Deck 1: Traditional and Community Nursing Care for Women, Families, and Children

Question 1

A nurse manager in a community clinic is concerned because the local refugee population does not seek health care routinely.What action by the nurse would be most helpful?

A) Assess clinic staff and procedures for evidence of ethnocentrism.
B) Put up flyers advertising the clinic's services in local retailers.
C) Reward preventative health patients with coupons for needed items.
D) Try to meet with community leaders to work on the problem.

Answer 1

Assess clinic staff and procedures for evidence of ethnocentrism.

Question 2

A nurse manager is evaluating staff members on their cultural competence.Which action best demonstrates this characteristic?

A) Attends workshops on cultural diversity and health practices
B) Participates in community health events with minority populations
C) Plans care with the family members within their cultural beliefs
D) Uses family members as interpreters to make them feel important

Answer 2

Plans care with the family members within their cultural beliefs

Question 3

A patient wishes to use complementary therapy when managing a chronic health condition.Which action by the nurse is most appropriate?

A) Advise the patient that stopping medical treatment may cause it to worsen.
B) Inform the patient that there are no complementary therapies for this condition.
C) Investigate herbs that can be substituted for prescription drugs.
D) Suggest the patient add massage therapy to the medical regimen.

Answer 3

Suggest the patient add massage therapy to the medical regimen.

Question 4

A nurse is working with a minority group that has a high incidence of cardiovascular disease,including hypertension and stroke.When participating in a community health fair with this group,what action by the nurse will be most effective?

A) Educate the participants about weight loss and a low-sodium, low-fat diet.
B) Explain the genetic basis for the high incidence of cardiovascular disease in the group.
C) Help participants make lifestyle changes that are culturally congruent.
D) Present statistics on the mortality and morbidity of cardiovascular disease.

Question 5

A nurse wishes to improve his or her cultural sensitivity while working with patients.Which action by the nurse would best indicate progress toward this goal?

A) Demonstrate good knowledge of different cultural health beliefs
B) Effectively respond to the needs of people of different cultures
C) Interact respectfully with patients who have differing health beliefs
D) Recognizes that he or she will never be the expert in other cultures

Question 6

The nursing faculty explains to students that ethnopluralism is an important force shaping health care today.What concept is most important in understanding this trend?

A) The decreased need for cultural competency
B) The growth in one ethnic group in a single area
C) The increased impact of diverse cultures on health care
D) The percentage increase of the non-Caucasian population

Question 7

What does the practicing nurse understand to be the most important influence on interdependent,assertive nursing practice today?

A) Higher education of registered nurses
B) Improved working conditions and salaries
C) Increased numbers of female physicians
D) Use of the nursing process for patient care

Question 8

A clinic nurse is explaining to a student nurse the function of the community health map in assessing families.Which description of this assessment tool is most accurate?

A) It assesses how the family interacts with outside social systems.
B) It locates health-care settings in, or close to, their neighborhood.
C) It outlines family problems and social resources to help with them.
D) It shows how the health of the community impacts each family.

Question 9

A nursing faculty member is explaining recent shifts in nursing practice.What change has been important in applying the nursing process?

A) A change to a spiral or circular process
B) A focus on more independent nursing actions
C) A return to the nurse-as-expert model of care
D) An emphasis on attaining a disease-free state

Question 10

A nurse is working in an urban clinic with a diverse population.What action by the nurse is most important?

A) Determine patients' definitions of health and desired outcomes of health care.
B) Explain policies such as appointment cancellations to ensure compliance.
C) Learn to speak one or two common languages of the patients in the clinic.
D) Read about different folk remedies common among the populations seen.

Question 11

A nurse uses Watson's theory as a framework for nursing practice.Which nursing action best demonstrates the use of this theory?

A) Actively clarifies the patient's health beliefs and practices
B) Allows children to visit an ill parent despite visitation restrictions
C) Assesses both the physical and spiritual dimensions of the patient
D) Ensures the patient is neither too warm nor too hot for comfort

Question 12

A nurse is working with a cultural group that has many proscriptions against women seeking health care.What action by women in this community would indicate that they have successfully negotiated a new role in seeking care?

A) Are able to make and keep medical appointments
B) Can afford to pay for desired health-care services
C) Follow their traditional roles and responsibilities
D) Seek health-care advice from family members

Question 13

An inpatient nursing unit uses Madeleine Leininger's theory to organize nursing care.The manager would conclude that a new nurse has successfully integrated this theory into practice when the nurse does which of the following actions?

A) Emphasizes caring over curing in nursing actions
B) Establishes trusting relationships with patients
C) Knows the cultural practices of many different groups
D) Organizes environmental factors for the patient's benefit

Question 14

A child who has been hospitalized for a long time is preparing to go home,where care will be continued.Which action by the nurse is most beneficial to assist the family in this transition?

A) Advise the family to call the local visiting nurses association for home visits.
B) Call the child's school to inquire about requirements for returning to school.
C) Consult a social worker to help evaluate insurance coverage and transportation.
D) Give the family brochures for the local support group for chronically ill children.

Question 15

A nurse acting in the role of teacher is determining learning outcomes.Which action will produce the best outcomes for teaching?

A) Collaborate with the discharge planner on outcomes.
B) Determine the teaching priority, then establish the outcome.
C) Develop outcomes mutually agreed on with the patient.
D) Enlist other staff members to help prioritize outcomes.

Question 16

A nurse is incorporating a cultural assessment into nursing care.Which assessment question by the nurse leads the supervisor to conclude that this nurse needs further education on cultural assessment?

A) What customs and traditions are important to you?
B) What kind of insurance coverage do you have?
C) When you are stressed or worried, what comforts you?
D) Who in your family is important for support?

Question 17

A nurse manager wants to make the pediatric clinic a more family-centered health-care setting.Which of the following actions by the nursing staff would best meet this goal?

A) Encourage family members to be present in the exam room and to ask questions.
B) Incorporate the use of a community health map for all new patients in the clinic.
C) Recognize family members as experts on their child and incorporate them in decision making.
D) Use evidence-based practice to develop policies and procedures used in the clinic.

Question 18

A nurse is working with a family that uses multiple complementary and alternative medicine (CAM)modalities.What action by the nurse is best?

A) Allow the family to continue these practices as desired.
B) Assess how these practices reflect religious beliefs.
C) Inform the family that most of these practices do not work.
D) Provide evidence-based information about the therapies.

Question 19

The clinic nurse understands the new description of nursing art/aesthetics as the way that nurses and patients help each other through a circular process.What is the event that begins this process?

A) A health threat
B) Experiencing new possibilities for health
C) Hope and understanding for the future
D) Relationship building

Question 20

A nurse uses Nightingale's theory of nursing to pattern care for patients.Which action by the nurse is most consistent with this theory?

A) Does for the patient what he or she is unable to do for self
B) Focuses patient interactions on caring, healing, and wholeness
C) Keeps patient's room clean and ensures good nutrition
D) Incorporates culturally relevant actions in a caring encounter

Question 21

A patient and family have the nursing diagnosis of impaired verbal communication secondary to a language barrier.What action by the patient/family would best indicate that short-term goals for this diagnosis have been met?

A) Able to communicate long-term desires for health of the patient
B) Demonstrates comprehension by head nodding and saying "yes"
C) States understanding of condition and treatment via an interpreter
D) Understands how nonverbal communication varies between cultures

Question 22

A nurse uses evidence-based practice (EBP)to plan and implement nursing care.What action by the nurse best demonstrates this process?

A) Assesses, plans, implements, and evaluates nursing interventions
B) Incorporates specific research findings into the nursing care plan
C) Predicts and assesses for potential problems based on research
D) Uses a concept map for nursing care instead of a nursing care plan

Question 23

A nurse is describing the use of evidence-based practice (EBP)guidelines to a nursing student.Which explanation of EBP is most accurate?

A) Includes clinical experience and patient preferences
B) MEDLINE used as the primary source for EBP information
C) Requires the staff to be active participants in research
D) Uses research findings to plan interventions for care

Question 24

The nurse working with patients understands that health promotion can include which of the following?

A) Belief in the power base of the patient
B) Changed attitude to one of meaningfulness
C) Nurse-defined state of unity and holism
D) Shared understanding of the health threat
E) Shared vision about hope for the future

Question 25

The nurse listens to a mother and her 4-year-old child as they communicate with each other primarily to determine which of the following?

A) Communication styles that need improvement
B) The child's level of language development
C) The family's culture and its influences
D) The family's personal and group values
E) The family's understanding of health care

Question 26

A nurse is demonstrating the professional role of provider of care to a nursing student.Which action by the nurse is most relevant to this professional role?

A) Assesses the patient's priority physical needs
B) Gives the patient a bath instead of delegating it
C) Supervises unlicensed assistive personnel
D) Uses monitoring and IV equipment correctly

Question 27

A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar.What action by the nurse will best promote effective communication?

A) Call for a professional interpreter to translate information.
B) Pattern voice tone and eye contact after the patient's behaviors.
C) Talk slowly and deliberately using simple language and cues.
D) Use nonverbal communication as much as possible with the patient.

Question 28

The nurse understands that changes in family characteristics are related to which of the following influences?

A) Birth control accessibility and knowledge
B) Decreased mobility of people
C) Increased feminist thinking
D) Increased number of women in the workforce
E) Mass media influences

Question 29

The nurse mentor explains to the new nurse that multiple societal changes have given families greater power in health care.What changes have contributed to this shift?

A) Alternative community-based care sites
B) Costs of obtaining health care
C) Decreased health-care regulations
D) Multimedia information
E) Science and technology

Question 30

A nurse has been teaching a patient who seems impatient and does not retain much of what is taught.What action by the nurse would be best to facilitate the patient's learning?

A) Assess for unmet personal needs such as pain or hunger.
B) Determine why the patient is being uncooperative.
C) Give information in writing and let the patient read it.
D) Stop the teaching session and return at a later time.

Question 31

A nurse manager expects all employees to be patient advocates.Which nursing action best demonstrates this nursing role?

A) Arranging a family-physician conference to clarify treatment plans
B) Encouraging treatment options based on personal beliefs and values
C) Giving contact information for governmental assistance agencies
D) Working on a political campaign to reduce poverty in the state

Question 32

A clinic nurse is evaluating a child who has been treated for a cough and fever for several weeks,without resolution of the symptoms.The child and family are recent immigrants to America.What actions by the nurse are most appropriate?

A) Ask the parents about culturally relevant health-care practices.
B) Assess the family's understanding of the illness and treatment.
C) Investigate illnesses endemic to the family's native country.
D) Tell the family members they must stop using herbal or folk treatments.
E) Utilize a professional interpreter to communicate with the family.

Question 33

The perinatal nurse is aware of changes in women's and children's health-care settings that affect family care.What factors do these changes include?

A) A decreased pediatric patient population
B) A redesign of policies to include families
C) Development of alternative care sites
D) Increased liberalization of visiting policies
E) Increased patient acuity across all settings

Question 34

The perinatal nurse caring for a 24-year-old mother of an infant born at 26 weeks' gestation is providing discharge teaching.The patient is going to travel to the specialty center approximately 200 miles away,where her daughter is receiving care.The nurse tells the patient that it is normal for her to feel which emotions?

A) Afraid
B) Anxious
C) Guilty
D) In control
E) Overwhelmed

Question 35

To be effective when providing information to a patient,the nurse should assess the patient for which of the following?

A) Cultural beliefs and values
B) Information desired
C) Preferred learning style
D) Level of understanding
E) Past medical history

Question 36

A nurse wishes to improve critical thinking skills.Which of the following actions would be helpful for this nurse?

A) Developing checklists for care activities
B) Listening intently for true understanding
C) Practicing new skills
D) Remaining nonobjective in patient encounters
E) Searching the literature for new information

Question 37

The nursing faculty member explains to the nursing student that using nursing aesthetics includes which of the following activities?

A) Care planning
B) Imagery
C) Medication administration
D) Music therapy
E) Touch

Question 38

A new nurse manager wants to initiate changes on the inpatient pediatric unit at a regional referral center.Which actions by the manager would be most helpful?

A) Create a system of nurse-driven care to allow families to rest and de-stress.
B) Discuss proposed changes with families, soliciting feedback on potential impact.
C) Ensure around-the-clock resources to help families with emotional needs.
D) Make changes based on knowledge of growth and development theories.
E) Use evidence-based practice to formulate new policies and procedures.

Question 39

A nursing manager wants to increase the staff's attention to patients' spirituality.Which action by a nurse would best demonstrate this concept?

A) Asked about the patient's religion
B) Assessed the patient's meaning of life
C) Consulted a chaplain for a patient case
D) Inquired about religious rituals in health

Question 40

The nurse recognizes that caring for patients and families is challenging due to which of the following factors?

A) Advances in medical care
B) Decreased cultural diversity
C) Decreased patient expectations
D) Increased technology development
E) Potential legal considerations

Question 41

Place the steps of creating a concept map in the correct order.
_____ Determine beneficial goals and outcomes.
_____ Categorize assessment data under patient problem areas.
_____ Assess the patient and draw a skeleton diagram.
_____ Evaluate the patient's response to the interventions.
_____ Analyze the relationships among factors and prioritize diagnoses.