ui ui ui
5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
nurse do to encourage the family to consider enrolling the child in this program?
ui ui ui ui ui ui ui ui ui ui ui ui ui
1. Assessment of the details of the family's income and expenditures ui ui ui ui ui ui ui ui ui
2. Case management to limit costly, unnecessary duplication of services
ui ui ui ui ui ui ui ui
3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
ui ui ui ui ui ui ui ui ui ui ui ui
4. Education of the family about the need for keeping regular well- ui ui ui ui ui ui ui ui ui ui
child visit appointments Answer: 3
ui ui ui u i
Explanation: In the role of an advocate, a nurse will advance the interests of another by suggesti
u i ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
ng the family investigate its CHIP eligibility.
ui ui ui ui ui ui
Page Ref: 6 ui ui
Cognitive Level: Applying ui u i
Client Need/Sub: Safe and Effective Care Environment/Management of Care
ui u i ui ui ui ui ui ui
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of pati
u i ui ui ui ui ui ui ui ui ui
ent centered care: information, communication, and education | AACN Essential Competencies
ui ui ui ui ui ui ui ui ui ui
: V.12. Advocate for consumers and the nursing profession | NLN Competencies: Relationship C
ui ui ui ui ui ui ui ui ui ui ui ui ui
entered Care; Practice; Communicate information effectively; listen openly and cooperatively |
ui ui ui ui ui ui ui ui ui ui ui
Nursing/Integrated Concepts: Nursing Process: Implementation ui ui ui ui
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and a
ui u i ui ui ui ui ui ui ui ui ui ui ui ui
ccess to health care. ui ui ui
MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the c
ui u i ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
hildbearing family. ui
4
