Chapter 1 Traditional and Community Nursing Care for Women, Families, and Children

Chapter 1  Traditional and Community Nursing Care for Women, Families, and Children

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The clinic nurse understands the new description of nursing art/aesthetics as the way that nurses and patients help each other through a circular process. What is the event that begins this process?
A.
A health threat
B.
Experiencing new possibilities for health
C.
Hope and understanding for the future
D.
Relationship building

ANS: A
Nursing aesthetics consists of the low-tech, high-touch caring in a nurse–patient encounter. This transformative process begins with a health threat. The event that begins the process is not experiencing new possibilities for health, hope and understanding for the future, or relationship building.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Caring
Difficulty: Moderate

PTS: 1

2. A nurse manager in a community clinic is concerned because the local refugee population does not seek health care routinely. What action by the nurse would be most helpful?
A.
Assess clinic staff and procedures for evidence of ethnocentrism.
B.
Put up flyers advertising the clinic’s services in local retailers.
C.
Reward preventative health patients with coupons for needed items.
D.
Try to meet with community leaders to work on the problem.

ANS: A
Ethnocentrism is the view that the beliefs, values, and behaviors of one culture are superior to those of other cultures. Ethnocentrism is dangerous in health care because it is blind to the possibilities of other solutions and viewpoints and alienates people in need of health care. The nurse manager would be wise to assess the clinic’s staff and procedures for ethnocentrism. Meeting with a community leader is always a good idea to learn the viewpoints of the community, but unless ethnocentric behaviors change, it is unlikely that the refugee community will increase its use of the clinic. Flyers and incentives may also be helpful in some cases, but not as helpful as reducing the barriers imposed by ethnocentrism.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Caring
Difficulty: Moderate

PTS: 1

3. The nursing faculty explains to students that ethnopluralism is an important force shaping health care today. What concept is most important in understanding this trend?
A.
The decreased need for cultural competency
B.
The growth in one ethnic group in a single area
C.
The increased impact of diverse cultures on health care
D.
The percentage increase of the non-Caucasian population

ANS: C
Ethnopluralism means diverse cultures. As the population of different ethnic (non-Euro-Caucasian) groups grows, their impact on health care will increase exponentially. Ethnopluralism is not just the growth of one ethnic group in one location. It is also more than just the percentage change in the non-Euro-Caucasian population, although that is part of the phenomenon. As ethnopluralism continues to impact health care, providers will need to be more, not less, culturally competent.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity
Integrated Process: Teaching/Learning
Difficulty: Moderate

PTS: 1

4. A nursing faculty member is explaining recent shifts in nursing practice. What change has been important in applying the nursing process?
A.
A change to a spiral or circular process
B.
A focus on more independent nursing actions
C.
A return to the nurse-as-expert model of care
D.
An emphasis on attaining a disease-free state

ANS: A
The nursing process has recently changed from a linear one to a spiral or circular process in which the patient/family is motivated toward promotion, maintenance, and restoration of health. The focus has not changed to include more independent actions, a return to the nurse-as-expert model, or an emphasis on attaining a disease-free state of being.

Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

5. A nurse is working in an urban clinic with a diverse population. What action by the nurse is most important?
A.
Determine patients’ definitions of health and desired outcomes of health care.
B.
Explain policies such as appointment cancellations to ensure compliance.
C.
Learn to speak one or two common languages of the patients in the clinic.
D.
Read about different folk remedies common among the populations seen.

ANS: A
Divergent populations enter the health-care system with differing beliefs about health care and wellness and differing expectations for the outcomes of such experiences. Understanding these expectations will help the nurse plan care that has a better chance of meeting these expectations. Learning languages and becoming familiar with folk remedies is helpful as well, but these two solutions are very limited in scope and a nurse cannot hope to become proficient in all the languages/behaviors of every population seen, leaving some patients with a lessened experience. Explaining policies is important too, but simply telling someone the rules does not take his or her cultural norms into account and may not be successful.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity
Integrated Process: Nursing Process: Assessment
Difficulty: Moderate

PTS: 1