RICCI CHAPTER 1 - TEST BANK - 4TH
EDITION EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
The nurse is caring for a child brought to the emergency department by a
babysitter. The child needs an emergency appendectomy and the parents cannot be
contacted. What would be the nurse's best response to this situation?
A. Have the babysitter sign the consent form even if she does not have signed
papers to do so.
B. Have the primary care physician for the child sign the consent form.
C. Document failed attempts to obtain consent to allow emergency care.
D. Delay medical care until the child's next of kin can be contacted. - Answer-
Answer: C
Rationale: Health care providers can provide emergency treatment to a child
without consent if they have made reasonable attempts to contact the child's
parent or legal guardian (American Academy of Pediatrics, Committee on Pediatric
Emergency Medicine, 2007). If the parent is not available, then the person in
charge may give consent for emergency treatment if that person has a signed form
from the parent or legal guardian allowing him or her to do so. During an
emergency situation, a verbal consent via the telephone may be obtained. In
urgent or emergent situations, appropriate medical care never should be delayed or
withheld due to an inability to obtain consent.
The nurse knows that the emancipated minor is considered to have the legal
capacity of an adult and may make his or her own health care decisions. Which
child would potentially be considered an emancipated minor?
A. A minor with financial independence who is living with his parents
B. A minor who is pregnant
C. A child older than 13 years of age who asks for emancipation
D. A minor who puts his or her medical decisions in writing - Answer-Answer: B
Rationale: Emancipation may be considered in any of the following situations,
depending on the state's laws: membership in a branch of the armed services,
marriage, court-determined emancipation, financial independence and living apart
from parents, college attendance, pregnancy, mother younger than 18 years of
age, and a runaway.
After describing the procedure and medical necessity, the nurse asks a 14-yearold
child to assent to a skin graft. Which statement accurately describes the
requirements for this type of assent?
A. The age of assent occurs at 12 years old.
B. It is not necessary to obtain assent from a minor for a procedure.
C. A minor can dissent to a procedure but his or her wishes are not binding.
D. In some cases, such as cases of significant morbidity or mortality, dissent may
need to be overridden. - Answer-Answer: D
Rationale: Assent means agreeing to something. In pediatric health care, the term
assent refers to the child's participation in the decision-making process about
health care (McCullough & Stein, 2009). In some cases, such as cases of significant
, morbidity or mortality, dissent may need to be overridden. The age of assent
depends on the child's developmental level, maturity, and psychological state. The
converse of assent, dissent (disagreeing with the treatment plan), when given by
an adolescent 13 to 17 years of age, is considered binding in some states.
The family is the basic unit of society. Which statement correctly illustrates the
importance of this concept related to how society functions?
A. Healthy, well-functioning families provide members of all ages with fulfilling,
supporting relationships.
B. The family serves as a place that encourages members to autonomously function
in pursuit of personal pleasures.
C. Society functions best when families determine how they will interface with
others without having to deal with the overall consequences.
D. Work is an important part of family function but is not necessary for success if
one member can fulfill multiple roles. - Answer-Answer: A
Rationale: The family is the basic unit of society. In order for this to work well,
members of the family must work together. Families make a central contribution to
enhance the quality of our society. Families must consider how their actions will
impact others, and one member cannot fulfill all roles within the family.
A nursing group is examining their hospital's maternal outcomes for the
previous 5 years. Which identified factors have contributed to the decline in the
maternal mortality rate? Select all that apply.
A. Increased participation of women in prenatal care
B. Use of ultrasound to detect disorders
C. Increased use of anesthesia with birth
D. Closer monitoring for complications associated with hypertension of pregnancy
E. Better management of hemorrhage and infection - Answer-Answer: A, B, D, E
Rationale: The following factors have contributed to the decline in the maternal
mortality rate: increased participation of women in prenatal care; greater detection
of disorders such as ectopic pregnancy or placenta previa; prevention of related
complications through the use of ultrasound; increased control of complications
associated with hypertension of pregnancy; and decreased use of anesthesia with
birth.
26. The nurse is working with a group of community health members to develop a
plan to address the special health needs of women. Which educational program
would the group most likely identify as the priority?
A. risk reduction strategies for diabetes
B. methods for smoking cessation
C. ways to adopt a heart-healthy lifestyle
D. importance of cancer screening and early detection - Answer-Answer: C
Rationale: The group needs to address cardiovascular disease, the number one
cause of death in women regardless of racial or ethnic group. Thus, education for
adopting a heart-healthy lifestyle would be the priority. Smoking is related to heart
disease and the development of cancer. However, heart disease and cancer can
occur in any woman regardless of her smoking history. Cancer is the second leading
cause of death, with women having a one in three lifetime risk of developing
cancer. Diabetes is another important health condition that can affect women.
However, it is not the major health problem that heart disease is, and thus
EDITION EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
The nurse is caring for a child brought to the emergency department by a
babysitter. The child needs an emergency appendectomy and the parents cannot be
contacted. What would be the nurse's best response to this situation?
A. Have the babysitter sign the consent form even if she does not have signed
papers to do so.
B. Have the primary care physician for the child sign the consent form.
C. Document failed attempts to obtain consent to allow emergency care.
D. Delay medical care until the child's next of kin can be contacted. - Answer-
Answer: C
Rationale: Health care providers can provide emergency treatment to a child
without consent if they have made reasonable attempts to contact the child's
parent or legal guardian (American Academy of Pediatrics, Committee on Pediatric
Emergency Medicine, 2007). If the parent is not available, then the person in
charge may give consent for emergency treatment if that person has a signed form
from the parent or legal guardian allowing him or her to do so. During an
emergency situation, a verbal consent via the telephone may be obtained. In
urgent or emergent situations, appropriate medical care never should be delayed or
withheld due to an inability to obtain consent.
The nurse knows that the emancipated minor is considered to have the legal
capacity of an adult and may make his or her own health care decisions. Which
child would potentially be considered an emancipated minor?
A. A minor with financial independence who is living with his parents
B. A minor who is pregnant
C. A child older than 13 years of age who asks for emancipation
D. A minor who puts his or her medical decisions in writing - Answer-Answer: B
Rationale: Emancipation may be considered in any of the following situations,
depending on the state's laws: membership in a branch of the armed services,
marriage, court-determined emancipation, financial independence and living apart
from parents, college attendance, pregnancy, mother younger than 18 years of
age, and a runaway.
After describing the procedure and medical necessity, the nurse asks a 14-yearold
child to assent to a skin graft. Which statement accurately describes the
requirements for this type of assent?
A. The age of assent occurs at 12 years old.
B. It is not necessary to obtain assent from a minor for a procedure.
C. A minor can dissent to a procedure but his or her wishes are not binding.
D. In some cases, such as cases of significant morbidity or mortality, dissent may
need to be overridden. - Answer-Answer: D
Rationale: Assent means agreeing to something. In pediatric health care, the term
assent refers to the child's participation in the decision-making process about
health care (McCullough & Stein, 2009). In some cases, such as cases of significant
, morbidity or mortality, dissent may need to be overridden. The age of assent
depends on the child's developmental level, maturity, and psychological state. The
converse of assent, dissent (disagreeing with the treatment plan), when given by
an adolescent 13 to 17 years of age, is considered binding in some states.
The family is the basic unit of society. Which statement correctly illustrates the
importance of this concept related to how society functions?
A. Healthy, well-functioning families provide members of all ages with fulfilling,
supporting relationships.
B. The family serves as a place that encourages members to autonomously function
in pursuit of personal pleasures.
C. Society functions best when families determine how they will interface with
others without having to deal with the overall consequences.
D. Work is an important part of family function but is not necessary for success if
one member can fulfill multiple roles. - Answer-Answer: A
Rationale: The family is the basic unit of society. In order for this to work well,
members of the family must work together. Families make a central contribution to
enhance the quality of our society. Families must consider how their actions will
impact others, and one member cannot fulfill all roles within the family.
A nursing group is examining their hospital's maternal outcomes for the
previous 5 years. Which identified factors have contributed to the decline in the
maternal mortality rate? Select all that apply.
A. Increased participation of women in prenatal care
B. Use of ultrasound to detect disorders
C. Increased use of anesthesia with birth
D. Closer monitoring for complications associated with hypertension of pregnancy
E. Better management of hemorrhage and infection - Answer-Answer: A, B, D, E
Rationale: The following factors have contributed to the decline in the maternal
mortality rate: increased participation of women in prenatal care; greater detection
of disorders such as ectopic pregnancy or placenta previa; prevention of related
complications through the use of ultrasound; increased control of complications
associated with hypertension of pregnancy; and decreased use of anesthesia with
birth.
26. The nurse is working with a group of community health members to develop a
plan to address the special health needs of women. Which educational program
would the group most likely identify as the priority?
A. risk reduction strategies for diabetes
B. methods for smoking cessation
C. ways to adopt a heart-healthy lifestyle
D. importance of cancer screening and early detection - Answer-Answer: C
Rationale: The group needs to address cardiovascular disease, the number one
cause of death in women regardless of racial or ethnic group. Thus, education for
adopting a heart-healthy lifestyle would be the priority. Smoking is related to heart
disease and the development of cancer. However, heart disease and cancer can
occur in any woman regardless of her smoking history. Cancer is the second leading
cause of death, with women having a one in three lifetime risk of developing
cancer. Diabetes is another important health condition that can affect women.
However, it is not the major health problem that heart disease is, and thus
