TEST BANK MATERNAL-CHILD CARE NURSING 2ND EDITION By Susan Ward; Shelton Hisley

Chapter 1: Traditional and Community Nursing Care for Women, Families and Children
Ward, Hisley: Maternal-Child Care Nursing, 2nd Edition Test Bank
MULTIPLE CHOICE
1. The clinic nurse understands the new description of nursing art/aesthetics as the way that
nurses and patients help each other through a circular process. What is the event that begins
this process?
A. A health threat
B. Experiencing new possibilities for health
C. Hope and understanding for the future
D. Relationship building
ANS: A
Nursing aesthetics consists of the low-tech, high-touch caring in a nurse–patient encounter.
This transformative process begins with a health threat. The event that begins the process is
not experiencing new possibilities for health, hope and understanding for the future, or
relationship building.
Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Caring
Difficulty: Moderate
PTS: 1
2. A nurse manager in a community clinic is concerned because the local refugee population
does not seek health care routinely. What action by the nurse would be most helpful?
A. Assess clinic staff and procedures for evidence of ethnocentrism.
B. Put up flyers advertising the clinic’s services in local retailers.
C. Reward preventative health patients with coupons for needed items.
D. Try to meet with community leaders to work on the problem.
ANS: A
Ethnocentrism is the view that the beliefs, values, and behaviors of one culture are superior to
those of other cultures. Ethnocentrism is dangerous in health care because it is blind to the
possibilities of other solutions and viewpoints and alienates people in need of health care. The
nurse manager would be wise to assess the clinic’s staff and procedures for ethnocentrism.
Meeting with a community leader is always a good idea to learn the viewpoints of the
community, but unless ethnocentric behaviors change, it is unlikely that the refugee
community will increase its use of the clinic. Flyers and incentives may also be helpful in
some cases, but not as helpful as reducing the barriers imposed by ethnocentrism.
Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Caring
Difficulty: Moderate
PTS: 1
3. The nursing faculty explains to students that ethnopluralism is an important force shaping
health care today. What concept is most important in understanding this trend?
A. The decreased need for cultural competency
B. The growth in one ethnic group in a single area
C. The increased impact of diverse cultures on health care
D. The percentage increase of the non-Caucasian population
ANS: C
Ethnopluralism means diverse cultures. As the population of different ethnic
(non-Euro-Caucasian) groups grows, their impact on health care will increase exponentially.
Ethnopluralism is not just the growth of one ethnic group in one location. It is also more than
just the percentage change in the non-Euro-Caucasian population, although that is part of the
phenomenon. As ethnopluralism continues to impact health care, providers will need to be
more, not less, culturally competent.
Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity
Integrated Process: Teaching/Learning
Difficulty: Moderate
PTS: 1
4. A nursing faculty member is explaining recent shifts in nursing practice. What change has
been important in applying the nursing process?
A. A change to a spiral or circular process
B. A focus on more independent nursing actions
C. A return to the nurse-as-expert model of care
D. An emphasis on attaining a disease-free state
ANS: A
The nursing process has recently changed from a linear one to a spiral or circular process in
which the patient/family is motivated toward promotion, maintenance, and restoration of
health. The focus has not changed to include more independent actions, a return to the
nurse-as-expert model, or an emphasis on attaining a disease-free state of being.
Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy
PTS: 1