Question 1

A mother brings 6-month-old Eric to the clinic for a well-baby checkup.She comments,"I want to go back to work,but I don't want Eric to suffer because I'll have less time with him." The nurse's most appropriate answer is:

A) "I'm sure he'll be fine if you get a good baby-sitter."
B) "You will need to stay home until Eric starts school."
C) "You should go back to work so Eric will get used to being with others."
D) "Let's talk about the child care options that will be best for Eric."

"Let's talk about the child care options that will be best for Eric."

Accepted Answer

"Let's talk about the child care options that will be best for Eric" is an open-ended statement that will assist the mother in exploring her concerns about what is best for both her and Eric."I'm sure he'll be fine if you get a good baby-sitter," "You will need to stay home until Eric starts school," and "You should go back to work so Eric will get used to being with others" are directive statements and do not address the effect of her working on Eric.

Question 2

What type of family is one in which all members are related by blood?&#10;A) Consanguineous&#10;B) Affinal&#10;C) Family of origin&#10;D) Household

Accepted Answer

A consanguineous family is one of the most common types and consists of members who have a blood relationship.The affinal family is one made up of marital relationships.Although the parents are married,they may each bring children from a previous relationship.The family of origin is the family unit that a person is born into.Considerable controversy has been generated about the newer concepts of families (i.e.,communal,single-parent,or homosexual families).To accommodate these other varieties of family styles,the descriptive term household is frequently used.

Question 3

The mother of a school-age child tells the school nurse that she and her spouse are going through a divorce.The child has not been doing well in school and sometimes has trouble sleeping.The nurse should recognize this as:

A) indicative of maladjustment.
B) common reaction to divorce.
C) suggestive of lack of adequate parenting.
D) unusual response that indicates need for referral.

common reaction to divorce.

Accepted Answer

Parental divorce affects school-age children in many ways.In addition to difficulties in school,they often have profound sadness,depression,fear,insecurity,frequent crying,loss of appetite,and sleep disorders.Uncommon responses to parental divorce include indications of maladjustment,the suggestion of lack of adequate parenting,and the need for referral.

Question 4

The nurse discovers welts on the back of a Vietnamese child during a home health visit.The child's mother says that she has rubbed the edge of a coin on her child's oiled skin.The nurse should recognize that this is:

A) child abuse.
B) a cultural practice to rid the body of disease.
C) a cultural practice to treat enuresis or temper tantrums.
D) a child discipline measure common in the Vietnamese culture.

Accepted Answer

A cultural practice to rid the body of disease is descriptive of coining.The welts are created by repeatedly rubbing a coin on the child's oiled skin.The mother is attempting to rid the child's body of disease.The mother was engaged in an attempt to heal the child.This behavior is not child abuse,a cultural practice to treat enuresis or temper tantrums,or a disciplinary measure.

Question 5

The father of a hospitalized child tells the nurse,&#34;He can't have meat.We are Buddhist and vegetarians.&#34; The nurse's best intervention is to:&#10;A) order the child a meatless tray.&#10;B) ask a Buddhist priest to visit.&#10;C) explain that hospital patients are exempt from dietary rules.&#10;D) help the parent understand that meat provides protein needed for healing.

Accepted Answer

It is essential for the nurse to respect the religious practices of the child and family.The nurse should arrange a dietary consultation to ensure that nutritionally complete vegetarian meals are prepared by the hospital kitchen.The nurse should be able to arrange for a vegetarian tray.The nurse should not encourage the child and parent to go against their religious beliefs.Nutritionally complete,acceptable vegetarian meals should be provided.

Question 6

Which term best describes a group of people who share a set of values,beliefs,practices,social relationships,law,politics,economics,and norms of behavior?&#10;A) Race&#10;B) Culture&#10;C) Ethnicity&#10;D) Social group

Accepted Answer

Culture is a pattern of assumptions,beliefs,and practices that unconsciously frames or guides the outlook and decisions of a group of people.A culture is composed of individuals who share a set of values,beliefs,and practices that serve as a frame of reference for individual perceptions and judgments.Race is defined as a division of humankind who possesses traits transmissible by descent and sufficient to characterize it as a distinct human type.Ethnicity is an affiliation of a set of persons who share a unique cultural,social,and linguistic heritage.A social group consists of systems of roles carried out in groups.Examples of primary social groups include the family and peer groups.

Question 7

Which term best describes the emotional attitude that one's own ethnic group is superior to others?&#10;A) Culture&#10;B) Ethnicity&#10;C) Superiority&#10;D) Ethnocentrism

Accepted Answer

Ethnocentrism is the belief that one's way of living and behaving is the best way.This includes the emotional attitude that the values,beliefs,and perceptions of one's ethnic group are superior to those of others.Culture is a pattern of assumptions,beliefs,and practices that unconsciously frames or guides the outlook and decisions of a group of people.A culture is composed of individuals who share a set of values,beliefs,and practices that serve as a frame of reference for individual perception and judgments.Ethnicity is an affiliation of a set of persons who share a unique cultural,social,and linguistic heritage.Superiority is the state or quality of being superior; it does not include ethnicity.

Question 8

A Chinese toddler has pneumonia.The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray.Food items such as Jell-O,Popsicles,and juices are left.What would best explain this?

A) The parent is trying to feed child only what child likes most.
B) The parent is trying to restore normal balance through appropriate "hot" remedies.
C) Hispanics believe that the "evil eye" enters when a person gets cold.
D) Hispanics believe that an innate energy called chi is strengthened by eating soup.

Accepted Answer

In several groups,including Filipino,Chinese,Arabic,and Hispanic cultures,hot and cold describe certain properties completely unrelated to temperature.Respiratory conditions such as pneumonia are "cold" conditions and are treated with "hot" foods.This may be true,but it is unlikely that a toddler would consistently prefer the broth to Jell-O,Popsicles,and juice.The evil eye applies to a state of imbalance of health,not curative actions.Chinese individuals believe in chi as an innate energy.

Question 9

A 3-year-old girl was adopted immediately after birth.The parents have just asked the nurse how they should tell the child that she is adopted.Which guideline concerning adoption should the nurse use in planning her response?

A) Telling the child is an important aspect of their parental responsibilities.
B) The best time to tell the child is between ages 7 and 10 years.
C) It is not necessary to tell the child who was adopted so young.
D) It is best to wait until the child asks about it.

Accepted Answer

It is important for the parents not to withhold information about the adoption from the child.It is an essential component of the child's identity.There is no recommended best time to tell children.It is believed that children should be told young enough so they do not remember a time when they did not know.It should be done before the children enter school to keep third parties from telling the children before the parents have had the opportunity.

Question 10

In which cultural group is good health considered to be a balance between yin and yang?&#10;A) Asians&#10;B) Australian aborigines&#10;C) Native Americans&#10;D) African-Americans

Accepted Answer

In Chinese health beliefs,the forces termed yin and yang must be kept in balance to maintain health.This belief is not consistent with Australian aborigines,Native Americans,or African-Americans.

Deck 27: Family, social, cultural, and Religious Influences on Child Health Promotion