Care (3rd Ed.) – Complete Chapters 1–33 with Accurate
Answers & Rationales
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, Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Continuum
MULTIPLE CHOICE
1. A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar. What action
by the nurse will best promote effective communication?
A. Call for a professional interpreter to translate information.
B. Pattern voice tone and eye contact after the patient‘s behaviors.
C. Talk slowly and deliberately using simple language and cues.
D. Use nonverbal communication as much as possible with the patient.
CORRECT ANSWER: B
2. Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum
Objective: #. Page: 13
Heading: Cultural Practices
3. Integrated Processes: Communication and Documentation Client Need: Psychosocial
Integrity Cognitive Level: Application [Applying] Concept: Diversity; Critical Thinking Difficulty:
Difficult Feedback
4. There is no indication that this patient does not speak English, so using an interpreter is
inappropriate.
5. In the situation where the nurse is unfamiliar with the patient‘s culture, the nurse should
pattern verbal and nonverbal communication after the patient‘s own style.
6. There is no indication that this patient does not speak English, so talking slowly using simple
language is inappropriate.
7. There is no indication that this patient does not speak English, so using mostly nonverbal
communication is inappropriate.
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,8. A nurse manager expects all employees to be patient advocates. Which nursing action best
demonstrates this nursing role?
A. Arranging a family–physician conference to clarify treatment plans
B. Encouraging treatment options based on personal beliefs and values
C. Giving contact information for governmental assistance agencies
D. Working on a political campaign to reduce poverty in the state
CORRECT ANSWER: A
9. Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum
Objective: #. Page: 17
10. Heading: Health Disparities Integrated Processes: Caring
11. Client Need: Safe and Effective Care Environment – Management of Care Cognitive Level:
Evaluation [Evaluating]
12. Concept: Critical Thinking; Nursing Roles Difficulty:
Difficult Feedback
13. In the advocate role, the nurse should promote patient-/family-centered care and work to provide
the patient with more control, power, and self-determination in the health-care setting. The nurse who
arranges a family–physician conference to clarify treatment plans is advocating for the patient.
14. The nurse advocate must ensure he or she is speaking for the patient and the patient‘s desires, not
15. inserting personal values and beliefs into the process.
16. Giving contact information for assistance agencies is a way of demonstrating advocacy but is
too limited in scope to be the best answer.
17. Working on political campaigns is a way of demonstrating advocacy but is too limited in scope to
be the best answer.
18.
19.
20. A patient and family have the nursing diagnosis of impaired verbal communication
secondary to a language barrier. What action by the patient/family would best indicate that short-
term goals for this diagnosis have been met?
A. Able to communicate long-term desires for health of the patient
B. Demonstrates comprehension by head nodding and saying ―yes‖
C. States understanding of condition and treatment via an interpreter
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, D. Understands how nonverbal communication varies between cultures
CORRECT ANSWER: C
21. Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum
Objective: #. Page: 14
22. Heading: Box 1-2 National Standards on Culturally and Linguistically Appropriate Services
Integrated Processes: Communication and Documentation
23. Client Need: Psychosocial Integrity Cognitive Level: Evaluation
[Evaluating] Concept: Promoting Health Difficulty: Moderate
24. Feedback
25. Communicating long-term desires is a better long-term outcome for this diagnosis.
26. Nodding the head and saying ―yes‖ do not always indicate agreement, understanding, or approval.
27. In some cultures, this behavior signifies respect.
28. For a language barrier, using a professional interpreter is not only the best way to manage
communication, it is also legally required. The best short-term goal for the patient and family is to obtain
understanding of the patient‘s illness and treatment and state, through the interpreter, that this is the case.
29. Understanding the differences in nonverbal communication between cultures is not an appropriate
short-term goal.
30.
31.
32. A nurse is working with family members who have been striving to improve their
functioning as a family unit. What behavior would suggest to the nurse that the family is meeting its
goals?
A. The children are in multiple activities to develop talents.
B. The desire to be understood guides most communication.
C. Family members gave up some activities to eat dinner together on most nights.
D. The parents have a strong desire for the children to succeed.
33. CORRECT ANSWER: C
34. Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum
Objective: #. Page: 13
35. Heading: Bowen Family Systems Theory Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
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