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v Nursing 4th Edition Ricci
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v Kyle Carman Test Bank
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,Maternity and Pediatric Nursing 4th Edition v v v v v
Ricci Kyle Carman Test Bank v v v v v
Chapter 1 v
1. When integrating the principles of family-centered care into the
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birthing process, the nurse would base care upon which belief? A. Birth is
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viewed as a medical event.
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B. Families are unable to make informed choices due to stress.
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C. Birth results in changes in relationships.
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D. Families require little information to make appropriate decisions for care.
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Answer: C v
Rationale: Family-centered care is based on the followinagbirpb.rcionmc/tiepstles: Birth
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affects the entire family, and relationships will change; birth is viewed as a normal,
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healthy event in the life of the family; and families are capable of making decisions
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about their own care if given adequate information and professional support.
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Question format: Multiple Choice v v v
Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Teaching/Learning
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Integrated Process: Caring
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Reference: p. 7 v v
2. The nurse is working with a group of community health members to develop
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a plan to address the special health needs of women. The group would design
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educational programs to address which priority condition?
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A. Smoking
B. Heart disease v
C. Diabetes
D. Cancer
v Answer: B v
Rationale: The group needs to address cardiovascular di s e a s e , th e number one
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cause of death in women regardless of racial or ethnic group. Smoking is related
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to heart disease and the development of cancer. However, heart disease and cancer
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o r y . C an c
can occur in any woman regardless of her smoking hist a b irb .c om / te ster is
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the
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second leading cause of death, with women having a one in three lifetime risk of
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,developing cancer. Diabetes is another important health condition that can affect
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women. However, it is not the major health problem that heart disease is.
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Question format: Multiple Choice v v v
Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance
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v Integrated Process: Nursing Process v v v
Reference: p. 12 v v
3. A nurse is conducting an orientation program for a group of newly hired
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nurses. As part of the program, the nurse is reviewing the issueaobirfb.icnofmo/tremst
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ed consent. The nurse determines that the teaching was effective when the
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group identifies which situation as a violation of informed consent?
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A. Performing a procedure on a 15-year-old without parental consent v v v v v v v v
B. Serving as a witness to the signature process on an oapbier br.caotmiv/ tees t permit
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C. Asking whether the client understands what she is signing following receiving
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education
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D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from the
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spouse of a unconscious woman
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Answer: A v
Rationale: In most states, only clients over the age of 18 can legally provide consent
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for health care. Serving as a witness to the signature process, asking
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whether the client understands what she is signing, andagbirebt.ctoimn/gtesvt erbal
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consent over the phone for emergency procedures are all key to informed consent
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and are not violations.
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Question format: Multiple Choice v v v
Chapter 1: Perspectives on Maternal and Child Health Caabrierb
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Cognitive Level: Analyze
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process
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Reference: p. 45 v v
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
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fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset
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responsibility of the nurse providing care to this woman?
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A. Asking relevant questions to determine the client's understanding
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, B. Providing a detailed description of the risks and benefits of the procedure
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C. Explaining the exact steps that will occur during the parboirbc.ceodmu/terset D.
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Offering suggestions for alternative options for treatment
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Answer: A v
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
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vthe consent form is completed with signatures from the client; serving as a witness
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vto the signature process; and determining whether the calbiier bn.cto mu/tne sdt erstands
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vwhat she is signing by asking her pertinent questions. The physician, advanced
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vpractice nurse, or midwife is responsible for informing the client about the procedure
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vand obtaining consent by providing a detailed description of the procedure or
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vtreatment, its potential risks and benefits, and alternative methods aabivrba.ciolma/btelset
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.
Question format: Multiple Choicev v v
Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process v v v
vReference: p. 45 v v
5. A 9-month-old with
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inabfiarbn.cto'ms/tepsat rents are divorced. To obtain informed consent,
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which action would be most appropriate?
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A. Contacting the father for informed consent v v v v v
B. Obtaining informed consent from the mother v v v v v
C. Seeking a court ruling on the course of care v v v v v v v v
D. Determining sole or joint custody by the parents v v v v v v v
Answer: D v
Rationale: The most appropriate action would be to determine legal custody by
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court decree. If the parents have joint custody, then either parent may give
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consent, but it is always best to have consent given by ba boi rtbh. c opma/ t erset nts. The
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parent with only physical custody may give consent for emergency care. The last
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resort is
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getting a court ruling; usually this is not necessary unless the parents disagree about
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the care of the child.
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