Chapter 2

After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was successful?

Increase in community settings for care

A nursing instructor is presenting a class for a group of students about community- based nursing interventions. The instructor determines that additional teaching is needed when the students identify which of the following?

Performing epidemiologic investigations

A nursing student is reviewing information about documenting client care and education in the medical record and the purposes that it serves. The student demonstrates a need for additional study when the nurse identifies which of the following as a reason?

Permits others access to allow refusal of medical insurance coverage.

A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information?

"I want to have more control, but I am concerned if an emergency would arise."

During class, a nursing student asks, "I read an article that was talking about integrative medicine. What is that?" Which response by the instructor would be most appropriate?

"It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective."

A nurse is educating a client about a care plan. Which of the following statements would be appropriate to assess the client's learning ability?

"Many people have trouble remembering information; is this a problem for you?"

A nursing instructor is describing trends in maternal and newborn health care. The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay?

24-48 hours or less

The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, "I'm pretty tired. And with this pain, I haven't been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby." Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client?

Acute pain related to incision and cesarean birth

A pregnant woman asks the nurse about giving birth in a birthing center. She says, "I'm thinking about using one but I'm not sure." Which of the following would the nurse need to integrate into the explanation about this birth setting? (Select all that apply.)

An alternative for women who are uncomfortable with a home birth. Focus on supporting women through labor instead of managing labor View of labor and birth as a normal process requiring no intervention

The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention?

Arranging for a physical therapy session

When caring for childbearing families from cultures different from one's own, which of the following must be accomplished first?

Assess personal feelings about that culture

A nurse practicing in the community is preparing a presentation for a group of nursing students about this practice setting. Which of the following would the nurse include as characteristic of this role?

Broader assessment to include the environment

A group of nurses are reviewing the steps for developing cultural competence. The students demonstrate understanding when they identify which of the following as the final step?

Cultural encounter

When comparing community-based nursing with nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include?

Decision making in isolation

When assuming the role of discharge planner for a woman requiring ventilator support at home, the nurse would do which of the following?

Determine if there is a need for back-up power

Which action would the nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection?

Educate clients in how to practice safe sex

The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects with pregnant women?

Folic acid

A nurse is engaged in providing family-centered care for a woman and her family. The nurse is providing instrumental support with which activity?

Helping the family obtain extra financial help for prescribed phototherapy

A nurse is developing cultural competence. Which of the following indicates that the nurse is in the process of developing cultural knowledge? Select all that apply.

Seeking resources to further understanding of other cultures Becoming familiar with other culturally diverse lifestyles

The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family- centered care?

Softening unpleasant information or prognoses

A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the client's learning? (Select all that apply.)

Teach "survival skills" first Use simple, nonmedical language Use visual materials such as photos and videos

After teaching a group of students about the different levels of prevention, the instructor determines a need for additional teaching when the students identify which of the following as a secondary prevention level activity in community- based health care?

Teaching women to take folic acid supplements to prevent neural tube defects

A nurse is considering a change in employment from the acute care setting to community-based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the following would the nurse most likely find as a possible setting? Select all that apply.

Urgent care center, Physician's office, Day surgery center

While a nurse is obtaining a health history, the client tells the nurse that she practices aromatherapy. The nurse interprets this as which of the following?

Use of essential oils to stimulate the sense of smell to balance the mind and body

Which of the following statements is accurate regarding women's health care in today's system?

Women make almost 90% of all health care decisions.