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Test Bank for Medical Surgical Nursing 3rd Australian Edition by LeMone

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Test Bank for Medical Surgical Nursing 3rd Australian Edition by LeMone

Table of Contents
Unit 1 Dimensions of Medical-Surgical Nursing Chapter 1 Medical-Surgical Nursing in the Twenty-first Century Chapter 2 Health and Illness in Adults Unit 2 Alterations in Patterns of Health Chapter 3 Nursing Care of People Having Surgery Chapter 4 Nursing Care of People Experiencing Loss, Grief, and Death Chapter 5 Nursing Care of People with Problems of Substance Misuse Chapter 6 Nursing Care of People Experiencing Disasters Unit 3 Pathophysiology and Patterns of Health Chapter 7 Genetic Implications of Adult Health Nursing Chapter 8 Nursing Care of People in Pain Chapter 9 Nursing Care of People with Altered Fluid, Electrolyte, Acid-Based Balance Chapter 10 Nursing Care of People Experiencing Trauma and Shock Chapter 11 Nursing Care of People with Infections Chapter 12 Nursing Care of People with Altered Immunity Chapter 13 Nursing Care of People with Cancer Unit 4 Responses to Altered Integumentary Structure and Function Chapter 14 A Person-centred Approach to Assessing the Integumentary System Chapter 15 Nursing Care of People with Integumentary Disorders Chapter 16 Nursing Care of People with Burns Unit 5 Responses to Altered Endocrine Function Chapter 17 A Person-centred Approach to Assessing the Endocrine System Chapter 18 Nursing Care of People with Endocrine Disorders Chapter 19 Nursing Care of People with Diabetes Mellitus Unit 6 Responses to Altered Gastrointestinal Function Chapter 20 A Person-centred Approach to Assessing the Gastrointestinal System Chapter 21 Nursing Care of People with Nutritional Disorders Chapter 22 Nursing Care of People with Upper Gastrointestinal Disorders Chapter 23 Nursing Care of People with Bowel Disorders Chapter 24 Nursing Care of People with Gallbladder, Liver, and Pancreatic Disorders Unit 7 Responses to Altered Urinary Elimination Chapter 25 A Person-centred Approach to Assessing the Renal System Chapter 26 Nursing Care of People with Urinary Tract Disorders Chapter 27 Nursing Care of People with Kidney Disorders Unit 8 Responses to Altered Cardiac Function Chapter 28 A Person-centred Approach to Assessing the Cardiovascular and Lymphatic Systems Chapter 29 Nursing Care of People with Coronary Heart Disease Chapter 30 Nursing Care of People with Cardiac Disorders Chapter 31 Nursing Care of People with Vascular and Lymphatic Disorders Chapter 32 Nursing Care of People with Hematologic Disorders Unit 9 Responses to Altered Respiratory Function Chapter 33 A Person-centred Approach to Assessing the Respiratory System Chapter 34 Nursing Care of People with Upper Respiratory Disorders Chapter 35 Nursing Care of People with Ventilation Disorders Chapter 36 Nursing Care of People with Gas Exchange Disorders Unit 10 Responses to Altered Neurologic Function Chapter 37 A Person-centred Approach to Assessing The Musculoskeletal System Chapter 38 Nursing Care of People with Musculoskeletal Trauma Chapter 39 Nursing Care of People with Musculoskeletal Disorders Unit 11 Responses to Altered Neurologic Function Chapter 40 A Person-centred Approach to Assessing the Nervous System Chapter 41 Nursing Care of People with Intracranial Disorders Chapter 42 Nursing Care of People with Cerebrovascular and Spinal Cord Disorders Chapter 43 Nursing Care of People with Neurologic Disorders Unit 12 Responses to Altered Visual and Auditory Function Chapter 44 A Person-centred Approach to Assessing the Eye and Ear Chapter 45 Nursing Care of People with Eye and Ear Disorders Unit 13 Responses to Altered Reproductive Function Chapter 46 A Person-centred Approach to Assessing the Male and Female Reproductive Systems Chapter 47 Nursing Care of Men with Reproductive System and Breast Disorders Chapter 48 Nursing Care of Women with Reproductive System and Breast Disorders Chapter 49 Nursing Care of People with Sexually Transmitted Infections Unit 14 Special topics in medical-surgical nursing Chapter 50 Mental healthcare in the Australian context Chapter 51 Community Care Chapter 52 Nursing care of clients in regional, rural and remote areas of Australia

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DescriptionBy: LeMone Edition: 3rd Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant DownloadBy: Ackley Edition: 11th Edition Format: Downloadable ZIP Fille Resource Type: Solution manual Duration: Unlimited downloads Delivery: Instant DownloadBy: Burton Edition: 2nd Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant DownloadBy: Stanhope Edition: 3rd Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant DownloadBy: McKinney Edition: 5th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant DownloadEdition: 7th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download
Content

Test Bank for Medical Surgical Nursing 3rd Australian Edition by LeMone

Table of Contents
Unit 1 Dimensions of Medical-Surgical Nursing Chapter 1 Medical-Surgical Nursing in the Twenty-first Century Chapter 2 Health and Illness in Adults Unit 2 Alterations in Patterns of Health Chapter 3 Nursing Care of People Having Surgery Chapter 4 Nursing Care of People Experiencing Loss, Grief, and Death Chapter 5 Nursing Care of People with Problems of Substance Misuse Chapter 6 Nursing Care of People Experiencing Disasters Unit 3 Pathophysiology and Patterns of Health Chapter 7 Genetic Implications of Adult Health Nursing Chapter 8 Nursing Care of People in Pain Chapter 9 Nursing Care of People with Altered Fluid, Electrolyte, Acid-Based Balance Chapter 10 Nursing Care of People Experiencing Trauma and Shock Chapter 11 Nursing Care of People with Infections Chapter 12 Nursing Care of People with Altered Immunity Chapter 13 Nursing Care of People with Cancer Unit 4 Responses to Altered Integumentary Structure and Function Chapter 14 A Person-centred Approach to Assessing the Integumentary System Chapter 15 Nursing Care of People with Integumentary Disorders Chapter 16 Nursing Care of People with Burns Unit 5 Responses to Altered Endocrine Function Chapter 17 A Person-centred Approach to Assessing the Endocrine System Chapter 18 Nursing Care of People with Endocrine Disorders Chapter 19 Nursing Care of People with Diabetes Mellitus Unit 6 Responses to Altered Gastrointestinal Function Chapter 20 A Person-centred Approach to Assessing the Gastrointestinal System Chapter 21 Nursing Care of People with Nutritional Disorders Chapter 22 Nursing Care of People with Upper Gastrointestinal Disorders Chapter 23 Nursing Care of People with Bowel Disorders Chapter 24 Nursing Care of People with Gallbladder, Liver, and Pancreatic Disorders Unit 7 Responses to Altered Urinary Elimination Chapter 25 A Person-centred Approach to Assessing the Renal System Chapter 26 Nursing Care of People with Urinary Tract Disorders Chapter 27 Nursing Care of People with Kidney Disorders Unit 8 Responses to Altered Cardiac Function Chapter 28 A Person-centred Approach to Assessing the Cardiovascular and Lymphatic Systems Chapter 29 Nursing Care of People with Coronary Heart Disease Chapter 30 Nursing Care of People with Cardiac Disorders Chapter 31 Nursing Care of People with Vascular and Lymphatic Disorders Chapter 32 Nursing Care of People with Hematologic Disorders Unit 9 Responses to Altered Respiratory Function Chapter 33 A Person-centred Approach to Assessing the Respiratory System Chapter 34 Nursing Care of People with Upper Respiratory Disorders Chapter 35 Nursing Care of People with Ventilation Disorders Chapter 36 Nursing Care of People with Gas Exchange Disorders Unit 10 Responses to Altered Neurologic Function Chapter 37 A Person-centred Approach to Assessing The Musculoskeletal System Chapter 38 Nursing Care of People with Musculoskeletal Trauma Chapter 39 Nursing Care of People with Musculoskeletal Disorders Unit 11 Responses to Altered Neurologic Function Chapter 40 A Person-centred Approach to Assessing the Nervous System Chapter 41 Nursing Care of People with Intracranial Disorders Chapter 42 Nursing Care of People with Cerebrovascular and Spinal Cord Disorders Chapter 43 Nursing Care of People with Neurologic Disorders Unit 12 Responses to Altered Visual and Auditory Function Chapter 44 A Person-centred Approach to Assessing the Eye and Ear Chapter 45 Nursing Care of People with Eye and Ear Disorders Unit 13 Responses to Altered Reproductive Function Chapter 46 A Person-centred Approach to Assessing the Male and Female Reproductive Systems Chapter 47 Nursing Care of Men with Reproductive System and Breast Disorders Chapter 48 Nursing Care of Women with Reproductive System and Breast Disorders Chapter 49 Nursing Care of People with Sexually Transmitted Infections Unit 14 Special topics in medical-surgical nursing Chapter 50 Mental healthcare in the Australian context Chapter 51 Community Care Chapter 52 Nursing care of clients in regional, rural and remote areas of Australia

Solution Manual for Nursing Diagnosis Handbook 11th Edition by Ackley

Ackley: Nursing Diagnosis Handbook, 11th Edition Table of Contents     41 cases  Lecture Notes

Problem-Based Learning/Critical Thinking

Case Study - Restless Leg Syndrome

Case Scenario Abdul Malek is a 21 year old college student. He attends the local state university and is a junior studying graphic design.  Three (3) weeks into his fall semester, Abdul’s professors notice that he is falling asleep in class and often looks restless. Abdul taps his foot and squirms around in his seat. Abdul, who is usually an excellent student, has failed his first test in his Graphic Design II course. His professor asks him to see his advisor because the fear is that Abdul has become chemically impaired. His advisor sends Abdul to the student health services and his case is reviewed by the nurse.  Nursing Assessment  Abdul is a well-developed 22 year old male with a BMI of 20. His vital signs are: blood pressure 104/78; temperature 98.4 degrees F.; heart rate – 64 BPM; respiratory rate – 16 per minute. A nutritional history confirms a well-balanced diet with the exclusion of pork products. Abdul had been working out every day at the University gym but reports that he is currently “too tired” to do so.  Abdul denies drug or alcohol use and this is confirmed by serum analysis. Abdul complains about sleeping poorly and feeling as if, “I am moving all night.” He states that he often wakes up his dorm mate and feels badly about that.  The nurse reclines Abdul on the examination table and checks his deep tendon reflexes (DTRs) which are all 2 . The nurse asks Abdul to relax and dims the lights while she consults with the primary care practitioner. While the nurse is out of the examination room Abdul dozes and when the nurse returns the nurse observes Abdul’s right leg jerking several times before she arouses him.
  1. ASSESS
  2. Identify significant symptoms by underlining them in the assessment.
  3. List those symptoms that indicate the client has a health problem (those you have underlined).
  • falling asleep in class
  • often looks restless
  • taps his foot
  • squirms around in his seat
  • failed his first test
  •  “too tired
  • complains about sleeping poorly
  • I am moving all night
  • often wakes up
  • dozes
  • right leg jerking several times
  1. Group the symptoms that are similar.
  • falling asleep in class
  • often looks restless
  • taps his foot
  • squirms around in his seat
  • failed his first test
  • complains about sleeping poorly
  • dozes
  •  “too tired
  • I am moving all night
  • often wakes up
  • right leg jerking several times

Test Bank for Fundamentals of Nursing Care 2nd Edition by Burton

Chapter 1 Multiple Choice Identify the choice that best completes the statement or answers the question. ____    1.   A nurse is educating a nursing student about nursing history. The nurse explains that throughout ancient history, nursing care was provided by family members and
1.Nurses.
2.Physicians.
3.Male priests.
4.Female priests.
____    2.   A nurse is teaching a student about the history of nursing. The nurse informs the student that in 1836, the first school of nursing was established in Kaiserworth, Germany, by
1.Jean Watson.
2.Clara Barton.
3.Theodor Fliedner.
4.Florence Nightingale.
____    3.   A nurse teaches a student nurse that in 1897, the Nurses Associated Alumnae of the United States was formed in an effort to
1.Set standards and rules in nursing education.
2.Keep nurses aware of the newest medical information.
3.Oversee training to protect patients from incompetent nurses.
4.Keep nurses updated on the newest information about nursing education.
____    4.   The purpose of the National League for Nursing is to
1.Set standards and rules in nursing education.
2.Keep nurses aware of the newest medical information.
3.Oversee training to protect patients from incompetent nurses.
4.Keep nurses updated on the newest information about nursing education.
____    5.   All states required practical nurses to be licensed in the year
1.1940.
2.1945.
3.1950.
4.1955.
____    6.   The title licensed practical nurse (LPN) is used in all states except California and
1.Texas.
2.Maine.
3.Alaska.
4.Arizona.
____    7.   The National Council Licensure Examination for Practical Nursing (NCLEX-PN) is
1.Taken in order to practice as a nurse.
2.Given as an entrance examination for nursing school.
3.Individualized based on where an examinee resides.
4.Taken in order to practice as a certified nursing assistant (CNA).
____    8.   A nurse recruiter is seeking a graduate nurse who has been educated more extensively on management and leadership. The graduate nurse who most likely fits this description is the
1.Diploma nurse.
2.Associate degree nurse (ADN).
3.Licensed practical/vocational nurse (LPN/LVN).
4.Baccalaureate degree nurse (BSN).
____    9.   Which statement about the Nurse Practice Act is accurate?
1.The Nurse Practice Act clarifies who can supervise a physician.
2.The Nurse Practice Act is the law that governs the actions of nurses.
3.The Nurse Practice Act is determined by the National League of Nursing.
4.The Nurse Practice Act specifies the tasks of the unlicensed assistive personnel.
____   10.   A nurse educates a nursing student about the Nurse Practice Act. The nursing student demonstrates understanding when he or she states:
1.“The Nurse Practice Act is the same in every state.”
2.“The Nurse Practice Act does not specify who can supervise a nurse.”
3.“The Nurse Practice Act is determined by the American Nurses Association.”
4.“The Nurse Practice Act establishes the scope of practice for each level of nurse.”
____   11.   While caring for a patient, a nurse performs a nursing action that is not within his or her scope of practice. The nurse has violated the
1.Ethics Committee.
2.Nurse Practice Act.
3.State Department of Health.
4.National League for Nursing Education.
____   12.   The Nurse Practice Act is enforced by the
1.State Board of Nursing.
2.County Health Department.
3.State Department of Health.
4.National League for Nursing.
____   13.   A nurse is caring for a resident in a long-term setting. The nurse best demonstrates a caring approach when
1.Performing all activities of daily living for the resident.
2.Asking the resident’s spouse to bring a family picture for the resident’s room.
3.Answering the resident’s questions quickly without allowing time for clarification.
4.Encouraging the resident’s spouse to decide which activities the resident should do.
____   14.   A nurse is caring for multiple patients on a medical unit. The nurse can best practice the art of nursing with an emphasis on caring by
1.Providing identical care to each patient.
2.Individualizing care provided to each patient.
3.Viewing the patients in terms of a cellular disorder.
4.Viewing the patients as seriously ill and needing a cure.
____   15.   A nurse is educating a student nurse about the responsibilities of a student nurse. The nurse recognizes that additional teaching is needed when the student nurse states:
1.“I will check laboratory results for my patients often.”
2.“I am responsible for noting abnormal assessment findings.”
3.“I will frequently check the patient’s chart for diagnostic test results.”
4.“It is not within my scope of practice to notify someone of abnormal findings.”
____   16.   A nursing instructor teaches a student nurse about the importance of joining a professional organization. The nursing instructor recognizes that further instruction is necessary when the student nurse states,
1.“Professional organizations allow me to have a collective voice.”
2.“Professional organizations limit my ability to influence laws and policies.”
3.“Professional behavior is demonstrated by joining a professional organization.”
4.“By joining a professional organization, I will have opportunities for leadership.”
 

Test Bank Community Health Nursing in Canada, 3rd Edition by Marcia Stanhope

Chapter 01: Community Health Nursing

Stanhope: Community Health Nursing in Canada, 3rd Canadian Edition

MULTIPLE CHOICE

1.   Which of the following best describes community health nursing?
a.Giving care with a focus on the aggregate’s needs
b.Giving care with a focus on the group’s needs
c.Focusing on the health care of individual clients in the community
d.Working with an approach of unique client care
ANS:  C By definition, community health nursing is the health care of individual clients in the community. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 3 OBJ:   1.6 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 2.   Which of the following best describes primary health care?
a.A comprehensive way to address issues of social justice
b.Giving the care to manage acute or chronic conditions
c.Giving direct care to ill individuals within their family setting
d.Having the goal of health promotion and disease prevention
ANS:  A By definition, primary health care is comprehensive and addresses issues of social justice and equity. Social justice in the context of health refers to ensuring fairness and equality in health services so that vulnerable individuals in society have easy access to health care. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 10 OBJ:   1.4                 TOP:   Client Need: Health Promotion and Maintenance 3.   The health of which of the following is the primary focus of public health nurses (PHNs)?
a.Families
b.Groups
c.Individuals
d.Populations
ANS:  D PHNs use knowledge of nursing, social sciences, and public health sciences for the promotion and protection of health and for the prevention of disease among populations. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 13, Table 1-4 | p. 20 OBJ:   1.5                 TOP:   Client Need: Health Promotion and Maintenance 4.   Which change is the primary explanation for life expectancy increasing so notably since the early 1900s?
a.An increase in findings from medical laboratory research
b.Incredible advances in surgical techniques and procedures
c.Improved sanitation and other public health activities
d.Increased use of antibiotics to fight infections
ANS:  C Improvement in control of infectious diseases through immunizations, sanitation, and other public health activities led to the increase in life expectancy since the early 1900s. DIF:    Cognitive Level: Knowledge/Remember                         REF:   pp. 12-13 OBJ:   1.5                 TOP:   Client Need: Health Promotion and Maintenance 5.   Which community health nursing practice area receives funding from the private sector?
a.Telenurses
b.Corrections nurses
c.Nurse entrepreneurs
d.Street or outreach nurses
ANS:  C The nurse entrepreneur receives private funding, whereas all of the other community health nurse (CHN) roles are with provincially or federally funded positions. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 22, Table 1-4 Examples OBJ:   1.6 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 6.   A PHN strives to prevent disease and disability, often in partnership with other community groups. Which statement is an appropriate summary of the PHN’s role?
a.The PHN asks the political leaders what interventions should be chosen.
b.The PHN assesses the community and decides on appropriate interventions.
c.The PHN uses data from the main health care institutions in the community to determine needed health services.
d.The PHN works with community members to carry out public health functions.
ANS:  D It is crucial that the PHN work with members of the community to carry out core public health functions. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 13, How To box OBJ:   1.5                 TOP:   Client Need: Health Promotion and Maintenance 7.   Which of the following is used as a measurement of population health?
a.Health status indicators
b.The levels of prevention
c.The number of memberships at the local fitness centre
d.Reported provincial alcohol and tobacco sales in any given month
ANS:  A Population health refers to the health outcomes of a population as measured by determinants of health and health outcomes. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 16 OBJ:   1.2                 TOP:   Client Need: Health Promotion and Maintenance 8.   A registered nurse (RN), has just been employed as a CHN. Which question would be most relevant to her practice as she begins her position?
a.“Which community groups are at greatest risk for problems?”
b.“Which patients should I see first as I begin my day?”
c.“With which physicians will I be collaborating most closely?”
d.“Who is the nursing assistant to whom I can refer patients?”
ANS:  A CHNs apply the nursing process to the entire community; asking which groups are at greatest risk reflects a community-oriented perspective. The other possible responses focus on particular individuals. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 15 OBJ:   1.6                 TOP:   Client Need: Health Promotion and Maintenance 9.   The CHN working with women at the senior citizens’ centre reminds them that the only way the centre will be able to afford a driver and a van service for those who cannot drive themselves is to continue to write letters to their local city council representatives, requesting funding for such a service. What is the CHN doing?
a.Ensuring that the women do not expect the CHN herself to do anything about their problem
b.Demonstrating that she understands the women’s concerns and needs
c.Expressing empathy, support, and concern
d.Helping the women engage in political action locally
ANS:  D CHNs have an imperative to work with the members of the community to carry out public health functions such as political action. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 13, How To box OBJ:   1.5 | 1.6 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 10.   Which activity is an example of the “advocate” role of the CHN?
a.Organizing home care support for a newly discharged older adult client
b.Acting as a member of a community action group for provision of accessible transit choices
c.Doing prenatal assessments
d.Facilitating a self-help group for smoking cessation
ANS:  B An advocate provides a voice to client concerns when acting as a member of a community action group for provision of accessible transit choices. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 19, Table 1-3 OBJ:   1.6 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 11.   In which scenario is the PHN most comprehensively fulfilling collaborative practice responsibilities?
a.The PHN meets with several groups about community recreation issues.
b.The PHN spends the day attending meetings at various health agencies.
c.The PHN talks to several people about their particular health concerns.
d.The PHN watches television, including a telecast of a city council meeting on the local cable station.
ANS:  B Any of these might represent a PHN communicating, cooperating, or collaborating with community residents or groups about health concerns. However, the PHN who spends the day attending meetings at various health agencies is most comprehensively fulfilling requirements effectively, since health is broader than recreation, individual concerns are not as important as aggregate priorities, and watching television is only one-way communication. DIF:    Cognitive Level: Synthesis/Synthesize                            REF:   pp. 15-16 OBJ:   1.5 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 12.   A CHN often has to make resource allocation decisions. In such cases, which approach will most help the CHN to arrive at the decision?
a.Choosing a moral or ethical principle
b.Choosing the cheapest, most economical approach
c.Choosing the most rational outcome
d.Choosing the needs of the aggregate, rather than the needs of a few individuals
ANS:  D Although all of the answers represent components of the CHN’s decision-making process, the predominant needs of the population outweigh the expressed needs of one person or a few people. DIF:    Cognitive Level: Application/Apply                                          REF:    pp. 7-8 OBJ:   1.3 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 13.   Which situation most closely represents the focus of public health nursing?
a.Assessing the services and effectiveness of the school health clinic
b.Caring for patients after their outpatient surgeries
c.Giving care to schoolchildren at the school clinic and to the children’s families
d.Treating paediatric patients at an outpatient clinic
ANS:  A A public health or population-focused approach would consider the entire group of children receiving care, to see if services are effective in achieving the goal of improving the health of the school population. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 13, How To box OBJ:   1.5                 TOP:   Client Need: Health Promotion and Maintenance 14.   Which public health service best represents primary prevention?
a.Developing a health education program about the dangers of smoking
b.Providing a diabetes clinic for adults in low-income neighbourhoods
c.Providing an influenza vaccination program in a community retirement village
d.Teaching school-aged children about the positive effects of exercise
ANS:  C Although all the services listed are appropriate and valuable, providing influenza vaccines to healthy adults represents the primary level of health prevention. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 14 OBJ:   1.5                 TOP:   Client Need: Health Promotion and Maintenance 15.   What term is used interchangeably with the term subpopulations?
a.Groups
b.Aggregates
c.Clients
d.Communities
ANS:  B Generally, subpopulations are referred to as aggregates within the larger community population. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 16 OBJ:   1.2                 TOP:   Client Need: Health Promotion and Maintenance
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing

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

MULTIPLE CHOICE
  1. Which factor significantly contributed to the shift from home births to hospital births in the early 20th 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.Technologic developments became available to physicians.
ANS:  D Technologic developments were available to physicians, not lay midwives. So in-hospital births increased in order to take advantage of these advancements. Puerperal sepsis has been a known problem for generations. In the late 19th century, Semmelweis discovered how it could be prevented with improved hygienic practices. The development of forceps is an example of a technology advance made in the early 20th century but is not the only reason birthplaces moved. Unlike home births, early hospital births hindered bonding between parents and their infants. PTS:   1                    DIF:    Cognitive Level: Knowledge/Remembering REF:   p. 1                OBJ:   Integrated Process: Teaching-Learning MSC:  Client Needs: Safe and Effective Care Environment
  1. 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 a nursery.
d.changes in pharmacologic management of labor.
ANS:  C As research began to identify the benefits of early extended parent-infant contact, parents began to insist that the infant remain with them. This gradually developed into the practice of rooming-in and finally to family-centered maternity care. Family-centered care was a request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for state-managed programs for mothers and children. The changes in pharmacologic management of labor were not a factor in family-centered maternity care. PTS:   1                    DIF:    Cognitive Level: Knowledge/Remembering REF:   p. 2                OBJ:   Integrated Process: Teaching-Learning MSC:  Client Needs: Psychosocial Integrity
  1. Which setting for childbirth allows the least amount of parent-infant contact?
a.Labor/delivery/recovery/postpartum room
b.Birth center
c.Traditional hospital birth
d.Home birth
ANS:  C In 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. The labor/delivery/recovery/postpartum room setting allows increased parent-infant contact. Birth centers are set up to allow an increase in parent-infant contact. Home births allow an increase in parent-infant contact. PTS:   1                    DIF:    Cognitive Level: Knowledge/Remembering REF:   p. 2                OBJ:   Nursing Process: Planning MSC:  Client Needs: Health Promotion and Maintenance
  1. As a result of changes in health care delivery and funding, a current trend seen in the pediatric setting 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:  C One effect of managed care has been that pediatric health care delivery has shifted dramatically from the acute care setting to the ambulatory setting in order to provide more cost-efficient care. The number of hospital beds being used has decreased as more care is given in outpatient settings and in the home. The number of children living in poverty has increased over the past decade. One of the biggest changes in health care has been the growth of managed care. PTS:   1                    DIF:    Cognitive Level: Knowledge/Remembering REF:   p. 5                OBJ:   Nursing Process: Planning MSC:  Client Needs: Safe and Effective Care Environment
  1. The Women, Infants, and 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 pregnant or breastfeeding women.
ANS:  D WIC is a federal program that provides supplemental food supplies to low-income women who are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-child examinations and for treatment of any medical problems diagnosed during such checkups. Children in the WIC program are often referred for immunizations, but that is not the primary focus of the program. Public Law 99-457 is part of the Individuals with Disabilities Education Act that provides financial incentives to states to establish comprehensive early intervention services for infants and toddlers with, or at risk for, developmental disabilities. PTS:   1                    DIF:    Cognitive Level: Comprehension   REF:   p. 8 OBJ:   Integrated Process: Teaching-Learning MSC:  Client Needs: Health Promotion and Maintenance
  1. In most states, adolescents who are not emancipated minors must have the permission of their parents before
a.treatment for drug abuse.
b.treatment for sexually transmitted diseases (STDs).
c.accessing birth control.
d.surgery.
ANS:  D Minors are not considered capable of giving informed consent, so a surgical procedure would require consent of the parent or guardian. Exceptions exist for obtaining treatment for drug abuse or STDs or for getting birth control in most states. PTS:   1                    DIF:    Cognitive Level: Knowledge/Remembering REF:   p. 17              OBJ:   Nursing Process: Planning MSC:  Client Needs: Safe and Effective Care Environment
  1. 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:  C Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a particular health problem. They are used to identify patient outcomes, specify time lines to achieve those outcomes, direct appropriate interventions and sequencing of interventions, include interventions from a variety of disciplines, promote collaboration, and involve a comprehensive approach to care. They are developed by multiple health care professionals and reflect interdisciplinary care. They can be used in multiple settings and for patients throughout the life span. They are not part of the nursing process but can be used in conjunction with the nursing process to provide care to patients. PTS:   1                    DIF:    Cognitive Level: Knowledge/Remembering REF:   p. 7                OBJ:   Nursing Process: Planning MSC:  Client Needs: Safe and Effective Care Environment
  1. 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 (IV) substance abusers.
ANS:  C Pregnancy and birth, especially for a teenager, are important contributing factors for becoming homeless. People preparing for retirement, migrant workers, and IV substance abusers are not among the fastest growing groups of homeless people. PTS:   1                    DIF:    Cognitive Level: Knowledge/Remembering REF:   p. 14              OBJ:   Nursing Process: Assessment MSC:  Client Needs: Physiologic Integrity
  1. A nurse wishes to work to reduce infant mortality in the United States. Which activity would this nurse most likely participate in?
a.Creating pamphlets in several different languages using an interpreter.
b.Assisting women to enroll in Medicaid by their third trimester.
c.Volunteering to provide prenatal care at community centers.
d.Working as an intake counselor at a women’s shelter.
ANS:  C Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most likely participate in community service providing prenatal care outreach activities in community centers, particularly in low-income areas. Pamphlets in other languages, enrolling in Medicaid, and working at a women’s shelter all might impact infant mortality, but the greatest effect would be from assisting women to get consistent prenatal care. PTS:   1                    DIF:    Cognitive Level: Application/Applying REF:   p. 14              OBJ:   Nursing Process: Implementation MSC:  Client Needs: Health Promotion and Maintenance
  1. The intrapartum woman sees no need for a routine admission fetal monitoring strip. If she continues to refuse, what is the first action the nurse should take?
a.Consult the family of the woman.
b.Notify the provider of the situation.
c.Document the woman’s refusal in the nurse’s notes.
d.Make a referral to the hospital ethics committee.
ANS:  B Patients must be allowed to make choices voluntarily without undue influence or coercion from others. The physician, especially if unaware of the patient’s decision, should be notified immediately. Both professionals can work to ensure the mother understands the rationale for the action and the possible consequences of refusal. The woman herself is the decision-maker, unless incapacitated. Documentation should occur but is not the first action. This situation does not rise to the level of an ethical issue so there is no reason to call the ethics committee. PTS:   1                    DIF:    Cognitive Level: Application/Applying REF:   p. 18              OBJ:   Nursing Process: Implementation MSC:  Client Needs: Safe and Effective Care Environment
  1. 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:  D An incident report is used when something occurs that might result in legal action, such as a patient fall or medication error. It warns the legal department that there may be a problem in a particular patient’s care. Incident reports are not part of the patient’s chart; thus the nurses’ notes should not contain any reference to them. PTS:   1                    DIF:    Cognitive Level: Knowledge/Remembering REF:   p. 18              OBJ:   Integrated Process: Communication and Documentation MSC:  Client Needs: Safe and Effective Care Environment
  1. 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:  C

Test Bank Foundations of Maternal-Newborn and Women’s Health Nursing 7th Edition

Chapter 01: Maternity and Women’s Health Care Today Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition MULTIPLE CHOICE 1. A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session? a. The Sheppard-Towner Act of 1921 promoted family-centered care. b. Changes in the pharmacologic management of labor prompted family-centered care. c. Demands by physicians for family involvement in childbirth increased the practice of family-centered care. d. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care. ANS: D As research began to identify the benefits of early, extended parent-infant contact, parents began to insist that the infant remain with them. This gradually developed into the practice of rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided funds for state-managed programs for mothers and children but did not promote family-centered care. The changes in pharmacologic management of labor were not a factor in family-centered maternity care. Family-centered care was a request by parents, not physicians. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promotion and Maintenance 2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the amount of parent-infant interaction?” Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting? a. Birth center b. Homebirth c. Traditional hospital birth d. Labor, birth, and recovery room ANS: C In 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. Birth centers are set up to allow an increase in parent-infant contact. Home births allow the greatest amount of parent-infant contact. The labor, birth, recovery, and postpartum room setting allows for increased parent-infant contact. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promotion and Maintenance 3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room? a. The family is in a familiar environment. b. They are less expensive than traditional hospital rooms. c. The infant is removed to the nursery to allow the mother to rest. d. The woman’s support system is encouraged to stay until discharge. ANS: D NURSINGTB.COM Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test BankNU RS IN GT B.CO M Sleeping equipment is provided in a private room. A hospital setting is never a familiar environment to new parents. An LDRP room is not less expensive than a traditional hospital room. The baby remains with the mother at all times and is not removed to the nursery for routine care or testing. The father or other designated members of the mother’s support system are encouraged to stay at all times. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance 4. Which nursing intervention is an independent function of the professional nurse? a. Administering oral analgesics b. Requesting diagnostic studies c. Teaching the patient perineal care d. Providing wound care to a surgical incision ANS: C Nurses are now 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. Administrating oral analgesics is a dependent function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dependent function. Providing wound care is a dependent function; however, the physician prescribes the type of wound care through direct orders or protocol. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effective Care Environment 5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to have a cesarean birth”? a. “Everything will be OK.” b. “Don’t worry about it. It will be over soon.” c. “What concerns you most about a cesarean birth?” d. “The physician will be in later and you can talk to him.” ANS: C The response, “What concerns you most about a cesarean birth” focuses on what the patient is saying and asks for clarification, which is the most therapeutic response. The response, “Everything will be ok” is belittling the patient’s feelings. The response, “Don’t worry about it. It will be over soon” will indicate that the patient’s feelings are not important. The response, “The physician will be in later and you can talk to him” does not allow the patient to verbalize her feelings when she wishes to do that. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial Integrity 6. In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis? a. Planning b. Evaluation c. Assessment d. Intervention ANS: A NURSINGTB.COM Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test BankNU RS IN GT B.CO M The third step in the nursing process involves planning care for problems that were identified during assessment. The evaluation phase is determining whether the goals have been met. During the assessment phase, data are collected. The intervention phase is when the plan of care is carried out. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effective Care Environment 7. Which goal is most appropriate for the collaborative problem of wound infection? a. The patient will not exhibit further signs of infection. b. Maintain the patient’s fluid intake at 1000 mL/8 hour. c. The patient will have a temperature of 98.6F within 2 days. d. Monitor the patient to detect therapeutic response to antibiotic therapy. ANS: D In a collaborative problem, the goal should be nurse-oriented and reflect the nursing interventions of monitoring or observing. Monitoring for complications such as further signs of infection is an independent nursing role. Intake and output is an independent nursing role. Monitoring a patient’s temperature is an independent nursing role. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effective Care Environment 8. Which nursing intervention is written correctly? a. Force fluids as necessary. b. Observe interaction with the infant. c. Encourage turning, coughing, and deep breathing. d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM. ANS: D Interventions might not be carried out if they are not detailed and specific. “Force fluids” is not specific; it does not state how much or how often. Encouraging the patient to turn, cough, and breathe deeply is not detailed or specific. Observing interaction with the infant does not state how often this procedure should be done. Assisting the patient to ambulate for 10 minutes within a certain timeframe is specific. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effective Care Environment 9. The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which response by the nurse would be the most therapeutic? a. “You’re afraid to take the baby home?” b. “Don’t you have a mother who can come and help?” c. “You should read the literature I gave you before you leave.” d. “I was scared when I took my first baby home, but everything worked out.” ANS: A NURSINGTB.COM Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test BankNU RS IN GT B.CO M This response uses reflection to show concern and open communication. The other choices are blocks to communication. Asking if the patient has a mother who can come and assist blocks further communication with the patient. Telling the patient to read the literature before leaving does not allow the patient to express her feelings further. Sharing your own birth experience is inappropriate. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial Integrity 10. The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale of 10. Which expected outcome is correctly stated for this problem? a. Patient will state that pain is a 2 on a scale of 10. b. Patient will have a reduction in pain after administration of the prescribed analgesic. c. Patient will state an absence of pain 1 hour after administration of the prescribed analgesic. d. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic. ANS: D The outcome should be patient-centered, measurable, realistic, and attainable and within a specified timeframe. Patient stating that her pain is now 2 on a scale of 10 lacks a timeframe. Patient having a reduction in pain after administration of the prescribed analgesic lacks a measurement. Patient stating an absence of pain 1 hour after the administration of prescribed analgesic is unrealistic. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning MSC: Patient Needs: Physiologic Integrity 11. Which nursing diagnosis should the nurse identify as a priority for a patient in active labor? a. Risk for anxiety related to upcoming birth b. Risk for imbalanced nutrition related to NPO status c. Risk for altered family processes related to new addition to the family d. Risk for injury (maternal) related to altered sensations and positional or physical changes ANS: D The nurse should determine which problem needs immediate attention. Risk for injury is the problem that has the priority at this time because it is a safety problem. Risk for anxiety, imbalanced nutrition, and altered family processes are not the priorities at this time. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Safe and Effective Care Environment
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