Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
TEST BANK
Maternal Child Nursing Care in Canada
Shannon E. Perry, Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, David Wilson Lisa
Keenan-Lindsay Cheryl A Sams
2nd Edition
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
Table of Contents
Part 1: Maternal Child Nursing
Unit 1: Introduction to Maternal Child Nursing
1. Contemporary Maternal Child Nursing in Canada
2. The Family and Culture
3. Community Care
Part 2: Perinatal Nursing
Unit 2: Introduction to Perinatal Nursing
4. Perinatal Nursing in Canada
8QLW
:RPHQ¶V+HDOWK
5. Health Promotion
6. Health Assessment
7. Reproductive Health
8. Infertility, Contraception, and Abortion
Unit 4: Pregnancy
9. Preconception, Genetics, Conception, and Fetal Development
10. Anatomy and Physiology of Pregnancy
11. Nursing Care During Pregnancy
12. Maternal and Fetal Nutrition
13. Pregnancy Risk Factors and Assessment: Maternal and Fetal
14. Pregnancy at Risk: Gestational Conditions
15. Pregnancy at Risk: Pre-existing Conditions
Unit 5: Childbirth
16. Labour and Birth Processes
17. Nursing Care of the Family During Labour and Birth
18. Pain Management during Labour
19. Fetal Health Surveillance During Labour
20. Labour and Birth at Risk
Unit 6: Postpartum Period
21. Maternal Physiological Changes
22. Nursing Care of the Family During the Postpartum Period
23. Transition to Parenthood
24. Postpartum Complications
Unit 7: Newborn
25. Physiological Adaptations of the Newborn
26. Nursing Care of the Newborn and Family
27. Newborn Nutrition and Feeding
28. Infants with Gestational Age-Related Problems
29. The Newborn at Risk: Acquired and Congenital Problems
Part 3: Pediatric Nursing
Unit 8: Children, Their Families, and the Nurse
30. Pediatric Nursing in Canada
31. Family, Social, Cultural, and Religious Influences on Child Health Promotion
32. Developmental Influences on Child Health Promotion
Unit 9: Assessment of the Child and Family
33. Communication, History, Physical, and Developmental Assessment
34. Pain Assessment and Management
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
Unit 10: Health Promotion and Special Health Problems
35. The Infant and Family
36. The Toddler and Family
37. The Preschooler and Family
38. The School-Age Child and Family
39. The Adolescent and Family
Unit 11: Special Needs, Illness, and Hospitalization
40. Chronic Illness, Disability, and End-of-Life Care
41. Cognitive and Sensory Impairment
42. Family-Centred Home Care
43. Reaction to Illness and Hospitalization
44. Pediatric Variations of Nursing Interventions
Unit 12: Health Problems of Children
45. Respiratory Dysfunction
46. Gastrointestinal Dysfunction
47. Cardiovascular Dysfunction
48. Hematological and Immunological Dysfunction
49. Genitourinary Dysfunction
50. Cerebral Dysfunction
51. Endocrine Dysfunction
52. Integumentary Dysfunction
53. Musculoskeletal or Articular Dysfunction
54. Neuromuscular or Muscular Dysfunction
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
CHAPTE R 1
Chapter 01: Contemporary Perinatal and Pediatric Nursing in Canada
Perry: Maternal Child Care Nursing in Canada, 2nd Canadian Edition
M U LT I P L E C H O I C E
1. Which is true regarding perinatal nurses?
a. They provide care for only mothers
and babies.
b. They require advanced practice
education beyond an entry to practice
degree.
c. They work with women and families
from preconception throughout the
child-bearing year.
d. They provide care for families with
children up to age 18 years.
ANS: C
Perinatal nurses are those nurses who work collaboratively with women and families
from the preconception period throughout the child-bearing year. Pediatric nurses care
for children from birth up to age 18 years. Perinatal or pediatric nurses also provide care
for the family. Perinatal nurses often do have advanced education, but this is not a
requirement.
DIF: Cognitive Level: Knowledge R EF: p. 3
OBJ: Nursing Process: Assessment
2. Which is true regarding pediatric nurses?
a. They provide care for children up to
and including 13 years of age.
b. They require advanced practice
education beyond an entry to practice
degree.
c. They work with women and families
throughout the child-bearing year.
d. They provide care for children and
families up to age 18 years.
ANS: D
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
Pediatric nurses care for children from birth up to age 18 years. Perinatal nurses are
those nurses who work collaboratively with women and families from the preconception
period throughout the child-bearing year. Perinatal and pediatric nurses also provide
care for the family. Pediatric nurses often do have advanced education, but this is not a
requirement.
DIF: Cognitive Level: Analysis R EF: p. 3
OBJ: Nursing Process: Assessment
3. According to the Institute of Safe Medication Practices Canada (ISMP) ͞Do Not Use͟ list,
which is correct?
a. Administer heparin 100 U S/C QID
b. Administer insulin 7 units OD
c. Administer polysporin gtts to both eyes
daily
d. Administer 5 cc heparin into saline
lock daily
ANS: C
Polysporin gtts to both eyes daily is correct. Units should be written out and not
abbreviated as ͞U͟; S/C should be ͞SUBCUd͟; OD should be written out as ͞daily͟; and
͞cc͟ is not to be used, but ͞mL͟ is to be used for volume measurements.
DIF: Cognitive Level: Application R EF: p. 10 |Table 1-2
OBJ: Nursing Process: Implementation
4. An Indigenous woman is pregnant with her first child. Which evidence-informed
intervention is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an
obstetrician, not a midwife.
d. Explain to the woman the importance
of keeping her prenatal care
appointments.
ANS: D
Consistent prenatal care is associated with healthier infants. Nutritional status is an
important modifiable risk factor, but it is not the most important action a nurse should
take in this situation. The patient may need assistance from a social worker at some
time during her pregnancy, but a referral to a social worker is not the most important
aspect the nurse should address at this time. If the woman has identifiable high-risk
problems, her health care may need to be provided by a physician. However, it cannot
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
be assumed that all Indigenous women have high-risk issues. In addition, advising the
woman to see an obstetrician is not the most important aspect on which the nurse
should focus at this time.
DIF: Cognitive Level: Application R EF: p. 8 OBJ: Nursing Process: Planning
5. Which social determinant of health has the greatest influence on health status and
behaviours?
a. Education and literacy
b. Income and social status
c. Employment and working conditions
d. Biology and genetic endowment
ANS: B
Income and social status has the greatest influence on health status and behaviours
and use of health care services. Lower-income Canadians have poorer health, with
more chronic illness and earlier death, than that of higher-income Canadians, regardless
of age, gender, culture, race, or residence.
DIF: Cognitive Level: Application R EF: p. 5 |Table 1-1
OBJ: Nursing Process: Evaluation
6. Which is an example of invisible poverty?
a. Insuficient clothing
b. Limited employment opportunities
c. Poor sanitation
d. Deteriorating housing
ANS: B
Invisible poverty refers to social and cultural deprivation, such as limited employment
opportunities, inferior educational opportunities, lack of or inferior medical services and
health care facilities, and an absence of public services. Visible poverty refers to lack of
money or material resources, which includes insuficient clothing, poor sanitation, and
deteriorating housing.
DIF: Cognitive Level: Knowledge R EF: p. 4
OBJ: Nursing Process: Assessment
7. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying areas for further research
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
d. Seeking funding to support research
studies
ANS: C
The primary role of the practicing nurse is to identify areas for further research in the
health and health care of women, children, and families. When problems are identified,
research can be conducted properly. Research of health care issues leads to evidence-
informed practice guidelines. Designing research studies is only one factor of the
research process. Data collection is one factor of research. Financial support is
necessary to conduct research, but it is not the primary role of the nurse in the research
process.
DIF: Cognitive Level: Comprehension R EF: p. 8
OBJ: Nursing Process: Implementation
8. Which event shifted the focus of the Public Health Agency of Canada (PHAC) away from
a population health and health promotion focus?
a. Shift to home births
b. Emergence of avian influenza
c. United Nations Millennium Goals
d. Increase in the maternal mortality rate
ANS: B
The emergence of the avian influenza shifted the focus of the PHAC from population
health and a health promotion focus to a focus on planning for a pandemic. There has
been no shift to home births from hospital births in Canada. The United Nations
Millennium Goals did not cause a focal shift for the PHAC. There has not been an
increase in the maternal mortality rate.
DIF: Cognitive Level: Comprehension R EF: p. 4
OBJ: Nursing Process: Implementation
9. It is estimated that there are approximately how many homeless people in Canada?
a. 100 000
b. 200 000 c.
500 000 d.
1 000 000
ANS: B
It is estimated that there is approximately 200 000 homeless people in Canada in any
given year.
DIF: Cognitive Level: Knowledge R EF: p. 6
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
OBJ: Nursing Process: Assessment
10. Which is a characteristic of integrative healing?
a. It replaces conventional Western
modalities of treatment.
b. It is used by only a small number of
Canadian adults.
c. It recognizes the value of patients͛
input into their health care.
d. It focuses primarily on the disease an
individual is experiencing.
ANS: C
Integrative healing encompasses complementary and alternative therapies and healing
modalities that offer human-centred care based on philosophies that recognize the value
of the patient͛s input and honor the individual͛s beliefs, values, and desires. Alternative
and complementary therapies are part of an integrative approach to health care. An
increasing number of Canadian adults are seeking alternative and complementary
health care options. Alternative healing modalities offer a holistic approach to health,
focusing on the whole person, not just the disease.
DIF: Cognitive Level: Comprehension R EF: p. 7 OBJ: Nursing Process: Planning
11. Which was highlighted in the Truth and Reconciliation Report (2015)?
a. Increased transportation for
Indigenous people to travel to tertiary
care centers for health care
b. Recognize the value of Indigenous
healing practices and their use in the
health care system
c. Treat health concerns of Indigenous
people with Western ways of healing
d. Educate health care providers about
Indigenous healing practices to
eliminate the role of the Elder
ANS: B
The T R C (2015) final report calls on health care providers to recognize the value of
Indigenous healing practices and to use them in the treatment of Indigenous patients in
collaboration with Indigenous healers and Elders where requested by Indigenous
patients. It is imperative that health care providers become knowledgeable in Indigenous
healing practices, not to eliminate the role of the Elder but to work collaboratively with
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
Elders. Health care services need to be available where Indigenous people work and
live and not require increased transportation to tertiary care centres for health care.
DIF: Cognitive Level: Comprehension R EF: p. 6 OBJ: Nursing Process: Planning
12. Which has directly increased the life expectancy of children experiencing a chronic
disease?
a. Early postpartum discharges
b. Enhanced technology
c. The reduction in acceptable genetic
screening options
d. Rural health services delivered via
telehealth
ANS: B
Enhanced technology has increased the life expectancy of many children with chronic
diseases. Early postpartum discharges and genetic screening options have not
increased the life expectancy of children with chronic disease. Rural health services
delivered via telehealth are altering how services are delivered and may indirectly
increase life expectancy, but it is not a direct contributing factor.
DIF: Cognitive Level: Analysis R EF: p. 7
OBJ: Nursing Process: Implementation
13. Which is the focus of the Code of Ethics for Registered Nurses?
a. Collegiality
b. Dependent role
c. Evaluation
d. Accountability
ANS: D
The Code of Ethics for Registered Nurses, by the Canadian Nurses Association (CNA),
provides the framework and core responsibilities for nursing practice. The Code of
Ethics focuses on the nurse͛s accountability and responsibility to the patient (CNA,
2008) and emphasizes the nursing role as an independent professional, one that
upholds its own legal liability. Collegiality refers to a working relationship with one͛s
colleagues. Evaluation refers to examination of the effectiveness of interventions in
relation to expected outcomes.
DIF: Cognitive Level: Evaluation R EF: p. 11 OBJ: Nursing Process: Evaluation
14. Which reflects a future goal for perinatal and pediatric nursing?
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
a. Limiting multiprofessional teams
b. Maintaining existing power structures
c. Advocating for an increased number of
Caesarean births
d. Addressing health inequities by
engaging in policy analysis and
advocacy
ANS: D
Addressing health inequities by creating health policy and services that focus on both
resources needed for health and access to health services is a future goal of perinatal
nurses. Nurses should be expanding multiprofessional teams rather than limiting their
existence. Existing power structures and practices need to be disrupted rather than
maintained. Advocating for an increased number of Caesarean births is not a future goal
for perinatal nursing.
DIF: Cognitive Level: Knowledge R EF: p. 4
OBJ: Nursing Process: Implementation
15. Which statement is true related to integrative healing?
a. Its aim is to provide the same health
care for all racial and ethnic groups.
b. It blends complementary and
alternative therapies with conventional
Western treatment.
c. It focuses on the disease or condition
rather than the background of the
patient.
d. It has been mandated by Health
Canada.
ANS: B
Integrative healing tries to mix the old with the new at the discretion of the patient and
health care providers. Integrative healing is a blending of new and traditional practices
and focuses on the whole person, not just the disease or condition. Health Canada
supports complementary and alternative therapies but does not mandate them.
DIF: Cognitive Level: Application R EF: p. 7
OBJ: Nursing Process: Implementation
16. Which is an accurate statistic related to Indigenous people in Canada?
a. There are approximately half a million
TEST BANK
Maternal Child Nursing Care in Canada
Shannon E. Perry, Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, David Wilson Lisa
Keenan-Lindsay Cheryl A Sams
2nd Edition
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
Table of Contents
Part 1: Maternal Child Nursing
Unit 1: Introduction to Maternal Child Nursing
1. Contemporary Maternal Child Nursing in Canada
2. The Family and Culture
3. Community Care
Part 2: Perinatal Nursing
Unit 2: Introduction to Perinatal Nursing
4. Perinatal Nursing in Canada
8QLW
:RPHQ¶V+HDOWK
5. Health Promotion
6. Health Assessment
7. Reproductive Health
8. Infertility, Contraception, and Abortion
Unit 4: Pregnancy
9. Preconception, Genetics, Conception, and Fetal Development
10. Anatomy and Physiology of Pregnancy
11. Nursing Care During Pregnancy
12. Maternal and Fetal Nutrition
13. Pregnancy Risk Factors and Assessment: Maternal and Fetal
14. Pregnancy at Risk: Gestational Conditions
15. Pregnancy at Risk: Pre-existing Conditions
Unit 5: Childbirth
16. Labour and Birth Processes
17. Nursing Care of the Family During Labour and Birth
18. Pain Management during Labour
19. Fetal Health Surveillance During Labour
20. Labour and Birth at Risk
Unit 6: Postpartum Period
21. Maternal Physiological Changes
22. Nursing Care of the Family During the Postpartum Period
23. Transition to Parenthood
24. Postpartum Complications
Unit 7: Newborn
25. Physiological Adaptations of the Newborn
26. Nursing Care of the Newborn and Family
27. Newborn Nutrition and Feeding
28. Infants with Gestational Age-Related Problems
29. The Newborn at Risk: Acquired and Congenital Problems
Part 3: Pediatric Nursing
Unit 8: Children, Their Families, and the Nurse
30. Pediatric Nursing in Canada
31. Family, Social, Cultural, and Religious Influences on Child Health Promotion
32. Developmental Influences on Child Health Promotion
Unit 9: Assessment of the Child and Family
33. Communication, History, Physical, and Developmental Assessment
34. Pain Assessment and Management
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
Unit 10: Health Promotion and Special Health Problems
35. The Infant and Family
36. The Toddler and Family
37. The Preschooler and Family
38. The School-Age Child and Family
39. The Adolescent and Family
Unit 11: Special Needs, Illness, and Hospitalization
40. Chronic Illness, Disability, and End-of-Life Care
41. Cognitive and Sensory Impairment
42. Family-Centred Home Care
43. Reaction to Illness and Hospitalization
44. Pediatric Variations of Nursing Interventions
Unit 12: Health Problems of Children
45. Respiratory Dysfunction
46. Gastrointestinal Dysfunction
47. Cardiovascular Dysfunction
48. Hematological and Immunological Dysfunction
49. Genitourinary Dysfunction
50. Cerebral Dysfunction
51. Endocrine Dysfunction
52. Integumentary Dysfunction
53. Musculoskeletal or Articular Dysfunction
54. Neuromuscular or Muscular Dysfunction
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
CHAPTE R 1
Chapter 01: Contemporary Perinatal and Pediatric Nursing in Canada
Perry: Maternal Child Care Nursing in Canada, 2nd Canadian Edition
M U LT I P L E C H O I C E
1. Which is true regarding perinatal nurses?
a. They provide care for only mothers
and babies.
b. They require advanced practice
education beyond an entry to practice
degree.
c. They work with women and families
from preconception throughout the
child-bearing year.
d. They provide care for families with
children up to age 18 years.
ANS: C
Perinatal nurses are those nurses who work collaboratively with women and families
from the preconception period throughout the child-bearing year. Pediatric nurses care
for children from birth up to age 18 years. Perinatal or pediatric nurses also provide care
for the family. Perinatal nurses often do have advanced education, but this is not a
requirement.
DIF: Cognitive Level: Knowledge R EF: p. 3
OBJ: Nursing Process: Assessment
2. Which is true regarding pediatric nurses?
a. They provide care for children up to
and including 13 years of age.
b. They require advanced practice
education beyond an entry to practice
degree.
c. They work with women and families
throughout the child-bearing year.
d. They provide care for children and
families up to age 18 years.
ANS: D
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
Pediatric nurses care for children from birth up to age 18 years. Perinatal nurses are
those nurses who work collaboratively with women and families from the preconception
period throughout the child-bearing year. Perinatal and pediatric nurses also provide
care for the family. Pediatric nurses often do have advanced education, but this is not a
requirement.
DIF: Cognitive Level: Analysis R EF: p. 3
OBJ: Nursing Process: Assessment
3. According to the Institute of Safe Medication Practices Canada (ISMP) ͞Do Not Use͟ list,
which is correct?
a. Administer heparin 100 U S/C QID
b. Administer insulin 7 units OD
c. Administer polysporin gtts to both eyes
daily
d. Administer 5 cc heparin into saline
lock daily
ANS: C
Polysporin gtts to both eyes daily is correct. Units should be written out and not
abbreviated as ͞U͟; S/C should be ͞SUBCUd͟; OD should be written out as ͞daily͟; and
͞cc͟ is not to be used, but ͞mL͟ is to be used for volume measurements.
DIF: Cognitive Level: Application R EF: p. 10 |Table 1-2
OBJ: Nursing Process: Implementation
4. An Indigenous woman is pregnant with her first child. Which evidence-informed
intervention is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an
obstetrician, not a midwife.
d. Explain to the woman the importance
of keeping her prenatal care
appointments.
ANS: D
Consistent prenatal care is associated with healthier infants. Nutritional status is an
important modifiable risk factor, but it is not the most important action a nurse should
take in this situation. The patient may need assistance from a social worker at some
time during her pregnancy, but a referral to a social worker is not the most important
aspect the nurse should address at this time. If the woman has identifiable high-risk
problems, her health care may need to be provided by a physician. However, it cannot
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
be assumed that all Indigenous women have high-risk issues. In addition, advising the
woman to see an obstetrician is not the most important aspect on which the nurse
should focus at this time.
DIF: Cognitive Level: Application R EF: p. 8 OBJ: Nursing Process: Planning
5. Which social determinant of health has the greatest influence on health status and
behaviours?
a. Education and literacy
b. Income and social status
c. Employment and working conditions
d. Biology and genetic endowment
ANS: B
Income and social status has the greatest influence on health status and behaviours
and use of health care services. Lower-income Canadians have poorer health, with
more chronic illness and earlier death, than that of higher-income Canadians, regardless
of age, gender, culture, race, or residence.
DIF: Cognitive Level: Application R EF: p. 5 |Table 1-1
OBJ: Nursing Process: Evaluation
6. Which is an example of invisible poverty?
a. Insuficient clothing
b. Limited employment opportunities
c. Poor sanitation
d. Deteriorating housing
ANS: B
Invisible poverty refers to social and cultural deprivation, such as limited employment
opportunities, inferior educational opportunities, lack of or inferior medical services and
health care facilities, and an absence of public services. Visible poverty refers to lack of
money or material resources, which includes insuficient clothing, poor sanitation, and
deteriorating housing.
DIF: Cognitive Level: Knowledge R EF: p. 4
OBJ: Nursing Process: Assessment
7. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying areas for further research
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
d. Seeking funding to support research
studies
ANS: C
The primary role of the practicing nurse is to identify areas for further research in the
health and health care of women, children, and families. When problems are identified,
research can be conducted properly. Research of health care issues leads to evidence-
informed practice guidelines. Designing research studies is only one factor of the
research process. Data collection is one factor of research. Financial support is
necessary to conduct research, but it is not the primary role of the nurse in the research
process.
DIF: Cognitive Level: Comprehension R EF: p. 8
OBJ: Nursing Process: Implementation
8. Which event shifted the focus of the Public Health Agency of Canada (PHAC) away from
a population health and health promotion focus?
a. Shift to home births
b. Emergence of avian influenza
c. United Nations Millennium Goals
d. Increase in the maternal mortality rate
ANS: B
The emergence of the avian influenza shifted the focus of the PHAC from population
health and a health promotion focus to a focus on planning for a pandemic. There has
been no shift to home births from hospital births in Canada. The United Nations
Millennium Goals did not cause a focal shift for the PHAC. There has not been an
increase in the maternal mortality rate.
DIF: Cognitive Level: Comprehension R EF: p. 4
OBJ: Nursing Process: Implementation
9. It is estimated that there are approximately how many homeless people in Canada?
a. 100 000
b. 200 000 c.
500 000 d.
1 000 000
ANS: B
It is estimated that there is approximately 200 000 homeless people in Canada in any
given year.
DIF: Cognitive Level: Knowledge R EF: p. 6
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
OBJ: Nursing Process: Assessment
10. Which is a characteristic of integrative healing?
a. It replaces conventional Western
modalities of treatment.
b. It is used by only a small number of
Canadian adults.
c. It recognizes the value of patients͛
input into their health care.
d. It focuses primarily on the disease an
individual is experiencing.
ANS: C
Integrative healing encompasses complementary and alternative therapies and healing
modalities that offer human-centred care based on philosophies that recognize the value
of the patient͛s input and honor the individual͛s beliefs, values, and desires. Alternative
and complementary therapies are part of an integrative approach to health care. An
increasing number of Canadian adults are seeking alternative and complementary
health care options. Alternative healing modalities offer a holistic approach to health,
focusing on the whole person, not just the disease.
DIF: Cognitive Level: Comprehension R EF: p. 7 OBJ: Nursing Process: Planning
11. Which was highlighted in the Truth and Reconciliation Report (2015)?
a. Increased transportation for
Indigenous people to travel to tertiary
care centers for health care
b. Recognize the value of Indigenous
healing practices and their use in the
health care system
c. Treat health concerns of Indigenous
people with Western ways of healing
d. Educate health care providers about
Indigenous healing practices to
eliminate the role of the Elder
ANS: B
The T R C (2015) final report calls on health care providers to recognize the value of
Indigenous healing practices and to use them in the treatment of Indigenous patients in
collaboration with Indigenous healers and Elders where requested by Indigenous
patients. It is imperative that health care providers become knowledgeable in Indigenous
healing practices, not to eliminate the role of the Elder but to work collaboratively with
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
Elders. Health care services need to be available where Indigenous people work and
live and not require increased transportation to tertiary care centres for health care.
DIF: Cognitive Level: Comprehension R EF: p. 6 OBJ: Nursing Process: Planning
12. Which has directly increased the life expectancy of children experiencing a chronic
disease?
a. Early postpartum discharges
b. Enhanced technology
c. The reduction in acceptable genetic
screening options
d. Rural health services delivered via
telehealth
ANS: B
Enhanced technology has increased the life expectancy of many children with chronic
diseases. Early postpartum discharges and genetic screening options have not
increased the life expectancy of children with chronic disease. Rural health services
delivered via telehealth are altering how services are delivered and may indirectly
increase life expectancy, but it is not a direct contributing factor.
DIF: Cognitive Level: Analysis R EF: p. 7
OBJ: Nursing Process: Implementation
13. Which is the focus of the Code of Ethics for Registered Nurses?
a. Collegiality
b. Dependent role
c. Evaluation
d. Accountability
ANS: D
The Code of Ethics for Registered Nurses, by the Canadian Nurses Association (CNA),
provides the framework and core responsibilities for nursing practice. The Code of
Ethics focuses on the nurse͛s accountability and responsibility to the patient (CNA,
2008) and emphasizes the nursing role as an independent professional, one that
upholds its own legal liability. Collegiality refers to a working relationship with one͛s
colleagues. Evaluation refers to examination of the effectiveness of interventions in
relation to expected outcomes.
DIF: Cognitive Level: Evaluation R EF: p. 11 OBJ: Nursing Process: Evaluation
14. Which reflects a future goal for perinatal and pediatric nursing?
, Test Bank - Maternal Child Nursing Care in Canada 2nd Edition (Perry, 2017)
a. Limiting multiprofessional teams
b. Maintaining existing power structures
c. Advocating for an increased number of
Caesarean births
d. Addressing health inequities by
engaging in policy analysis and
advocacy
ANS: D
Addressing health inequities by creating health policy and services that focus on both
resources needed for health and access to health services is a future goal of perinatal
nurses. Nurses should be expanding multiprofessional teams rather than limiting their
existence. Existing power structures and practices need to be disrupted rather than
maintained. Advocating for an increased number of Caesarean births is not a future goal
for perinatal nursing.
DIF: Cognitive Level: Knowledge R EF: p. 4
OBJ: Nursing Process: Implementation
15. Which statement is true related to integrative healing?
a. Its aim is to provide the same health
care for all racial and ethnic groups.
b. It blends complementary and
alternative therapies with conventional
Western treatment.
c. It focuses on the disease or condition
rather than the background of the
patient.
d. It has been mandated by Health
Canada.
ANS: B
Integrative healing tries to mix the old with the new at the discretion of the patient and
health care providers. Integrative healing is a blending of new and traditional practices
and focuses on the whole person, not just the disease or condition. Health Canada
supports complementary and alternative therapies but does not mandate them.
DIF: Cognitive Level: Application R EF: p. 7
OBJ: Nursing Process: Implementation
16. Which is an accurate statistic related to Indigenous people in Canada?
a. There are approximately half a million
