Chapter 2 Family, Culture, and Complementary Health Approaches

Chapter 2   Family, Culture, and Complementary Health Approaches

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) While conducting a family assessment, the nurse determines that a particular family’s structure is binuclear. Some potential challenges inherently faced by binuclear families include:

1. Challenges related to coparenting and joint custody, including negotiation and compromise between the parents about childrearing decisions.
2. Issues related to both parents being employed, including child care, household chores, and spending time together.
3. Challenges related to children interacting with peers and when revealing their parents sexual orientation.
4. Issues related to single parenting, including lack of social and emotional support, need for assistance with childrearing, and financial strain.

Answer:  1

Explanation:  1. Because both parents have equal responsibility and legal rights regarding their biologic child, binuclear families may inherently face challenges related to coparenting and joint custody, including negotiation and compromise between the parents about childrearing decisions.

2. Issues inherently faced by the dual-career/dual-earner family include child care, household chores, and spending time together.
3. Children raised in gay and lesbian families may face challenges related to interacting with peers and when revealing their parents sexual orientation.
4. Binuclear families incorporate coparenting, whereas with single parenting, one parent is responsible for child care. Issues inherently related to single parenting may include lack of social and emotional support, need for assistance with childrearing, and financial strain.

Page Ref: 13

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Assessment/Coordination of care

Learning Outcome:  LO 2.1-Describe how family type may influence nursing care of the childbearing family.

MNL LO:  Relate the effect of culture and family to the childbearing experience.

 

2) The nurse is preparing a community presentation on family development. Which of the following statements should the nurse include?

1. The youngest child’s age determines the family’s current stage.
2. A family does not experience overlapping of stages.
3. Family development ends when the youngest child leaves home.
4. The stages describe the family’s progression over time.

Answer:  4

Explanation:  1. The oldest child’s age is the marker for which stage the family is in, except for the two last stages, which occur after the children have left home.

2. Families with more than one child can experience multiple stages simultaneously.
3. Families with more than one child can experience multiple stages simultaneously.
4. Family development stages describe the changes and adaptations that a family goes through over time as children are added to the family.

Page Ref: 14

Cognitive Level:  Application

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Spirit of inquiry | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health promotion

Learning Outcome:  LO 2.2-Explain the changes that a childbearing family will undergo based on the developmental tasks to be completed.

MNL LO:  Relate the effect of culture and family to the childbearing experience.

 

3) The nurse is preparing to assess the development of a family new to the clinic. The nurse understands that the primary use of a family assessment tool is to:

1. Obtain a comprehensive medical history of family members.
2. Determine which clinic the client should be referred to.
3. Predict how a family will likely change with the addition of children.
4. Understand the physical, emotional, and spiritual needs of members.

Answer:  4

Explanation:  1. The focus of a family assessment is the family as one entity. Health of the family is one area that is explored using a family assessment tool.

2. The family assessment tool facilitates understanding of the physical, emotional, and spiritual needs of members. Although referrals might take place as a result of the family assessment findings, understanding of the family is the primary reason the tool is used.
3. The family assessment tool facilitates understanding of the physical, emotional, and spiritual needs of members. Family development models help predict how a family will likely change with the addition of children.
4. The family assessment tool facilitates understanding of the physical, emotional, and spiritual needs of members. Although referrals might take place as a result of the family assessment findings, understanding of the family is the primary reason the tool is used.

Page Ref: 14

Cognitive Level:  Application

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Assessment/Coordination of care

Learning Outcome:  LO 2.3-Identify information that would be useful to collect when performing a family assessment.

MNL LO:  Relate the effect of culture and family to the childbearing experience.

 

4) A nurse is caring for a Muslim client who is pregnant. She is anticipating delivery within the next few days. The nurse asks if she and her husband have chosen a name for their baby. The patient quietly shakes her head, “no.” Based upon the patient’s response, the nurse understands that:

1. The client is not happily anticipating the arrival of her baby.
2. Cultural beliefs may require the couple to choose the baby’s name following the birth.
3. The client does not speak English.
4. Cultural beliefs may require that the baby’s name be kept secret until after the delivery.

Answer:  2

Explanation:  1. There is no evidence to support that the client is not happily anticipating her baby’s arrival.

2. In the Muslim culture, it is common to avoid naming the baby until after the baby is born.
3. The client has been conversing with the nurse; no prior interaction suggested a language barrier.
4. Rather than keeping the baby’s name secret, in the Muslim culture, it is common to avoid naming until the baby is born.

Page Ref: 16, 17

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Evaluation/Communication

Learning Outcome:  LO 2.4-Integrate the prevalent cultural norms that affect childbearing and childrearing when providing care to that family.

MNL LO:  Relate the effect of culture and family to the childbearing experience.

 

5) 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 that he brought from home. The client has refused your offer of ice chips or other cold drinks. The nurse should:

1. Explain to the client that she can have the broth if she will also drink cold water or juice.
2. Encourage the partner to feed the client sips of broth. Ask if the client would like you to bring her some warm water to drink as well.
3. Explain to the couple that food cant be brought from home but that the nurse will make hot broth for the client.
4. Encourage the client to have the broth after the nurse takes it to the kitchen and boils it first.

Answer:  2

Explanation:  1. Explaining to the client that she can have broth if she will drink cold water or juice first does not show cultural sensitivity and does not respect the client’s beliefs.

2. Encouraging the partner to feed the client sips of broth and asking if the client would like you to bring her some warm water to drink as well is an approach that shows cultural sensitivity. The equilibrium model of health, based on the concept of balance between light and dark, heat and cold, is the foundation for this belief and practice.
3. Explaining to the couple that the hospital does not allow food brought from home but that you will make hot broth for them is an incorrect response.
4. Encouraging the client to have broth after you take it the kitchen and boil it first is an incorrect response because boiling first would make the broth too hot to drink.

Page Ref: 15, 16

Cognitive Level:  Application

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process: Implementation/Coordination of care

Learning Outcome:  LO 2.4-Integrate the prevalent cultural norms that affect childbearing and childrearing when providing care to that family.

MNL LO:  Relate the effect of culture and family to the childbearing experience.