Question 1

Which statement about family systems theory is inaccurate?

Accepted Answer

A family as a whole is greater than the sum of its parts.The other statements are characteristics of a system that states that a family is greater than the sum of its parts.

Question 2

A pictorial tool that can assist the nurse in assessing aspects of family life related to health care is the:

Accepted Answer

A genogram depicts the relationships of family members over generations.

Question 3

The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family:

Accepted Answer

Values and beliefs are the most prevalent factors in the decision-making and problem-solving techniques of families.Although culture may play a part in the decision-making process of a family,ultimately values and beliefs dictate the course of action taken by family members.Boundaries and channels affect the relationship between the family members and the health care team,not the decisions within the family.Socialization processes may help families with interactions with the community,but they are not the criteria used for decision making within the family.

Question 4

Which statement about cultural competence is not accurate?

Accepted Answer

The cultural context of the nurse also affects nursing care.The work of local health care workers and community advocates is part of cultural competence; the nurse's cultural context is also important.Developing sensitivity to various cultures is part of cultural competence,but the nurse's cultural context is also important.The impact of economic,religious,and political structures is part of cultural competence; the nurse's cultural context is also important.

Question 5

MATCHING
You are getting ready to participate in discharge teaching with a non-English-speaking new mother. The interpreter has arrived in the patient care unit to assist you in providing culturally competent care. In the correct order, from 1 through 6, number the steps that you would take to work with the interpreter.

-Step Two

Accepted Answer

The answer of MATCHING
You are getting ready to participate in...

Question 6

The nurse's care of a Hispanic family includes teaching about infant care.When developing a plan of care,the nurse bases interventions on the knowledge that in traditional Hispanic families:

Accepted Answer

In Hispanic families,the expectant mother is influenced strongly by her mother or mother-in-law.Breastfeeding often is delayed until the third postpartum day.Hispanic male infants usually are not circumcised.Olive or castor oil may be given to stimulate the passage of meconium.

Question 7

MATCHING
You are getting ready to participate in discharge teaching with a non-English-speaking new mother. The interpreter has arrived in the patient care unit to assist you in providing culturally competent care. In the correct order, from 1 through 6, number the steps that you would take to work with the interpreter.

-Step One

Accepted Answer

The answer of MATCHING
You are getting ready to participate in...

Question 8

A traditional family structure in which male and female partners and their children live as an independent unit is known as a(n):

Accepted Answer

About two thirds of U.S.households meet the definition of a nuclear family.Extended families include additional blood relatives other than the parents.A binuclear family involves two households.A blended family is reconstructed after divorce and involves the merger of two families.

Question 9

While working in the prenatal clinic,you care for a very diverse group of patients.When planning interventions for these families,you realize that acceptance of the interventions will be most influenced by:

Accepted Answer

The patient's beliefs 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 all are 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 compliance.

Question 10

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

Accepted Answer

Asian-Americans often prefer warm beverages.Milk usually is excluded from the diet of this population.Asian-American women typically labor in a quiet atmosphere.Delaying naming the child is common for Asian-American families.

Question 11

In which culture is the father more likely to be expected to participate in the labor and delivery?

Accepted Answer

European-Americans expect the father to take a more active role in the labor and delivery than the other cultures.

Question 12

The patient's family is important to the maternity nurse because:

Accepted Answer

Family structure and culture influence the health decisions of mothers.

Question 13

The woman's family members are present when the home care maternal-child nurse arrives for a after birth and newborn visit.What should the nurse do?

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 after birth mother and her infant,not to 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 14

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

Accepted Answer

The single-parent family tends to be vulnerable economically and socially,creating an unstable and deprived environment for the growth potential of children.The married-blended family,the extended family,and the nuclear family are not the most socially vulnerable.

Question 15

A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage.On the basis of the information given,what family form best describes this family?

Accepted Answer

Married-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 male and female partners and the children resulting from that union.A same-sex family is a family with homosexual partners who cohabit with or without children.

Question 16

Using the family stress theory as an intervention approach for working with families experiencing parenting,the nurse can help the family change internal context factors.These include:

Accepted Answer

The family stress theory is concerned with the family's reaction to stressful events; internal context factors include elements that a family can control such as psychologic defenses.It is not concerned with biologic and genetic makeup,maturation of family members,or the prevailing cultural beliefs of society.

Question 17

The process by which people retain some of their own culture while adopting the practices of the dominant society is known as:

Accepted Answer

Acculturation is the process by which people retain some of their own culture while adopting the practices of the dominant society.This process takes place over the course of generations.Assimilation is a loss of cultural identity.Ethnocentrism is the belief in the superiority of one's own culture over the cultures of others.Cultural relativism recognizes the roles of different cultures.

Question 18

A mother's household consists of her husband,his mother,and another child.She is living in a(n):

Accepted Answer

An extended family includes blood relatives living with the nuclear family.Both parents and a grandparent are living in this extended family.Single-parent families comprise an unmarried biologic or adoptive parent who may or may not be living with other adults.Married-blended refers to families reconstructed after divorce.A nuclear family is where male and female partners and their children live as an independent unit.

Question 19

The nurse should be aware that during the childbearing experience an African-American woman is most likely to:

Accepted Answer

African-American women often arrive at the hospital in far-advanced labor.These women may view pregnancy as a state of wellness,which is often the reason for delay in seeking prenatal care.African-American women practice many self-treatment options for various discomforts of pregnancy,and they may request liver in the after birth period,but this is based on a belief that the liver has a high blood content.

Question 20

When attempting to communicate with a patient who speaks a different language,the nurse should:

Accepted Answer

Providing privacy creates an atmosphere of respect and puts the patient at ease.The nurse should not rush to judgment and should make sure that he or she understands the patient's message clearly.In crisis situations,the nurse may need to use a family member or neighbor as a translator.The nurse should talk directly to the patient to create an atmosphere of respect.

Quiz 2: The Family, culture, spirituality, and Home Care