Maternal Child Nursing Care 6th Edition Perry Test Bank

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maternal child nursing care 6th edition test bank

Chapter 02: The Family, Culture, Spirituality, and Home Care

Perry: Maternal Child Nursing Care, 6th Edition

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. 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

ANS: 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.

PTS: 1 DIF: Cognitive Level: Knowledge

OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

2. 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

ANS: 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.

PTS: 1 DIF: Cognitive Level: Knowledge OBJ: Nursing Process: Planning

MSC: Client Needs: Psychosocial Integrity

3. 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.

ANS: B

Values and beliefs are the most prevalent factors in the decision-making and problem-solving techniques of families. 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 with the community, but they are not the

criteria used for decision making within the family.

PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning

MSC: Client Needs: Psychosocial Integrity

4. 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.

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. It is not concerned with biologic and genetic makeup, maturation of family

members, or the prevailing cultural beliefs of society.

PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Diagnosis

MSC: Client Needs: Psychosocial Integrity

5. 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.

ANS: D

The patient’s beliefs are ultimately the key to acceptance of health care interventions. However, these beliefs may be influenced by

factors such as educational level, income level, and ethnic background. Educational achievement, income level, and subcultural

group all are important factors. However, the nurse must understand that a woman’s concerns from her own point of view will have

the most influence on her compliance.

PTS: 1 DIF: Cognitive Level: Application OBJ: Nursing Process: Planning

MSC: Client Needs: Psychosocial Integrity

6. 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:

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.

ANS: 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.

PTS: 1 DIF: Cognitive Level: Application OBJ: Nursing Process: Planning

MSC: Client Needs: Psychosocial Integrity

maternal child nursing care 6th edition test bank