Deck 3: The Childbearing and Childrearing Family in the Community

Question 1

Which question should the nurse ask when assessing the sociocultural aspects of a patient's family?

A) Citizenship
B) Occupation
C) Education level
D) Family structure

Answer 1

Family structure

Question 2

The nurse suspects that an adolescent patient from the inner city stereotypes other people. Which statement did the patient make that caused the nurse to come to this conclusion?

A) "Kids who study are just nerds."
B) "All people who live in the suburbs drive big cars."
C) "City people are smarter than those who live in the suburbs."
D) "I stay away from people who live downtown because they look funny."

Answer 2

"All people who live in the suburbs drive big cars."

Question 3

A young patient tells the nurse that it is taboo to date before the age of 18 years. How should the nurse interpret this patient's statement?

A) Everyone dates before the age of 18 years.
B) Dating before the age of 18 years is not permitted.
C) Dating before the age of 18 years can be done with permission.
D) Dating before the age of 18 years is permitted in large groups only.

Answer 3

Dating before the age of 18 years is not permitted.

Question 4

Which nursing action supports a 2020 National Health Goal that addresses cultural diversity?

A) Focusing on actions to enhance disease prevention
B) Reviewing actions to prevent accidents in the home environment
C) Discussing breastfeeding with a pregnant patient who is Hispanic
D) Analyzing the patient's compliance with health promotion activities

Question 5

The nurse is preparing to assess a pregnant patient who is a member of a
Non-English-speaking culture. Which areas should the nurse assess to address cultural diversity? (Select all that apply.)

A) Pain
B) Time
C) Touch
D) Environment
E) Communication

Question 6

The nurse is beginning an assessment with a pregnant patient from a
Non-English-speaking culture. The interpreter is having difficulty understanding what the patient is trying to say and the patient is becoming frustrated. Which nursing diagnosis would be the most appropriate for this situation?

A) Fear
B) Anxiety
C) Powerlessness
D) Impaired verbal communication

Question 7

A pregnant patient from nondominant culture arrives for a prenatal examination is escorted to an examination room. When asked to remove clothing and wear an examination gown, the patient hesitates. What should the nurse do to ensure cultural sensitivity in preparation for the examination?

A) Leave the room.
B) Stay in the room.
C) Assist with clothing removal.
D) Stand the distance of business space from the patient.

Question 8

The nurse teaches a pregnant patient from a nondominant culture that the health care provider wants the patient to rest for several hours every afternoon. Which patient statement indicates that teaching has been effective?

A) "I need to go to sleep a few hours earlier every night."
B) "I can stay in bed for a few more hours every morning."
C) "I can lie down before lunch and then again right after dinner."
D) "I need to lie down after lunch and not get up until it's time to prepare dinner."

Question 9

The husband of a patient in active labor asks the nurse to phone him when the baby is delivered because he needs to go to work. Which nursing response respects the husband's culture?

A) Ask if he knows that he can stay with his wife during labor.
B) Tell him that all fathers now stay with their wives during labor.
C) Tell him he is missing out on the opportunity of a lifetime by leaving.
D) Insist he stay with his wife during labor because she will need his support.

Question 10

A pregnant patient from a nondominant culture arrives 2 hours late for a scheduled sonogram. What does this patient's behavior indicate to the nurse?

A) The patient is confused.
B) The patient does not wear a wrist watch.
C) Time orientation may be different for the patient's culture.
D) The patient's culture may focus on the past and not the future.

Question 11

A pregnant patient from a nondominant culture explains that milk and dairy products cannot be consumed for 2 months during the pregnancy because of the need to fast for her religion. Which response should the nurse make after learning this information?

A) "I'm sure that you don't need to follow this while you are pregnant."
B) "Avoiding milk and dairy products for 2 months will harm the fetus."
C) "There are other food sources where you can obtain the nutrients that are in milk."
D) "You must have a great deal of will power to avoid milk and dairy products for 2 months."

Question 12

The nurse is visiting a patient from a nondominant culture that was recently discharged from the hospital for complications of pregnancy. Which outcome of care would be appropriate for this patient?

A) The patient will return to normal activities of daily living.
B) The patient will understand signs of the complication developing again.
C) The patient will consult with cultural healers to ensure the complication does not occur again.
D) The patient will follow medical advice and keep all scheduled appointments for continued care.

Question 13

During an assessment, a pregnant patient tells the nurse that "white foods" are not consumed in the patient's culture. What should the nurse do first after learning this information?

A) Ask the patient to define "white foods."
B) Document that "white foods" are not eaten.
C) Explain that "white foods" have nutrients needed for pregnancy.
D) Discuss reasons why "white foods" are avoided in the patient's culture.

Question 14

A patient from a nondominant culture is in the second stage of labor and is not demonstrating any manifestations of pain. What should the nurse do to support this patient?

A) Offer to provide the patient with a back rub
B) Measure the pain level with a pain rating scale
C) Discuss pain control measures with the physician
D) Nothing until the patient asks for pain medication

Question 15

A pregnant patient from a nondominant culture wants to deliver the baby "the American way" with epidural pain management. How should the nurse describe this patient's statement about childbirth?

A) Attempting assimilation
B) Combating ethnocentrism
C) Expression of acculturation
D) Stereotyping American behavior