Maternal-Child Nursing 3rd Edition Test Bank

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Elsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.McKinney: Maternal-Child Nursing, 3rdEditionTest BankChapter1:Foundations of Maternity, Women’s Health, and Child Health NursingMULTIPLE CHOICE1.Which factor significantly contributed to the shift from home births to hospital births in the earlytwentieth century?a.Puerperal sepsis was identified as a risk factor in labor and delivery.b.Forceps were developed to facilitate difficult births.c.The importance of early parental-infant contact was identified.d.The number of hospital births decreased.ANS:BAPuerperal sepsis has been a known problem for generations. In the late nineteenth century,Semmelweis discovered how it could be prevented.BThe development of forceps to facilitate difficult births by physicians was a strong factor in thedecrease of home births and increase of hospital births.CThe shift to hospital births decreased the parental-infant contact.DWith the shift toward hospital births, the numbers increased.DIF:Cognitive Level: KnowledgeREF:p. 2OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Safe and Effective Care Environment2.Family-centered maternity care developed in response to:a.demands by physicians for family involvement in childbirth.b.the Sheppard-Towner Act of 1921.c.parental requests that infants be allowed to remain with them rather than in anursery.d.changes in pharmacologic management of labor.ANS:CAFamily-centered care was a request by parents, not physicians.BThe Sheppard-Towner Act provided funds for state-managed programs for mothers andchildren.CAs research began to identify the benefits of early extended parent-infant contact, parentsbegan to insist that the infant remain with them. This gradually developed into the practice ofrooming-in and finally to family-centered maternity care.DThe changes in pharmacologic management of labor were not a factor in family-centeredmaternity care.DIF:Cognitive Level: KnowledgeREF:pp. 3-4OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Psychosocial Integrity

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.1-23.Which setting for childbirth allows the least amount of parent-infant contact?a.Labor/delivery/recovery/postpartum roomb.Birth centerc.Traditional hospital birthd.Home birthANS:CAThe labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.BBirth centers are set up to allow an increase in parent-infant contact.CIn the traditional hospital setting, the mother may see the infant for only short feeding periods,and the infant is cared for in a separate nursery.DHome births allow an increase in parent-infant contact.DIF:Cognitive Level: KnowledgeREF:p. 3OBJ:Nursing Process Step: PlanningMSC:Client Needs: Health Promotion and Maintenance4.As a result of changes in health care delivery and funding, a current trend seen in the pediatricsetting is:a.increased hospitalization of children.b.decreased number of children living in poverty.c.an increase in ambulatory care.d.decreased use of managed care.ANS:CAHospitalization for children has decreased.BHealth care delivery has not altered the number of children living in poverty.COne effect of managed care has been that pediatric health care delivery has shifteddramatically from the acute care setting to the ambulatory setting. One of the biggest changes inhealth care has been the growth of managed care. The number of hospital beds being used hasdecreased as more care is given in outpatient settings and in the home. The number of childrenliving in poverty has increased over the last decade.DManaged care has increased in order to control cost.DIF:Cognitive Level: KnowledgeREF:p. 6OBJ:Nursing Process Step: PlanningMSC:Client Needs: Safe and Effective Care Environment5.The Women-Infants-Children (WIC) program provides:a.well-child examinations for infants and children living at the poverty level.b.immunizations for high-risk infants and children.c.screening for infants with developmental disorders.d.supplemental food supplies to low-income women who are pregnant orbreastfeeding.ANS:D

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.1-3AMedicaid’s Early and Periodic Screening, Diagnosis, and Treatment Program provides forwell-child examinations and for treatment of any medical problems diagnosed during suchcheckups.BChildren in the WIC program are often linked with immunizations, but that is not the primaryfocus of the program.CPublic Law 99-457 provides financial incentives to states to establish comprehensive earlyintervention services for infants and toddlers with, or at risk for, developmental disabilities.DWIC is a federal program that provides supplemental food supplies to low-income womenwho are pregnant or breastfeeding and to their children until age 5 years.DIF:Cognitive Level: ComprehensionREF:p. 9OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Physiologic Integrity6.In most states, adolescents who are not emancipated minors must have the permission of theirparents before:a.treatment for drug abuse.b.treatment for sexually transmitted diseases (STDs).c.accessing birth control.d.surgery.ANS:DAMost states allow minors to obtain treatment for drug or alcohol abuse without parentalconsent.BMost states allow minors to obtain treatment for STDs without parental consent.CIn most states minors are allowed access to birth control without parental consent.DIf a minor receives surgery without proper informed consent, assault and battery chargesagainst the care provider can result. This does not apply to an emancipated minor (a minor childwho has the legal competency of an adult because of circumstances involving marriage, divorce,parenting of a child, living independently without parents, or enlistment in the armed services).DIF:Cognitive Level: ApplicationREF:p. 18OBJ:Nursing Process Step: PlanningMSC:Client Needs: Safe and Effective Care Environment7.The maternity nurse should have a clear understanding of the correct use of a clinical pathway.One characteristic of clinical pathways is that they:a.are developed and implemented by nurses.b.are used primarily in the pediatric setting.c.set specific time lines for sequencing interventions.d.are part of the nursing process.ANS:CAClinical pathways are developed by multiple health care professionals and reflectinterdisciplinary interventions.BThey are used in multiple settings and for patients throughout the life span.CClinical pathways measure outcomes of patient care. Each pathway outlines specific time linesfor sequencing interventions.

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.1-4DThe steps of the nursing process are assessment, diagnosis, planning, intervention, andevaluation.DIF:Cognitive Level: ApplicationREF:p. 7OBJ:Nursing Process Step: PlanningMSC:Client Needs: Safe and Effective Care Environment8.The fastest-growing group of homeless people is:a.men and women preparing for retirement.b.migrant workers.c.single women and their children.d.intravenous substance abusers.ANS:CAMost people contemplating retirement have made provisions.BMigrant workers may seek health care only when absolutely necessary; however, not all arehomeless.CPregnancy and birth, especially for a teenager, are important contributing factors for becominghomeless.DNot all substance abusers are homeless.DIF:Cognitive Level: KnowledgeREF:p.14OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Physiologic Integrity9.The United States ranks twenty-eighth in infant mortality rates of the world. Which factor has asignificant impact on decreasing the mortality rate of infants?a.Resolving all language and cultural differencesb.Enrolling the pregnant woman in the Medicaid program by the eighth month ofpregnancyc.Ensuring early and adequate prenatal cared.Providing more women's sheltersANS:CALanguage and cultural differences are not infant mortality issues but must be addressed toimprove overall health care.BMedicaid provides health care for poor pregnant women, but the process may take weeks totake effect. The eighth month is too late to apply and receive benefits for this pregnancy.CBecause preterm infants form the largest category of those needing expensive intensive care,early pregnancy intervention is essential for decreasing infant mortality rates.DThe women in shelters have the same difficulties in obtaining health care as do other poorpeople, particularly lack of transportation and inconvenient hours of the clinics.DIF:Cognitive Level: ComprehensionREF:p. 2OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Health Promotion and Maintenance

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.1-510.The intrapartum woman sees no need for an admission fetal monitoring strip. If she continues torefuse, what is the first action the nurse should take?a.Consult with the family of the woman.b.Notify the physician.c.Document the woman's refusal in the nurse's notes.d.Make a referral to the hospital ethics committee.ANS:BAThe client must be allowed to make choices voluntarily without undue influence or coercionfrom others.BClients must be allowed to make choices voluntarily without undue influence or coercion fromothers. The physician, especially if unaware of the client's decision, should be notifiedimmediately. The nurse should notify the physician of the refusal of the agency's protocol anddocument all aspects of the explanations given by the nurse, as well as any instructions from thephysician.CDocumentation is important, but it should not be the first action.DFetal monitoring is not usually considered an ethical problem.DIF:Cognitive Level: ApplicationREF:p. 18OBJ:Nursing Process Step: ImplementationMSC:Client Needs: Safe and Effective Care Environment11.Which statement is true regarding the "quality assurance" or "incident" report?a.The report assures the legal department that no problem exists.b.Reports are a permanent part of the patient's chart.c.The nurse's notes should contain, "Incident report filed, and copy placed in chart."d.This report is a form of documentation of an event that may result in legal action.ANS:DAThe report is a warning to the legal department to be prepared for a potential legal action.BIncident reports are not a part of the patient's chart.CIncident reports are not mentioned in the nurse's notes.DDocumentation on the chart should include all factual information regarding the client'scondition that would be recorded in any situation. Incident reports are not mentioned in thenurse's notes. The nurse completes an incident report when something occurs that might result ina legal action against the clinic or hospital or is a variance from the standard of care.DIF:Cognitive Level: ApplicationREF:p. 17OBJ:Nursing Process Step: ImplementationMSC:Client Needs: Safe and Effective Care Environment12.Which of these situations best reflects the deontologic theory?a.Initiating resuscitative measures on a 90-year-old patient with terminal cancerb.Using experimental medications for the treatment of acquired immunodeficiencysyndrome (AIDS)c.Supporting the transplant of fetal tissue and organsd.Approving of a physician-assisted suicide

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.1-6ANS:AAIn the deontologic theory, life must be maintained at all costs, regardless of quality of life.BIn the deontologic theory, life must be maintained at all costs, regardless of quality of life.CIn the deontologic theory, life must be maintained at all costs, regardless of quality of life.DIn the deontologic theory, life must be maintained at all costs, regardless of quality of life.DIF:Cognitive Level: ComprehensionREF:p. 1OBJ:Nursing Process Step: PlanningMSC:Client Needs: Psychosocial Integrity13.Elective abortion is considered an ethical issue because:a.abortion law is unclear about a woman's constitutional rights.b.the Supreme Court ruled that life begins at conception.c.a conflict exists between the rights of the woman and the rights of the fetus.d.it requires third-party consent.ANS:CAAbortion laws are clear concerning a woman’s constitutional rights.BThe Supreme Court has not ruled on when life begins.CElective abortion is an ethical dilemma because two opposing courses of action are available.DAbortion does not require third-party consent.DIF:Cognitive Level: ComprehensionREF:p. 12OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Safe and Effective Care Environment14.Which woman would be most likely to seek prenatal care?a.A 15-year-old who tells her friends, "I don't believe I am pregnant"b.A 20-year-old who is in her first pregnancy and has access to a free prenatal clinicc.A 28-year-old who is in her second pregnancy and abuses drugs and alcohold.A 30-year-old who is in her fifth pregnancy and delivered her last infant at homewith the help of her mother and sisterANS:BABeing in denial about the pregnancy will prevent her from seeking health care.BThe client who acknowledges the pregnancy early, has access to health care, and has no reasonto avoid health care is most likely to seek prenatal care.CSubstance abusers are less likely to seek health care.DSome women see pregnancy and delivery as a natural occurrence and do not seek health care.DIF:Cognitive Level: ComprehensionREF:pp. 8, 15OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Health Promotion and Maintenance15.A woman who delivered her baby 6 hours ago complains of headache and dizziness. The nurseadministers an analgesic but does not perform any assessments. The woman then has a grand malseizure, falls out of bed, and fractures her femur. How would the actions of the nurse beinterpreted in relation to standards of care?

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.1-7a.Negligent because the nurse failed to assess the woman for possible complicationsb.Negligent because the nurse medicated the womanc.Not negligent because the woman had signed a waiver concerning the use of siderailsd.Not negligent because the woman did not inform the nurse of her symptoms assoon as they occurredANS:AABy not assessing the woman, the nurse failed to meet the established standards of care. Thefirst element of negligence relates to whether the nurse has a duty to provide care to the woman.The care that the nurse provides must meet the established standards of care.BBy not first assessing the woman, the nurse does not meet the established standards of care.CThe nurse could be found negligent.DThe nurse is responsible for assessing the woman.DIF:Cognitive Level: ApplicationREF:p. 17OBJ:Nursing Process Step: EvaluationMSC:Client Needs: Health Promotion and Maintenance16.What client situation fails to meet the first requirement of informed consent?a.The client does not understand the physician's explanations.b.The physician gives the client only a partial list of possible side effects andcomplications.c.The client is confused and disoriented.d.The client signs a consent form because his wife tells him to.ANS:CAUnderstanding is an important element of the consent, but first the client has to be competentto sign.BFull disclosure of information is an important element of the consent, but first the client has tobe competent to sign.CThe first requirement of informed consent is that the client must be competent to makedecisions about health care.DVoluntary consent is an important element of the consent, but first the client has to becompetent to sign.DIF:Cognitive Level: ComprehensionREF:p. 18OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Safe and Effective Care Environment17.Which situation reflects a potential ethical dilemma for the nurse?a.A nurse administers analgesics to a client with cancer as often as the physician'sorder allows.b.A neonatal nurse provides nourishment and care to a newborn having a defect thatis incompatible with life.c.A labor nurse, whose religion opposes abortion, is asked to assist with an electiveabortion.

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.1-8d.A postpartum nurse provides information about adoption to a new mother whofeels she cannot adequately care for her infant.ANS:CAThere is no element of conflict for the nurse, therefore a dilemma does not exist.BThere is no element of conflict for the nurse, therefore a dilemma does not exist.CA dilemma exists in this situation because the nurse is being asked to assist with a procedurethat she or he believes is morally wrong. The other situations do not contain elements of conflictfor the nurse.DThere is no element of conflict for the nurse, therefore a dilemma does not exist.DIF:Cognitive Level: AnalysisREF:p. 11OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Safe and Effective Care EnvironmentMULTIPLE RESPONSE1.Many communities now offer the availability of free-standing birth centers to provide care forlow-risk women during pregnancy, birth, and postpartum. When counseling the newly pregnantwoman regarding this option, the nurse should be aware that this type of care setting includeswhich advantages? Choose those that apply.a.Less expensive than acute-care hospitalsb.Access to follow-up care for 6 weeks postpartumc.Equipped for obstetric emergenciesd.Safe, home-like births in a familiar settinge.Staffing by lay midwivesANS:A, B, DCorrectA, B, D. Women who are at low risk and desire a safe, home-like birth are very satisfiedwith this type of care setting. The new mother may return to the birth center for postpartumfollow-up care, breastfeeding assistance, and family planning information for 6 weekspostpartum. Since birth centers do not incorporate advanced technologies into their services,costs are significantly less than a hospital setting.IncorrectC, E. The major disadvantage of this care setting is that these facilities are notequipped to handle obstetric emergencies. Should unforeseen difficulties occur, the woman mustbe transported by ambulance to the nearest hospital. Birth centers are usually staffed by certifiednurse-midwives (CNMs); however, in some states lay midwives may provide this service.DIF:Cognitive Level: ComprehensionREF:p. 4OBJ:Nursing Process Step: PlanningMSC:Client Needs: Safe and Effective Care Environment2.In an effort to reduce prohibitive health care costs, many facilities have incorporated the use ofunlicensed assistive personnel into their care delivery model. Nurses supervising theseemployees must be aware of what each such employee is competent to do within his or her scopeof practice. Which tasks can be delegated with supervision? Choose the tasks that apply.a.Blood draws

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.1-9b.Medication administrationc.Nursing assessmentd.Housekeeping taskse.Other diagnostic tests, such as electrocardiograms (ECGs or EKGs)ANS:A, B, D, ECorrectA, B, D, E. With proper supervision and adequate instruction, unlicensed assistivepersonnel may perform all of these functions. In long-term care settings, these personnel areoften responsible for medication administration under the direction of the registered nurse (RN).IncorrectC. The nurse is always responsible for client assessments and must make criticaljudgments to ensure client safety. Use of the expert nurse to complete housekeeping or othermundane tasks is not a good use of human resources. For more information about the use ofunlicensed personnel, refer to www.awhonn.org.DIF:Cognitive Level: ApplicationREF:p. 20OBJ:Nursing Process Step: ImplementationMSC:Client Needs: Safe and Effective Care Environment

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Elsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.McKinney: Maternal-Child Nursing, 3rdEditionTest BankChapter2:The Nurse’s Role in Maternity, Women’s Health, and Pediatric NursingMULTIPLE CHOICE1.Which principle of teaching should the nurse use to ensure learning in a family situation?a.Motivate the family with praise and positive.b.Present complex subject material first, while the family is alert and ready to learn.c.Families should be taught by using medical jargon so they will be able tounderstand the technical language used by physicians.d.Learning is best accomplished using the lecture format.ANS:AAPraise and positive are particularly important when a family is trying to master a frustratingtask, such as breastfeeding.BLearning is enhanced when the teaching is structured to present the simple tasks before thecomplex material.CEven though a family may understand English fairly well, they may not understand themedical terminology or slang terms.DA lively discussion stimulates more learning than a straight lecture, which tends to inhibitquestions.DIF:Cognitive Level: ApplicationREF:p. 25OBJ:Nursing Process Step: PlanningMSC:Client Needs: Health Promotion and Maintenance2.When addressing the questions of a newly pregnant woman, the nurse can explain that thecertified nurse-midwife is qualified to perform:a.regional anesthesia.c.vaginal deliveries.b.cesarean deliveries.d.internal versions.ANS:CARegional anesthesia must be performed by a physician.BCesarean deliveries must be performed by a physician.CThe midwife is qualified to deliver infants vaginally in uncomplicated pregnancies.DInternal versions must be performed by a physician.DIF:Cognitive Level: KnowledgeREF:pp. 26-27OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Safe and Effective Care Environment3.Which nursing intervention is an independent function of the nurse?a.Administering oral analgesicsb.Teaching the client perineal care

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.2-2c.Requesting diagnostic studiesd.Providing wound care to a surgical incisionANS:BAAdministering oral analgesics is a dependent function; it is initiated by a physician and carriedout by the nurse.BNurses are now responsible for various independent functions, including teaching, counseling,and intervening in nonmedical problems. Interventions initiated by the physician and carried outby the nurse are called dependent functions.CRequesting diagnostic studies is a dependent function.DProviding wound care is a dependent function; it is usually initiated by the physician throughdirect orders or protocol.DIF:Cognitive Level: ComprehensionREF:p. 25OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Health Promotion and Maintenance4.Which response by the nurse to the client's statement, "I'm afraid to have a cesarean birth,"would be the most therapeutic?a."What concerns you most about a cesarean birth?"b."Everything will be OK."c."Don't worry about it. It will be over soon."d."The doctor will be in later, and you can talk to him."ANS:AAFocusing on what the client is saying and asking for clarification is the most therapeuticresponse.BThis response is belittling the client’s feelings.CThis response will indicate that the client’s feelings are not important.DThis response does not allow the client to verbalize her feelings when she desires.DIF:Cognitive Level: ApplicationREF:pp. 27-29OBJ:Nursing Process Step: ImplementationMSC:Client Needs: Psychosocial Integrity5.To evaluate the client's learning about performing infant care, the nurse should:a.demonstrate infant care procedures.b.allow the client to verbalize the procedure.c.observe the client as she performs the procedure.d.routinely assess the infant for cleanliness.ANS:CADemonstration is an excellent teaching method, but not an evaluation method.BDuring verbalization of the procedure, the nurse may not pick up on techniques that areincorrect. It is not the best tool for evaluation.CThe client's ability to perform the procedure correctly under the nurse's supervision is the bestmethod of evaluation.

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.2-3DThis will not ensure that the proper procedure is carried out. The nurse may miss seeing unsafetechniques being used.DIF:Cognitive Level: ApplicationREF:p. 32OBJ:Nursing Process Step: EvaluationMSC:Client Needs: Health Promotion and Maintenance6.What situation is most conducive to learning?a.A teacher who speaks very little Spanish is teaching a class of Latino students.b.A class is composed of students of various ages and educational backgrounds.c.An auditorium is being used as a classroom for 300 students.d.An Asian nurse provides nutritional information to a group of pregnant Asianwomen.ANS:DAThe ability to understand the language in which teaching is done determines how much theclient learns. Clients 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 inthe language of the student.BDevelopmental levels and educational levels influence how a person learns best. In order forthe teacher to best present information, it is best for the class to be of the same levels.CA large class is not conducive to learning. It does not allow for questions, and the teacher isnot able to see the nonverbal from the students to ensure understanding.DA client's culture influences the learning process; thus a situation that is most conducive tolearning is one in which the teacher has knowledge and understanding of the client's culturalbeliefs.DIF:Cognitive Level: ApplicationREF:p. 25OBJ:Nursing Process Step: PlanningMSC:Client Needs: Psychosocial Integrity7.The step of the nursing process in which the nurse determines the appropriate interventions forthe identified nursing diagnosis is called:a.assessment.c.intervention.b.planning.d.evaluation.ANS:BADuring the assessment phase, data are collected.BThe third step in the nursing process involves planning care for problems that were identifiedduring assessment.CThe intervention phase is when the plan of care is carried out.DThe evaluation phase is determining if the goals have been met.DIF:Cognitive Level: KnowledgeREF:p. 32OBJ:Nursing Process Step: PlanningMSC:Client Needs: Safe and Effective Care Environment8.Which goal is most appropriate for the collaborative problem of wound infection?

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.2-4a.The client will have a temperature of 98.6° F within 2 days.b.Maintain the client's fluid intake at 1000 mL per 8 hours.c.The client will not exhibit further signs of infection.d.Monitor the client to detect therapeutic response to antibiotic therapy.ANS:DAMonitoring a client’s temperature is an independent nursing role.BIntake and output is an independent nursing role.CMonitoring for complications is an independent nursing role.DIn a collaborative problem, the goal should be nurse oriented and reflect the nursinginterventions of monitoring or observing. In collaborative problems other team members areinvolved, such as prescribing antibiotics.DIF:Cognitive Level: ComprehensionREF:pp. 32-33OBJ:Nursing Process Step: PlanningMSC:Client Needs: Safe and Effective Care Environment9.Which nursing intervention is correctly written?a.Encourage turning, coughing, and deep breathing.b.Force fluids as necessary.c.Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.d.Observe interaction with infant.ANS:CAThis intervention does not state how often this procedure should be done.B“Force fluids” is not specific; it does not state how much.CInterventions may not be carried out unless they are detailed and specific.DThis intervention is not detailed and specific.DIF:Cognitive Level: ComprehensionREF:p. 32OBJ:Nursing Process Step: PlanningMSC:Client Needs: Safe and Effective Care Environment10.What part of the nursing process includes the collection of data on vital signs, allergies, sleeppatterns, and feeding behaviors?a.Assessmentc.Implementationb.Planningd.EvaluationANS:AAAssessment is the gathering of baseline data.BPlanning is based on baseline data and physical assessment.CImplementation is the initiation and completion of nursing interventions.DEvaluation is the last step in the nursing process and involves determining if the goals weremet.DIF:Cognitive Level: ComprehensionREF:p. 30OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Health Promotion and Maintenance

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.2-511.Which step in the nursing process identifies the basis or cause of the patient's problem?a.Interventionc.Nursing diagnosisb.Expected outcomed.EvaluationANS:CAInterventions are actions taken to meet the problem.BExpected outcome is a statement of the goal.CA nursing diagnosis states the problem and its cause (the “related to”).DEvaluation determines whether the goal has been met.DIF:Cognitive Level: KnowledgeREF:p. 32OBJ:Nursing Process Step: PlanningMSC:Client Needs: Safe and Effective Care EnvironmentMULTIPLE RESPONSE1.Today’s nurse often assumes the role of teacher or educator. Client teaching begins early in thechildbirth process and continues throughout the postpartum period. Which strategies would bebest to employ for a nurse working with a teen mother? Choose those that apply.a.Computer-based learningb.Videosc.Printed materiald.Group discussione.ModelsANS:A, B, C, D, ECorrectA, B, C, D, E. A number of factors influence learning at any age. One of the mostsignificant considerations is developmental level. Teenage parents often have very differentconcerns and learn in a different way than older parents. Often grandparents are also involved inthe rearing of these children and must be able to review and understand the material. There is awealth of new information that may not have been available when they became parents.IncorrectAll are correct.DIF:Cognitive Level: ApplicationREF:pp. 25-26OBJ:Nursing Process Step: ImplementationMSC:Client Needs: Health Promotion and MaintenanceCOMPLETION1.Interventions, modalities, professions, theories, applications, or practices that are not currentlypart of the conventional medical system in North American culture are often referred to as____________________ or ____________________ medicine.ANS:complementary or alternative (CAM)

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Test BankElsevier items and derived items © 2009, 2005 by Saunders, an imprint of Elsevier Inc.2-6For many people such therapies are not considered alternative, because they are mainstream intheir culture. Others combine them with traditional medical practices, thereby using anintegrativeapproach. A continued concern is client safety. Some clients who use thesetechniques may delay necessary care, and others may take herbal or other remedies that mightbecome toxic when used in combination with prescription drugs or taken in excess.DIF:Cognitive Level: ComprehensionREF:p. 33OBJ:Nursing Process Step: AssessmentMSC:Client Needs: Physiologic Integrity

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