Chapter 2 Family-Centered Community-Based Care

Chapter 2 Family-Centered Community-Based Care Test Bank for Maternity and Pediatric Nursing, 4th Edition by Ricci, Kyle, And Carman 1. The nurse is providing care to a pregnant woman who speaks a different language from that of the nurse. When communicating with this client, the nurse demonstrates best practice by which action? A. speaking to the client in a loud voice at a slow pace B. standing close to the client while using a strong emphatic tone C. having a family member communicate the information to the client D. arranging for an interpreter to be present during any communi ac ba irt b i .o con m Answer: D Rationale: The nurse should arrange for an interpreter when communicating with a client who speaks another language. Speaking loudly, standing close to the client, and speaking emphatically would be of little benefit if the client does not understand the spoken language. Additionally, it can be interpreted as threatening to the client. Ha av b i irn bg .coa mf /ta emst ily member communicate the information to the client is inappropriate, violates client confidentiality (if the client has not given permission for that member to have the information), and does not ensure that the client will receive the correct information. Question format: Multiple Choice Chapter 2: Family-Centered Community-Based Care Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: Management of abCirba . r ce om Reference: p. 65 2. The nurse is caring for a 2-week-old newborn girl with a metaabboirlbi.ccodmi/steosrt der. Which activity would deviate from the characteristics of family-centered care? A. softening unpleasant information or prognoses B. evaluating and changing the nursing plan of care C. collaborating with the child and family as equals D. showing respect for the family's beliefs and wishes Answer: A Rationale: Family-centered care requires that the nurse provide open and honest information to the child and family. It is inappropriate to soften unpleasant information or prognoses. Evaluating and changing the nursing plan of care to fit the needs ao b f irb t .h coe mc /th es il t d and family, collaborating with them as equals, and showing respect for their beliefs and wishes are guidelines for family-centered care. Question format: Multiple Choice Chapter 2: Family-Centered Community-Based Care Cognitive Level: Understand Client Needs: Psychosocial Integrity Integrated Process: Nursing Process Reference: p. 62-63 3. The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which activity would be considered the tertiary level of preventiaobnir?b A. arranging for a physical therapy session B. teaching parents to administer albuterol C. reminding parent to give a full course of antibiotics D. giving a DTaP vaccination at the proper interval Answer: A Rationale: The tertiary level of prevention involves restorative, rehabilitative, or quality of life care such as arranging for a physical therapy session. Teaching parents to administer albuterol and reminding a parent to give the full course of antibiotics as praebsicrbr.icbomed/teastre part of the secondary level of prevention, which focuses on diagnosis and treatment of illness. Giving a DTaP vaccination at the proper interval is an example of the primary level of prevention, which centers on health promotion and illness prevention. Question format: Multiple Choice Chapter 2: Family-Centered Community-Based Care Cognitive Level: Understand Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p. 72