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Chapter 2- Community Care, Exams of Nursing

Stanford UniversityNursing

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? a. Married-blended family b. Extended family c. Nuclear family d. Same-sex family - ansANS: A 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. A mother's household consists of her husband, his mother, and another child. She is living in a(n): a. Extended family. b. Single-parent family. c. Married-blended family. d. Nuclear family. - ansANS: A

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Chapter 2- Community Care: The Family
and Culture
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?
a. Married-blended family
b. Extended family
c. Nuclear family
d. Same-sex family - ansANS: A
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.
A mother's household consists of her husband, his mother, and another child. She is
living in a(n):
a. Extended family.
b. Single-parent family.
c. Married-blended family.
d. Nuclear family. - ansANS: A
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.
A pictorial tool that can assist the nurse in assessing aspects of family life related to
health care is the:
a. Genogram.
b. Family values construct.
c. Life cycle model.
d. Human development wheel. - ansANS: A
A genogram depicts the relationships of family members over generations.
A traditional family structure in which male and female partners and their children live as
an independent unit is known as a(n)
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Chapter 2- Community Care: The Family

and Culture

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? a. Married-blended family b. Extended family c. Nuclear family d. Same-sex family - ansANS: A 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. A mother's household consists of her husband, his mother, and another child. She is living in a(n): a. Extended family. b. Single-parent family. c. Married-blended family. d. Nuclear family. - ansANS: A 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. A pictorial tool that can assist the nurse in assessing aspects of family life related to health care is the: a. Genogram. b. Family values construct. c. Life cycle model. d. Human development wheel. - ansANS: A A genogram depicts the relationships of family members over generations. A traditional family structure in which male and female partners and their children live as an independent unit is known as a(n)

a. Extended family. b. Binuclear family. c. Nuclear family. d. Blended family. - ansANS: C 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. Health care functions carried out by families to meet their members' needs include: a. Developing family budgets. b. Socializing children. c. Meeting nutritional requirements. d. Teaching family members about birth control. - ansANS: C Meeting nutritional requirements is a fundamental health promotion behavior. Although creating a family budget may be helpful, it does not indicate that funds will be allotted to meet health needs if money is scarce. Often families cannot afford preventive care and rely on emergency departments for their health care needs. Socialization of children may be important, but it is not directly related to the health care of individuals in a family unit. Birth control may be important, but it is not a basic survival health care function. In what form do families tend to be most socially vulnerable? a. Married-blended family b. Extended family c. Nuclear family d. Single-parent family - ansANS: D 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. 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 - ansANS: C European-Americans expect the father to take a more active role in the labor and delivery than the other cultures. The nurse is preparing for a home visit to complete a newborn wellness checkup. The neighborhood has a reputation for being dangerous. Identify which precautions the nurse should take to ensure her safety (Select all that apply). a. Having access to a cell phone at all times.

d. Special herbs mixed in water are used to stimulate the passage of meconium. - ansANS: C 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. The patient's family is important to the maternity nurse because: a. They pay the bills. b. The nurse will know which family member to avoid. c. The nurse will know which mothers will really care for their children. d. The family culture and structure will influence nursing care decisions. - ansANS: D Family structure and culture influence the health decisions of mothers. The process by which people retain some of their own culture while adopting the practices of the dominant society is known as: a. Acculturation. b. Assimilation. c. Ethnocentrism. d. Cultural relativism. - ansANS: A 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. Acculturation describes the process by which people retain some of their own culture while adopting the practices of the dominant society. Ethnocentrism is the belief in the superiority of one's own culture over the cultures of others. Acculturation describes the process by which people retain some of their own culture while adopting the practices of the dominant society. Cultural relativism recognizes the roles of different cultures. Acculturation describes the process by which people retain some of their own culture while adopting the practices of the dominant society. The woman's family members are present when the home care maternal-child 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. Do a brief assessment on all family members present. d. Reschedule the visit for another time so that the mother and infant can be assessed privately. - ansANS: A 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 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. To provide competent care to an Asian-American family, the nurse should include which of the following questions during the assessment interview? a. "Do you prefer hot or cold beverages?" b. "Do you want milk to drink?" c. "Do you want music playing while you are in labor?" d. "Do you have a name selected for the baby?" - ansANS: A 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. 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: a. Biologic and genetic makeup. b. Maturation of family members. c. The family's perception of the event. d. The prevailing cultural beliefs of society. - ansANS: C 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. When attempting to communicate with a patient who speaks a different language, the nurse should: a. Respond promptly and positively to project authority. b. Never use a family member as an interpreter. c. Talk to the interpreter to avoid confusing the patient. d. Provide as much privacy as possible. - ansANS: D 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. Which statement about cultural competence is not accurate? 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 sensitivity to various cultures. d. A culture's economic, religious, and political structures influence practices that affect childbearing. - ansANS: B