Question 1

When planning interventions for diverse families,you realize that acceptance of the interventions will be most influenced by which factor?&#10;A) Educational achievement&#10;B) Income level&#10;C) Subcultural group&#10;D) Individual beliefs

Accepted Answer

The patient's culture,beliefs,and values are ultimately the key to acceptance of health care interventions.However,these beliefs may be influenced by factors such as educational level,income level,and ethnic background.Educational achievement,income level,and subcultural group are all important factors.However,the nurse must understand that a woman's concerns from her own point of view will have the most influence on her adherence to interventions.

Question 2

Using the family stress theory as an intervention approach for working with families experiencing parenting,the nurse can help the family change which internal context factor?&#10;A) Success in coping with stressors&#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,and perception of,stressful events;internal context factors include elements that a family can control,such as psychological defences.It is not concerned with maturation of family members or with the prevailing cultural beliefs of society.The family's success in coping with stressors is an external rather than internal context.

Question 3

Which would be considered when viewing the family through a phenomenological lens?&#10;A) Professional relationships&#10;B) Experience of childbirth&#10;C) Cultural meanings and significance&#10;D) Health promotion within an environmental context

Accepted Answer

The phenomenological lens cues the nurse to learn more about the woman's and family members' experiences of health and illness.Professional relationships would be considered when using the sociopolitical lens.The spiritual lens considers cultural meanings and significance.The socio-environmental perspective encourages an understanding of health and health promotion that focuses on the family in their environmental context.

Question 4

What is the focus of relational nursing?&#10;A) Primarily disease prevention&#10;B) Provision of health services&#10;C) Recognition of determinants of health&#10;D) Resiliency of the woman and her family

Accepted Answer

Relational nursing focuses primarily on the recognition of the determinants of health.It is more congruent with health promotion than disease prevention.The focus of perinatal nursing has moved away from the provision of health service in order to focus on the determinants of health.The resiliency of the woman and her family is not the focus of relational nursing.

Question 5

Upon arriving for a follow-up postpartum and newborn home visit,the woman's family members are present.What should the nurse do?&#10;A) Observe the family members' interactions with the newborn and with one another.&#10;B) Ask the woman to meet with her and the baby alone.&#10;C) Do a brief assessment of 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 patient and 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 briefly assess 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 6

In what form do families tend to be most socially vulnerable?&#10;A) Blended family&#10;B) Extended family&#10;C) Nuclear family&#10;D) Lone-parent family

Accepted Answer

The lone-parent family,particularly the female lone-parent family,is more likely to have a lower income and to experience poverty,which in turn can affect the health status of family members.The married-blended family,the extended family,and the nuclear family are not most socially vulnerable.

Question 7

Which should the nurse do when using an interpreter to communicate with a patient who speaks a different language?&#10;A) Respond promptly and positively to project authority.&#10;B) Never use a family member as an interpreter.&#10;C) Talk directly to the patient when communicating.&#10;D) Involve the family in all communication.

Accepted Answer

The nurse should talk directly to the patient to create an atmosphere of respect.The nurse should not rush to judgement and should make sure that she or he understands the patient's message clearly.In crisis situations,the nurse may need to use a family member or neighbour as a translator.The nurse should not assume involving the family in all communication,as confidentiality may be breeched when doing so;each situation needs to be assessed individually.

Question 8

A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage.Which family form best describes this family?&#10;A) Blended family&#10;B) Extended family&#10;C) Nuclear family&#10;D) Same-sex family

Accepted Answer

Blended families are formed as the result of divorce and remarriage.Unrelated family members join together to create a new household.Members of an extended family are kin,or family members related by blood,such as grandparents,aunts,and uncles.A nuclear family is a traditional family with a male and female partner along with the children resulting from that union.A same-sex family is a family with homosexual partners who cohabit with or without children.

Question 9

Which type of family is reflected when a mother's household consists of her husband,his mother,and another child?&#10;A) Extended&#10;B) Lone-parent&#10;C) Married-blended&#10;D) Trinuclear

Accepted Answer

An extended family or multigenerational family includes blood relatives living with the nuclear family.Both parents and a grandparent are living in this extended family.Married-blended refers to families reconstructed after divorce.A lone-parent family only includes one parent.Both parents and a grandparent make up an extended family.

Question 10

Which characteristic is reflective of cultural safety?&#10;A) Maximizing respectful relationships with diverse populations&#10;B) Examining one's own values and beliefs of various cultures&#10;C) Process and outcome to promote greater health equity&#10;D) Valuing diversity and inclusivity

Accepted Answer

Cultural safety is both a process and an outcome whose goal is to promote greater health equity.Maximizing respectful relationships with diverse populations is part of cultural competence.Examining one's own values and beliefs is related to personal reflections and is not part of cultural safety.Diversity and inclusivity are values that underpin cultural competence.

Question 11

Which topic would be appropriate for the nurse to explore to gather information related to cultural expectations about childbirth?&#10;A) Marital status&#10;B) People present during labour&#10;C) Food intake during hospitalization&#10;D) Fears about being hospitalized

Accepted Answer

The answer of Which topic would be appropriate for the...

Question 12

The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on which factor(s)?&#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 13

Which term describes the process by which people retain some of their own culture while adopting the practices of the dominant society?&#10;A) Acculturation&#10;B) Assimilation&#10;C) Ethnocentrism&#10;D) Cultural relativism

Accepted Answer

The answer of Which term describes the process by which...

Question 14

Canada's official multiculturalism policy (1971)confirmed which statement?&#10;A) The rights of African-Canadian people&#10;B) The value and dignity of lesbian and gay people&#10;C) Canada's two official languages: French and English&#10;D) Preservation of dignity among lone-parent families

Accepted Answer

The answer of Canada's official multiculturalism policy (1971)confirmed which statement?&#10;A)...

Question 15

Which is a pictorial tool that can assist the nurse in assessing aspects of family life over generations?&#10;A) Genogram&#10;B) Family values construct&#10;C) Ecomap&#10;D) Human development wheel

Accepted Answer

The answer of Which is a pictorial tool that can...

Question 16

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) Family members' behaviours are understood from a view of circular causality.

Accepted Answer

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

Question 17

Why is the patient's family important to the maternity perinatal and pediatric nurse?&#10;A) They provide financial support for the mother.&#10;B) The nurse will know which family member makes the decisions.&#10;C) They will provide care for the new mother when the nurse is unable to make a home visit.&#10;D) The family culture will influence nursing care decisions.

Accepted Answer

The answer of Why is the patient's family important to...

Question 18

Which type of family represents a traditional family structure in which male and female partners and their children live as an independent unit?&#10;A) Extended family&#10;B) Binuclear family&#10;C) Nuclear family&#10;D) Blended family

Accepted Answer

The answer of Which type of family represents a traditional...

Question 19

The nurse demonstrates respect for the woman by carrying out which action when using an interpreter?&#10;A) Assigning an interpreter that the nurse has chosen&#10;B) Providing as much privacy as possible&#10;C) Attempting to have a family member act as the interpreter&#10;D) Respecting the woman's wishes when they violate standards of care

Accepted Answer

The answer of The nurse demonstrates respect for the woman...

Deck 2: The Family and Culture