Question 1

The woman's family members are present when the nurse arrives for a postpartum and newborn visit.What should the nurse do?&#10;A) Observe the family members' interactions with the newborn and one another.&#10;B) Ask the woman to meet with her and the baby alone.&#10;C) Perform a brief assessment on all family members who are present.&#10;D) Reschedule the visit for another time so that the mother and infant can be privately assessed.

Accepted Answer

Observing the family members' interactions with the newborn and one another can help the nurse assess the family's dynamic and identify any potential issues or concerns. It is important for the nurse to involve and support family members in the postpartum and newborn visit, and observing their interactions can also help promote bonding and attachment between the family members and the newborn. However, if the woman or the family members express a need for privacy, the nurse should respect their wishes and provide a private space for the assessment.

Question 2

In what form do families tend to be the most socially vulnerable?&#10;A) Married-blended family&#10;B) Extended family&#10;C) Nuclear family&#10;D) Single-parent family

Accepted Answer

Single-parent families tend to be the most socially vulnerable due to the challenge of supporting a family on a single income and the lack of a second parent to share in child-rearing responsibilities. Single-parent families are also more likely to experience poverty and face difficulties accessing resources such as childcare and healthcare.

Question 3

While completing an assessment of a homeless woman,the nurse should be aware of which of the following ailments this client is at a higher risk to develop? (Select all that apply. )&#10;A) Infectious diseases&#10;B) Chronic illness&#10;C) Anemia&#10;D) Hyperthermia&#10;E) Substance abuse

Accepted Answer

Homeless individuals are at a higher risk for infectious diseases due to crowded living conditions and limited access to hygiene facilities. Chronic illnesses can be exacerbated by lack of access to consistent healthcare. Anemia may result from poor nutrition, which is common among the homeless population. Substance abuse is also more prevalent among the homeless due to various factors including attempts to cope with their living situation. Hyperthermia is less specific and not directly associated with homelessness in the way the other conditions are.

Question 4

When weighing the advantages and disadvantages of planning home care for perinatal services,what information should the nurse use in making the decision?&#10;A) Home care for perinatal services is more dangerous for vulnerable neonates at risk of acquiring an infection from the nurse.&#10;B) Home care for perinatal services is more cost-effective for the nurse than office visits.&#10;C) Home care for perinatal services allows the nurse to interact with and include family members in teaching.&#10;D) Home care for perinatal services is made possible by the ready supply of nurses with expertise in maternity care.

Accepted Answer

The nurse should weigh the advantages and disadvantages of planning home care for perinatal services based on factors such as the safety of the neonate, cost-effectiveness, the ability to interact with and include family members in teaching, and the availability of nurses with expertise in maternity care. Choice A is a disadvantage that should be considered, but it is not the only factor to be weighed. Choice B is not a relevant consideration for the safety and well-being of the patient. Choice D is not necessarily true, and the nurse should evaluate the availability and qualifications of nurses before making a decision about home care for perinatal services. The best choice based on the given options is C because home care for perinatal services can enhance patient and family teaching and involvement, which can improve maternal and neonatal outcomes.

Question 5

What is a limitation of a home postpartum visit?&#10;A) Distractions limit the nurse's ability to teach.&#10;B) Identified problems cannot be resolved in the home setting.&#10;C) Necessary items for infant care are not available.&#10;D) Home visits to different families may require the nurse to travel a great distance.

Accepted Answer

Home visits to different families may require the nurse to travel a great distance, which can be a limitation in terms of time and resources.

Question 6

What is the primary difference between hospital care and home health care?&#10;A) Home care is routinely and continuously delivered by professional staff.&#10;B) Home care is delivered on an intermittent basis by professional staff.&#10;C) Home care is delivered for emergency conditions.&#10;D) Home care is not available 24 hours a day.

Accepted Answer

The primary difference between hospital care and home health care is that home care is delivered on an intermittent basis by professional staff. Hospital care is delivered continuously while the patient is admitted to the hospital, whereas home care is provided on a scheduled basis as determined by the patient's needs and the healthcare provider's orders.

Question 7

Which traditional family structure is decreasing in numbers and attributable to societal changes?&#10;A) Extended family&#10;B) Binuclear family&#10;C) Nuclear family&#10;D) Blended family

Accepted Answer

The nuclear family structure (consisting of a married or cohabiting couple and their children) is decreasing in numbers due to societal changes such as higher rates of divorce, single parenthood, and non-marital cohabitation.

Question 8

When attempting to communicate with a client who speaks a different language,which action is the most appropriate?&#10;A) Promptly and positively respond to project authority.&#10;B) Never use a family member as an interpreter.&#10;C) Talk to the interpreter to avoid confusing the client.&#10;D) Provide as much privacy as possible.

Accepted Answer

The answer of When attempting to communicate with a client...

Question 9

Which term is an accurate description of the process by which people retain some of their own culture while adopting the practices of the dominant society?&#10;A) Acculturation&#10;B) Assimilation&#10;C) Ethnocentrism&#10;D) Cultural relativism

Accepted Answer

Acculturation refers to the process by which individuals or groups of people acquire some of the cultural traits of another society while still retaining their own culture. This can be a gradual and ongoing process that occurs through contact and interaction between different cultures. Assimilation, on the other hand, refers to a process where individuals or groups adopt the norms, values, and customs of the dominant culture while abandoning their own cultural practices. Ethnocentrism is the belief in the inherent superiority of one's own cultural group over others. Cultural relativism is the idea that cultural practices should be understood in their own context rather than being judged by the standards of another culture.

Question 10

Which key factors play the most powerful role in the behaviors of individuals and families?&#10;A) Rituals and customs&#10;B) Beliefs and values&#10;C) Boundaries and channels&#10;D) Socialization processes

Accepted Answer

Beliefs and values are often at the core of individuals' and families' behaviors. These deeply held convictions guide decision making, prioritize goals, and influence attitudes towards various aspects of life. They often dictate how individuals and families relate to other people, institutions, and cultures. Understanding and acknowledging the significance of beliefs and values is crucial to promoting positive behaviors and harmonious relationships.

Question 11

Which key point is important for the nurse to understand regarding the perinatal continuum of care?&#10;A) Begins with conception and ends with the birth&#10;B) Begins with family planning and continues until the infant is 1 year old&#10;C) Begins with prenatal care and continues until the newborn is 24 weeks old&#10;D) Refers to home care only

Accepted Answer

The answer of Which key point is important for the...

Question 12

A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage.Based on this information,what family form best describes this family?&#10;A) Married-blended family&#10;B) Extended family&#10;C) Nuclear family&#10;D) Same-sex family

Accepted Answer

The answer of A married couple lives in a single-family...

Question 13

Which pictorial tool can assist the nurse in assessing the aspects of family life related to health care?&#10;A) Genogram&#10;B) Ecomap&#10;C) Life-cycle model&#10;D) Human development wheel

Accepted Answer

The answer of Which pictorial tool can assist the nurse...

Question 14

When the services of an interpreter are needed,which is the most important factor for the nurse to consider?&#10;A) Using a family member who is fluent in both languages&#10;B) Using an interpreter who is certified,and documenting the person's name in the nursing notes&#10;C) Directing questions only to the interpreter&#10;D) Using an interpreter only in an emergency

Accepted Answer

The answer of When the services of an interpreter are...

Question 15

A client's household consists of her husband,his mother,and another child.To which family configuration does this client belong?&#10;A) Multigenerational family&#10;B) Single-parent family&#10;C) Married-blended family&#10;D) Nuclear family

Accepted Answer

The answer of A client's household consists of her husband,his...

Question 16

Which statement about the development of cultural competence is inaccurate?&#10;A) Local health care workers and community advocates can help extend health care to underserved populations.&#10;B) Nursing care is delivered in the context of the client's culture but not in the context of the nurse's culture.&#10;C) Nurses must develop an awareness of and a sensitivity to various cultures.&#10;D) Culture's economic,religious,and political structures influence practices that affect childbearing.

Accepted Answer

The answer of Which statement about the development of cultural...

Question 17

What information should the nurse be aware of regarding telephonic nursing care such as warm lines?&#10;A) Were developed as a reaction to impersonal telephonic nursing care&#10;B) Were set up to take complaints concerning health maintenance organizations (HMOs)&#10;C) Are the second option when 9-1-1 hotlines are busy&#10;D) Refer to community service telephone lines designed to provide new parents with encouragement and basic information

Accepted Answer

The answer of What information should the nurse be aware...

Deck 2: Community Care: the Family and Culture