Evolve Resources for Maternal Child Nursing, 5th Edition Test Bank

Evolve Resources for Maternal Child Nursing, 5th Edition Test Bank

Chapter 02: The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition

MULTIPLE CHOICE

1. Which principle of teaching should the nurse use to ensure learning in a family situation?

ANS: A

Praise and positive reinforcement are particularly important when a family is trying to master a frustrating task, such as breastfeeding. 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. A lively discussion stimulates more learning than a straight lecture, which tends to inhibit questions.

PTS:1DIF:Cognitive Level: Knowledge/Remembering

REF:p. 25OBJ:Nursing Process: Planning

MSC: Client Needs: Health Promotion and Maintenance

2. When addressing the questions of a newly pregnant woman, the nurse can explain that the certified nurse-midwife is qualified to perform

ANS: C

The nurse-midwife is qualified to deliver infants vaginally in uncomplicated pregnancies. The other procedures must be performed by a physician or other medical provider.

PTS:1DIF:Cognitive Level: Knowledge/Remembering

REF:p. 26OBJ:Integrated Process: Teaching-Learning

MSC: Client Needs: Safe and Effective Care Environment

3. Which nursing intervention is an independent (nurse-driven) function of the nurse?

ANS: B

Nurses are 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. Administering oral analgesics is a dependent function; it is initiated by a physician or other provider and carried out by the nurse. Requesting diagnostic studies is a dependent function. Providing wound care is a dependent function; it is usually initiated by the physician or other provider through direct orders or protocol.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding

REF:Box 2.3OBJ:Integrated Process: Teaching-Learning

MSC: Client Needs: Health Promotion and Maintenance

4. Which response by the nurse to the woman’s statement, “I’m afraid to have a cesarean birth,” would be the most therapeutic?

ANS: A

Focusing on what the woman is saying and asking for clarification are the most therapeutic responses. Stating that “everything will be ok” or “don’t worry about it” belittles the woman’s feelings and might be providing false hope. Telling the patient to talk to the doctor does not allow the woman to verbalize her feelings when she desires.

PTS:1DIF:Cognitive Level: Application/Applying

REF: Box 2.2 OBJ: Integrated Process: Communication and Documentation

MSC:Client Needs: Psychosocial Integrity

5. To evaluate the woman’s learning about performing infant care, the nurse should

ANS: C

The woman’s ability to perform the procedure correctly under the nurse’s supervision is the best method of evaluation. Demonstration is an excellent teaching method but not an evaluation method. During verbalization of the procedure, the nurse may not pick up on techniques that are incorrect. It is not the best tool for evaluation. Observing the infant for cleanliness does not ensure the proper procedure is carried out. The nurse may miss seeing unsafe techniques being used.

PTS:1DIF:Cognitive Level: Evaluation/Evaluating

REF:p. 31OBJ:Nursing Process: Evaluation

MSC: Client Needs: Health Promotion and Maintenance

6. What situation is most conducive to learning?

ANS: D

Teaching is a vital function of the professional nurse. A patient’s language and culture influence the learning process; thus a situation that is most conducive to learning is one in which the teacher has knowledge and understanding of the patient’s language and cultural beliefs. The ability to understand the language in which teaching is done determines how much the patient learns. Patients for whom English is not their primary language may not understand idioms, nuances, slang terms, informal usage of words, or medical words. The teacher should be fluent in the language of the student. Developmental levels and educational levels influence how a person learns best. In order for the teacher to best present information, the class should be composed of the same levels. A large class is not conducive to learning. It does not allow for questions, and the teacher is not able to see the nonverbal cues from the students to ensure understanding.

PTS:1DIF:Cognitive Level: Application/Applying

REF:p. 25OBJ:Nursing Process: Planning

MSC:Client Needs: Psychosocial Integrity

7. What is the primary role of practicing nurses in the research process?

ANS: C

Nursing generates and answers its own questions based on evidence within its unique subject area. Nurses of all educational levels are in a position to find researchable questions based on problems seen in their practice area. Designing research studies is generally left to nurses with advanced degrees. Collecting data may be part of a nurse’s daily activity, but not all nurses will have this opportunity. Seeking funding goes along with designing and implementing research studies.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding

REF:p. 25OBJ:Integrated Process: Teaching-Learning

MSC: Client Needs: Safe and Effective Care Environment

8. The step of the nursing process in which the nurse determines the appropriate interventions for the identified nursing diagnosis is called

ANS: B

The third step in the nursing process involves planning care for problems that were identified during assessment. The first step of the nursing process is assessment, during which data are collected. The intervention phase is when the plan of care is carried out. The evaluation phase is determining whether the goals have been met.

PTS:1DIF:Cognitive Level: Knowledge/Remembering

REF:pp. 30-31OBJ:Nursing Process: Planning

MSC: Client Needs: Safe and Effective Care Environment

9. Which goal is most appropriate for demonstrating effective parenting?

ANS: D

Outcomes and goals are not the same. Goals are broad and not measurable and so must be linked to more measurable outcome criteria. Demonstrating effective parenting is one such goal. The other options are measurable outcome indicators that help determine if the goal has been met.

PTS:1DIF:Cognitive Level: Evaluation/Evaluating

REF:p. 31OBJ:Nursing Process: Planning

MSC: Client Needs: Safe and Effective Care Environment

10. Which nursing intervention is correctly written?

ANS: C

This intervention is the most specific and details what should be done, for how long, and when. The other interventions are too vague.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding

REF:p. 31OBJ:Nursing Process: Planning

MSC: Client Needs: Safe and Effective Care Environment