Deck 2: Culture and the Family

Question 1

The nurse is caring for a postpartal client who is of Hmong descent and immigrated to the United States five years ago. The client asks for the regular hospital menu because she likes American food. The nurse assesses this response to be related to which of the following cultural concepts?

A)Ethnocentrism
B)Enculturation
C)Acculturation
D)Stereotyping

Answer 1

Acculturation

Question 2

During the assessment, the nurse notices that a black baby has a darker, slightly bluish-hued patch about 5 cm by 7 cm on the buttocks and lower back. What is the nurse's next action?

A)Confer with the physician about the possibility of a bleeding tendency.
B)Ask the mother about the cause of the bruise.
C)Call the Department of Social Services (DSS) to report this sign of abuse.
D)Chart the presence of a Mongolian spot.

Answer 2

Chart the presence of a Mongolian spot.

Question 3

A nurse is performing a family assessment. A father and mother who work are considered what type of family?

A)A traditional nuclear family
B)An extended kin family
C)An extended family
D)A dual-career/dual-earner family

Answer 3

A dual-career/dual-earner family

Question 4

A home health nurse has set up a home visit with a Korean couple to follow up on their jaundiced 4-day-old baby, who was discharged home yesterday. Considering family power structure, what family members might the nurse expect to see in the home?

A)The grandfather and parents
B)Just the parents
C)The godparents
D)The grandmother

Question 5

A 7-year-old client tells you that "Grandpa, Mommy, Daddy, and my brother live at my house." The nurse identifies this family type as:

A)Traditional.
B)Binuclear.
C)Extended.
D)Gay or lesbian.

Question 6

A pregnant client is interested in the use of herbs during her pregnancy. There are basic principles the nurse should follow in advising the client. Which of the following would not be considered a basic principle?

A)Consult with your health care provider before taking any herbs, even as teas.
B)Avoid highly concentrated extracts of herbs.
C)Avoid the use of any herbs throughout pregnancy.
D)Avoid the use of any herbs during the first trimester.

Question 7

The dramatic increase in complementary and alternative therapies that began in the final decade of the twentieth century probably was the result of which of the following factors? Select all that apply.

A)Increased international travel
B)Increased media attention
C)Increased consumer awareness of the limitations of conventional medicine
D)The use of traditional Western medicine for treatment
E)The advent of the Internet

Question 8

The nurse is working with a child whose religious beliefs differ from those of the general population. The best nursing intervention to use to meet the specific spiritual needs of this child and family is to:

A)Show respect while allowing time and privacy for religious rituals.
B)Ask "What do you think caused the child's illness?"
C)Ask "How do the child's and family's religious/spiritual beliefs impact their practices for health and illness?"
D)Identify health care practices forbidden by religious or spiritual beliefs.

Question 9

The charge nurse is reviewing the care plans written by the unit's staff nurses. The charge nurse recognizes that the NANDA nursing diagnosis most likely to be construed as culturally biased and possibly offensive is:

A)Spiritual Distress related to discrepancy between beliefs and prescribed treatment.
B)Interrupted Family Processes related to a shift in family roles secondary to demands of illness.
C)Noncompliance related to impaired verbal communication secondary to recent immigration from non-English-speaking area.
D)Fear related to separation from support system during hospitalization.

Question 10

A nurse is comparing several different families' developmental stages. What serves as a marker for a family's developmental stage according to Duvall?

A)The father's age
B)The oldest child's age
C)The youngest child's age
D)The mother's age

Question 11

Complementary and alternative therapies have many benefits for the childbearing family and others. However, many of these remedies have associated risks. Which of the following situations would be considered a risk? Select all that apply.

A)Getting a massage from a licensed massage therapist for back pain, prescribed by the primary caregiver
B)Joining a group that practices tai chi weekly to help with physical fitness and movement
C)Taking an herbal preparation suggested by a health food store worker for treatment of leg pain
D)Trying out a homeopathic medicine from a friend to reduce swelling in the legs
E)Getting a chiropractic treatment for lower back pain due to discomforts of pregnancy without telling the primary health care provider

Question 12

A nurse is working in a clinic where children from several cultures are seen. As a first step toward the goal of personal cultural competence, the nurse will:

A)Enhance cultural skills.
B)Acquire cultural knowledge.
C)Seek cultural encounters.
D)Gain cultural awareness.

Question 13

A woman of Korean descent has just given birth to a son. Her partner wishes to give her sips of hot broth from a thermos they brought with them. They have refused your offer of ice chips or other cold drinks for the client. The nurse should:

A)Explain to the couple that food can't be brought from home, but that the nurse will make hot broth for them.
B)Encourage the client to have the broth, after the nurse takes it to the kitchen and boils it first.
C)Encourage the partner to feed the client sips of their broth.Ask if the client would like you to bring her some warm water to drink as well.
D)Explain to the client that she can have the broth if she will also drink cold water or juice.

Question 14

A nurse is reviewing research related to use of complementary and alternative therapies medicine. The nurse discovers that the people most likely to use complementary and alternative therapies medicine are:

A)Elderly women who are middle-class.
B)Affluent middle-aged women.
C)Affluent middle-aged men.
D)Women in their twenties who are middle-class.