Test Bank For Maternal-Child Nursing, 4th Edition

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Chapter 1: Foundations of Maternity,Women’s Health, and Child Health NursingChapter 1: Foundations of Maternity,Women’sHealth, and Child HealthNursingTest BankMULTIPLE CHOICE1.Which factor significantly contributed to the shift from home births to hospitalbirths in the early 20th century?a.Puerperalsepsiswasidentifiedasariskfactorinlaboranddelivery.b.Forcepsweredevelopedtofacilitatedifficultbirths.c.Theimportanceofearlyparental-infantcontactwasidentified.d.Technologicdevelopmentsbecameavailabletophysicians.ANS: DFeedbackAPuerperalsepsishasbeenaknownproblemforgenerations.Inthelate19thcentury,Semmdiscoveredhowitcouldbepreventedwithimprovedhygienicpractices.BThedevelopmentofforcepstohelpphysiciansfacilitatedifficultbirthswasastrongfactorofhomebirthsandincreaseofhospitalbirths.Otherimportantdiscoveriesincludedchloroinitiatelabor,andtheadvancementofoperativeproceduressuchacesareanbirth.CUnlikehome-births,earlyhospitalbirthshinderedbondingbetweenparentsandtheirinfanDTechnologicaldevelopmentswereavailabletophysicians,notlaymidwives.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 2OBJ: Nursing Process: AssessmentMSC: Client Needs: Safe and Effective Care Environment2.Family-centered maternity care developed in response to:a.Demandsbyphysiciansforfamilyinvolvementinchildbirthb.TheSheppard-TownerActof1921c.Parentalrequeststhatinfantsbeallowedtoremainwiththemratherthaninanurseryd.ChangesinpharmacologicmanagementoflaborANS: CFeedbackAFamily-centeredcarewasarequestbyparents,notphysicians.

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BTheSheppard-TownerActprovidedfundsforstate-managedprogramsformothersandchCAsresearchbegantoidentifythebenefitsofearlyextendedparent-infantcontact,parentsbthattheinfantremainwiththem.Thisgraduallydevelopedintothepracticeofrooming-infamily-centeredmaternitycare.DThechangesinpharmacologicmanagementoflaborwerenotafactorinfamily-centeredmPTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity3.Which setting for childbirth allows the least amount of parent-infant contact?a.Labor/delivery/recovery/postpartumroomb.Birthcenterc.Traditionalhospitalbirthd.HomebirthANS: CFeedbackAThelabor/delivery/recovery/postpartumroomsettingallowsincreasedparent-infantcontacBBirthcentersaresetuptoallowanincreaseinparent-infantcontact.CInthetraditionalhospitalsetting,themothermayseetheinfantforonlyshortfeedingperioinfantiscaredforinaseparatenursery.DHomebirthsallowanincreaseinparent-infantcontact.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance4.As a result of changes in health care delivery and funding, a current trend seen inthe pediatric setting is:a.Increasedhospitalizationofchildrenb.Decreasednumberofchildrenlivinginpovertyc.Anincreaseinambulatorycared.DecreaseduseofmanagedcareANS: CFeedbackAHospitalizationforchildrenhasdecreased.BHealthcaredeliveryhasnotalteredthenumberofchildrenlivinginpoverty.COneeffectofmanagedcarehasbeenthatpediatrichealthcaredeliveryhasshifteddramati

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acutecaresettingtotheambulatorysetting.Oneofthebiggestchangesinhealthcarehasbofmanagedcare.Thenumberofhospitalbedsbeingusedhasdecreasedasmorecareisgivsettingsandinthehome.ThenumberofchildrenlivinginpovertyhasincreasedoverthelDManagedcarehasincreasedinordertocontrolcost.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6OBJ: Nursing Process: PlanningMSC: Client Needs: Safe and Effective Care Environment5.The Women, Infants, and Children (WIC) program provides:a.Well-childexaminationsforinfantsandchildrenlivingatthepovertylevelb.Immunizationsforhigh-riskinfantsandchildrenc.Screeningforinfantswithdevelopmentaldisordersd.Supplementalfoodsuppliestolow-incomewomenwhoarepregnantorbreastfeedingANS: DFeedbackAMedicaid’sEarlyandPeriodicScreening,Diagnosis,andTreatmentProgramprovidesforexaminationsandfortreatmentofanymedicalproblemsdiagnosedduringsuchcheckups.BChildrenintheWICprogramareoftenlinkedwithimmunizations,butthatisnottheprimaprogram.CPublicLaw99-457providesfinancialincentivestostatestoestablishcomprehensiveearlyservicesforinfantsandtoddlerswith,oratriskfor,developmentaldisabilities.DWICisafederalprogramthatprovidessupplementalfoodsuppliestolow-incomewomenorbreastfeedingandtotheirchildrenuntilage5years.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 2 | Tables 1-1, 1-9OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity6.In most states, adolescents who are not emancipated minors must have thepermission of their parents before:a.Treatmentfordrugabuseb.Treatmentforsexuallytransmitteddiseases(STDs)c.Accessingbirthcontrold.SurgeryANS: DFeedbackAMoststatesallowminorstoobtaintreatmentfordrugoralcoholabusewithoutparentalcon

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BMoststatesallowminorstoobtaintreatmentforSTDswithoutparentalconsent.CInmoststates,minorsareallowedaccesstobirthcontrolwithoutparentalconsent.DIfaminorreceivessurgerywithoutproperinformedconsent,assaultandbatterychargesagprovidercanresult.Thisdoesnotapplytoanemancipatedminor(aminorchildwhohasthcompetencyofanadultbecauseofcircumstancesinvolvingmarriage,divorce,parentingoindependentlywithoutparents,orenlistmentinthearmedservices).PTS: 1 DIF: Cognitive Level: Application REF: p. 19OBJ: Nursing Process: PlanningMSC: Client Needs: Safe and Effective Care Environment7.The maternity nurse should have a clear understanding of the correct use of aclinical pathway. One characteristic of clinical pathways is that they:a.Aredevelopedandimplementedbynursesb.Areusedprimarilyinthepediatricsettingc.Setspecifictimelinesforsequencinginterventionsd.ArepartofthenursingprocessANS: CFeedbackAClinicalpathwaysaredevelopedbymultiplehealthcareprofessionalsandreflectinterdiscinterventions.BTheyareusedinmultiplesettingsandforpatientsthroughoutthelifespan.CClinicalpathwaysmeasureoutcomesofpatientcare.Eachpathwayoutlinesspecifictimelsequencinginterventions.DThestepsofthenursingprocessareassessment,diagnosis,planning,intervention,andevaPTS: 1 DIF: Cognitive Level: Application REF: p. 8OBJ: Nursing Process: PlanningMSC: Client Needs: Safe and Effective Care Environment8.The fastest-growing group of homeless people is:a.Menandwomenpreparingforretirementb.Migrantworkersc.Singlewomenandtheirchildrend.Intravenous(IV)substanceabusersANS: CFeedback

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AMostpeoplecontemplatingretirementhavemadeprovisions.BMigrantworkersmayseekhealthcareonlywhenabsolutelynecessary;however,notallarCPregnancyandbirth,especiallyforateenager,areimportantcontributingfactorsforbecomDNotallsubstanceabusersarehomeless.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 16OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity9.The United States ranks 25th in infant mortality rates of the world. Which factor hasa significant impact on decreasing the mortality rate of infants?a.Resolvingalllanguageandculturaldifferencesb.EnrollingthepregnantwomanintheMedicaidprogrambythe8thmonthofpregnancyc.Ensuringearlyandadequateprenatalcared.Providingmorewomen’ssheltersANS: CFeedbackALanguageandculturaldifferencesarenotinfantmortalityissuesbutmustbeaddressedtoihealthcare.BMedicaidprovideshealthcareforpoorpregnantwomen,buttheprocessmaytakeweekst8thmonthistoolatetoapplyandreceivebenefitsforthispregnancy.CBecausepreterminfantsformthelargestcategoryofthoseneedingexpensiveintensivecarpregnancyinterventionisessentialfordecreasinginfantmortalityrates.Thisisespeciallyiwomeninhigh-riskgroups,suchasracialminorities,teenagers,andthoselivinginpovertyDThewomeninsheltershavethesamedifficultiesinobtaininghealthcareasdootherpoorparticularlylackoftransportationandinconvenienthoursoftheclinics.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 11, 16OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance10.The intrapartum woman sees no need for an admission fetal monitoring strip. Ifshe continues to refuse, what is the first action the nurse should take?a.Consultthefamilyofthewoman.b.Notifythephysician.c.Documentthewoman’srefusalinthenurse’snotes.d.Makeareferraltothehospitalethicscommittee.ANS: BFeedback

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AThepatientmustbeallowedtomakechoicesvoluntarilywithoutundueinfluenceorcoerciBPatientsmustbeallowedtomakechoicesvoluntarilywithoutundueinfluenceorcoercionphysician,especiallyifunawareofthepatient’sdecision,shouldbenotifiedimmediately.Tnotifythephysicianoftherefusaloftheagency’sprotocolanddocumentallaspectsofthegivenbythenurse,aswellasanyinstructionsfromthephysician.CDocumentationisimportant,butitshouldnotbethefirstaction.DFetalmonitoringisnotusuallyconsideredanethicalproblem.PTS: 1 DIF: Cognitive Level: Application REF: p. 20OBJ: Nursing Process: ImplementationMSC: Client Needs: Safe and Effective Care Environment11.Which statement is true regarding the“qualityassurance”or“incident”report?a.Thereportassuresthelegaldepartmentthatnoproblemexists.b.Reportsareapermanentpartofthepatient’schart.c.Thenurse’snotesshouldcontain,“Incidentreportfiled,andcopyplacedinchart.”d.Thisreportisaformofdocumentationofaneventthatmayresultinlegalaction.ANS: DFeedbackAThereportisawarningtothelegaldepartmenttobepreparedforapotentiallegalaction.BIncidentreportsarenotapartofthepatient’schart.CIncidentreportsarenotmentionedinthenurse’snotes.DDocumentationonthechartshouldincludeallfactualinformationregardingthewoman’scwouldberecordedinanysituation.Incidentreportsarenotmentionedinthenurse’snotes.completesanincidentreportwhensomethingoccursthatmightresultinalegalactionagaihospitalorisavariancefromthestandardofcare.PTS: 1 DIF: Cognitive Level: Application REF: p. 21OBJ: Nursing Process: ImplementationMSC: Client Needs: Safe and Effective Care Environment12.Elective abortion is considered an ethical issue because:a.Abortionlawisunclearaboutawoman’sconstitutionalrights.b.TheSupremeCourtruledthatlifebeginsatconception.c.Aconflictexistsbetweentherightsofthewomanandtherightsofthefetus.d.Itrequiresthird-partyconsent.ANS: C

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FeedbackAAbortionlawsareclearconcerningawoman’sconstitutionalrights.BTheSupremeCourthasnotruledonwhenlifebegins.CElectiveabortionisanethicaldilemmabecausetwoopposingcoursesofactionareavailabinducedabortionisaprivatechoiceisinconflictwiththebeliefthatelectivepregnancytertakingalife.DAbortiondoesnotrequirethird-partyconsent.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 13OBJ: Nursing Process: AssessmentMSC: Client Needs: Safe and Effective Care Environment13.Which woman would be most likely to seek prenatal care?a.A15-year-oldwhotellsherfriends,“Idon’tbelieveI’mpregnant.”b.A20-year-oldwhoisinherfirstpregnancyandhasaccesstoafreeprenatalclinicc.A28-year-oldwhoisinhersecondpregnancyandabusesdrugsandalcohold.A30-year-oldwhoisinherfifthpregnancyanddeliveredherlastinfantathomewiththehmotherandsisterANS: BFeedbackABeingindenialaboutthepregnancywillpreventherfromseekinghealthcare.BThepatientwhoacknowledgesthepregnancyearly,hasaccesstohealthcare,andhasnorhealthcareismostlikelytoseekprenatalcare.CSubstanceabusersarelesslikelytoseekhealthcare.DSomewomenseepregnancyanddeliveryasanaturaloccurrenceanddonotseekhealthcaPTS: 1 DIF: Cognitive Level: Comprehension REF: p. 16OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance14.A woman who delivered her baby 6 hours ago complains of headache anddizziness. The nurse administers an analgesic but does not perform any assessments.The woman then has a grand mal seizure, falls out of bed, and fractures her femur.How would the actions of the nurse be interpreted in relation to standards of care?a.Negligentbecausethenursefailedtoassessthewomanforpossiblecomplicationsb.Negligentbecausethenursemedicatedthewomanc.Notnegligentbecausethewomanhadsignedawaiverconcerningtheuseofsiderails

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d.NotnegligentbecausethewomandidnotinformthenurseofhersymptomsassoonastheANS: AFeedbackABynotassessingthewoman,thenursefailedtomeettheestablishedstandardsofcare.Thenegligencerelatestowhetherthenursehasadutytoprovidecaretothewoman.Thecaretprovidesmustmeettheestablishedstandardsofcare.BBynotfirstassessingthewoman,thenursedoesnotmeettheestablishedstandardsofcareCThenursecouldbefoundnegligent.DThenurseisresponsibleforassessingthewoman.PTS: 1 DIF: Cognitive Level: Application REF: p. 18OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance15.Which patient situation fails to meet the first requirement of informed consent?a.Thepatientdoesnotunderstandthephysician’sexplanations.b.Thephysiciangivesthepatientonlyapartiallistofpossiblesideeffectsandcomplicationsc.Thepatientisconfusedanddisoriented.d.Thepatientsignsaconsentformbecauseherhusbandtellsherto.ANS: CFeedbackAUnderstandingisanimportantelementoftheconsent,butfirstthepatienthastobecompeBFulldisclosureofinformationisanimportantelementoftheconsent,butfirstthepatienthcompetenttosign.CThefirstrequirementofinformedconsentisthatthepatientmustbecompetenttomakedehealthcare.DVoluntaryconsentisanimportantelementoftheconsent,butfirstthepatienthastobecomPTS: 1 DIF: Cognitive Level: Comprehension REF: p. 19OBJ: Nursing Process: AssessmentMSC: Client Needs: Safe and Effective Care Environment16.Which situation reflects a potential ethical dilemma for the nurse?a.Anurseadministersanalgesicstoapatientwithcancerasoftenasthephysician’sorderallb.Aneonatalnurseprovidesnourishmentandcaretoanewbornwhohasadefectthatisincolife.c.Alabornurse,whosereligionopposesabortion,isaskedtoassistwithanelectiveabortiond.Apostpartumnurseprovidesinformationaboutadoptiontoanewmotherwhofeelssheca

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careforherinfant.ANS: CFeedbackAThereisnoelementofconflictforthenurse;thereforeadilemmadoesnotexist.BThereisnoelementofconflictforthenurse;thereforeadilemmadoesnotexist.CAdilemmaexistsinthissituationbecausethenurseisbeingaskedtoassistwithaprocedubelievesismorallywrong.TheothersituationsdonotcontainelementsofconflictforthenDThereisnoelementofconflictforthenurse;thereforeadilemmadoesnotexist.PTS: 1 DIF: Cognitive Level: Analysis REF: p. 12OBJ: Nursing Process: AssessmentMSC: Client Needs: Safe and Effective Care Environment17.When planning a parenting class, the nurse should explain that the leading cause ofdeath in children 1 to 4 years of age in the United States is:a.Prematurebirthb.Congenitalanomaliesc.Accidentaldeathd.RespiratorytractillnessANS: CFeedbackADisordersofshortgestationandunspecifiedlowbirthweightmakeuponeoftheleadingcneonates.BOneoftheleadingcausesofinfantdeathafterthefirstmonthoflifeiscongenitalanomalieCAccidentsaretheleadingcauseofdeathinchildrenages1to19years.DRespiratorytractillnessesareamajorcauseofmorbidityinchildren.PTS: 1 DIF: Cognitive Level: Application REF: p. 11OBJ: Nursing Process: ImplementationMSC: Client Needs: Safe and Effective Care Environment18.A nurse assigned to a child does not know how to perform a treatment that hasbeen prescribed for the child. What should thenurse’sfirst action be?a.Delaythetreatmentuntilanothernursecandoit.b.Makethechild’sparentsawareofthesituation.c.Informthenursingsupervisoroftheproblem.

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d.Arrangetohavethechildtransferredtoanotherunit.ANS: CFeedbackAThenursecouldendangerthechildbydelayingtheinterventionuntilanothernurseisavailBTellingthechild’sparentswouldmostlikelyincreasetheiranxietyandwillnotresolvetheCIfanurseisnotcompetenttoperformaparticularnursingtask,thenursemustimmediatelythisfacttothenursingsupervisororphysician.DTransfertoanotherunitdelaysneededtreatmentandwouldcreateunnecessarydisruptionffamily.PTS: 1 DIF: Cognitive Level: Application REF: p. 18OBJ: Nursing Process: ImplementationMSC: Client Needs: Safe and Effective Care Environment19.The mother of a 5-year-old female inpatient on the pediatric unit asks the nurse ifshe could provide information regarding the recommended amount of televisionviewing time for her daughter. The nurse responds that the appropriate amount of timea child should be watching television is:a.1-2hoursperdayb.2-3hoursperdayc.3-4hoursperdayd.4hoursormoreANS: AFeedbackATheAmericanAcademyofPediatrics(AAP,2009)encouragesallparentstomonitortheirexposureandlimitscreentimetonomorethan1to2hoursperday.TheAAPalsorecommparentsremovetelevisionsandcomputersfromtheirchildren’sbedroomsandmonitorprosexualorviolentcontent.BTwohoursperdayistheouterlimitofmediaexposureaccordingtotheAAP.CThreetofourhoursperdayistoomuchtelevisionpertheAAPguidelines.Inthissituationmorecarefullymonitortheamountoftelevisionviewingtime.DWatchingtelevisionfor4hoursormoreisanexcessiveamountofscreentimepertheAAPthissituation,parentsneedtomorecarefullymonitortheamountoftelevisionviewingtimPTS: 1 DIF: Cognitive Level: Knowledge REF: p. 17OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

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20.Family-centered care (FCC) describes safe, quality care that recognizes and adaptsto both the physical and psychosocial needs of the family. Which nursing practicecoincides with the principles of FCC?a.Thenewbornisreturnedtothenurseryatnightsothatthemothercanreceiveadequateresdischarge.b.Thefatherisencouragedtogohomeafterthebabyisdelivered.c.Allpatientsareroutinelyplacedonthefetalmonitor.d.Thenurse’sassignmentincludesbothmomandbabyandincreasesthenurse’sresponsibiliANS: DFeedbackAInthismodeltheinfantusuallystayswiththemotherinthelabor/deliver/recovery(LDR)rherhospitalstay.BThefatherorotherprimarysupportpersonisencouragedtostaywiththemotherandinfanfacilitiesprovidebedssothattheycanremainthroughthenight.CInthismodelthenurseusesselectivetechnologyratherthanroutineprocedures.ThisinclufetalmonitoringandIVtherapy.DFamily-centeredcareincreasestheresponsibilitiesofnurses.Inadditiontothephysicalcarnursesassumeamajorroleinteaching,counseling,andsupportingfamilies.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 5OBJ: Nursing Process: ImplementationMSC: Client Needs: Safe and Effective Care Environment21.Home nursing care has experienced dramatic growth since 1990. The nurse whoworks in this setting must function independently within established protocols. Whichstatement related to nursing care of the child at home is most correct?a.Thetechnology-dependentinfantcansafelybecaredforathome.b.Homecareincreasesreadmissionstothehospitalforachildwithchronicconditions.c.Thereisincreasedstressforthefamilywhenasickchildisbeingcaredforathome.d.Thefamilyofthechildwithachronicconditionislikelytobeseparatedfromtheirsupportchildiscaredforathome.ANS: AFeedbackAGreaternumbersoftechnology-dependentinfantsandchildrenarenowcaredforathome.includethoseneedingventilatorassistance,totalparenteralnutrition,IVmedications,apne

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otherdevice-assistednursingcare.BOptimalhomecarecanreducetherateofreadmissiontothehospitalforchildrenwithchroCConsumersoftenpreferhomecarebecauseofthedecreasedstressonthefamilywhenthepremainathome.DWhenthechildiscaredforathomethefamilyislesslikelytobeseparatedfromtheirsuppbecauseoftheneedforhospitalization.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8OBJ: Nursing Process: PlanningMSC: Client Needs: Safe and Effective Care Environment22.Maternity nursing care that is based on knowledge gained through research andclinical trials is known as:a.Nursesensitiveindicatorsb.Evidence-basedpracticec.Casemanagementd.OutcomesmanagementANS: BFeedbackANursesensitiveindicatorsarepatientcareoutcomesparticularlydependentonthequalityanursingcareprovided.BEvidence-basedpracticeisbasedonknowledgegainedfromresearchandclinicaltrials.CCasemanagementisapracticemodelthatusesasystematicapproachtoidentifyspecificpdetermineeligibilityforcare,andarrangeaccesstoservices.DThedeterminationtolowerhealthcarecostswhilemaintainingthequalityofcarehasledtpracticemodelknownasoutcomesmanagement.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 7OBJ: Nursing Process: DiagnosisMSC: Client Needs: Safe and Effective Care Environment23.The level of practice a reasonably prudent nurse provides is called:a.Thestandardofcareb.Riskmanagementc.Asentineleventd.FailuretorescueANS: A

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FeedbackAGuidelinesforstandardsofcarearepublishedbyvariousprofessionalnursingorganizationofcareforneonatalnursesissetbytheAssociationofWomen’sHealth,Obstetric,andNe(AWHONN).TheSocietyofPediatricNursesistheprimaryspecialtyorganizationthatsetthepediatricnurse.BRiskmanagementidentifiesrisksandestablishespreventivepractices,butitdoesnotdefincare.CSentineleventsareunexpectednegativeoccurrences.TheydonotestablishthestandardofDFailuretorescueisanevaluativeprocessfornursing,butitdoesnotdefinethestandardofPTS: 1 DIF: Cognitive Level: Knowledge REF: p. 18OBJ: Nursing Process: ImplementationMSC: Client Needs: Safe and Effective Care EnvironmentMULTIPLE RESPONSE1.Many communities now offer the availability of free-standing birth centers toprovide care for low-risk women during pregnancy, birth, and postpartum. Whencounseling the newly pregnant woman regarding this option, the nurse should beaware that this type of care setting includes which advantages? Select all that apply.a.Lessexpensivethanacute-carehospitalsb.Accesstofollow-upcarefor6weekspostpartumc.Equippedforobstetricemergenciesd.Safe,home-likebirthsinafamiliarsettinge.StaffingbylaymidwivesANS: A, B, DFeedbackCorrectWomenwhoareatlowriskanddesireasafe,home-likebirthareverysatisfiedcaresetting.Thenewmothermayreturntothebirthcenterforpostpartumfollobreastfeedingassistance,andfamilyplanninginformationfor6weekspostpartucentersdonotincorporateadvancedtechnologiesintotheirservices,costsaresithanthoseforahospitalsetting.IncorrectThemajordisadvantageofthiscaresettingisthatthesefacilitiesarenotequippobstetricemergencies.Shouldunforeseendifficultiesoccur,thewomanmustbeambulancetothenearesthospital.Birthcentersareusuallystaffedbycertifiedn(CNMs);however,insomestateslaymidwivesmayprovidethisservice.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 4

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OBJ: Nursing Process: PlanningMSC: Client Needs: Safe and Effective Care Environment2.In an effort to reduce prohibitive health care costs, many facilities haveincorporated the use of unlicensed assistive personnel into their care delivery model.Nurses supervising these employees must be aware of what each such employee iscompetent to do within his or her scope of practice. Which tasks can be delegated withsupervision? Select all that apply.a.Blooddrawsb.Medicationadministrationc.Nursingassessmentd.Housekeepingtaskse.Otherdiagnostictests,suchaselectrocardiograms(ECGsorEKGs)ANS: A, B, D, EFeedbackCorrectWithpropersupervisionandadequateinstruction,unlicensedassistivepersonneofthesefunctions.Inschoolsettings,thesepersonnelmayberesponsibleformeadministrationunderthedirectionoftheregisterednurse(RN).IncorrectThenurseisalwaysresponsibleforpatientassessmentsandmustmakecriticaljensurepatientsafety.Useoftheexpertnursetocompletehousekeepingorotherisnotagooduseofhumanresources.Formoreinformationabouttheuseofunpersonnel,refertowww.awhonn.org.PTS: 1 DIF: Cognitive Level: Application REF: p. 22OBJ: Nursing Process: ImplementationMSC: Client Needs: Safe and Effective Care EnvironmentTRUE/FALSE1.In late 2010, the US Department of Health and Human Services launched acomprehensive, nationwide health promotion and disease prevention program. Thisprogram is well known asHealthy People 2010. Is this statement true or false?ANS: FThe program launched in late 2010 wasHealthy People 2020. This was developedwith input from widely diverse constituents.Healthy People 2020expands on goalsdeveloped forHealthy People 2010. These include reducing health disparities andincreasing access to health care. Two additional objectives are specifically directed tothe health of children and adolescents.

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PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 5Chapter 2: The Nurse’s Role in Maternity,Women’s Health, and Pediatric NursingChapter 2: TheNurse’sRole in Maternity,Women’sHealth, and PediatricNursingTest BankMULTIPLE CHOICE1.Which principle of teaching should the nurse use to ensure learning in a familysituation?a.Motivatethefamilywithpraiseandpositivereinforcement.b.Presentcomplexsubjectmaterialfirst,whilethefamilyisalertandreadytolearn.c.Familiesshouldbetaughtbyusingmedicaljargonsotheywillbeabletounderstandtheteusedbyphysicians.d.Learningisbestaccomplishedusingthelectureformat.ANS: AFeedbackAPraiseandpositivereinforcementareparticularlyimportantwhenafamilyistryingtomastask,suchasbreastfeeding.BLearningisenhancedwhentheteachingisstructuredtopresentthesimpletasksbeforethematerial.CEventhoughafamilymayunderstandEnglishfairlywell,theymaynotunderstandthemeorslangterms.DAlivelydiscussionstimulatesmorelearningthanastraightlecture,whichtendstoinhibitqPTS: 1 DIF: Cognitive Level: Application REF: p. 28OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance2.When addressing the questions of a newly pregnant woman, the nurse can explainthat the certified nurse-midwife is qualified to perform:a.Regionalanesthesiab.Cesareandeliveriesc.Vaginaldeliveriesd.InternalversionsANS: C

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FeedbackARegionalanesthesiamustbeperformedbyaphysician.BCesareandeliveriesmustbeperformedbyaphysician.CThenurse-midwifeisqualifiedtodeliverinfantsvaginallyinuncomplicatedpregnancies.DInternalversionsmustbeperformedbyaphysician.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 29OBJ: Nursing Process: AssessmentMSC: Client Needs: Safe and Effective Care Environment3.Which nursing intervention is an independent function of the nurse?a.Administeringoralanalgesicsb.Teachingthewomanperinealcarec.Requestingdiagnosticstudiesd.ProvidingwoundcaretoasurgicalincisionANS: BFeedbackAAdministeringoralanalgesicsisadependentfunction;itisinitiatedbyaphysicianandcarnurse.BNursesarenowresponsibleforvariousindependentfunctions,includingteaching,counselinterveninginnonmedicalproblems.Interventionsinitiatedbythephysicianandcarriedouarecalleddependentfunctions.CRequestingdiagnosticstudiesisadependentfunction.DProvidingwoundcareisadependentfunction;itisusuallyinitiatedbythephysicianthrouorprotocol.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 27OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance4.Which response by the nurse to thewoman’sstatement,“I’mafraid to have acesareanbirth,”would be the most therapeutic?a.“Whatconcernsyoumostaboutacesareanbirth?”b.“EverythingwillbeOK.”c.“Don’tworryaboutit.Itwillbeoversoon.”d.“Thedoctorwillbeinlater,andyoucantalktohim.”ANS: A

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FeedbackAFocusingonwhatthewomanissayingandaskingforclarificationisthemosttherapeuticrBThisresponsebelittlesthewoman’sfeelings.CThisresponsewillindicatethatthewoman’sfeelingsarenotimportant.DThisresponsedoesnotallowthewomantoverbalizeherfeelingswhenshedesires.PTS: 1 DIF: Cognitive Level: Application REF: pp. 30-31OBJ: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity5.To evaluate thewoman’slearning about performing infant care, the nurse should:a.Demonstrateinfantcareprocedures.b.Allowthewomantoverbalizetheprocedure.c.Observethewomanassheperformstheprocedure.d.Routinelyassesstheinfantforcleanliness.ANS: CFeedbackADemonstrationisanexcellentteachingmethod,butnotanevaluationmethod.BDuringverbalizationoftheprocedure,thenursemaynotpickupontechniquesthatareincthebesttoolforevaluation.CThewoman’sabilitytoperformtheprocedurecorrectlyunderthenurse’ssupervisionisthevaluation.DThiswillnotensurethattheproperprocedureiscarriedout.Thenursemaymissseeingunbeingused.PTS: 1 DIF: Cognitive Level: Application REF: p. 35OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance6.What situation is most conducive to learning?a.AteacherwhospeaksverylittleSpanishisteachingaclassofLatinostudents.b.Aclassiscomposedofstudentsofvariousagesandeducationalbackgrounds.c.Anauditoriumisbeingusedasaclassroomfor300students.d.AnAsiannurseprovidesnutritionalinformationtoagroupofpregnantAsianwomen.ANS: DFeedbackATheabilitytounderstandthelanguageinwhichteachingisdonedetermineshowmuchthePatientsforwhomEnglishisnottheirprimarylanguagemaynotunderstandidioms,nuancinformalusageofwords,ormedicalwords.Theteachershouldbefluentinthelanguageo

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BDevelopmentallevelsandeducationallevelsinfluencehowapersonlearnsbest.Inorderfobestpresentinformation,itisbestfortheclasstobeofthesamelevels.CAlargeclassisnotconducivetolearning.Itdoesnotallowforquestions,andtheteacherithenonverbalcuesfromthestudentstoensureunderstanding.DApatient’scultureinfluencesthelearningprocess;thusasituationthatismostconducivetinwhichtheteacherhasknowledgeandunderstandingofthepatient’sculturalbeliefs.PTS: 1 DIF: Cognitive Level: Application REF: p. 28OBJ: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity7.What is the primary role of practicing nurses in the research process?a.Designingresearchstudiesb.Collectingdataforotherresearchersc.Identifyingresearchableproblemsd.SeekingfundingtosupportresearchstudiesANS: CFeedbackADesigningresearchstudiesisonlyonefactoroftheresearchprocess.BDatacollectionisonefactorofresearch.CNursinggeneratesandanswersitsownquestionsbasedonevidencewithinitsuniquesubjeDFinancialsupportisnecessarytoconductresearch,butitisnottheprimaryroleofthenursprocess.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 29OBJ: Nursing Process: Diagnosis and EvaluationMSC: Client Needs: Safe and Effective Care Environment8.The step of the nursing process in which the nurse determines the appropriateinterventions for the identified nursing diagnosis is called:a.Assessmentb.Planningc.Interventiond.EvaluationANS: BFeedbackADuringtheassessmentphase,dataarecollected.

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BThethirdstepinthenursingprocessinvolvesplanningcareforproblemsthatwereidentifiassessment.CTheinterventionphaseiswhentheplanofcareiscarriedout.DTheevaluationphaseisdeterminingwhetherthegoalshavebeenmet.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 35OBJ: Nursing Process: PlanningMSC: Client Needs: Safe and Effective Care Environment9.Which goal is most appropriate for the collaborative problem of wound infection?a.Thepatientwillhaveatemperatureof98.6°Fwithin2days.b.Thepatient’sfluidintakewillbemaintainedat1000mLper8hours.c.Thepatientwillnotexhibitfurthersignsofinfection.d.Thepatientwillbemonitoredtodetecttherapeuticresponsetoantibiotictherapy.ANS: DFeedbackAMonitoringapatient’stemperatureisanindependentnursingrole.BIntakeandoutputisanindependentnursingrole.CMonitoringforcomplicationsisanindependentnursingrole.DInacollaborativeproblem,thegoalshouldbenurseorientedandreflectthenursingintervemonitoringorobserving.Incollaborativeproblems,otherteammembersareinvolvedforoasprescribingantibiotics.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 28OBJ: Nursing Process: PlanningMSC: Client Needs: Safe and Effective Care Environment10.Which nursing intervention is correctly written?a.Encourageturning,coughing,anddeepbreathing.b.Forcefluidsasnecessary.c.Assisttoambulatefor10minutesat8AM,2PM,and6PM.d.Observeinteractionwithinfant.ANS: CFeedbackAThisinterventiondoesnotstatehowoftenthisprocedureshouldbedone.B“Forcefluids”isnotspecific;itdoesnotstatehowmuch.

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CInterventionsmaynotbecarriedoutunlesstheyaredetailedandspecific.DThisinterventionisnotdetailedandspecific.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 35OBJ: Nursing Process: PlanningMSC: Client Needs: Safe and Effective Care Environment11.What part of the nursing process includes the collection of data on vital signs,allergies, sleep patterns, and feeding behaviors?a.Assessmentb.Planningc.Interventiond.EvaluationANS: AFeedbackAAssessmentisthegatheringofbaselinedata.BPlanningisbasedonbaselinedataandphysicalassessment.CImplementationistheinitiationandcompletionofnursinginterventions.DEvaluationisthelaststepinthenursingprocessandinvolvesdeterminingwhetherthegoaPTS: 1 DIF: Cognitive Level: Comprehension REF: p. 33OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance12.The nurse who coordinates and manages apatient’scare with other members ofthe health care team is functioning in the role of:a.Teacherb.Collaboratorc.Researcherd.AdvocateANS: BFeedbackAEducationisanessentialroleoftoday’snurse.Thenursefunctionsasateacherduringprenmaternitycare,andwhenteachingparentsofchildrenregardingnormalgrowthanddeveloBThenursecollaborateswithothermembersofthehealthcareteam,oftencoordinatingandpatient’scare.Careisimprovedbythisinterdisciplinaryapproachasnursesworktogethersocialworkers,physicians,andothers.

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CNursescontributetotheirprofession’sknowledgebasebysystematicallyinvestigatingtheoissuesandnursing.DAnursingadvocateisonewhospeaksonbehalfofanother.Asthehealthprofessionalwhopatient,thenurseisinanidealpositiontohumanizecareandtointercedeonthepatient’sbPTS: 1 DIF: Cognitive Level: Comprehension REF: pp. 28-29OBJ: Nursing Process: PlanningMSC: Client Needs: Safe and Effective Care Environment13.Alternative and complementary therapies:a.ReplaceconventionalWesternmodalitiesoftreatmentb.AreusedbyonlyasmallnumberofAmericanadultsc.Allowformorepatientautonomyd.FocusprimarilyonthediseaseanindividualisexperiencingANS: CFeedbackAAlternativeandcomplementarytherapiesarepartofanintegrativeapproachtohealthcare.BAnincreasingnumberofAmericanadultsareseekingalternativeandcomplementaryhealtCManypopularalternativehealingmodalitiesofferhuman-centeredcarebasedonphilosophrecognizethevalueofthepatient’sinputandhonortheindividual’sbeliefs,values,anddeDAlternativehealingmodalitiesofferaholisticapproachtohealth,focusingonthewholepethedisease.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 36OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity14.Which step in the nursing process identifies the basis or cause of thepatient’sproblem?a.Interventionb.Expectedoutcomec.Nursingdiagnosisd.EvaluationANS: CFeedbackAInterventionsareactionstakentomeettheproblem.BExpectedoutcomeisastatementofthegoal.

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CAnursingdiagnosisstatestheproblemanditscause(“relatedto”).DEvaluationdetermineswhetherthegoalhasbeenmet.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 34OBJ: Nursing Process: PlanningMSC: Client Needs: Safe and Effective Care EnvironmentMULTIPLE RESPONSE1.Today’snurse often assumes the role of teacher or educator. Patient teaching beginsearly in the childbirth process and continues throughout the postpartum period. Whichstrategies would be best to use for a nurse working with a teen mother? Select all thatapply.a.Computer-basedlearningb.Videosc.Printedmateriald.Groupdiscussione.ModelsANS: A, B, C, D, EFeedbackCorrectAnumberoffactorsinfluencelearningatanyage.Oneofthemostsignificantcdevelopmentallevel.Teenageparentsoftenhaveverydifferentconcernsandleawaythanolderparents.Oftengrandparentsarealsoinvolvedintherearingofthmustbeabletoreviewandunderstandthematerial.Thereisawealthofnewinmaynothavebeenavailablewhentheybecameparents.IncorrectAllanswersarecorrect.PTS: 1 DIF: Cognitive Level: Application REF: p. 28OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance2.Optimal patient care relies on thenurse’sexpertise and clinical judgment; however,critical thinking (a component of nursing judgment) underlies the nursing process.The nurse who uses critical thinking understands that the steps of critical thinkinginclude (select all that apply)a.Therapeuticcommunicationb.Examiningbiasesc.Settingprioritiesd.Managingdata

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e.EvaluatingotherfactorsANS: B, D, EFeedbackCorrectThe5stepsofcriticalthinkinginclude:recognizingassumptions,examiningbiatheneedforclosure,managingdata,andevaluatingotherfactors.IncorrectTherapeuticcommunicationisaskillthatnursesmusthavetocarryoutthemanwithintheprofession;however,itisnotoneofthestepsofcriticalthinking.Separtoftheplanningphaseofthenursingprocess.PTS: 1 DIF: Cognitive Level: Application REF: p. 33OBJ: Nursing Process: Planning and ImplementationMSC: Client Needs: Safe and Effective Care EnvironmentCOMPLETION1.Interventions, modalities, professions, theories, applications, or practices that arenot currently part of the conventional medical system in North American culture areoften referred to as ____________________ and ____________________ medicine.ANS:complementary, alternativeFor many people such therapies are not considered alternative, because they aremainstream in their culture. Others combine them with traditional medical practices,thereby using anintegrativeapproach. A continued concern is patient safety. Somepatients who use these techniques may delay necessary care, and others may takeherbal or other remedies that might become toxic when used in combination withprescription drugs or when taken in excess.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 35OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic IntegrityChapter 3: The Childbearing and Child-Rearing FamilyChapter 3: The Childbearing and Child-Rearing FamilyTest BankMULTIPLE CHOICE1.The formula used to guide time-out as a disciplinary method isa.1minutepereachyearofthechild’sageb.Torelatethelengthofthetime-outtotheseverityofthebehavior

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c.Nevertousetime-outforachildyoungerthan4yearsd.Tofollowthetime-outwithatreatANS: AFeedbackAItisimportanttostructuretime-outinatimeframethatallowsthechildtounderstandwhybeenremovedfromtheenvironment.BRelatingtimetoabehaviorissubjectiveandisinappropriatewhenthechildisveryyoung.CTime-outcanbeusedwiththetoddler.DNegativebehaviorshouldnotbereinforcedwithapositiveaction.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 50OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance2.The nurse observes that when an 8-year-old boy enters the playroom, he oftencauses disruption by taking toys from other children. Thenurse’sbest approach forthis behavior is toa.Banthechildfromtheplayroom.b.Explaintothechildrenintheplayroomthatheisveryillandshouldbeallowedtohavethec.Approachthechildinhisroomandask,“Wouldyoulikeitiftheotherchildrentookyourd.Approachthechildinhisroomandstate,“Iamconcernedthatyouaretakingtheotherchiupsetsthemandme.”ANS: DFeedbackABanningthechildfromtheplayroomwillnotsolvetheproblem.Theproblemishisbehavwhereheexhibitsit.BIllnessisnotareasonforachildtobeundisciplined.Whenthechildrecovers,theparentswithachildwhoisundisciplinedandunruly.CChildrenshouldnotbemadetofeelguiltyandtohavetheirself-esteemattacked.DBythenurse’susing“I”ratherthanthe“you”message,thechildcanfocusonthebehaviorthenursecanbegintoexplorewhythebehavioroccurs.PTS: 1 DIF: Cognitive Level: Application REF: p. 50OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance3.Families who deal effectively with stress exhibit which behavior pattern?a.Focusonfamilyproblemsb.Feelweakenedbystress

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c.Expectthatsomestressisnormald.FeelguiltywhenstressexistsANS: CFeedbackAHealthyfamiliesfocusonfamilystrengthsratherthanontheproblemsandknowthatstresandmaybepositive.BIffamiliesaredealingeffectivelywithstress,thenweakeningofthefamilyunitshouldnotCHealthyfamiliesrecognizethatsomestressisnormalinallfamilies.DBecausesomestressisnormalinallfamilies,feelingguiltyisnotreasonable.Guiltonlyimfamilyanddoesnotleadtoresolutionofthestress.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 42OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity4.Which family will most likely have the most difficulty coping with an ill child?a.Asingle-parentmotherwhohasthesupportofherparentsandsiblingsb.Parentswhohavejustmovedtotheareaandarelivinginanapartmentwhiletheylookforc.Thefamilyofachildwhohashadmultiplehospitalizationsrelatedtoasthmaandhasadeqwiththenursingstaffd.AfamilyinwhichthereisayoungchildandfouroldermarriedchildrenwholiveintheareANS: BFeedbackAAlthoughonlyoneparentisavailable,shehasthesupportofherextendedfamily,whichwadjustingtothecrisis.BParentsinanewenvironmentwillhaveincreasedstressrelatedtotheirlackofasupportsynopreviousexperiencesinthesettingfromwhichtodrawconfidence.CBecausethisfamilyhashadpositiveexperiencesinthepast,familymemberscandrawfroexperiencesandfeelconfidentaboutthesetting.DThisfamilyhasanextensivesupportsystemthatwillassisttheparentsinadjustingtothecPTS: 1 DIF: Cognitive Level: Comprehension REF: p. 42 | Box 3-1OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity5.A nurse determines that a child consistently displays predictable behavior and isregular in performing daily habits. Which temperament is the child displaying?a.Easyb.Slow-to-warm-up

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c.Difficultd.ShyANS: AFeedbackAChildrenwithaneasytemperamentareeventempered,predictable,andregularintheirhabpositivelytonewstimuli.BTheslow-to-warm-uptemperamenttypepreferstobeinactiveandmoody.CAhighactivitylevelandadaptingslowlytonewstimuliarecharacteristicsofadifficulttemDShynessisapersonalitytypeandnotacharacteristicoftemperament.PTS: 1 DIF: Cognitive Level: Analysis REF: p. 49OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity6.The parent of a child who has had numerous hospitalizations asks the nurse foradvice because her child has been having behavior problems at home and in school. Indiscussing effective discipline, what is an essential component?a.Allchildrendisplaysomedegreeofactingoutandthisbehaviorisnormal.b.Thechildismanipulativeandshouldhavefirmerlimitssetonherbehavior.c.Positivereinforcementandencouragementshouldbeusedtopromotecooperationandthebehaviors.d.Underlyingreasonsforrulesshouldbegivenandthechildshouldbeallowedtodecidewhbefollowed.ANS: CFeedbackABehaviorproblemsshouldnotbedisregardedasnormal.BItwouldbeincorrecttoassumethechildisbeingmanipulativeandshouldhavefirmerlimbehaviors.CUsingpositivereinforcementandencouragementtopromotecooperationanddesiredbehathethreeessentialcomponentsofeffectivediscipline.DProvidingtheunderlyingreasonsforrulesandgivingthechildachoiceconcerningwhichconstituteacomponentofpermissiveparentingandarenotconsideredanessentialcompondiscipline.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 49OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity7.What characteristic would most likely be found in a Mexican-American family?

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a.Stoicismb.Closeextendedfamilyc.Consideringdocilechildrenweakd.Veryinterestedinhealth-promotinglifestylesANS: BFeedbackAAlthoughstoicismmaybepresentinanyfamily,Mexican-AmericanfamiliestendtobemBMostMexican-Americanfamiliesareveryclose,anditisnotunusualforchildrentobesuparents,siblings,grandparents,andgodparents.Itisimportanttorespectthisculturalcharaseeitasastrength,notaweakness.CConsideringdocilechildrenweakisacharacteristicofNativeAmericans.DAlthougheveryonetendsnowtoembracemorehealth-promotinglifestyles,theyaremoreAnglo-Americans.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 46OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity8.While reviewing the dietary-intake documentation of a 7-year-old Asian boy with afractured femur, the nurse notes that he consistently refuses to eat the food on his tray.What assumption is most likely accurate?a.Heisapickyeater.b.Heneedslessfoodbecauseheisonbedrest.c.Hemayhaveculturallyrelatedfoodpreferences.d.Heisprobablyeatingbetweenmealsandspoilinghisappetite.ANS: CFeedbackAAlthoughthechildmaybeapickyeater,thekeypointisthatheisfromadifferentculture.beingservedmayseemstrangetohim.BNutritionplaysanimportantroleinhealing.Althoughtheenergythechildexpendshasdecbedrest,hehasincreasedneedsforgoodnutrition.CWhenculturaldifferencesarenoted,foodpreferencesshouldalwaysbeobtained.Achildwtoeatunfamiliarfoods.DAlthoughthenurseshoulddeterminewhetherthechildiseatingfoodthefamilyhasbrougmoreimportantpointistodeterminewhetherhehasfoodpreferences.PTS: 1 DIF: Cognitive Level: Analysis REF: p. 46

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OBJ: Nursing Process: Evaluation MSC: Client Needs: Physiologic Integrity9.A nurse is caring for a child with the religion of Christian Science. Whatintervention should the nurse include in the care plan for this child?a.Offericedteatothechildwhoisexperiencingdeficientfluidvolume.b.Informthespiritualcaredepartmentthatthechildhasbeenadmittedtothehospital.c.Allowparentstosignaformoptingoutofroutineimmunizations.d.Askparentswhetherthechildhasbeenbaptized.ANS: CFeedbackACoffeeandteaaredeclinedasadrink.BWhenaChristianSciencebelieverishospitalized,aparentorpatientmayrequestthataChpractitionerbenotifiedasopposedtothehospital-assignedclergy.CChristianSciencebelieversseekexemptionfromimmunizationsbutobeylegalrequiremenDBaptismisnotaceremonyfortheChristianSciencereligion.PTS: 1 DIF: Cognitive Level: Application REF: p. 44 | Table 3-1OBJ: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity10.To resolve family conflict, it is necessary to have open communication, accurateperception of the problem, and a(n)a.Intactfamilystructureb.Arbitratorc.Willingnesstoconsidertheviewofothersd.BalanceinpersonalitytypesANS: CFeedbackAThestructureofafamilymayaffectfamilydynamics,butitisstillpossibletoresolveconfintactfamilystructureifalloftheingredientsofconflictresolutionarepresent.BConflictscanberesolvedwithouttheassistanceofanarbitrator.CWithoutthewillingnessofthemembersofagrouptoconsidertheviewsofothers,conflictcannottakeplace.DMostfamilieshavediversepersonalitytypesamongtheirmembers.Thisdiversitymaymaresolutionmoredifficultbutshouldnotimpedeitaslongastheingredientsofconflictresopresent.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 42

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OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity11.Which statement is true about the characteristics of a healthy family?a.Theparentsandchildrenhaverigidassignmentsforallthefamilytasks.b.Youngfamiliesassumethetotalresponsibilityfortheparentingtasks,refusinganyassistanc.Thefamilyisoverwhelmedbythesignificantchangesthatoccurasaresultofchildbirth.d.Adultsagreeonthemajorityofbasicparentingprinciples.ANS: DFeedbackAHealthyfamiliesremainflexibleintheirroleassignments.BMembersofahealthyfamilyacceptassistancewithoutfeelingguilty.CHealthyfamiliescantolerateirregularsleepandmealschedules,whicharecommonduringchildbirth.DAdultsinahealthyfamilycommunicatewitheachothersothatminimaldiscordoccursindisciplineandsleepschedules.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 41OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity12.A nurse observes that parents discuss rules with their children when the childrendo not agree with the rules. Which style of parenting is being displayed?a.Authoritarianb.Authoritativec.Permissived.DisciplinarianANS: BFeedbackAAparentwhoexpectschildrentofollowruleswithoutquestioningisusinganauthoritarianBAparentwhodiscussestheruleswithwhichchildrendonotagreeisusinganauthoritativeCAparentwhodoesnotconsistentlyenforcerulesandallowsthechildtodecidewhetherhefollowrulesisusingapermissiveparentingstyle.DAdisciplinarianstylewouldbesimilartotheauthoritarianstyle.PTS: 1 DIF: Cognitive Level: Analysis REF: p. 48OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

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13.What should the nurse expect to be problematic for a family whose religiousaffiliation isJehovah’sWitness?a.Immunizationsb.Autopsyc.Organdonationd.BloodtransfusionANS: DFeedbackAChristianSciencebelieversmayseekexemptionfromimmunizations.BBelieversinIslamareopposedtoorgandonation.CJehovah’sWitnessbelieverscanmakeindividualdecisionsaboutautopsy.DJehovah’sWitnessbelieversareopposedtobloodtransfusions.Theymayacceptalternativtransfusions,suchasnon-bloodplasmaexpanders.PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 44 | Table 3-1OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity14.A traditional family structure in which male and female partners and their childrenlive as an independent unit is known as a(n) _____ family.a.Extendedb.Binuclearc.Nucleard.BlendedANS: CFeedbackAExtendedfamiliesincludeotherbloodrelativesinadditiontotheparents.BAbinuclearfamilyinvolvestwohouseholds.CApproximatelytwothirdsofU.S.householdsmeetthedefinitionofanuclearfamily.Thisthetraditionalfamily.DAblendedfamilyisreconstructedafterdivorceandinvolvesthemergeroftwofamilies.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 39OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity15.A pictorial tool that can assist the nurse in assessing aspects of family life relatedto health care is the

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