Deck 2: Family-Centered Care and Cultural Considerations

Question 1

There are several tools that help with obtaining a cultural assessment of a client and his family. Which tool would be appropriate to gather 12 major concepts of cultural assessment?
1) Sunrise enabler
2) Model for cultural competence
3) Transcultural assessment model
4) Health traditions model

Answer 1

2

Question 2

The nurse is planning care for an adolescent client who will be hospitalized for several weeks following a traumatic brain injury. Which interventions will enhance family-centered care for this client and family? Select all that apply.
1) Making all ADL decisions for the adolescent and family
2) Asking the adolescent what foods to include during meal time
3) Allowing the family time to pray each day with the adolescent
4) Encouraging the adolescent's friends to visit during visiting hours
5) Leaving all questions for the healthcare provider

Answer 2

2, 3, 4

Question 3

A nurse and the family of an 8-year-old with acute renal failure are reviewing family strengths helpful in managing stressors. Which family strengths should the nurse recommend this family utilize? Select all that apply.
1) Meeting member needs
2) Support by extended family
3) Effective communication
4) Receiving and giving love
5) Prior life experiences

Answer 3

2, 3, 5

Question 4

The nurse is planning care for a school-age client and family who have expressed wanting to use complementary and alternative modalities (CAM) in the treatment plan. Which interventions can the nurse safely implement into the plan of care? Select all that apply.
1) Substituting an herbal remedy for a prescribed medication
2) Encouraging the parents to share which modalities they would like to implement
3) Educating on the benefits and risks for each modality
4) Using essential oils to decrease nausea
5) Discouraging the use of faith-based therapies

Question 5

A school-age client tells you that "Grandpa, Mommy, Daddy, and my brother live at my house." Which type of family will the nurse identify in the medical record based on this description?
1) Binuclear family
2) Extended family
3) Gay or lesbian family
4) Traditional nuclear family

Question 6

The nurse in the pediatric clinic observes a parental lack of warmth and interest toward the child. Which parental style will the nurse most likely document in this situation?
1) Authoritarian
2) Authoritative
3) Indifferent
4) Permissive

Question 7

The nurse is assessing a group of children attending summer camp. The nurse will expect which children to most likely have problems perceiving a sense of belonging?
1) Children whose parents divorced recently
2) Children who gained a stepparent recently
3) Children recently placed into foster care
4) Children adopted as infants

Question 8

The nurse is counseling the parents of a 13-year-old regarding the behaviors they may encounter after telling the child about their plans to divorce. Which behaviors could the child demonstrate? Select all that apply.
1) Sorrow
2) Skipping school
3) Risk-taking
4) Withdraw from friends and activities
5) Temper tantrums

Question 9

Cultures have many different childrearing practices. Which culture is known to value the male child more than the female child, and often teaches children to avoid displaying emotion?
1) Mexican
2) Amish
3) Chinese
4) Navajo

Question 10

The community health nurse is assessing several families for various strengths and needs in regard to after-school and backup childcare arrangements. Which family type will benefit the most from this assessment and subsequent interventions?
1) The binuclear family
2) The extended family
3) The single-parent family
4) The traditional nuclear family

Question 11

The nurse is assigned to a child in a spica cast for a fractured femur suffered in an automobile accident. The child's teenage brother was driving the car, which was totaled. The nurse learns that the father lost his job three weeks ago and the mother has just accepted a temporary waitress job. Which nursing diagnosis will the nurse use when planning care for this child and family?
1) Compromised Family Coping Related to the Effects of Multiple Simultaneous Stressors
2) Impaired Social Interaction (Parent and Child) Related to the Lack of Family or Respite Support
3) Interrupted Family Processes Related to Child with Significant Disability Requiring Alteration in Family Functioning
4) Risk for Caregiver Role Strain Related to Child with a Newly Acquired Disability and the Associated Financial Burden

Question 12

The nurse is performing an assessment of a child's biologic family history. Which situation would necessitate the nurse's asking the mother for information should use the term "child's father" instead of "your husband"?
1) Traditional nuclear family
2) Traditional extended family
3) Two-income nuclear family
4) Cohabitating informal stepfamily

Question 13

Several children arrived at the emergency department accompanied by their fathers. Which father may legally sign emergency medical consent for treatment?
1) The divorced one from the binuclear family
2) The stepfather from the blended or reconstituted family
3) The divorced one when the single-parent mother has custody
4) The nonbiologic one from the heterosexual cohabitating family

Question 14

A new pediatric hospital will open soon. While planning nursing care, the hospital administration is considering two models of providing healthcare: family-focused care and family-centered care. Which action best demonstrates family-centered care?
1) Telling the family what must be done for the family's health
2) Assuming the role of an expert professional to direct the healthcare
3) Intervening for the child and family as a unit
4) Conferring with the family in deciding which healthcare option will be chosen

Question 15

The nurse is assessing a family's effective coping strategies and ineffective defensive strategies. Which family-social-system theory is the nurse using in this assessment of the family?
1) Family-stress theory
2) Family-development theory
3) Family-systems theory
4) Family life-cycle theory

Question 16

A nurse is working with a pediatric client. When obtaining an accurate family assessment, which initial step is the most appropriate?
1) Establish a trusting relationship with the family.
2) Select the most relevant family-assessment tool.
3) Focus primarily upon the mother, while learning her greatest concern.
4) Observe the family in the home setting, since this step always proves indispensable.

Question 17

The nurse is working on parenting skills with a mother of three children. The nurse demonstrates a strategy that uses reward to increase positive behavior. Which strategy will the nurse document in the medical record based on this description?
1) Time out
2) Reasoning
3) Behavior modification
4) Experiencing consequences of misbehavior

Question 18

The nurse is working on parenting skills with a group of mothers. Which mother would need the fewest discipline-related suggestions?
1) Authoritarian
2) Authoritative
3) Indifferent
4) Permissive