2026 exam guide with complete
verified solutions actual exam
covering the following:
Maternal Child Nursing Care
Chapter 1, Maternal Child Nursing
Care Chapter 2 Community Care:
The Family and Culture, Maternal
and Child Nursing Care 5th edition -
Chapter 3 - 16
Currative approach, wellness is the absence of disease, goal is to cure illness, features
paternalism - ANSWER-Medical Model
Ethnopluralism - ANSWER-Diverse cultures, traditional medical model was based on
Euro-Caucasian descent, this is no longer relevant with the growing diverse cultures in
U.S. New medical model must evolve to include consumerism, holism and diverse
cultures. Also called multi-ethnic
Ethnocentrism - ANSWER-Belief that your culture or one culture is superior to another,
Traditional Medical Model featured belief that Euro-Caucasian male health care system
values are superior. This view can critically compromise effective health care.
Describe the nursing process in relations to the TRADITIONAL LINEAR health wellness
continuum - ANSWER-Emphasis on treating the illness defined the scope of the nurse
practice: assess for signs of illness, diagnose alternations in health, determine
interventions to restore health, conceptualize a targeted health outcome moving away
from illness, evaluate treatment plan for nurse determined modifications
Describe the shift in nursing process in relations to the health wellness continuum -
ANSWER-Shared experience of transcending or controlling the health threat and
changing it into one of purposeful meaning. The nurse patient relationship is now
,circular/spiral. The goal is to motivate the patient towards promotion, maintenance and
restoration of health, prevention of illness, self-care
Describe the shared connectedness between patient and nurse in the new health
promotion nursing process - ANSWER-The RN should experience the illness/health
threat in the same manner that the patient perceives it. Move patient to a patient defined
state of coping, harmony, holism, spirituality (meaning)
Nursing Aesthetics - ANSWER-the art of nursing, low-tech, high-touch artistry of caring
that strengthens the patient's confidence in their patient to manage the healing process,
make changes or master the threatening health event. Can be described as a
transformative and spiral process.
Name three nursing interventions that fall under Nursing Aesthetics Art - ANSWER-
Imagery, Music Therapy and Touch
Name the 12 nursing aesthetics that strengthen confidence in mastering a health threat
- ANSWER-Low tech, high tech, reflective sharing, listening, touching, imaging,
experiencing, presencing, caring, valuing, facilitating, ALL Foundations of the
RELATIONSHIP
Engaging Transpersonal Care - ANSWER-Nursing approach which has evolved from
the simple nursing basics of providing treatment-driven, high-technology centered care.
Opportunity for the patient and family to utilize the nursing process in a new way. Nurse
asseses the patient's confidence to manage the health threat, diagnose's health
alteration from patient's viewpoint, conceptualizes the outcomes as the patient envisions
it, supports the patient in chosen changes and evaluates the ongoing maintenance of
health as it is lived by the patient.
Name three ways that patients have changed - ANSWER-Trust in providers has
declined, increased consumerism, increased accessibility of health information, family
structures have also changed
Family - ANSWER-A group of people sharing interpersonal bonds, tasks, and activities
Dyad Family - ANSWER-Two cohabitating companions or spouses
Nursing Process - ANSWER-Developed as a framework of systematic problem solving
and actions to be used by the nurses identifying, preventing or treatment of individual
health needs. Historically the nursing process has been problem oriented, goal directed,
and involved critical thinking. Clear differentiation between nursing diagnosis and
medical diagnosis
NANDA - ANSWER-North American Nursing Diagnosis Association
,Family Centered Care - ANSWER-Placing family relationships, their coping
mechanisms, priorities and perceptions at the center of a patient's health care needs.
Nurse facilitates, does not tell family what to do, provides education
Community Health Maps - ANSWER-Used to assess the health of a family by using tool
to look at family structure, function and support networks. Focus on family health, past
successes and current strengths, NOT family problems
Name the three parts of a Community Health Map - ANSWER-Structural Family
Assessment, Developmental Family Assessment, Functional Family Assessment
Cultural Sensitivity - ANSWER-Learning, recognizing, and comprehending that these
cultural factors are what shape a family's perception of their health and health related
events
Cultural Sensitivity - ANSWER-How the patient and family comprehend and respond to
a particular health event is shaped by cultural factors, values and beliefs
Cultural Competence - ANSWER-Open and receptive to gaining awareness and respect
of cultural influences. Sensitive and understanding of cultural differences. Framing
nursing process (assessment, intervention, outcome expectation and evaluation) with
holistic perspective
Cultural Prescriptions - ANSWER-Folk beliefs, practices and values of a group that tell
what women and children should do. Tells what their respective roles should be.
Cultural Proscriptions - ANSWER-Tell what they should NOT do, what is NOT
incorporated into their respective roles
Give examples of what Cultural Prescriptions/Proscriptions can impact - ANSWER-
Clothing, decision making authority, exercise, sexual participation, family roles, dietary
habits, discipline
CAM - ANSWER-Complementary Alternative Medicine
When is CAM often used? - ANSWER-CAM is often used when modern healthcare may
not be accessible, affordable, available or care is culturally restricted
How can CAM be described? - ANSWER-Low-tech, high-touch, noninvasive, non-
intrusive, nontraditional US medical interventions that support holism and spiritual
healing
Acculturation - ANSWER-describe's the change in one's cultural pattern to match those
of the host society
, Assimilation - ANSWER-the process in which the family loses its unique cultural identity
and identifies instead with the prevailing or dominant culture
Identity - ANSWER-whether or not the family aligns itself with a particular ethnic group
Connectedness - ANSWER-who the family identifies with and relates to as family
members
Communication Patterns - ANSWER-vary according to ethnic groups, cultural customs
often guide
Social class - ANSWER-Occupation and economic status, mobilty of socioeconomic
class is more fluid in US than other parts of the world
Name five family cultural characteristics - ANSWER-Acculturation vs Assimilation,
identity, connectedness, communication patterns, socioeconomic class
NOC - ANSWER-Nursing Outcomes Classification
NIC - ANSWER-Nursing Interventions Classifications, involves evidence based practice
and critical thinking
Changes in contemporary medication that impact caring role of nurse - ANSWER-
advanced technology, rapid pace of healthcare and focus on legal ramifications
Theories- Florence Nightingale's - ANSWER-focus on spritual, physical/environmental,
emotional, mental and social needs of the patient, holistic view of the patient
Which theorist focused on observation, experience, knowledge of sanitation, nutrition,
caring and compassion, all people have equal chance to attain health - ANSWER-Flo
Nightingale
Theory of Human Caring - ANSWER-Jean Watson
Watson - ANSWER-nurse demands attention be given not only to the body but also to
the soul and spiritual dimensions of the patient and the family, soul is the ideal self 'I',
current self is 'me'
"Caring, healing and wholeness rather than on disease, illness and pathology" -
ANSWER-Watson
Release feeling and thoughts about the condition and self. Transpersonal therapeutic
relational nurse-patient communication - ANSWER-Watson
"Care is essential for curing but curing is not essential for caring" - ANSWER-Madeleine
Leininger