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Maternal and Child Nursing Care 5th Edition London Test Bank

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    Maternal and Child Nursing Care 5th Edition London TEST BANK Full download at: http://testbanklive.com/download/maternal-and-child-nursing-care-5th-edition-london-test-bank/  Chapter 2 Culture and the Family  1) A 7-year-old client says, “ Grandpa, mommy, daddy, and my brother live at my house. ”  In what type of family should the nurse identify that this child lives? 1. Extended 2. Binuclear 3. Traditional 4. Gay or lesbian Answer: 1 Explanation: 1. An extended family contains a parent or a couple who share the house with their children and another adult relative. 2. A binuclear family includes the divorced parents, who have joint custody of their biologic children, who alternate spending varying amounts of time in the home of each parent. 3. The traditional nuclear family consists of an employed provider parent, a homemaking  parent, and the biologic children of this union. 4. A gay or lesbian family is composed of two same-sex domestic partners; they might or might not have children. Page Ref: 18 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values │ AACN Essential Competencies: VII.2. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems │  NLN Competencies: Relationship Centered; Knowledge; The role of family, culture, and community in a person's development │  Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 2.1 Compare the characteristics of different types of families. MNL Learning Outcome: 1.1.1. Relate the effect of culture and family to the childbearing experience. 2) The nurse is performing a family assessment. What type of family should the nurse identify when both parents work? 1. An extended family    2. An extended kin family 3. A traditional nuclear family 4. A dual-career/dual-earner family Answer: 4 Explanation: 1. An extended family is defined as couples who share household and childrearing responsibilities with parents, siblings, or other relatives. 2. An extended kin family is a specific form of an extended family.    3. The traditional nuclear family is defined as a husband/provider, a wife who stays home, and children. 4. A dual-career/dual-earner family is characterized by both parents working, by either choice or necessity. Page Ref: 18 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values │ AACN Essential Competencies: VII.2. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems │  NLN Competencies: Relationship Centered; Knowledge; The role of family, culture, and community in a person's development │  Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 2.1 Compare the characteristics of different types of families. MNL Learning Outcome: 1.1.1. Relate the effect of culture and family to the childbearing experience. 3) The nurse is comparing several different familie s’  developmental stages. What serves as a marker for a family ’ s developmental stage according to Duvall? 1. The fathe r’s  age 2. The mothe r’s  age 3. The oldest chil d’s age 4. The youngest chil d’s  age Answer: 3 Explanation: 1. The fathe r’s  age is not a marker, according to Duvall. 2. The mothe r’s  age is not a marker, according to Duvall. 2. The oldest chil d’s age serves as a marker for the family ’s  developmental stage, except in the last two stages, when children are no longer present. 4. The youngest chil d’s  age is not a marker, according to Duvall. Page Ref: 19 Cognitive Level: Applying Client Need/Sub: Health Promotion and Maintenance Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values │ AACN Essential Competencies: VII.2. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems │  NLN Competencies: Relationship Centered; Knowledge; The role of family, culture, and community in a person's development │  Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 2.2 Identify the stages of a family life cycle. MNL Learning Outcome: 1.1.1. Relate the effect of culture and family to the childbearing experience.    4) A client of Hmong descent who immigrated to the United States 5 years ago asks for the regular hospital menu because she likes American food. To which cultural concept should the nurse attribute this client ’ s request? 1. Stereotyping 2. Acculturation 3. Enculturation 4. Ethnocentrism Answer: 2 Explanation: 1. Stereotyping is assuming that all members of a group have the same characteristics. 2. Acculturation (assimilation) is the correct assessment because the client adapted to a new cultural norm in terms of food choices. 3. Enculturation is when culture is learned and passed on from generation to generation, and often happens when a group is isolated. 4. Ethnocentrism refers to a social identity that is associated with shared behaviors and  patterns. Page Ref: 20 Cognitive Level: Applying Client Need/Sub: Psychosocial Integrity Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values │ AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches │  NLN Competencies: Relationship Centered; Knowledge; The role of family, culture, and community in a person's development │Nur  sing/Integrated Concepts: Nursing Process: Assessment; Culture and Spirituality Learning Outcome: 2.3 Identify prevalent cultural norms related to childbearing and childrearing. MNL Learning Outcome: 1.1.1. Relate the effect of culture and family to the childbearing experience.  5) The home health nurse visits the home of a Korean couple to follow up on their jaundiced 4-day-old baby. Considering family structure, what family members might the nurse expect to see in the home? 1. The godparents 2. Just the parents 3. The grandmother 4. The grandfather and parents Answer: 4 Explanation: 1. Asians traditionally revere their elders and their wisdom. The godparents would not have the last word in decision making for this family. 2. Asians traditionally revere their elders and their wisdom. The parents would not have the last word in decision making for this family.
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