Nurs 517 Ch 2

The home visit is a way of monitoring the well-being of all family members.

The community health nurse is seeing a mother and newborn for the first home visit. Which information best indicates an understanding of visiting clients in their home?

Birthing centers do not always have pediatricians on staff if the newborn has special needs.

A 40-year-old pregnant client tells her nurse that she would like to give birth in a birthing center because she wants several friends and family members to be there and will have more freedom at the center. What would be the most important factor for the nurse to point out when discussing this option with the client?

Culture

A clinical nurse specialist is conducting a review class for a group of nurses about cultural compentence and cultural diversity. The nurse determines that teh teaching was successful when the group identifies which term as reflecting the view of the world and set of traditions of a specific social group passed down through generations?

high level of insecurity

A family that regularly takes in foster children is visiting the junior high school nurse to inform the staff that there will be a new 8th grade foster child beginning school the following week. The school nurse should monitor this new student for which psychosocial response to being moved to the foster care system?

Weekly, plan a traditional food night. Have the children bring their friends of another culture over so everyone can share what they know about their family culture. Once a week, have a night when family members speak only the native language. Locate some books that describe the culture and read them as a family.

A family with preschool-aged children is discussing ways to preserve their cultural heritage. Which suggestions by the community health nurse may help the family preserve the culture? Select all that apply.

transgender

A laboring woman has brought her partner as her support person who is dressed in feminine attire, but when she speaks, it is clear to the nurse that the support person has a male voice. When documenting about the client's support person, which term would be most appropriate?

Women's health care needs change with their reproductive goals.

A nurse is addressing a group of women on the issue of women's health during their reproductive years. Which reason does the nurse provide regarding the need for comprehensive, community-centered care to women during this time period?

stereotyping of the client

A nurse is caring for a Turkish American client. The nurse understands that there could be major cultural differences between the nurse and the client. The nurse contemplates assigning this client to a staff member who is of the same culture as the client. What is a potential consequence?

health system referral

A nurse is providing care to a client who has undergone a mastectomy. The nurse provides the woman with information about where to obtain a breast prosthesis. This is an example of which type of community-based nursing intervention?

"Spend some time self-reflecting why this family difference might be bothering you."

A nurse is uncomfortable caring for a pregnant client who is married to her female life partner. The best advice another nurse can give her would include which statement?

Assess the family members' interactions with the newborn and one another.

A nurse is visiting the home of a mother and her newborn. The woman's family members are present when the nurse arrives. What is the nurse's best approach to the situation?

"Preparation for labor and birth can enhance your experience and coping abilities." "There are many different topics included in prepared childbirth classes aside from pain management." "You can learn tools to assist you in the labor process both before and after your epidural."

A pregnant woman reports she does not see the value in attending prepared childbirth classes because she plans to have an epidural to manage the discomfort from the contractions. What information should be included in responses by the nurse? Select all that apply.

Allow the client to perform a ritual.

A woman in active labor begins to recite a lullaby to "call the baby outside." Which action by the nurse caring for this woman is most appropriate at this time?

There may be cultural limitations that change how the information is being interpreted by the family.

A woman who is from the Philippines becomes upset when the nurse brings in an interpreter, rather than using her cousin as the translator. Which would be the best reason for using an official interpreter in this case?

"Culture can impact who a client chooses to see for health care needs." "Culture can impact the diet a client follows." "A client's cultural beliefs can impact spirituality and/or religion." "A client's cultural beliefs should be incorporated into the care a client receives.

The nurse is caring for a child from a different culture. Which statement(s) by the nurse demonstrates an understanding of how culture impacts a client? Select all that apply.

communicating using understandable terms

The nurse is caring for a pregnant woman and her family who are immigrants. Which intervention would be the priority for helping to achieve a successful outcome?

Tell me how you feel when you use marijuana.

The nurse is caring for a teen who has been hospitalized after a motor vehicle accident. The accident is believed to have been caused by alcohol and drug use. The teen states, "I fit in when I use marijuana and besides it is legal in some states." Which response by the nurse is most therapeutic?

The nurse asks each client about dietary restrictions and preferences during the postpartum period

The nurse is caring for several clients in the prenatal clinic. Which action by the nurse demonstrates cultural compentency?

Preventing disease and its sequelae

The nursing instructor is teaching a session on the increase of health care costs associated with the advancement of modern technology. The instructor determines the session is successful when the students correctly choose which focus of community-based health care that has been implemented to combat the increased cost?

Advocating for the child and the services needed

What is the key nursing role when managing the health care of a child living with a foster family?