Question 1

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

Accepted Answer

A)  Asian-American 
B)  African-American 
C)  European-American 
D)  Hispanic 
A)  Asian-American 
B)  African-American 
C)  European-American 
D)  Hispanic C

Question 2

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

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. 
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

Question 3

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

Accepted Answer

A)  Married-blended family 
B)  Extended family 
C)  Nuclear family 
D)  Single-parent family 
A)  Married-blended family 
B)  Extended family 
C)  Nuclear family 
D)  Single-parent family D

Question 4

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

A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?" 
A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

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 Five

Accepted Answer

A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?" 
A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

Question 6

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 Four

Accepted Answer

A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?" 
A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

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 Three

Accepted Answer

A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?" 
A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

Question 8

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

Accepted Answer

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. 
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.

Question 9

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

Accepted Answer

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. 
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.

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

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?" 
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?"

Question 11

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

Accepted Answer

A)  rituals and customs. 
B)  values and beliefs. 
C)  boundaries and channels. 
D)  socialization processes. 
A)  rituals and customs. 
B)  values and beliefs. 
C)  boundaries and channels. 
D)  socialization processes.

Question 12

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

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. 
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.

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

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. 
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.

Question 14

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

Accepted Answer

A)  genogram. 
B)  family values construct. 
C)  life cycle model. 
D)  human development wheel. 
A)  genogram. 
B)  family values construct. 
C)  life cycle model. 
D)  human development wheel.

Question 15

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 Six

Accepted Answer

A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?" 
A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

Question 16

Which statement about cultural competence is not accurate?

Accepted Answer

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 patient'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. 
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 patient'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.

Question 17

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

A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?" 
A) Introduce yourself to the interpreter and converse informally. 
B) Outline your statements and questions, listing the key pieces of information you need to know. 
C) Make sure the interpreter is comfortable with technical terms. 
D) Learn something about the culture of the patient. 
E) Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"

Question 18

Which statement about family systems theory is inaccurate?

Accepted Answer

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. 
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.

Question 19

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

A)  extended family. 
B)  binuclear family. 
C)  nuclear family. 
D)  blended family. 
A)  extended family. 
B)  binuclear family. 
C)  nuclear family. 
D)  blended family.

Question 20

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

Accepted Answer

A)  extended family. 
B)  single-parent family. 
C)  married-blended family. 
D)  nuclear family. 
A)  extended family. 
B)  single-parent family. 
C)  married-blended family. 
D)  nuclear family.

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

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

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:

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

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

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

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

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

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:

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?

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

Which statement about cultural competence is not accurate?

Which statement about family systems theory is inaccurate?

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

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

21st Century Maternity Nursing

Assessment and Health Promotion

Reproductive System Concerns

Infertility, contraception, and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High-Risk Pregnancy

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High-Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Genitourinary Dysfunction

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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