The certified nursemidwife (CNM) role includes which of the ...

[JGIBBSON]

The certified nursemidwife (CNM) role includes which of the following?
 
  1. Is prepared to manage independently the care of women at low risk for complications during pregnancy and birth
  2. Gives primary care for high-risk patients who are in hospital settings
  3. Gives primary care for healthy newborns
  4. Obtains a physician consultation for any technical procedures at delivery
  5. Is educated in two disciplines of nursing

Question 2

Currently, one-third of children under 20 years old come from families of minority populations. The new nurse is observing her preceptor assess the patient's communication pattern, religious beliefs, level of education, and support system.
 
  The new nurse understands that the best reason for her preceptor to assess these areas is to increase the:
  1. Patient's cooperation with the plan of care.
  2. Hospital's compliance with the Joint Commission on Accreditation of Healthcare Organizations JCAHO standards.
  3. Nurse's knowledge of cultural beliefs.
  4. Patient's satisfaction with her care.

[Chocorrol77]

Answer to Question 1

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

Answer to Question 2

Correct Answer: 1
Rationale 1: Gaining cooperation with the plan of care increases the outcome desired at discharge. When a patient's value system is not included in the plan of care, it will decrease compliance with the treatment plan and possibly increase the length of stay and decrease the desired outcome at discharge.
Rationale 2: Although compliance with JCAHO standards is very important, it is more important to gain patient cooperation with the plan of care.
Rationale 3: The nurse's knowledge of cultural beliefs increases the ability to care for the patient, but without patient cooperation with the plan of care, the nurse's knowledge is lost.
Rationale 4: Patient satisfaction with care is important, but the prime reason for the satisfaction is the nurse's taking time to gain patient cooperation with the plan of care.