Question 1

A health care service representing the tertiary level of prevention includes:&#10;A)Stress management seminars&#10;B)Childbirth education classes for single parents&#10;C)A breast self-examination (BSE)pamphlet and teaching&#10;D)A premenstrual syndrome (PMS)support group

Accepted Answer

A PMS support group is an example of tertiary prevention,which follows the occurrence of a defect or disability (e.g.,PMS).Stress management seminars are a primary prevention technique for preventing health care issues associated with stress.Childbirth education is a form of primary prevention.BSE information is a form of secondary prevention,which is geared toward early detection of health problems.

Question 2

To provide competent care to an Asian-American family,the nurse should include the following question during the assessment interview:&#10;A)&#34;Do you prefer hot or cold beverages?&#34;&#10;B)&#34;Do you want some milk to drink?&#34;&#10;C)&#34;Do you want music playing while you are in labor?&#34;&#10;D)&#34;Do you have a name selected for the baby?&#34;

Accepted Answer

Asian-Americans often prefer warm beverages.Milk usually is excluded from the diet of this population.Asian-American women typically labor in quiet.Delaying naming the child is not uncommon for Asian-American families.

Question 3

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)Do a brief assessment on all family members present.&#10;D)Reschedule the visit for another time so that the mother and infant can be assessed privately.

Accepted Answer

The nurse should introduce herself to the client and to the other family members present.Family members in the home may be providing care and assistance to the mother and infant.However,this care may not be based on sound health practices.Nurses should take the opportunity to dispel myths while family members are present.The responsibility of the home care maternal-child nurse is to provide care to the new postpartum mother and her infant,not to all family members.The nurse can politely ask about the other people in the home and their relationships with the woman.Unless an indication is given that the woman would prefer privacy,the visit may continue.

Question 4

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:&#10;A)Breastfeeding is encouraged immediately after birth&#10;B)Male infants typically are circumcised&#10;C)The maternal grandmother participates in the care of the mother and her infant&#10;D)Special herbs mixed in water are used to stimulate the passage of meconium

Accepted Answer

In the Hispanic family,the expectant mother is influenced strongly by her mother or mother-in-law.Breastfeeding often is delayed until the third postpartum day.Hispanic male infants usually are not circumcised.Olive or castor oil may be given to stimulate the passage of meconium.

Question 5

What is a limitation of a home postpartum visit?&#10;A)The nurse's ability to teach is limited by many distractions.&#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

One limitation of home health visits is the distance the nurse must travel between clients.Driving directions should be obtained by telephone prior to the visit.The home care nurse is accustomed to distractions but may request that the TV be turned off so attention can be focused on the client and her family.Problems cannot always be resolved;however,appropriate referrals may be arranged by the nurse.The nurse is required to bring any necessary equipment such as a thermometer,baby scale,or laptop computer for documentation.

Question 6

Which situation would be considered safest by a nurse who is making a home visit?&#10;A)A group of teens is sitting on the stairs in front of the client's apartment.&#10;B)Parking is only possible 3 blocks from the client's house because no space is available in front of the house.&#10;C)The family dog is on a chain in the front yard.&#10;D)The door of the home is open when the nurse arrives.

Accepted Answer

Home care nurses should not enter a yard that has an unrestrained dog.While walking to the client's home,nurses should not walk near groups of strangers who are in doorways or alleys.Home care nurses should park and lock their cars in a safe place that is visible from the street and the client's home.The home should not be entered if the nurse has any safety concerns,such as an open front door.

Question 7

Providing various methods of health screening for early detection of disease is part of:&#10;A)Primary preventive care&#10;B)Secondary preventive care&#10;C)Tertiary preventive care&#10;D)Primordial preventive care

Accepted Answer

Health screening for early detection of health problems is part of secondary preventive care.Primary prevention involves promoting healthy lifestyles.Tertiary care focuses on achieving optimal health for someone already afflicted with a condition.Primordial prevention is directed at the level of causality rather than health screening.

Question 8

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:&#10;A)Biologic and genetic makeup&#10;B)Maturation of family members&#10;C)The family's perception of the event&#10;D)The prevailing cultural beliefs of society

Accepted Answer

The family stress theory is concerned with the family's reaction to stressful events;internal context factors include elements that a family can control such as psychologic defenses.The family stress theory is focused on ways that families react to stressful events.Maturation of family members is more relevant to the family life cycle theory.The family stress theory focuses on internal elements that a family might be able to alter.

Question 9

Which area is appropriate to include in a physical assessment of the home?&#10;A)Bathtub,toilets,sinks,countertops,inside china cabinet drawers&#10;B)Baby's bed,changing table,baby's clothes,inside diaper bag,inside keepsake box&#10;C)Bedroom closets,inside jewelry boxes,under beds&#10;D)Electrical wall outlets,telephones,bathroom sink and faucets,stove,and refrigerator

Accepted Answer

Physical assessment of the home environment is an essential element of the home care assessment.The major areas of the home environment assessment include physical features of the home,access to the home,sanitary conditions,the presence of utilities (phone,electricity,plumbing),safety features,and access to transportation and emergency support.The nurse may evaluate sanitary conditions and cleanliness of the bathroom;however,there is no reason to check inside the china cabinet.Although the nurse may want to evaluate the nursery,it is inappropriate to request to see the inside of the infant's keepsake box.The purpose of a physical assessment of the home is to assess safety issues,such as sanitary conditions and the presence of utilities,not to account for the client's possessions or to look inside drawers.

Question 10

A pictorial tool that can assist the nurse in assessing aspects of family life related to health care is the:&#10;A)Genogram&#10;B)Family values construct&#10;C)Life cycle model&#10;D)Human development wheel

Accepted Answer

A genogram depicts the relationships of family members over generations.The family values construct outlines values,rather than the relationship of family members.The life cycle model in no way illustrates a family genogram.This model focuses on stages that a person reaches throughout life.The human development wheel describes various stages of growth and development rather than a family's relationships to each other.

Question 11

The nurse should be aware that during the childbearing experience,an African-American woman will most likely:&#10;A)Seek prenatal care early in her pregnancy&#10;B)Avoid self-treatment of pregnancy-related discomfort&#10;C)Request liver in the postpartum period to prevent anemia&#10;D)Arrive at the hospital in advanced labor

Accepted Answer

The answer of The nurse should be aware that during...

Question 12

When attempting to communicate with a client who speaks a different language,the nurse should:&#10;A)Respond promptly and positively 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 13

What is the primary difference between hospital care and home health care?&#10;A)Home care is routinely delivered continuously 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 answer of What is the primary difference between hospital...

Question 14

Which health care service represents the primary level of prevention?&#10;A)Immunizations&#10;B)Breast self-examination&#10;C)Home care for high risk pregnancies&#10;D)Blood pressure screening

Accepted Answer

The answer of Which health care service represents the primary...

Question 15

Which statement about family systems theory is inaccurate?&#10;A)A family system is part of a larger suprasystem.&#10;B)A family as a whole is equal to the sum of the individual members.&#10;C)A change in one family member affects all family members.&#10;D)A family is able to create a balance between change and stability.

Accepted Answer

The answer of Which statement about family systems theory is...

Question 16

A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage.Based on the information given,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 17

The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family:&#10;A)Rituals and customs&#10;B)Values and beliefs&#10;C)Boundaries and channels&#10;D)Socialization processes

Accepted Answer

The answer of The nurse should be aware that the...

Question 18

A traditional family structure in which male and female partners and their children live as an independent unit is known as a/an:&#10;A)Extended family&#10;B)Binuclear family&#10;C)Nuclear family&#10;D)Blended family

Accepted Answer

The answer of A traditional family structure in which male...

Question 19

When the services of an interpreter are used,it is important for the nurse to:&#10;A)Use any family member who can interpret&#10;B)Use an interpreter who is certified and document the person's name in the nursing notes&#10;C)Speak only to the interpreter&#10;D)Use an interpreter only in an emergency

Accepted Answer

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

Question 20

According to Friedman's classifications,providing such physical necessities as food,clothing,and shelter is the:&#10;A)Economic family function&#10;B)Socialization family function&#10;C)Reproductive family function&#10;D)Health care family function

Accepted Answer

The answer of According to Friedman's classifications,providing such physical necessities...

Question 21

When weighing the advantages and disadvantages of home care for perinatal services,nurses should keep in mind that home care:&#10;A)Is more dangerous for vulnerable neonates at risk of acquiring an infection from the nurse&#10;B)Is more cost-effective for the nurse than office visits&#10;C)Allows the nurse to interact with and include family members in teaching&#10;D)Is made possible by the ready supply of nurses with expertise in maternity care

Accepted Answer

The answer of When weighing the advantages and disadvantages of...

Question 22

The nurse should be aware that the well-known program &#34;warm lines&#34;:&#10;A)Was developed as a reaction to impersonal telephonic nursing care&#10;B)Was set up to take complaints about health maintenance organizations (HMOs)&#10;C)Is the second option when 911 hotlines are busy&#10;D)Refers to community service telephone lines designed to provide new parents with encouragement and basic information

Accepted Answer

The answer of The nurse should be aware that the...

Question 23

Healthy People 2010 has established national health priorities that focus on a number of maternal-child health indicators.Nurses are assuming greater roles in assessing family health and providing care across the perinatal continuum.Therefore,it is important for the nurse to be aware that significant progress has been made in:

A)The reduction of fetal deaths and use of prenatal care
B)Low birth weight and preterm birth
C)Elimination of health disparities based on race
D)Infant mortality and the prevention of birth defects

Accepted Answer

The answer of Healthy People 2010 has established national health...

Question 24

_________________________ refers to the view that one's own cultures way of doing things is always the best.

Accepted Answer

The answer of _________________________ refers to the view that one's...

Question 25

While completing an assessment,the nurse should be aware of ailments for which homeless women are at higher risk.Choose all that apply.&#10;A)Tuberculosis&#10;B)Chlamydia&#10;C)Anemia&#10;D)Hypothermia&#10;E)Alcoholism

Accepted Answer

The answer of While completing an assessment,the nurse should be...

Question 26

A nurse is planning care for a client with a different cultural background.What is an appropriate goal?&#10;A)Strive to keep the client's cultural background from influencing health needs.&#10;B)Encourage the continuation of cultural practices in the hospital setting.&#10;C)In a nonjudgmental way attempt to change the client's cultural beliefs.&#10;D)As necessary adapt the client's cultural practices to her health needs.

Accepted Answer

The answer of A nurse is planning care for a...

Question 27

To assist the client in optimizing healthy outcomes,the nurse must understand that the perinatal continuum of care:&#10;A)Begins with conception and ends with 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 To assist the client in optimizing healthy...

Deck 2: Community Care: the Family and Culture