Introductory
Maternity and
Pediatric Nursing 4th
Edition Hatfield Test
Bank
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
MULTIPLE CHOICE
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
a. Motivate the family with praise and positive feedback.
b. Learning is best accomplished with the lecture format.
c. Present complex subject material first while the family is alert and ready to learn.
d. Families should be taught using medical jargon so they will be able to understand the technical
language used by physicians.
ANS: A
Praise and positive feedback are particularly important when a family is trying to master a frustrating
task such as breastfeeding. A lively discussion stimulates more learning than a straight lecture, which
tends to inhibit questions. Learning is enhanced when the teaching is structured to present the simple
,tasks before the complex material. Even though a family may understand English fairly well, they may
not understand the medical terminology or slang terms that are used.
PTS: 1 DIF: Cognitive Level: Application REF: 18, 19
OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance
2. Which nursing intervention is an independent function of the nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the client perineal care
d. Providing wound care to a surgical incision
ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling, and
intervening in nonmedical problems. Interventions initiated by the physician and carried out by the
nurse are called dependent functions. Administrating oral analgesics is a dependent function; it is
initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dependent
function. Providing wound care is a dependent function; it is usually initiated by the physician through
direct orders or protocol.
PTS: 1 DIF: Cognitive Level: Understanding REF: 24 OBJ: Nursing Process Step: Assessment
MSC: Client Needs: Safe and Effective Care Environment
3. Which most therapeutic response to the clients statement, Im afraid to have a cesarean birth
should be made by the nurse?
, a. Everything will be OK.
b. Dont worry about it. It will be over soon.
c. What concerns you most about a cesarean birth?
d. The physician will be in later and you can talk to him.
ANS: C
The response, What concerns you most about a cesarean birth focuses on what the client is saying and
asks for clarification, which is the most therapeutic response. The response, Everything will be ok is
belittling the clients feelings. The response, Dont worry about it. It will be over soon will indicate that
the clients feelings are not important. The response, The physician will be in later and you can talk to
him does not allow the client to verbalize her feelings when she wishes to do that.
PTS: 1 DIF: Cognitive Level: Application REF: 18 OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Psychosocial Integrity
4. Which action should the nurse take to evaluate the clients learning about performing infant
care?
a. Demonstrate infant care procedures.
b. Allow the client to verbalize the procedure.
c. Routinely assess the infant for cleanliness.
d. Observe the client as she performs the procedure.
ANS: D
Maternity and
Pediatric Nursing 4th
Edition Hatfield Test
Bank
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
MULTIPLE CHOICE
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
a. Motivate the family with praise and positive feedback.
b. Learning is best accomplished with the lecture format.
c. Present complex subject material first while the family is alert and ready to learn.
d. Families should be taught using medical jargon so they will be able to understand the technical
language used by physicians.
ANS: A
Praise and positive feedback are particularly important when a family is trying to master a frustrating
task such as breastfeeding. A lively discussion stimulates more learning than a straight lecture, which
tends to inhibit questions. Learning is enhanced when the teaching is structured to present the simple
,tasks before the complex material. Even though a family may understand English fairly well, they may
not understand the medical terminology or slang terms that are used.
PTS: 1 DIF: Cognitive Level: Application REF: 18, 19
OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance
2. Which nursing intervention is an independent function of the nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the client perineal care
d. Providing wound care to a surgical incision
ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling, and
intervening in nonmedical problems. Interventions initiated by the physician and carried out by the
nurse are called dependent functions. Administrating oral analgesics is a dependent function; it is
initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dependent
function. Providing wound care is a dependent function; it is usually initiated by the physician through
direct orders or protocol.
PTS: 1 DIF: Cognitive Level: Understanding REF: 24 OBJ: Nursing Process Step: Assessment
MSC: Client Needs: Safe and Effective Care Environment
3. Which most therapeutic response to the clients statement, Im afraid to have a cesarean birth
should be made by the nurse?
, a. Everything will be OK.
b. Dont worry about it. It will be over soon.
c. What concerns you most about a cesarean birth?
d. The physician will be in later and you can talk to him.
ANS: C
The response, What concerns you most about a cesarean birth focuses on what the client is saying and
asks for clarification, which is the most therapeutic response. The response, Everything will be ok is
belittling the clients feelings. The response, Dont worry about it. It will be over soon will indicate that
the clients feelings are not important. The response, The physician will be in later and you can talk to
him does not allow the client to verbalize her feelings when she wishes to do that.
PTS: 1 DIF: Cognitive Level: Application REF: 18 OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Psychosocial Integrity
4. Which action should the nurse take to evaluate the clients learning about performing infant
care?
a. Demonstrate infant care procedures.
b. Allow the client to verbalize the procedure.
c. Routinely assess the infant for cleanliness.
d. Observe the client as she performs the procedure.
ANS: D
