Exam One Flashcards
(85 cards)
To assess a mother’s risk of having a low-birth-weight (LBW) infant, the most important factor for the nurse to consider is \_\_\_\_\_\_\_\_\_\_. A. African-American race B. Cigarette smoking C. Poor nutritional status D. Limited maternal education
A. African-American race
Identify the four requirements of informed consent.
- Patient’s competence to consent
- Full disclosure of information
- Patient’s understanding of information
- Patient’s voluntary consent
What was identified in the chapter as a societal issue that affects maternity and pediatric nursing?
A. Fewer children are living in poverty
B. Violence in schools has decreased
C. Families are the fastest growing group of homeless people
D. The number of uninsured American children has decreased
C. Families are the fastest growing group of homeless people
A practice model that uses a systematic approach to identify specific patients and manage patient care is: A. Case management B. The nursing process C. A clinical pathway D. A health maintenance organization
A. Case management
Which statement about family-centered maternity care is correct?
A. Family-centered care decreases the responsibility of maternity nurses.
B. Although the settings have changed, childbirth is still viewed as a medical event.
C. Care is adapted to meet the physical and psychological needs of the family.
D. Maternal-infant bonding is the primary focus of family-centered care.
C. Care is adapted to meet the physical and psychological needs of the family.
What is the leading cause of death in children ages 1 to 19 years?
Unintentional Injury
The nurse is establishing several health programs such as bicycle safety to improve the health status of the target population. Which step in the community nursing process is this? A. Planning B. Evaluation C. Assessment D. Implementation
D. Implementation
Your friend says she is not sure she wants a doctor to deliver her second baby because she believes doctors are too busy to talk with her when she has check-ups. The best alternative professional for you to suggest is the: A. Maternity nurse practitioner B. Certified nurse-midwife C. Lay midwife D. Clinical nurse specialist
B. Certified nurse-midwife
A primary difference between social and therapeutic communications is that therapeutic communication is:
A. Designed to obtain information in a minimum amount of time.
B. The only appropriate professional communication
C. Focused on achieving a relevant goal for the patient
D. Limited to the information necessary for safe care.
C. Focused on achieving a relevant goal for the patient
A pregnant woman tells the nurse, “I am so confused. My husband wants me to have my tubes tied after the baby comes, but what if something happens to the baby?” The nurse replies, “You are afraid of having permanent contraception before you know if your baby is well.” The nurse’s response is an example of: A. Directing B. Paraphrasing C. Summarizing D. Pinpointing
B. Paraphrasing
When discussing discipline with the mother of a 4-year-old child, the nurse should include which of the following?
A. Children as young as 4 years old rarely need to be punished.
B. Parental control should be consistent.
C. Withdrawal of love and approval is effective at this age.
D. One should expect rules to be followed rigidly and unquestioningly.
B. Parental control should be consistent.
A Muslim woman is admitted to the postpartum unit after delivering a baby girl. Considering the cultural needs of this patient, what should be included in her plan of care?
A. Inclusion of meat with every meal
B. Having only female nurses care for the patient
C. Not putting ice in the bedside water pitcher
D. Assessment for herbal use
B. Having only female nurses care for the patient
The purpose of discipline is to:
A. Teach a child how to effectively function in a society
B. Establish the self-fulfilling prophecy
C. Assert parental control over the child
D. Transmit the family’s culture
A. Teach a child how to effectively function in a society
An example of a family that is classified as high risk is a (an): A. Traditional family B. Single-parent family C. Adoptive family D. Family headed by adolescents
D. Family headed by adolescents
A nurse reacts with anger because a woman who did not have prenatal care explains that she does not see pregnancy as an illness requiring medical care. The nurse’s reaction demonstrates: A. Cultural diversity B. Ethnicity C. Ethnocentrism D. Fatalism
C. Ethnocentrism
A mother tells the nurse that she puts her 3-year old son in a time-out chair in a corner for 3 minutes when he misbehaves. She asks the nurse if this is correct. The nurse’s best response is?
A. “You are correctly using the time-out.”
B. “You should put the time-out chair in the center of family activity.”
C. “I would increase the time-out to 5 minutes.”
D. “Do you talk about the misbehavior while he is in the chair?”
A. “You are correctly using the time-out.”
A statement that uses effective reasoning techniques is:
A. “You are not being very nice when you throw toys at your friend.”
B. “I would not throw that toy if I were you.”
C. “I feel embarrassed when you throw toys at someone.”
D. “I will not let you play at your friend’s house if you throw toys.”
A. “You are not being very nice when you throw toys at your friend.”
Which approach would be best to use to ensure a positive response from a toddler?
A. Assume an eye-level position and talk quietly.
B. Call the toddler’s name while picking him or her up.
C. Call the toddler’s name and say, “I’m your nurse.”
D. Stand by the toddler, addressing him or her by name.
A. Assume an eye-level position and talk quietly.
A 5 year old is scheduled for a computed tomography scan of her head. What is the best time for her mother to initiate a discussion about the procedure?
A. Immediately before the procedure begins
B. Two hours before the procedure
C. The day before the procedure
D. A few days before the procedure
B. Two hours before the procedure
Which nursing action indicates that the nurse understands the components of effective communication?
A. The nurse stands right next to the chair where the child is seated.
B. The nurse asks an adolescent whether she can give her a hug
C. The nurse speaks to a child who is aphonic in a loud, clear voice
D. The nurse talks with her arms folded across her chest
B. The nurse asks an adolescent whether she can give her a hug
An adolescent tells the nurse, “I don’t like this hospital room.” An active listening response to this child’s statement is:
A. “Don’t’ you know this is the best room in the house?”
B. “Let me see whether there are any other rooms available.”
C. “What’s wrong with this room?”
D. “So would you prefer a different room?”
D. “So would you prefer a different room?”
A child with a hearing impairment needs to have an arm cast. What can the nurse do to facilitate communication with the child throughout the cast application process?
A. Face the child when speaking
B. Speak at a slower pace than usual
C. Talk clearly and directly into the child’s ear
D. Keep gestures to a minimum
A. Face the child when speaking
Which example describes how a nurse can display an open body posture?
A. Speaking to a child with head bowed
B. Frequently shifting weight from one leg to the other while speaking
C. Leaning away from the child while talking
D. Talking while the hands are freely moving
D. Talking while the hands are freely moving
A child has just been diagnosed with diabetes. The child’s father tells the nurse, “My wife will be back in the morning. Before she left, she told me that she has a lot of questions about what to do.” What is the most appropriate response for the nurse to make at this time?
A. “You will be meeting with the clinical specialist tomorrow. Ask her tomorrow.”
B. “Did the clinical specialist give you any papers to read? If not, I’ll get a pamphlet for you.”
C. “Your wife might want to write down her questions so she won’t forget anything when she comes back tomorrow.”
D. “Why don’t you tell me what information you received from the clinical specialist today?”
C. “Your wife might want to write down her questions so she won’t forget anything when she comes back tomorrow.”
