Chapter 2: Family, Culture, and Complementary Health Approaches

Contemporary: Maternal-Newborn Nursing Care Ninth Edition Chapter 2 Family, Culture, and Complementary Health Approaches Question One Which concept related to culture is important for the nurse to consider when planning care for clients? Question One Choices Culture is inherited from generation to generation. Stability of a culture over time is the hallmark of adaptation. Culture is learned through enculturation. Immigrants face challenges as they switch allegiance to the dominant culture. Question One Answer Culture is learned through enculturation. Question One Rationale Culture can be defined as the beliefs, values, attitudes, and practices that are accepted by a population, a community, or an individual. Culture is learned and not ingrained in our genetic material, yet it can be passed on from generation to generation by means of enculturation. Question Two As the nurse provides discharge teaching to the parents of a Asian child, neither parent maintains eye contact. The nurse understands this behavior to convey? Question Two Choices Respect Lack of understanding Disinterest Fear Question Two Answer Respect Question Two Rationale Culture influences which verbal and nonverbal expressions of communication are considered appropriate. Gestures and body language might be misinterpreted; e.g., in some cultures, avoiding eye contact is a sign of respect, and sustained eye contact is considered rude. Question Three The nurse assumes that the parents of a Native American child newly diagnosed with asthma will not adhere to a discharge planning regimen. Which of the following factors is influencing the nurse’s assumption? Question Three Choices Prejudice Stereotyping Bias Discrimination Question Three Answer Stereotyping Question Three Rationale While prejudice (a negative stereotype about a certain group that is applied to all individuals within the group), discrimination (unfair treatment of a person or group on the basis of prejudice), bias (an unfair act or policy stemming from prejudice), and stereotyping (assuming that all members of a group have the same characteristics) all present barriers to health care, stereotyping results in the misguided assumption of the nurse in this situation. Question Four A 7-year-old client tells the nurse that, “grandpa, mommy, daddy, and my brother live at my house.” The nurse identifies this family type as what type of family unit? Question Four Choices Traditional Binuclear Extended Blended Question Four Answer Extended Question Four Rationale An extended family contains a parent or a couple who share a house with their children and another adult relative. A binuclear family includes the divorced parents who have joint custody of their biologic children, while the children alternate spending varying amounts of time in the home of each parent. The traditional nuclear family consists of an employed provider parent, a homemaking parent, and the biologic children of this union. The term “blended” is simply a distractor, and is not a term used to describe a family type. Question Five The nurse collects a family assessment in order to gain insight into family relationships, family structure, level of functioning, environment, and roles. These data are best collected in which of the following ways? Question Five Choices During a home visit At the registration desk of the clinic During the woman’s physical exam Over the telephone Question Five Answer During a home visit Question Five Rationale In order to obtain an accurate and concise family assessment, the nurse needs to establish a trusting relationship with the patient and her family. Data are best collected in a comfortable, private environment, free from interruptions. Question Six Which of the following statements is true about a nurse who uses complementary modalities? Question Six Choices The nurse does not need informed consent. The nurse does not need written policies to perform such modalities. The nurse should only use approaches that have been researched. The nurse should be certain that they are practicing within the framework of their nurse practice act. Question Six Answer The nurse should be certain that they are practicing within the framework of their nurse practice act. Question Six Rationale Nurses working with childbearing families who use complementary and alternative medicine therapies should choose those methods that are within the scope of nursing practice in their state. Question Seven The nurse is working with a client to identify a complementary therapy that may help control pregnancy-induced hypertension. The client asks, “Is there a system where I can learn to focus and control my blood pressure with my thoughts?” The nurse would recommend which of the following? Question Seven Choices Naturopathy Biofeedback Hypnosis Chiropractic care Question Seven Answer Biofeedback Question Seven Rationale Biofeedback helps clients to control their physiologic responses, based on the concept that the mind controls the body. Naturopathy is a healing system that uses natural means to prevent and treat diseases. such as nutrition, hydrotherapy, and homeopathy. Hypnosis is a state of mental and physical relaxation during which a client is very open to suggestions. Chiropractic care is based on the concepts of manipulation to address health problems thought to be a result of abnormal nerve transmission in the spine. Question Eight An Asian couple is excited about the upcoming birth of their baby. The nurse conducts a cultural assessment and understands that since their arrival in the United States, they have adapted to a new cultural norm in preparation for the birth of their first baby. What is the cultural term called? Question Eight Choices Cultural competency Ethnocentrism Enculturation Acculturation Question Eight Answer Acculturation Question Eight Rationale Acculturation is the process by which people adapt to a new cultural norm. Cultural competency is acquiring the skills and knowledge necessary to respect and work with individuals from different cultures. Ethnocentrism is the conviction that the values and beliefs of one’s own cultural group are the best or only acceptable ones. Enculturation occurs when cultural norms and beliefs are passed down from one generation to the next. Copyright