Test Bank for Maternal and Child Nursing Care 4th Edition London Ladewig Davidson

0133046001 9780133046007
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Difficulty
Type: MCSA
Level:
Calculator:

Question Stem
A nurse is examining different nursing roles. Which of the following best illustrates an advanced practice nursing
role?

Stimulus

Answer
Choice 1 A registered nurse who is the manager of a large obstetrical unit
A registered nurse who is the manager of a large obstetrical unit or one who is
a circulating nurse at surgical deliveries (cesarean sections) is defined as a
Rationale 1
professional nurse, and has graduated from an accredited program in nursing
and completed the licensure examination.
Answer 1 false
Choice 2 A clinical nurse specialist working as a staff nurse on a mother—baby unit
A clinical nurse specialist working as a staff nurse on a mother—baby unit
Rationale 2 might have the qualifications for an advanced practice nursing staff but is not
working in that capacity.
Answer 2 false
A registered nurse who is the circulating nurse at surgical deliveries (cesarean
Choice 3
sections)
A registered nurse who is the manager of a large obstetrical unit or one who is a
circulating nurse at surgical deliveries (cesarean sections) is defined as a
Rationale 3
professional nurse, and has graduated from an accredited program in nursing
and completed the licensure examination.
Answer 3 false
 A clinical nurse specialist with whom other nurses consult for her expertise in
Choice 4
caring for high-risk infants
A clinical nurse specialist with whom other nurses consult for expertise in
caring for high-risk infants would illustrate an advanced practice nursing role.
Rationale 4
This nurse has specialized knowledge and competence in a specific clinical
area, and is master's-prepared.
Answer 4 true

Global Rationale

Meta 1
Cognitive Level: Remembering
Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

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Meta 4
1.1 Identify the nursing roles available to maternal-newborn and pediatric
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nurses.
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 Question 136194
Id: 136194 Question Title:

Type: MCSA Difficulty Level:

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Question Stem
The major focus of the nurse practitioner is on:

Stimulus

Answer
Choice 1 Leadership.
Rationale 1 Leadership might be a quality of the NP, but it is not the major focus.
Answer 1 false
Choice 2 Independent care of the high-risk, pregnant client.
NPs cannot provide independent care of the high-risk pregnant client, but must
Rationale 2
work under a physician's supervision.
Answer 2 false
Choice 3 Tertiary prevention.
Rationale 3 The NP cannot do tertiary prevention as a major focus.
Answer 3 false
Choice 4 Physical and psychosocial clinical assessment.
Physical and psychosocial clinical assessment is the major focus of the nurse
Rationale 4
practitioner (NP).
Answer 4 true

Global Rationale

Meta 4
Meta 1
Cognitive Level: Knowledge/Comprehension

Meta 4
Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Content Area:
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Sub:

Meta 2
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Meta 4
 1.1 Identify the nursing roles available to maternal-newborn and pediatric
Learning Outcome 1:
nurses.
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 Question 136195
Id: 136195 Question Title:

Type: MCMA Difficulty Level:

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Question Stem
The role of the certified nurse—midwife (CNM) is to: (Select all that apply.)

Standard Text
Select all that apply.

Stimulus

Answer
Choice 1 Give primary care for high-risk clients who are in hospital settings.
CNMs cannot give primary care for high-risk clients who are in hospital
Rationale 1
settings. The physician provides the primary care.
Answer 1 false
Choice 2 Give primary care for healthy newborns.
A CNM is prepared to manage independently the care of women at low risk for
Rationale 2
complications during pregnancy and birth and the care of healthy newborns.
Answer 2 true
Choice 3 Be educated in two disciplines of nursing.
Rationale 3 The CNM is educated in the disciplines of nursing and midwifery.
Answer 3 true
Choice 4 Obtain a physician consultation for any technical procedures at delivery.
The CNM does not need to obtain a physician consultation for any technical
Rationale 4
procedures at delivery.
Answer 4 false
Be prepared to manage independently the care of women at low risk for
Choice 5
complications during pregnancy and birth.
Rationale 5 A CNM is prepared to manage independently the care of women at low risk for
complications during pregnancy and birth and the care of healthy newborns.
 Answer 5 true

Global Rationale

Meta 1
Cognitive Level: Knowledge/Comprehension
Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:

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Terms:
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Reference:

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Meta 4
1.1 Identify the nursing roles available to maternal-newborn and pediatric
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nurses.
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 Question 136196
Id: 136196 Question Title:

Type: MCSA Difficulty Level:

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Question Stem
During the hospital admission process, the child's parent receives information about the pediatric unit's goals,
including the statement that the unit practices "family-centered care." The parent asks why that should be
important. The nurse would respond that in the "family-centered care" paradigm, the:

Stimulus

Answer
Family serves as the constant influence and continuing support in the child's
Choice 1
life.
The foundation for the development of trusting relationships and partnerships
with families is the recognition that the family is the principal caregiver, knows
Rationale 1
the unique nature of each individual child best, plays the vital role of meeting
the child's needs, and is responsible for ensuring each child's health.
Answer 1 true
Father is the leader in each home; thus, all communications should include
Choice 2
him.
Rationale 2 Culturally competent care recognizes that both matriarchal and patriarchal
households exist.
Answer 2 false
Child's physician is the key person in assuring the health of a child is
Choice 3
maintained.
Rationale 3 The physician is not present during the day-to-day routines in a child's life
Answer 3 false
Choice 4 Mother is the principal caregiver in each family.
Culturally competent care recognizes that both matriarchal and patriarchal
Rationale 4
households exist.
Answer 4 false

Global Rationale
Meta 1
Cognitive Level: Knowledge/Comprehension
Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Content Area:
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Sub:

Meta 2
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Meta 4
1.2 Summarize the use of community-based nursing care in meeting the needs
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of childbearing and childrearing families
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 Question 136197
Id: 136197 Question Title:

Type: MCSA Difficulty Level:

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Question Stem
Despite the availability of State Children's Health Insurance Programs (SCHIPs), many eligible children are not
enrolled. The nursing intervention that can best help eligible children become enrolled is:

Stimulus

Answer
Choice 1 Assessment of the details of the family's income and expenditures.
Rationale 1 Financial assessment is more commonly the function of a social worker.
Answer 1 true
Education of the family about the need for keeping regular well-child visit
Choice 2
appointments.
The case management activity mentioned will not provide a source of funding,
Rationale 2 and neither will the educational effort described.<br/>Health Promotion and
Maintenance
Answer 2 false
Choice 3 Case management to limit costly, unnecessary duplication of services.
The case management activity mentioned will not provide a source of funding,
Rationale 3
and neither will the educational effort described.
Answer 3 false
Advocacy for the child by encouraging the family to investigate its SCHIP
Choice 4
eligibility.
In the role of an advocate, a nurse will advance the interests of another by
Rationale 4
suggesting the family investigate its SCHIP eligibility.
Answer 4 false

Global Rationale

Meta 1
Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Content Area:
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Sub:

Meta 2
Clinical Domain:

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Meta 4
1.3 Summarize the current status of factors related to health insurance and
Learning Outcome 1:
access to health care.
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 Question 136198
Id: 136198 Question Title:

Type: MCMA Difficulty Level:

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Question Stem
The telephone triage nurse at a pediatric clinic knows each call is important. However, recognizing that infant
deaths are most frequent in the following categories, the nurse must be extra attentive during calls from parents
of infants who are: (Select all that apply.)

Standard Text
Select all that apply.

Stimulus

Answer
Choice 1 Of an American Indian family.
Almost two-thirds of all infant deaths occur during the first 28 days after birth.
Rationale 1 This category has a higher risk of death than some of the other categories listed
(American Indian family and infants age between 6 and 8 months old).
Answer 1 false
Choice 2 Of a non-Hispanic black family.
Infant mortality rates are highest among non-Hispanic black women (13.6 per
Rationale 2
1,000 live births).
Answer 2 true
Choice 3 Born to an unmarried mother.
Infant mortality rates are higher among infants born to unmarried
Rationale 3 mothers.<br/>Almost two-thirds of all infant deaths occur during the first 28
days after birth.
Answer 3 true
Choice 4 Between 6 and 8 months old.
Rationale 4 Almost two-thirds of all infant deaths occur during the first 28 days after birth.
Answer 4 false
Choice 5 Less than 3 weeks old.
 Almost two-thirds of all infant deaths occur during the first 28 days after birth.
Rationale 5 This category has a higher risk of death than some of the other categories listed
(American Indian family and infants age between 6 and 8 months old).
Answer 5 true

Global Rationale

Meta 1
Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Analysis

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:

Topical Category:

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Terms:
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Meta 4
1.4 Relate the availability of statistical data to the formulation of further
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research questions.
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 Question 136199
Id: 136199 Question Title:

Type: MCSA Difficulty Level:

Calculator:

Question Stem
The maternity nurse's best defense against an accusation of malpractice or negligence is that the nurse:

Stimulus

Answer
Choice 1 Followed the physician's written orders.
Following the physician's written orders is not enough to defend the nurse from
Rationale 1
accusations because the orders and/or advice might be wrong or unethical.
Answer 1 false
Choice 2 Is a certified nurse—midwife or nurse practitioner.
Being a certified nurse—midwife or nurse practitioner does not defend the
Rationale 2 nurse against these accusations if she does not follow the AWHONN standards
of practice.
Answer 2 false
Met the Association of Women's Health, Obstetric and Neonatal Nurses
Choice 3
(AWHONN) standards of practice.
Meeting the AWHONN standards of practice would cover the maternity nurse
Rationale 3 against an accusation of malpractice or negligence because the standards are
rigorous and cover all bases of excellent nursing practice.
Answer 3 true
Choice 4 Was acting on the advice of the nurse manager.
Acting on the advice of the nurse manager is not enough to defend the nurse
Rationale 4 from accusations because the orders and/or advice might be wrong or
unethical.
Answer 4 false

Global Rationale
Meta 1
Cognitive Level: Applying
Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:

Topical Category:

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Terms:
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Reference:

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Meta 4
1.5 Delineate significant legal and ethical issues that influence the practice of
Learning Outcome 1: maternal-child nursing.
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 Question 136200
Id: 136200 Question Title:

Type: MCMA Difficulty Level:

Calculator:

Question Stem
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal guidelines
delineate that pediatric clients must give consent for participation in research trials. Based on the client's age, the
nurse would seek assent from which child? Select all that apply.

Standard Text
Select all that apply.

Stimulus

Answer
A 7-year-old leukemia client electing to receive a newly developed trial
Choice 1
medication
Federal guidelines mandate that research participants 7 years old and older
Rationale 1 must receive developmentally appropriate information about health care
procedures and treatments, and give assent.
Answer 1 true
A 13-year-old client beginning participation in a research program for ADHD
Choice 2
treatments
Federal guidelines mandate that research participants 7 years old and older
Rationale 2 must receive developmentally appropriate information about health care
procedures and treatments, and give assent.
Answer 2 true
A 10-year-old starting in an investigative study for clients with precocious
Choice 3
puberty
Federal guidelines mandate that research participants 7 years old and older
Rationale 3 must receive developmentally appropriate information about health care
procedures and treatments, and give assent.
Answer 3 true
Choice 4 A precocious 4-year-old starting as a cystic fibrosis research study participant
Federal guidelines mandate that research participants 7 years old and older
Rationale 4 must receive developmentally appropriate information about health care
procedures and treatments, and give assent.
 Answer 4 false

Global Rationale

Meta 1
Cognitive Level: Applying
Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:

Topical Category:

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Pearson Nursing Taxonomy #:

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Key
Terms:
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Reference:

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Meta 4
1.5 Delineate significant legal and ethical issues that influence the practice of
Learning Outcome 1:
maternal-child nursing.
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 Question 136201
Id: 136201 Question Title:

Type: MCSA Difficulty Level:

Calculator:

Question Stem
A 12-year-old pediatric client is in need of surgery. The health care member who is legally responsible for
obtaining informed consent for an invasive procedure is:

Stimulus

Answer
Choice 1 The nurse.
Informed consent is legal preauthorization for an invasive procedure. It is the
physician's legal responsibility to obtain this because it consists of an
explanation about the medical condition, a detailed description of treatment
Rationale 1 plans, the expected benefits and risks related to the proposed treatment plan,
alternative treatment options, the client's questions, and the guardian's right to
refuse treatment.
Answer 1 false

Choice 2 The physician.

Informed consent is legal preauthorization for an invasive procedure. It is the
physician's legal responsibility to obtain this because it consists of an
explanation about the medical condition, a detailed description of treatment
Rationale 2 plans, the expected benefits and risks related to the proposed treatment plan,
alternative treatment options, the client's questions, and the guardian's right to
refuse treatment.
Answer 2 true

Choice 3 The social worker.

Informed consent is legal preauthorization for an invasive procedure. It is the
physician's legal responsibility to obtain this because it consists of an
explanation about the medical condition, a detailed description of treatment
Rationale 3 plans, the expected benefits and risks related to the proposed treatment plan,
alternative treatment options, the client's questions, and the guardian's right to
refuse treatment.
Answer 3 false

Choice 4 The unit secretary.

 Informed consent is legal preauthorization for an invasive procedure. It is the
physician's legal responsibility to obtain this because it consists of an
explanation about the medical condition, a detailed description of treatment
Rationale 4
plans, the expected benefits and risks related to the proposed treatment plan,
alternative treatment options, the client's questions, and the guardian's right to
refuse treatment.
Answer 4 false

Global Rationale

Meta 1
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:

Topical Category:

Topical SubCategory:

Pearson Nursing Taxonomy #:

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Terms:
Strategy:

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Reference:

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Meta 4
1.5 Delineate significant legal and ethical issues that influence the practice of
Learning Outcome 1: maternal-child nursing.
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 Question 136202
Id: 136202 Question Title:

Type: MCSA Difficulty Level:

Calculator:

Question Stem
A nurse who tells family members the sex of a newborn baby without first consulting the parents would be
considered having committed:

Stimulus

Answer
Choice 1 Breach of privacy.
A breach of privacy would have been committed in this situation, because it
violates the right to privacy of this family. The right to privacy is the right of a
Rationale 1
person to keep his person and property free from public scrutiny (of even other
family members).
Answer 1 true
Choice 2 A breach of ethics.
Rationale 2 A breach of ethics would not apply to this situation.
Answer 2 false
Choice 3 Negligence.
Negligence and malpractice are punishable legal offenses, and are more
Rationale 3
serious.
Answer 3 false
Choice 4 Malpractice.
Negligence and malpractice are punishable legal offenses, and are more
Rationale 4
serious.
Answer 4 false

Global Rationale

Meta 1
Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:

Topical Category:

Topical SubCategory:

Pearson Nursing Taxonomy #:

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Terms:
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Reference:

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Meta 4
1.5 Delineate significant legal and ethical issues that influence the practice of
Learning Outcome 1:
maternal-child nursing.
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 Question 136203
Id: 136203 Question Title:

Type: MCSA Difficulty Level:

Calculator:

Question Stem
According to the 1973 Supreme Court decision in Roe v. Wade, abortion is legal if induced:

Stimulus

Answer
Choice 1 At a federally funded clinic.
Whether at a federally funded clinic or at a military hospital overseas, abortion
Rationale 1
can be provided legally if under U.S. laws.
Answer 1 false
Choice 2 At a military hospital overseas.
Whether at a federally funded clinic or at a military hospital overseas, abortion
Rationale 2
can be provided legally if under U.S. laws.
Answer 2 false
Choice 3 Before the period of viability.
Abortion can be performed legally until the period of viability; after viability,
Rationale 3
the rights of the fetus take precedence.
Answer 3 true
Choice 4 To provide tissue for therapeutic research.
Rationale 4 Abortion cannot be used to provide tissue for therapeutic research.
Answer 4 false

Global Rationale

Meta 1
Cognitive Level: Applying
Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Content Area:
Content Area
Sub:

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Clinical Domain:

Topical Category:

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Terms:
Strategy:

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Reference:

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Meta 4
 1.5 Delineate significant legal and ethical issues that influence the practice of
Learning Outcome 1:
maternal-child nursing.
Learning Outcome 2:

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 Question 136204
Id: 136204 Question Title:

Type: MCSA Difficulty Level:

Calculator:

Question Stem
Which of the following families might find cord blood banking to be especially useful?

Stimulus

Answer
Choice 1 A family with a history of leukemia
Families with a history of leukemia might find cord blood banking useful
because cord blood, like bone marrow and embryonic tissue, contains
Rationale 1
regenerative stem cells, which can replace diseased cells in the affected
individual.
Answer 1 true
Choice 2 A family that wishes to avoid a future intrauterine fetal surgery
A family with a history of infertility, or one that wishes to select the sex of a
Rationale 2 future child or avoid a future intrauterine surgery, would not be helped by cord
blood banking.
Answer 2 false
Choice 3 A family that wishes to select the sex of a future child
A family with a history of infertility, or one that wishes to select the sex of a
Rationale 3 future child or avoid a future intrauterine surgery, would not be helped by cord
blood banking.
Answer 3 false
Choice 4 A family with a history of infertility
A family with a history of infertility, or one that wishes to select the sex of a
Rationale 4 future child or avoid a future intrauterine surgery, would not be helped by cord
blood banking.
Answer 4 false

Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:

Topical Category:

Topical SubCategory:

Pearson Nursing Taxonomy #:

Taxonomy Category Comments:

Key
Terms:
Strategy:

Meta 3
Reference:

Source Id:

Source Chapter Number:

Source Chapter Title:

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Source Usage:

Writer First Name:

Writer Last Name:

Royalty:

Stakes:
Special Handling:

Comments:

Meta 4
1.5 Delineate significant legal and ethical issues that influence the practice of
Learning Outcome 1:
maternal-child nursing.
Learning Outcome 2:

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 Question 136205
Id: 136205 Question Title:

Type: MCSA Difficulty Level:

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Question Stem
A nurse is providing guidance to a group of parents of children in the infant-to-preschool age group. After
reviewing statistics on the most common cause of death in this age group, the nurse would include information
about prevention of:

Stimulus

Answer
Choice 1 Heart disease by incorporating heart-healthy foods into the child's diet.
Unintentional injuries are the most common cause of death for children
Rationale 1 between 1 and 19 years old. In children 1—4, this is followed by drowning;
fire and burns; suffocation; and pedestrian-related injuries.
Answer 1 false
Choice 2 Cancer by reducing the use of pesticides in the home.
Unintentional injuries are the most common cause of death for children
Rationale 2 between 1 and 19 years old. In children 1—4, this is followed by drowning;
fire and burns; suffocation; and pedestrian-related injuries.
Answer 2 false

Choice 3 Accidental injury, including pool and traffic accidents.

Unintentional injuries are the most common cause of death for children
Rationale 3 between 1 and 19 years old. In children 1—4, this is followed by drowning;
fire and burns; suffocation; and pedestrian-related injuries.
Answer 3 true

Choice 4 Pneumonia by providing a diet high in vitamin C from fruits and vegetables.
Unintentional injuries are the most common cause of death for children
Rationale 4 between 1 and 19 years old. In children 1—4, this is followed by drowning;
fire and burns; suffocation; and pedestrian-related injuries.
Answer 4 false

Global Rationale
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Cognitive Level: Understanding
Client Need: Safe Effective Care Environment

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Nursing/Integrated Concepts: Nursing Process: Implementation

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Meta 4
1.6 Discuss the role of evidence-based practice in improving the quality of
Learning Outcome 1:
nursing care for childbearing families.
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 Question 136206
Id: 136206 Question Title:

Type: MCMA Difficulty Level:

Calculator:

Question Stem
Which of the following practices characterize the basic competencies related to evidence-based practice? Select
all that apply.

Standard Text
Select all that apply.

Stimulus

Answer
Choice 1 Clinical practice that promotes quality
Supported by good evidence and data, promotes quality, and provides a useful
Rationale 1 approach to problem solving are the hallmark characteristics of the basic
competencies related to evidence-based practice.
Answer 1 true
Choice 2 Clinical practice that provides a useful approach to problem solving<br/>
Supported by good evidence and data, promotes quality, and provides a useful
Rationale 2 approach to problem solving are the hallmark characteristics of the basic
competencies related to evidence-based practice.
Answer 2 true
Choice 3 Clinical practice supported by data
Supported by good evidence and data, promotes quality, and provides a useful
Rationale 3 approach to problem solving are the hallmark characteristics of the basic
competencies related to evidence-based practice.
Answer 3 true
Choice 4 Clinical practice supported by intuitive evidence
Clinical practice supported by intuitive evidence does not provide valid
Rationale 4
evidence and data for the proper actions.
Answer 4 false
 Choice 5 Clinical practice supported by good evidence
Supported by good evidence and data, promotes quality, and provides a useful
Rationale 5 approach to problem solving are the hallmark characteristics of the basic
competencies related to evidence-based practice.
Answer 5 true

Global Rationale

Meta 1
Cognitive Level:

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Analysis

Content Area:
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Sub:

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Clinical Domain:

Topical Category:

Topical SubCategory:

Pearson Nursing Taxonomy #:

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Key
Terms:
Strategy:

Meta 3
Reference:

Source Id:

Source Chapter Number:

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Source Au Title Ed:

Source Usage:
Writer First Name:

Writer Last Name:

Royalty:

Stakes:

Special Handling:

Comments:

Meta 4
1.6 Discuss the role of evidence-based practice in improving the quality of
Learning Outcome 1:
nursing care for childbearing families.
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