Question 1

Which of the following people are eligible for membership to American College of Nurse-Midwives?
I.A certified nurse midwife
II.A certified midwife
III.A student enrolled in a program that is accredited by the ACNM Division of Accreditation.
IV.A registered nurse

Accepted Answer

A)  I and II only
B)  I and III only
C)  I, II and III
D)  All of the above are eligible.E) A) and B)
F) A) and C) C

Question 2

A 43-year-old female client who is about to get married comes to the clinic with her boyfriend for a series of fertility tests. The client's boyfriend used to be the nurse midwife's patient from another facility, and the nurse midwife is certain that he tested positive for HIV. The client is unaware of her boyfriend's diagnosis. The nurse midwife talks to the boyfriend in private, and, although he acknowledges that that he used to be her patient, he denies that he tested positive for HIV and refuses to talk to his girlfriend about his diagnosis. What should the nurse midwife's next action be?

Accepted Answer

A)  Decide not to inform the client but document that an attempt was made to convince the boyfriend to reveal the diagnosis to the female client.
B)  Inform the female client that her boyfriend has HIV.
C)  Obtain information from the boyfriend's past medical record without his permission.
D)  Urge the female client to persuade her boyfriend to get an HIV test with her.E) B) and D)
F) C) and D)

Question 3

There are many reasons why nurse midwives should be concerned with professional ethics. Which of the following is the main and critical purpose of applied professional ethics?

Accepted Answer

A)  To foster professional identity.
B)  To protect consumers and care providers.
C)  To maintain internal regulation and avoid external regulation.
D)  To signal professional maturity.E) A) and B)
F) None of the above

Question 4

An obstetrician complains to a nurse midwife that the staff nurses in the labor and delivery unit are not informing him about the condition of his patients. The physician also says, "Your nurses do not even know how to document in my patients' records." Which of the following responses is most appropriate?

Accepted Answer

A)  "Our staff nurses are well-trained and prepared to manage the patients. Your complaint about their substandard documentation skills is the first one of this type that has been received."
B)  "I'll investigate your concerns and I will send you a written report. Thank you for bringing this matter to my attention."
C)  "The unit has been admitting a lot of patients for the past two months. Give us sufficient time to improve the system in the unit."
D)  "We are short-staffed. We are doing our best for the patients."E) All of the above
F) B) and D) B

Question 5

Before discharging a pregnant client against medical advice (AMA) , which of the following actions by the nurse midwife is the most appropriate?

Accepted Answer

A)  Inform the client that she may not come back to the facility if complications occur.
B)  Ensure that the client is aware of the risks of leaving the facility.
C)  Inform the ethics committee about the client's case.
D)  Inform the client that follow-up care is not possible after discharge.E) All of the above
F) B) and D)

Question 6

A nurse midwife is monitoring a client who is in labor. In early labor, the client was cooperative and followed the instructions given to her by the nurse midwife. Now during the second stage of labor, as the frequency and intensity of the contractions increase, the client is uncooperative. The client bears down although the nurse midwife advises her not to, shouts and curses at the nurse midwife because the anesthesia does not seem to work. The nurse midwife says, "If you don't stop cursing and start following my instructions, I'll break your legs and stick them down your throat." The nurse midwife could be charged with which legal tort?

Accepted Answer

A)  Assault
B)  Battery
C)  Slander
D)  Intentional infliction of emotional distressE) A) and D)
F) B) and D)

Question 7

In which of the following situations can the nurse midwife be charged with false imprisonment?

Accepted Answer

A)  A nurse midwife asks the client to sign a release of liability before discharge. The client is requesting a release from the hospital against medical advice.
B)  A pregnant client is placed in the isolation room after hitting two other clients in the unit.
C)  A nurse administers an anesthetic to a client for a cesarean section without informed consent.
D)  A nurse midwife is caring for a client with eclampsia. The bed is in the lowest position with the side rails up.E) B) and C)
F) None of the above C

Question 8

A 14-year-old comes to the clinic after a home pregnancy test indicated that she is pregnant. Physical examination and laboratory tests confirm that the client is 12 weeks pregnant. The nurse midwife also notes that the client has signs of anorexia nervosa. A series of tests are conducted, revealing anemia. On the second visit, the client informs the nurse midwife that she has decided to have an abortion and she wants to know her options. The nurse midwife tries to encourage the client to talk to her mother, but the client refuses. Which of the following is the next action of the nurse midwife?

Accepted Answer

A)  Inform the client's mother about the pregnancy and the client's plan for abortion.
B)  Thoroughly explain the effects of abortion on the adolescent's health and how having anorexia nervosa and anemia greatly increase her risk for life-threatening medical conditions after the procedure.
C)  Keep silent about the client's pregnancy and planned abortion, but be sure to work closely with the client to help her mentally and physically before and after the abortion.
D)  Inform the state about the client's condition.E) A) and B)
F) A) and C)

Exam 7: Professional-Issues

Which of the following people are eligible for membership to American College of Nurse-Midwives? I.A certified nurse midwife II.A certified midwife III.A student enrolled in a program that is accredited by the ACNM Division of Accreditation. IV.A registered nurse

Correct Answer
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C

Correct Answer
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There are many reasons why nurse midwives should be concerned with professional ethics. Which of the following is the main and critical purpose of applied professional ethics?

Correct Answer
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Correct Answer
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B

Before discharging a pregnant client against medical advice (AMA) , which of the following actions by the nurse midwife is the most appropriate?

Correct Answer
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Correct Answer
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In which of the following situations can the nurse midwife be charged with false imprisonment?

Correct Answer
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C

Correct Answer
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Exam 7: Professional-Issues

Which of the following people are eligible for membership to American College of Nurse-Midwives? I.A certified nurse midwife II.A certified midwife III.A student enrolled in a program that is accredited by the ACNM Division of Accreditation. IV.A registered nurse

Correct AnswerverifiedC

Correct AnswerverifiedShow Answer

There are many reasons why nurse midwives should be concerned with professional ethics. Which of the following is the main and critical purpose of applied professional ethics?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedB

Before discharging a pregnant client against medical advice (AMA) , which of the following actions by the nurse midwife is the most appropriate?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

In which of the following situations can the nurse midwife be charged with false imprisonment?

Correct AnswerverifiedC

Correct AnswerverifiedShow Answer

Correct Answer
verified
C

Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
verified

Correct Answer
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C

Correct Answer
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