Deck 2: Social, Cultural, Religious, and Family Influences on Child Health Promotion

Question 1

A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food items, such as Jell-O, Popsicles, and juices, are left. Which statement best explains this?

A) The parent is trying to feed the child only what the child likes most.
B) Hispanics believe the "evil eye" enters when a person gets cold.
C) The parent is trying to restore normal balance through appropriate "hot" remedies.
D) Hispanics believe an innate energy called chi is strengthened by eating soup.

Answer 1

The parent is trying to restore normal balance through appropriate "hot" remedies.

Question 2

When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is called which?

A) Permissive
B) Dictatorial
C) Democratic
D) Authoritarian

Answer 2

Permissive

Question 3

Which family theory is described as a series of tasks for the family throughout its life span?

A) Exchange theory
B) Developmental theory
C) Structural-functional theory
D) Symbolic interactional theory

Answer 3

Developmental theory

Question 4

When discussing discipline with the mother of a 4-year-old child, which should the nurse include?

A) Parental control should be consistent.
B) Withdrawal of love and approval is effective at this age.
C) Children as young as 4 years rarely need to be disciplined.
D) One should expect rules to be followed rigidly and unquestioningly.

Question 5

Children are taught the values of their culture through observation and feedback relative to their own behavior. In teaching a class on cultural competence, the nurse should be aware that which factor may be culturally determined?

A) Ethnicity
B) Racial variation
C) Status
D) Geographic boundaries

Question 6

Which term best describes the sharing of common characteristics that differentiates one group from other groups in a society?

A) Race
B) Culture
C) Ethnicity
D) Superiority

Question 7

A 3-year-old child was adopted immediately after birth. The parents have just asked the nurse how they should tell the child that she is adopted. Which guideline concerning adoption should the nurse use in planning a response?

A) It is best to wait until the child asks about it.
B) The best time to tell the child is between the ages of 7 and 10 years.
C) It is not necessary to tell a child who was adopted so young.
D) Telling the child is an important aspect of their parental responsibilities.

Question 8

Which is a consequence of the physical punishment of children, such as spanking?

A) The psychologic impact is usually minimal.
B) The child's development of reasoning increases.
C) Children rarely become accustomed to spanking.
D) Misbehavior is likely to occur when parents are not present.

Question 9

The parents of a young child ask the nurse for suggestions about discipline. When discussing the use of time-outs, which should the nurse include?

A) Send the child to his or her room if the child has one.
B) A general rule for length of time is 1 hour per year of age.
C) Select an area that is safe and nonstimulating, such as a hallway.
D) If the child cries, refuses, or is more disruptive, try another approach.

Question 10

Which is an accurate description of homosexual (or gay-lesbian) families?

A) A nurturing environment is lacking.
B) The children become homosexual like their parents.
C) The stability needed to raise healthy children is lacking.
D) The quality of parenting is equivalent to that of nongay parents.

Question 11

Which type of family should the nurse recognize when the paternal grandmother, the parents, and two minor children live together?

A) Blended
B) Nuclear
C) Extended
D) Binuclear

Question 12

The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says she has rubbed the edge of a coin on her child's oiled skin. The nurse should recognize this as what?

A) Child abuse
B) Cultural practice to rid the body of disease
C) Cultural practice to treat enuresis or temper tantrums
D) Child discipline measure common in the Vietnamese culture

Question 13

The nurse is teaching a group of new nursing graduates about identifiable qualities of strong families that help them function effectively. Which quality should be included in the teaching?

A) Lack of congruence among family members
B) Clear set of family values, rules, and beliefs
C) Adoption of one coping strategy that always promotes positive functioning in dealing with life events
D) Sense of commitment toward growth of individual family members as opposed to that of the family unit

Question 14

How is family systems theory best described?

A) The family is viewed as the sum of individual members.
B) A change in one family member cannot create a change in other members.
C) Individual family members are readily identified as the source of a problem.
D) When the family system is disrupted, change can occur at any point in the system.

Question 15

Which type of family should the nurse recognize when a mother, her children, and a stepfather live together?

A) Traditional nuclear
B) Blended
C) Extended
D) Binuclear

Question 16

The nurse is aware that if patients' different cultures are implied to be inferior, the emotional attitude the nurse is displaying is what?

A) Acculturation
B) Ethnocentrism
C) Cultural shock
D) Cultural sensitivity

Question 17

The nurse is planning care for a patient with a different ethnic background. Which should be an appropriate goal?

A) Adapt, as necessary, ethnic practices to health needs.
B) Attempt, in a nonjudgmental way, to change ethnic beliefs.
C) Encourage continuation of ethnic practices in the hospital setting.
D) Strive to keep ethnic background from influencing health needs.

Question 18

After the family, which has the greatest influence on providing continuity between generations?

A) Race
B) School
C) Social class
D) Government

Question 19

Children may believe that they are responsible for their parents' divorce and interpret the separation as punishment. At which age is this most likely to occur?

A) 1 year
B) 4 years
C) 8 years
D) 13 years

Question 20

Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?

A) Interactional theory
B) Family stress theory
C) Erikson's psychosocial theory
D) Developmental systems theory

Question 21

The nurse is planning to counsel family members as a group to assess the family's group dynamics. Which theoretic family model is the nurse using as a framework?

A) Feminist theory
B) Family stress theory
C) Family systems theory
D) Developmental theory

Question 22

Which describe the feelings and behaviors of adolescents related to divorce? (Select all that apply.)

A) Disturbed concept of sexuality
B) May withdraw from family and friends
C) Worry about themselves, parents, or siblings
D) Expression of anger, sadness, shame, or embarrassment
E) Engage in fantasy to seek understanding of the divorce

Question 23

A mother brings 6-month-old Eric to the clinic for a well-baby checkup. She comments, "I want to go back to work, but I don't want Eric to suffer because I'll have less time with him." Which is the nurse's most appropriate answer?

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

Question 24

MATCHING
Culture characterizes a particular group with its values, beliefs, norms, patterns, and practices that are learned, shared, and transmitted from one generation to another. Match the terms used to describe groups with shared values, beliefs, norms, patterns, and practices.

Process by which society communicates its competencies, values, and expectations

A)Race
B)Gender
C)Ethnicity
D)Social class
E)Socialization

Question 25

The nurse is reviewing the importance of role learning for children. The nurse understands that children's roles are primarily shaped by which members?

A) Peers
B) Parents
C) Siblings
D) Grandparents

Question 26

The school nurse understands that children are impacted by divorce. Which has the most impact on the positive outcome of a divorce?

A) Age of the child
B) Gender of the child
C) Family characteristics
D) Ongoing family conflict

Question 27

A foster parent is talking to the nurse about the health care needs for the child who has been placed in the parent's care. Which statement best describes the health care needs of foster children?

A) Foster children always come from abusive households and are emotionally fragile.
B) Foster children tend to have a higher than normal incidence of acute and chronic health problems.
C) Foster children are usually born prematurely and require technologically advanced health care.
D) Foster children will not stay in the home for an extended period, so health care needs are not as important as emotional fulfillment.

Question 28

The nurse is discussing issues that are important with parents considering a cross-racial adoption. Which statement made by the parents indicates further teaching is needed?

A) "We will try to preserve the adopted child's racial heritage."
B) "We are glad we will be getting full medical information when we adopt our child."
C) "We will make sure to have everyone realize this is our child and a member of the family."
D) "We understand strangers may make thoughtless comments about our child being different from us."

Question 29

MATCHING
Culture characterizes a particular group with its values, beliefs, norms, patterns, and practices that are learned, shared, and transmitted from one generation to another. Match the terms used to describe groups with shared values, beliefs, norms, patterns, and practices.

Incorporates levels of education, occupation, income, and access to resources

A)Race
B)Gender
C)Ethnicity
D)Social class
E)Socialization

Question 30

The nurse is explaining different parenting styles to a group of parents. The nurse explains that an authoritative parenting style can lead to which child behavior?

A) Shyness
B) Self-reliance
C) Submissiveness
D) Self-consciousness

Question 31

Parents of a preschool child ask the nurse, "Should we set rules for our child as part of a discipline plan?" Which is an accurate response by the nurse?

A) "It is best to delay the punishment if a rule is broken."
B) "The child is too young for rules. At this age, unrestricted freedom is best."
C) "It is best to set the rules and reason with the child when the rules are broken."
D) "Set clear and reasonable rules and expect the same behavior regardless of the circumstances."

Question 32

The nurse is caring for an adolescent hospitalized for asthma. The adolescent belongs to a large family. The nurse recognizes that the adolescent is likely to relate to which group?

A) Peers
B) Parents
C) Siblings
D) Teachers

Question 33

MATCHING
Culture characterizes a particular group with its values, beliefs, norms, patterns, and practices that are learned, shared, and transmitted from one generation to another. Match the terms used to describe groups with shared values, beliefs, norms, patterns, and practices.

Persons who have unique cultural, social, and linguistic heritage

A)Race
B)Gender
C)Ethnicity
D)Social class
E)Socialization

Question 34

The parents of a 5-year-old child ask the nurse how they can minimize misbehavior. Which responses should the nurse give? (Select all that apply.)

A) Set clear and reasonable goals.
B) Praise your child for desirable behavior.
C) Don't call attention to unacceptable behavior.
D) Teach desirable behavior through your own example.
E) Don't provide an opportunity for your child to have any control.

Question 35

The nurse is discussing parenting in reconstituted families with a new stepparent. The nurse is aware that the new stepparent understands the teaching when which statement is made?

A) "I am glad there will be no disruption in my lifestyle."
B) "I don't think children really want to live in a two-parent home."
C) "I realize there may be power conflicts bringing two households together."
D) "I understand contact between grandparents should be kept to a minimum."

Question 36

Which describe the feelings and behaviors of early preschool children related to divorce? (Select all that apply.)

A) Regressive behavior
B) Fear of abandonment
C) Fear regarding the future
D) Blame themselves for the divorce
E) Intense desire for reconciliation of parents

Question 37

The nurse is teaching parents about the effects of media on childhood obesity. The nurse realizes the parents understand the teaching if they make which statements? (Select all that apply.)

A) "Advertising of unhealthy food can increase snacking."
B) "Increased screen time may be related to unhealthy sleep."
C) "There is a link between the amount of screen time and obesity."
D) "Increased screen time can lead to better knowledge of nutrition."
E) "Physical activity increases when children increase the amount of screen time."

Question 38

MATCHING
Culture characterizes a particular group with its values, beliefs, norms, patterns, and practices that are learned, shared, and transmitted from one generation to another. Match the terms used to describe groups with shared values, beliefs, norms, patterns, and practices.

Distinguishes humans by physical traits

A)Race
B)Gender
C)Ethnicity
D)Social class
E)Socialization

Question 39

The nurse is presenting a staff development program about understanding culture in the health care encounter. Which components should the nurse include in the program? (Select all that apply.)

A) Cultural humility
B) Cultural research
C) Cultural sensitivity
D) Cultural competency

Question 40

A parent of a school-age child tells the school nurse that the parents are going through a divorce. The child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as what?

A) Indicative of maladjustment
B) A common reaction to divorce
C) Suggestive of a lack of adequate parenting
D) An unusual response that indicates a need for referral

Question 41

MATCHING
Culture characterizes a particular group with its values, beliefs, norms, patterns, and practices that are learned, shared, and transmitted from one generation to another. Match the terms used to describe groups with shared values, beliefs, norms, patterns, and practices.

An individual's self-identification as man or woman

A)Race
B)Gender
C)Ethnicity
D)Social class
E)Socialization