NUR 221 EAQ - Chapter 2: The Family, Culture, Spirituality, and Home Care

The nurse is asking patient questions to elicit cultural expectations about childbearing. What is an appropriate question to be asked by the nurse? Select all that apply.

"What foods do you believe will help make a healthy baby?" "What do you and your family believe is healthy during pregnancy?" "What can you do to improve your health and the health of your baby?" "How can your labor support person make you comfortable during labor?"

The nurse is caring for a pregnant patient of Mexican origin. What will the nurse likely expect from the Mexican husband of the patient?

The husband will stay away from the birthing experience.

The nurse is teaching students about culture. How does the nurse define cultural knowledge for the students?

"Beliefs and values."

The nurse is teaching students about the care of pregnant patients of Arab origin. What statement made by a student indicates a need for additional teaching?

"Make assumptions about the culture."

A patient has a stepfather and a couple of stepsons. The patient asks the nurse, "What kind of family category does my family belong to according to classification?" What is an appropriate response by the nurse?

"Married-blended families."

What should the nurse keep in mind about cultural influences while providing postpartum care for a patient of Mexican origin who has just delivered a baby? Select all that apply.

1.) Give the patient the baby's first diaper. 2.) Allow bathing to be delayed for 2 weeks.

The nurse is working with an interpreter who has functioned in this capacity for 15 years in a hospital. What is an important consideration in this respect?

Be as respectful and polite toward the interpreter as possible.

The nurse is assessing a family based on "personal and professional life experiences, beliefs, and relationships with those being interviewed." Which framework is the nurse using to guide the family assessment?

Calgary Family Assessment Model (CFAM)

Which cultural phenomenon is the opposite of ethnocentrism?

Cultural relativism

A mother's household consists of her husband, his mother, and another child. She is living in which type of family?

Extended family

The nurse is making decisions for a female patient in an attempt to ease the patient's anxiety. Which feelings will the nurse's actions produce in the patient?

Greater anxiety

What is time orientation?

How people relate to past, present, or future.

A pregnant woman is receiving continuous intravenous (IV) fluids and intermittent IV antiemetics via electronic IV pump for hyperemesis gravidarum. What is an important assessment for the community home health nurse to perform related to IV infusion therapy?

Inspect all electrical outlets, electrical cords, and extension cords that will be used.

Which action by the nurse is beneficial when observing a younger female student nurse working with an interpreter and an elderly male patient who does not understand English?

Not trying to pioneer new gender relations during the session.

Which personal safety precaution should guide the nurse working in home care?

Park the car for access for quick departure.

What would a breastfeeding mother who is concerned that her baby is not getting enough to eat find most helpful on the day after discharge?

Placing a call to the hospital nursery warm line.

What distance is used to define personal space?

Varies

The nurse is using the FICA Spiritual Assessment Tool during the intake interview of a new patient on the unit. Which questions are part of this tool? Select all that apply.

"Are you part of a spiritual community?" "What importance does your spirituality have in your life?" "Do you have spiritual beliefs that help you cope with stress or difficult times?"

The nurse is using the Calgary Family Assessment Model (CFAM) as a guiding framework. Which questions may be part of the CFAM structural assessment? Select all that apply.

"Has anyone moved in or out lately?" "Who are the members of your family?" "Are there family members who do not live with you?"

The nurse is doing the developmental assessment of a patient. What is an appropriate question to be asked by the nurse during the assessment? Select all that apply.

"Have you made plans for your care as your health declines?" "When you think back, what do you most enjoy about your life?"

The patient you are caring for is postpartum day 2, after a normal spontaneous vaginal delivery of a 7 lb 8 oz male infant. She is a newly arrived refugee from Burundi and speaks no English. Her husband speaks very limited English. To prepare the patient adequately for discharge, you have determined that it is necessary to contact an interpreter who speaks the same native language and is of the same religion. Please place in order the correct steps when working with an outside translator.

1.) Outline your statements and questions. 2.) Introduce yourself and converse informally to find out how well the person speaks English. 3.) Emphasize that you want the patient to ask questions. 4.) Identify cultural issues that may conflict with your requests. 5.) Speak to the interpreter to get ideas of what went well.

The community health nurse is visiting a mother and newborn in the home setting. What observations should the nurse conduct regarding the home environment and adequacy of resources? Select all that apply.

1.) Overall cleanliness and state of repair. 2.) Number of steps the new mother must climb. 3.) Suitability of bathing, toilet, and laundry facilities. 4.) Adequacy of refrigeration and other food storage area.

Many are seeking affordable prenatal health care options in the community. In response, large health care systems are developing clinically integrated health care delivery networks. What are the goals of community health care networks? Select all that apply.

1.) Reduced costs of health care services. 2.) Improved coordination of care and outcomes. 3.) Increased patient, payer, and provider satisfaction. 4.) Improved communication among health care providers.

Which term refers to changes that occur within one group or among several groups when people from different cultures encounter one another?

Acculturalization

A group of students of Latin American origin was quite influenced by others of Indian origin, and adopted their practices. What is this phenomenon called?

Acculturation

The nurse is teaching students about culture and its variations. The nurse says, "There is this process by which groups melt into the mainstream, thus accounting for the notion of a melting pot, a phenomenon that has been said to occur in the United States." Which phenomenon is the nurse describing?

Assimilation

A young patient with cancer asks the nurse to help arrange a small, private impromptu wedding ceremony. The patient states, "I want to marry my fiancé before I die." What is the best way for the nurse to manage the patient's request?

Call the nursing supervisor to arrange a space, date, and time for the ceremony.

Which topic will the nurse teach women to ensure that they are prepared for emergencies?

Cardiopulmonary resuscitation (CPR)

The prevailing practice of health care in the United States is based on the beliefs and practices held by members of which dominant culture?

Caucasians of European descent.

What is a family theory?

Describes how the family unit responds to events.

Which term represents a graphic portrayal of social relationships of the woman and family that may assist the nurse in understanding the social environment of the family and identify available support systems?

Ecomap

The nurse is teaching students about the relationship between patients and their families. Which statements by the student indicates ineffective learning?

Families may hold beliefs that conflict health care.

The nurse is teaching a group of students about contemporary American family organization. Which statement by the student indicates a need for additional teaching?

Most contemporary American families are nuclear families.

Which is the most appropriate action by the nurse to effectively assess the adequacy of resources at the house of a pregnant patient while performing a perinatal home visit?

Observing the bathing, toileting, and laundry facilities.

Which patient would be an appropriate candidate for perinatal home care services?

Premature newborn stabilized on supplemental oxygen with an apnea monitor.

The nurse is assessing a Mexican-American patient and a Chinese-American patient. The nurse observes that the Mexican-American patient speaks fluent English and follows American lifestyle, dress, and dietary habits. Meanwhile, the Chinese-American patient speaks heavily accented English and largely follows a traditional Chinese diet and Chinese medicinal practices. What does the nurse infer from these findings?

The Mexican-American patient has assimilated, while the Chinese-American patient is exhibiting acculturation.

During a busy evening shift in the emergency room, a young woman injured in a motor vehicle accident experiences cardiac arrest. Despite efforts of the emergency room staff, the patient expires. The nursing supervisor requests staff members to join in The Pause. What is the purpose of The Pause in this situation?

The Pause is taking a minute or two of time to acknowledge a loss of life and support those on the health care team.

The nurse is educating a child bearing family about follow-up visits. The family seems quite comfortable about the prospect of the visits. What appropriate interpretation does the nurse make about the family's orientation?

The family is oriented to the future.

The nurse gives home care instructions to the parents of a newborn at the time of discharge. The nurse anticipates that the parents will return with the child for a follow-up visit. What does this indicate about the parents' attitude?

The parents are focused on long-term goals.

A patient of German origin speaks quite fast, and is very loud and excited most of the time. What is an appropriate interpretation by the nurse?

The patient is from a different culture.

What is the key disadvantage of multigenerational families?

They create stress for some members.

The nurse is caring for a patient in labor. The patient is uncooperative and doesn't follow the instructions given by the nurse. The patient believes that birth is a normal process that requires minimal intervention from the health care team. Which action by the nurse indicates cultural relativism?

Understanding the patient's cultural uniqueness.

Which statements are appropriate for defining cultural competence? Select all that apply.

1.) Respecting cultural diversity 2.) Promoting health behaviors 3.) Acknowledging ethnic diversity 4.) Acknowledging linguistic diversity

Which factors have influenced the growing demand for perinatal home care? Select all that apply.

1.) Shortened hospital stays 2.) Reimbursement of third party payers 3.) Interest in family birthing alternatives 4.) New technologies that facilitate home-based care

Which interventions are included in Occupational Safety and Health Administration (OSHA) guidelines? Select all that apply.

1.) Strict hand-washing techniques 2.) Personal protective equipment (PPE)

What is the term used to describe a situation in which a cultural group loses its identity and becomes part of the dominant culture?

Assimilation

The nurse is teaching students about providing culturally appropriate care. Which statement by the student indicates a need for additional teaching?

Avoid asking about traditional beliefs.

The nurse is planning care for a patient with a different cultural background. What is an appropriate goal?

As necessary, adapt the patient's cultural practices to her health needs.

The nurse is teaching students about strategies for care delivery. Which statement by the student indicates a need for additional teaching?

Keep folk and Western treatment separate.

What is the most accurate definition of family?

Primary social group that influences and is influenced by other people and institutions.

The nurse is teaching students about working with an interpreter. Which statement by the student indicates a need for additional teaching?

Speak formally and carefully with the interpreter.

A new mother is concerned that her newborn is not getting "enough nutrition" during breastfeeding. What home care service would be the best option to address the mother's concerns?

Telephonic nursing assessment