Chapter 02 Community Care: The Family and Culture

Chapter 02  Community Care: The Family and Culture

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A married couple lives in a single-family house with their newborn son and the husband’s daughter from a previous marriage. Based on this information, what family form best describes this family?
a.
Married-blended family
b.
Extended family
c.
Nuclear family
d.
Same-sex family

ANS: A
Married-blended families are formed as the result of divorce and remarriage. Unrelated family members join 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 along with the children resulting from that union. A same-sex family is a family with homosexual partners who cohabit with or without children.

DIF: Cognitive Level: Remember REF: p. 19
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

2. Which key factors play the most powerful role in the behaviors of individuals and families?
a.
Rituals and customs
b.
Beliefs and values
c.
Boundaries and channels
d.
Socialization processes

ANS: B
Beliefs and values are the most prevalent factors in the decision-making and problem-solving behaviors of individuals and families. This prevalence is particularly true during times of stress and illness. 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 within the community, but they are not the criteria used for decision making within the family.

DIF: Cognitive Level: Understand REF: pp. 21-22 TOP: Nursing Process: Planning
MSC: Client Needs: Psychosocial Integrity

3. Using the family stress theory as an interventional approach for working with families experiencing parenting challenges, the nurse can assist the family in selecting and altering internal context factors. Which statement best describes the components of an internal context?
a.
Biologic and genetic makeup
b.
Maturation of family members
c.
Family’s perception of the event
d.
Prevailing cultural beliefs of society

ANS: 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, family structure, and philosophic beliefs and values. The family stress theory focuses on ways that families react to stressful events. Maturation of family members is more relevant to the family life-cycle theory. The family stress theory focuses on internal elements that a family might be able to alter.

DIF: Cognitive Level: Understand REF: p. 21 TOP: Nursing Process: Diagnosis
MSC: Client Needs: Psychosocial Integrity

4. The nurse is developing a plan of care for a Hispanic client who just delivered a newborn. Which cultural variation is most important to include in the care plan?
a.
Breastfeeding is encouraged immediately after birth.
b.
Male infants are typically circumcised.
c.
Maternal grandmother participates in the care of the mother and her infant.
d.
Bathing is encouraged immediately after delivery.

ANS: C
In the Hispanic family, the expectant mother is strongly influenced by her mother or mother-in-law. Breastfeeding is often delayed until the third postpartum day. Hispanic male infants are not usually circumcised. Bathing after delivery is most often delayed.

DIF: Cognitive Level: Apply REF: p. 26 TOP: Nursing Process: Planning
MSC: Client Needs: Psychosocial Integrity

5. Which health care service represents a primary level of prevention?
a.
Immunizations
b.
Breast self-examination (BSE)
c.
Home care for high-risk pregnancies
d.
Blood pressure screening

ANS: A
Primary prevention involves health promotion and disease prevention activities to reduce the occurrence of illness and enhance the general health and quality of life. This level of care includes, for example, immunizations, using infant car seats, and providing health education to prevent tobacco use. BSE is an example of secondary prevention that involves early detection of health problems. Home care for a high-risk pregnancy is an example of tertiary prevention. This level of care follows the occurrence of a defect or disability. Blood pressure screening is an example of secondary prevention and is a screening tool for early detection of a health care problem.

DIF: Cognitive Level: Understand REF: p. 34
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance