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Maternal Child Nursing Care - Community Care: The Family and Culture, Exams of Nursing

Understanding family dynamics and cultural influences is crucial in maternal-child nursing care. This covers topics like family stress theory, individual beliefs, cultural differences in healthcare-seeking, using genograms, and strategies for communicating with diverse patients. Nurses must consider cultural and familial factors to provide comprehensive care.

Typology: Exams

2024/2025

Available from 09/18/2024

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Maternal Child Nursing Care - Chapter 2:
Community Care: The Family and
Culture
1. 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. - ✔✔C) The family's
perception of the event.
2. 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:
A) Educational achievement.
B) Income level.
C) Subcultural group.
D) Individual beliefs. - ✔✔D) Individual beliefs.
3. The nurses 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:
A) Breastfeeding is encouraged immediately after birth.
B) Male infants typically are circumcised.
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Maternal Child Nursing Care - Chapter 2:

Community Care: The Family and

Culture

  1. 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. - ✔✔C) The family's perception of the event.
  2. 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: A) Educational achievement. B) Income level. C) Subcultural group. D) Individual beliefs. - ✔✔D) Individual beliefs.
  3. The nurses 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: A) Breastfeeding is encouraged immediately after birth. B) Male infants typically are circumcised.

C) The maternal grandmother participates in the care of the mother and her infant. D) Special herbs mixed in water are used to stimulate the passage of meconium. - ✔✔C) The maternal grandmother participates in the care of the mother and her infant.

  1. 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. - ✔✔A) Observe the family members interactions with the newborn and one another.
  2. The nurse should be aware that during the childbearing experience an African-American woman is most likely to: A) Seek prenatal care early in her pregnancy. B) Avoid self-treatment of pregnancy-related discomfort. C) Request liver in the postpartum period to prevent anemia. D) Arrive at the hospital in advanced labor. - ✔✔D) Arrive at the hospital in advanced labor.
  3. 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?
  1. Which statement about family systems theory is inaccurate? A) A family system is part of a larger suprasystem. B) A family as a whole is equal to the sum of the individual members. C) A change in one family member affects all family members. D) The family is able to create a balance between change and stability. - ✔✔B) A family as a whole is equal to the sum of the individual members.
  2. 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. - ✔✔A) Genogram.
  3. 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. - ✔✔A) Acculturation.
  4. 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. - ✔✔D) Provide as much privacy as possible.

  1. 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 - ✔✔C) European-American
  2. 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 clients culture but not in the context of the nurses C) culture. D) Nurses must develop an awareness of and sensitivity to various cultures. E) A cultures economic, religious, and political structures influence practices that affect childbearing. - ✔✔B) Nursing care is delivered in the context of the clients culture but not in the context of the nurses
  3. The nurse is preparing for a home visit to complete a newborn wellness checkup. The neighborhood has a reputation for being
  1. The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family: A) Rituals and customs. B) Values and beliefs. C) Boundaries and channels. D) Socialization processes. - ✔✔B) Values and beliefs. 21..