Deck 2: The Family, culture, spirituality, and Home Care

Question 1

Which statement about family systems theory is inaccurate?

A) A family system is part of a larger suprasystem.
B) A family as a whole is equal to the sum of the individual members.
C) A change in one family member affects all family members.
D) The family is able to create a balance between change and stability.

Answer 1

A family as a whole is equal to the sum of the individual members.

Question 2

A pictorial tool that can assist the nurse in assessing aspects of family life related to health care is the:

A) genogram.
B) family values construct.
C) life cycle model.
D) human development wheel.

Answer 2

genogram.

Question 3

The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family:

A) rituals and customs.
B) values and beliefs.
C) boundaries and channels.
D) socialization processes.

Answer 3

values and beliefs.

Question 4

Which statement about cultural competence is not accurate?

A) Local health care workers and community advocates can help extend health care to underserved populations.
B) Nursing care is delivered in the context of the patient's culture but not in the context of the nurse's culture.
C) Nurses must develop an awareness of and sensitivity to various cultures.
D) A culture's economic, religious, and political structures influence practices that affect childbearing.

Question 5

MATCHING
You are getting ready to participate in discharge teaching with a non-English-speaking new mother. The interpreter has arrived in the patient care unit to assist you in providing culturally competent care. In the correct order, from 1 through 6, number the steps that you would take to work with the interpreter.

Step Two

A)Introduce yourself to the interpreter and converse informally.
B)Outline your statements and questions, listing the key pieces of information you need to know.
C)Make sure the interpreter is comfortable with technical terms.
D)Learn something about the culture of the patient.
E)Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

Question 6

The nurse's care of a Hispanic family includes teaching about infant care.When developing a plan of care,the nurse bases interventions on the knowledge that in traditional Hispanic families:

A) breastfeeding is encouraged immediately after birth.
B) male infants typically are circumcised.
C) the maternal grandmother participates in the care of the mother and her infant.
D) special herbs mixed in water are used to stimulate the passage of meconium.

Question 7

MATCHING
You are getting ready to participate in discharge teaching with a non-English-speaking new mother. The interpreter has arrived in the patient care unit to assist you in providing culturally competent care. In the correct order, from 1 through 6, number the steps that you would take to work with the interpreter.

Step One

A)Introduce yourself to the interpreter and converse informally.
B)Outline your statements and questions, listing the key pieces of information you need to know.
C)Make sure the interpreter is comfortable with technical terms.
D)Learn something about the culture of the patient.
E)Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

Question 8

A traditional family structure in which male and female partners and their children live as an independent unit is known as a(n):

A) extended family.
B) binuclear family.
C) nuclear family.
D) blended family.

Question 9

While working in the prenatal clinic,you care for a very diverse group of patients.When planning interventions for these families,you realize that acceptance of the interventions will be most influenced by:

A) educational achievement.
B) income level.
C) subcultural group.
D) individual beliefs.

Question 10

To provide competent care to an Asian-American family,the nurse should include which of the following questions during the assessment interview?

A) "Do you prefer hot or cold beverages?"
B) "Do you want milk to drink?"
C) "Do you want music playing while you are in labor?"
D) "Do you have a name selected for the baby?"

Question 11

In which culture is the father more likely to be expected to participate in the labor and delivery?

A) Asian-American
B) African-American
C) European-American
D) Hispanic

Question 12

The patient's family is important to the maternity nurse because:

A) they pay the bills.
B) the nurse will know which family member to avoid.
C) the nurse will know which mothers will really care for their children.
D) the family culture and structure will influence nursing care decisions.

Question 13

The woman's family members are present when the home care maternal-child nurse arrives for a after birth and newborn visit.What should the nurse do?

A) Observe the family members' interactions with the newborn and one another.
B) Ask the woman to meet with her and the baby alone.
C) Do a brief assessment on all family members present.
D) Reschedule the visit for another time so that the mother and infant can be assessed privately.

Question 14

In what form do families tend to be most socially vulnerable?

A) Married-blended family
B) Extended family
C) Nuclear family
D) Single-parent family

Question 15

A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage.On the basis of the information given,what family form best describes this family?

A) Married-blended family
B) Extended family
C) Nuclear family
D) Same-sex family

Question 16

Using the family stress theory as an intervention approach for working with families experiencing parenting,the nurse can help the family change internal context factors.These include:

A) Biologic and genetic makeup.
B) Maturation of family members.
C) The family's perception of the event.
D) The prevailing cultural beliefs of society.

Question 17

The process by which people retain some of their own culture while adopting the practices of the dominant society is known as:

A) acculturation.
B) assimilation.
C) ethnocentrism.
D) cultural relativism.

Question 18

A mother's household consists of her husband,his mother,and another child.She is living in a(n):

A) extended family.
B) single-parent family.
C) married-blended family.
D) nuclear family.

Question 19

The nurse should be aware that during the childbearing experience an African-American woman is most likely to:

A) seek prenatal care early in her pregnancy.
B) avoid self-treatment of pregnancy-related discomfort.
C) request liver in the after birth period to prevent anemia.
D) arrive at the hospital in advanced labor.

Question 20

When attempting to communicate with a patient who speaks a different language,the nurse should:

A) respond promptly and positively to project authority.
B) never use a family member as an interpreter.
C) talk to the interpreter to avoid confusing the patient.
D) provide as much privacy as possible.

Question 21

MATCHING
You are getting ready to participate in discharge teaching with a non-English-speaking new mother. The interpreter has arrived in the patient care unit to assist you in providing culturally competent care. In the correct order, from 1 through 6, number the steps that you would take to work with the interpreter.

Step Five

A)Introduce yourself to the interpreter and converse informally.
B)Outline your statements and questions, listing the key pieces of information you need to know.
C)Make sure the interpreter is comfortable with technical terms.
D)Learn something about the culture of the patient.
E)Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

Question 22

MATCHING
You are getting ready to participate in discharge teaching with a non-English-speaking new mother. The interpreter has arrived in the patient care unit to assist you in providing culturally competent care. In the correct order, from 1 through 6, number the steps that you would take to work with the interpreter.

Step Six

A)Introduce yourself to the interpreter and converse informally.
B)Outline your statements and questions, listing the key pieces of information you need to know.
C)Make sure the interpreter is comfortable with technical terms.
D)Learn something about the culture of the patient.
E)Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

Question 23

MATCHING
You are getting ready to participate in discharge teaching with a non-English-speaking new mother. The interpreter has arrived in the patient care unit to assist you in providing culturally competent care. In the correct order, from 1 through 6, number the steps that you would take to work with the interpreter.

Step Four

A)Introduce yourself to the interpreter and converse informally.
B)Outline your statements and questions, listing the key pieces of information you need to know.
C)Make sure the interpreter is comfortable with technical terms.
D)Learn something about the culture of the patient.
E)Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

Question 24

MATCHING
You are getting ready to participate in discharge teaching with a non-English-speaking new mother. The interpreter has arrived in the patient care unit to assist you in providing culturally competent care. In the correct order, from 1 through 6, number the steps that you would take to work with the interpreter.

Step Three

A)Introduce yourself to the interpreter and converse informally.
B)Outline your statements and questions, listing the key pieces of information you need to know.
C)Make sure the interpreter is comfortable with technical terms.
D)Learn something about the culture of the patient.
E)Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"