Deck 2: Community Care: The Family and Culture

Question 1

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?

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

Answer 1

Married-blended family

Question 2

Which key point is important for the nurse to understand regarding the perinatal continuum of care?

A) Begins with conception and ends with the birth
B) Begins with family planning and continues until the infant is 1 year old
C) Begins with prenatal care and continues until the newborn is 24 weeks old
D) Refers to home care only

Answer 2

Begins with family planning and continues until the infant is 1 year old

Question 3

Which pictorial tool can assist the nurse in assessing the aspects of family life related to health care?

A) Genogram
B) Ecomap
C) Life-cycle model
D) Human development wheel

Answer 3

Genogram

Question 4

Which resource best describes a health care service representing the tertiary level of prevention?

A) Stress management seminars
B) Childbirth education classes for single parents
C) BSE pamphlet and teaching
D) Premenstrual syndrome (PMS) support group

Question 5

What information should the nurse be aware of regarding telephonic nursing care such as warm lines?

A) Were developed as a reaction to impersonal telephonic nursing care
B) Were set up to take complaints concerning health maintenance organizations (HMOs)
C) Are the second option when 9-1-1 hotlines are busy
D) Refer to community service telephone lines designed to provide new parents with encouragement and basic information

Question 6

The secondary level of prevention is best illustrated by which example?

A) Approved infant car seats
B) BSE
C) Immunizations
D) Support groups for parents of children with Down syndrome

Question 7

When weighing the advantages and disadvantages of planning home care for perinatal services,what information should the nurse use in making the decision?

A) Home care for perinatal services is more dangerous for vulnerable neonates at risk of acquiring an infection from the nurse.
B) Home care for perinatal services is more cost-effective for the nurse than office visits.
C) Home care for perinatal services allows the nurse to interact with and include family members in teaching.
D) Home care for perinatal services is made possible by the ready supply of nurses with expertise in maternity care.

Question 8

During the childbearing experience,which behavior might the nurse expect from an African-American client?

A) Seeking prenatal care early in her pregnancy
B) Avoiding self-treatment of pregnancy-related discomfort
C) Requesting liver in the postpartum period to prevent anemia
D) Arriving at the hospital in advanced labor

Question 9

The nurse is developing a plan of care for a Hispanic client who just delivered a newborn.Which cultural variation is most important to include in the care plan?

A) Breastfeeding is encouraged immediately after birth.
B) Male infants are typically circumcised.
C) Maternal grandmother participates in the care of the mother and her infant.
D) Bathing is encouraged immediately after delivery.

Question 10

Which health care service represents a primary level of prevention?

A) Immunizations
B) Breast self-examination (BSE)
C) Home care for high-risk pregnancies
D) Blood pressure screening

Question 11

What is a limitation of a home postpartum visit?

A) Distractions limit the nurse's ability to teach.
B) Identified problems cannot be resolved in the home setting.
C) Necessary items for infant care are not available.
D) Home visits to different families may require the nurse to travel a great distance.

Question 12

Which key factors play the most powerful role in the behaviors of individuals and families?

A) Rituals and customs
B) Beliefs and values
C) Boundaries and channels
D) Socialization processes

Question 13

When the services of an interpreter are needed,which is the most important factor for the nurse to consider?

A) Using a family member who is fluent in both languages
B) Using an interpreter who is certified, and documenting the person's name in the nursing notes
C) Directing questions only to the interpreter
D) Using an interpreter only in an emergency

Question 14

What is the primary difference between hospital care and home health care?

A) Home care is routinely and continuously delivered by professional staff.
B) Home care is delivered on an intermittent basis by professional staff.
C) Home care is delivered for emergency conditions.
D) Home care is not available 24 hours a day.

Question 15

When attempting to communicate with a client who speaks a different language,which action is the most appropriate?

A) Promptly and positively respond to project authority.
B) Never use a family member as an interpreter.
C) Talk to the interpreter to avoid confusing the client.
D) Provide as much privacy as possible.

Question 16

Which statement regarding the Family Systems Theory is inaccurate?

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

Question 17

Which traditional family structure is decreasing in numbers and attributable to societal changes?

A) Extended family
B) Binuclear family
C) Nuclear family
D) Blended family

Question 18

The woman's family members are present when the nurse arrives for a postpartum 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) Perform a brief assessment on all family members who are present.
D) Reschedule the visit for another time so that the mother and infant can be privately assessed.

Question 19

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

A) "Do you prefer hot or cold beverages?"
B) "Do you want some 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 20

Using the family stress theory as an interventional approach for working with families experiencing parenting challenges,the nurse can assist the family in selecting and altering internal context factors.Which statement best describes the components of an internal context?

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

Question 21

Which statement about the development of cultural competence is inaccurate?

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 client's culture but not in the context of the nurse's culture.
C) Nurses must develop an awareness of and a sensitivity to various cultures.
D) Culture's economic, religious, and political structures influence practices that affect childbearing.

Question 22

While working in the prenatal clinic,nurses care for a very diverse group of clients.Which cultural factor related to health is most likely to drive acceptance of planned interventions?

A) Educational achievement
B) Income level
C) Subcultural group
D) Individual beliefs

Question 23

A client's household consists of her husband,his mother,and another child.To which family configuration does this client belong?

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

Question 24

A Native-American woman gave birth to a baby girl 12 hours ago.The nurse notes that the woman keeps her baby in the bassinet except for bottle feeding and states that she will wait until she gets home to begin breastfeeding.The nurse recognizes that this behavior is most likely a reflection of what?

A) Delayed attachment
B) Embarrassment
C) Disappointment in the sex of the baby
D) Belief that babies should not be fed colostrum

Question 25

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?

A) Acculturation
B) Assimilation
C) Ethnocentrism
D) Cultural relativism

Question 26

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?

A) Infectious diseases
B) Chronic illness
C) Anemia
D) Hyperthermia
E) Substance abuse

Question 27

Which statement accurately describes the walking survey as a data collection tool?

A) The walking survey determines how much exercise an expectant mother has been getting, to help her make health care decisions.
B) The walking survey usually takes place on the maternity ward but can be expanded to other areas of the hospital.
C) The walking survey is a method of observing the resources and health-related environment of the community.
D) The walking survey is performed by government census takers as part of their canvas.

Question 28

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

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

Question 29

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