Deck 4: The Influence of Family on Developing a Lifestyle

Question 1

The health-care worker assesses ethnocentrism in a patient when the patient says:

A) "There is no culture that can claim superiority to any other."
B) "A person's culture is central to his adjustment to reality."
C) "All cultures have something to teach us."
D) "White Anglo-Saxons will always set the civilization standard."

Answer 1

D
Ethnocentrism is the belief that one's own culture is the standard of behavior and is superior to other cultures.

Question 2

A child who has a brother or a sister in the family unit will have the support to develop:

A) a sense of autonomy.
B) a sense of self.
C) concepts of social interaction.
D) a greater attention span.

Answer 2

C
The presence of a sibling provides support and gives early experience with the development of social interaction.Siblings do not necessarily improve sense of self,attention span,or autonomy.

Question 3

The home health-care worker assesses cultural assimilation when:

A) a Native American child living in Florida learns to cook traditional dishes.
B) a Muslim man living in Illinois performs ritual prayers daily at his workplace.
C) an Asian woman living in Texas wears blue jeans and boots.
D) a young Hindu woman living in Arkansas agrees to marry a man chosen by her father.

Answer 3

C
Cultural assimilation occurs when a person of one culture adopts the practices of another.

Question 4

Because age differences between siblings may affect family dynamics,there is more affection and less rivalry and hostility between siblings whose ages differ by:

A) 5 or more years.
B) 4 years.
C) 3 years.
D) 2 or fewer years.

Question 5

A Spanish-speaking 6-year-old who has started first grade in an English-speaking school spends most of her time alone and seems helpless and unable to function in this new environment.This situation as an indication of:

A) inadequate preparation for attending school.
B) school phobia.
C) culture shock.
D) discrimination.

Question 6

The family systems theory proposes that:

A) family functions are interconnected, so what happens to one family member affects the entire family.
B) family is viewed as the sum of its individual members.
C) change in one family member cannot create a change in other family members.
D) individual family members are readily identifiable as the source of a problem.

Question 7

In the launching stage of the growth and development of a family unit,the focus of the family will be on:

A) maintaining a stable home base as children mature.
B) establishing financial independence.
C) negotiating tasks related to childrearing and household maintenance.
D) maintaining own and/or couple functioning and interests in the face of physiologic decline.

Question 8

Using family development theory of Duvall as a basis,the health-care worker counsels a couple expecting their first baby that in addition to integrating the child into the family unit,the couple should examine:

A) reestablishing their relationship with their best friends.
B) how they will help each other with household chores.
C) finding reliable child care.
D) developing hobbies for both the parents.

Question 9

The culturally competent health-care worker is aware that when caring for members of a culturally diverse population,care must focus on:

A) overcoming their own cultural barriers to avoid stereotyping.
B) the tendency to develop ethnocentricity.
C) unconsciously imposing one's own culture on others.
D) confusing the values and beliefs of one culture with another.

Question 10

The Family Apgar scoring system to assess family function was created by:

A) Erik Erikson.
B) Robert Havighurst.
C) Gabriel Smilkstein.
D) Betty Neuman.

Question 11

The health-care worker would advise parents who are in the process of divorce to support their adolescent children by:

A) delegating more home responsibility to them.
B) discouraging discussion with a neutral party.
C) encouraging pursuit of own interests.
D) using adolescent as a confidant.

Question 12

When an Asian dinner guest startles his Western host by belching loudly to show appreciation of the meal,this behavior is an example of:

A) cultural assimilation.
B) cultural sensitivity.
C) culture shock.
D) cultural relativism.

Question 13

The family can be defined as:

A) the coexistence of two or more humans.
B) a basic human social system.
C) a hierarchal partnership.
D) a group of persons who are related by blood.

Question 14

A mother with a 6-month-old infant says,"I want to go back to work,but I don't want there to be a problem since I'll have less time to spend with the baby." The best response should be:

A) "I'm sure the baby will be fine if you get a good babysitter."
B) "Let's talk about child-care options that will be best for the baby."
C) "You should stay home until the baby starts school."
D) "You should go back to work so the baby will get used to being with others."

Question 15

Parents tell the school nurse that their second-grade child watches television about 4 hours a day.When discussing this issue with the parents,the nurse would best advise the parent that:

A) if the programs are educational, the length of time spent watching television is not important.
B) if the child is doing well in school, the length of time spent watching television is not important.
C) parents need to supervise the amount and type of television programs their children watch.
D) most children watch this much or more television without negative effects.

Question 16

A distressed mother of a 2-year-old is at her "wit's end" with the toddler's desire to do activities that may be dangerous.The health-care worker counsels the parent that to assist the child with the development of autonomy,the parent should:

A) be vigilant and protective and remind the child to be careful.
B) discourage the child's independence at this early age.
C) direct the child in quiet pursuits with close supervision.
D) allow independent activity in a safe environment.

Question 17

The laissez-faire parenting style:

A) allows children to regulate their own activity; sees parenting role as resource rather than role model.
B) establishes rules, regulations, and standards of conduct for children that are to be followed without question.
C) respects each child's individuality; directs child's behavior by emphasizing the reasons for the rules.
D) employs only one-way communication with the children.

Question 18

The health-care worker designing culturally competent care will employ interventions that:

A) go beyond the awareness of similarities and differences to implementing care that is sensitive.
B) recognize awareness of cultural similarities and differences.
C) will judge behavior first in relation to the context of the culture in which it occurs.
D) teach health beliefs of the dominant culture.

Question 19

An example of a blended family is one made up of:

A) three unmarried couples and six minor children.
B) a paternal grandmother, parents, three minor children.
C) a husband, wife, one biological child, one adopted child.
D) a mother, her children, stepfather.

Question 20

Studies suggest that viewing violent television programs or playing violent video games may cause:

A) visual disorders in preschool-age children.
B) sleep disorders in school-age children.
C) mental fatigue and irritability.
D) release of dopamine, which affects attention and learning.

Question 21

The Children's Television Act of 1991 mandated that television networks:

A) provide at least 2 hours of educational programs each afternoon.
B) depict multiethnic characters in programs designed for young children.
C) censor the content of programs being aired during prime time.
D) avoid any religious references in their programming.

Question 22

The health-care worker points out to the family of a hospitalized child evidence that the facility supports family-centered health care by such practices as:

A) presenting the family with the completed plan of care.
B) nursing staff performing all care of the child.
C) rigid times for meal service.
D) expanded or totally open visiting hours.

Question 23

The health-care worker is alert for signs of _________________after the entire family was involved in a flood that swept their house away.

A) social isolation
B) posttraumatic stress
C) aggressive behavior
D) regression

Question 24

The changes that have occurred to the traditional nuclear family over the past 40 years include: (Select all that apply. )

A) decreased daily availability of the father.
B) dual-career parents.
C) larger families with young children.
D) increase in number of single-parent families.
E) expectation that children be more independent.

Question 25

To make an effective cultural assessment of a family that is dealing with a child with a terminal illness,the health-care worker must consider: (Select all that apply. )

A) socioeconomic status.
B) availability of other family members.
C) religious practices.
D) health beliefs.
E) significance of the disease.

Question 26

The health-care worker uses as a basis for interventions for children the developmental theory of the theorist ________ ____________that is based on the mastery of developmental tasks at specific ages.

Question 27

The parents of two children,ages 7 and 2,are concerned about the language development of their 2-year-old.They tell the health-care worker that their older child began talking in two- or three-word phrases by age 2,but their younger child is still using mostly one-word sentences.The best response by the health-care worker is:

A) "Your child should be evaluated as soon as possible for a language disorder."
B) "First-born children generally have a larger vocabulary and better conversational skills at an earlier age."
C) "Your child will not begin to develop better language skills until she enters preschool."
D) "Make arrangements for your child to attend a day care center to improve language skills."

Question 28

After the death of a child,what might the parents exhibit toward the surviving children?

A) Increased anxiety
B) Insistence on greater self-reliance
C) Overprotectiveness
D) Indifference

Question 29

While talking with the upset and tearful family of a patient newly diagnosed with a chronic illness,the health-care worker asks,"When something is bothering you,what do you do?" This should be interpreted as:

A) part of assessing the family's coping skills.
B) inappropriate, because the family is so upset.
C) a way to stop the family from crying.
D) comparing this crisis to similar situations with which the family has dealt.

Question 30

Robert Havighurst designed a developmental theory for the learning of developmental tasks for persons of:

A) preschool age.
B) school age.
C) adolescent age.
D) late adulthood age.

Question 31

Families who have poor communication among members,who tend to be isolated from the community,and who have inconsistent rules are labeled as _______________.

Question 32

Selected video games with a flickering frequency on the screen can trigger:

A) seizures.
B) loss of visual acuity.
C) retinal damage.
D) eye strain.

Question 33

Altered sleep patterns,disorganized eating patterns,and social isolation in a 13-year-old who is very involved in social networking could be symptoms of:

A) regression.
B) Facebook depression.
C) anorexia nervosa.
D) loss of autonomy.