Test bank for Maternal-Child Nursing Care:
Optimizing Outcomes for Mothers, Children, and
Families, 7th Edition – Susan L. Ward & Shelton M.
Hisley (ISBN: 9780803636651) – Questions & Answers
– Complete Guide A+
1. chapter 1
A nurse wishes to improve their cultural sensitivity while working with patients. Which actionby the nurse would best
indicate progress toward this goal?
A. Demonstrate good knowledge of different cultural health beliefs
B. Effectively respond to the needs of people of different cultures
C. Interact respectfully with patients who have differing health beliefs
D. Recognize that they will never be the expert in other cultures: C. Interact respectfully with patients who have
differing health beliefs
2. chapter 1
A nurse manager is evaluating staff members on their cultural competence. Which action best demonstrates this
characteristic?
A. Attends workshops on cultural diversity and health practices
B. Participates in community health events with minority populations
C. Plans care with the family members within their cultural beliefs
D. Uses family members as interpreters to make them feel important: C. Plans care with the family members within
their cultural beliefs
3. chapter 1
A patient wishes to use complementary therapy when managing a chronic health condition.
Which action by the nurse is most appropriate?
A. Advise the patient that stopping medical treatment may cause it to worsen.
B. Inform the patient that there are no complementary therapies for this condition.
C. Investigate herbs that can be substituted for prescription drugs.
D. Suggest the patient add massage therapy to the medical regimen.: D. Suggest the patient add massage therapy to
the medical regimen.
,Complementary therapy is nontraditional medical treatment used together with
conventional medical treatment. Adding massage to the medical regimen is an example of using complementary
therapy.
4. chapter 1
A nurse is working with a family that uses multiple complementary and alternative medicine (CAM) modalities. What
action by the nurse is best?
A. Allow the family to continue these practices as desired.
B. Assess how these practices reflect religious beliefs.
C. Inform the family that most of these practices do not work.
D. Provide evidence-based information about the therapies.: D. Provide evidence-based information about the
therapies.
The nurse working with individuals or families who use CAM practices should respect
the beliefs, values, and desires of the patient. The nurse should encourage families to
make decisions regarding CAM practices based on evidence and
research into their effects. The nurse can best assist in this by providing and discussing information
5. Chapter 1
A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar. What action by the nurse will
best promote effective communication?
A. Call for a professional interpreter to translate information.
B. Pattern voice tone and eye contact after the patient's behaviors.
C. Talk slowly and deliberately using simple language and cues.
D. Use nonverbal communication as much as possible with the patient.: B. Pattern voice tone and eye contact after
the patient's behaviors.
In the situation where the nurse is unfamiliar with the patient's culture, the nurse
should pattern verbal and nonverbal communication after the patient's own style.
6. chapter 1
A nurse manager expects all employees to be patient advocates. Which nursing action best demonstrates this nursing
role?
A. Arranging a family-physician conference to clarify treatment plans
B. Encouraging treatment options based on personal beliefs and values
C. Giving contact information for governmental assistance agencies
D. Working on a political campaign to reduce poverty in the state: A. Arranging a family-physician conference to clarify
treatment plans
,In the advocate role, the nurse should promote patient-/family-centered care and
work to provide the patient with more control, power, and self-determination in the
health-care setting. The nurse who arranges a family-physician conference to clarify
treatment plans is advocating for the patient.
7. chapter 1
A patient and family have the nursing diagnosis of impaired verbal communication secondary to a language barrier.
What action by the patient/family would best indicate that short-term goals for this diagnosis have been met?
A. Able to communicate long-term desires for health of the patient
B. Demonstrates comprehension by head nodding and saying "yes"
C. States understanding of condition and treatment via an interpreter
D. Understands how nonverbal communication varies between cultures:
C. States understanding of condition and treatment via an interpreter
For a language barrier, using a professional interpreter is not only the best way to
manage communication, it is also legally required. The best short-term goal for the
patient and family is to obtain understanding of the patient's illness and treatment
and state, through the interpreter, that this is the case.
8. chapter 1
A nurse is working with family members who have been striving to improve their functioning as a family unit. What
behavior would suggest to the nurse that the family is meeting its goals?
A. The children are in multiple activities to develop talents.
B. The desire to be understood guides most communication.
C. Family members gave up some activities to eat dinner together on most nights.
D. The parents have a strong desire for the children to succeed.: C. Family members gave up some activities to eat
dinner together on most nights.
Effective tools for families include ways to enhance family performance. One very
effective tool is to put the family first in this very chaotic world. Giving up some
activities to eat dinner together shows the family is putting the unit first over
individual desires.
9. chapter 1
A nurse works a great deal with refugees and is frustrated because, as a group, they don't seem to want to implement
desired health behaviors. What action by the nurse would be most helpful?
A. Conduct a health screening and educational event each month.
B. Provide written information in the group's native language.
C. Teach selected group representatives to be lay health educators.
, D. Try to establish relationships within the refugee community.: C. Teach selected group representatives to be lay
health educators.
According to family systems theory, each family system contains boundaries that
affect how the outside world interacts with the family. Families that have recently
immigrated to the United States might have closed boundaries and may only be
receptive to health information provided by extended family members or members
of their community. Establishing a lay health educator program in which community
members can be taught health information with the intent of delivering it to their
communities would be a good way to work with these families while respecting their
boundaries.
10. chapter 1
A patient is dismissed from the hospital and is receiving nursing care at home to help in the recovery from a serious
illness and operation. The visiting nurse notes that the family is in a state of disarray and members are disorganized
and not communicating. The patient is trying to direct everyone's actions. The nurse calls a family meeting. What action
by the nurse is best?
A. Encourage family members to make "to do" lists and assign chores.
B. Explain that changes in one person require changes in the others.
C. Make a referral to a counselor or mental health nurse practitioner.
D. Tell the family members that, for the patient to recover, they must assume the patient's role.: B. Explain that
changes in one person require changes in the others.
Family systems theory recognizes that changes in one member of a family affects
every other member of the family. For the family to function effectively, all
members need to adapt to the major changes in one of the members.
11. chapter 1
A nurse is working with a blended family of 1 year with five children aged 3, 7, 13 (twins), and 19. The parents seem
overly stressed and anxious and do not seem to work well as a unit. What can the nurse conclude about this family?
A. Communication problems are the core of the parents' stress.
B. Economic stressors are impacting the parental dyad.
C. The family is in too many developmental stages to master any of them.
D. There are too many children to give each one adequate attention.: C. The family is in too many developmental
stages to master any of them.
In family developmental theory, the age of the child determines the stage the family is
in. If there is more than one child, the family is probably in multiple
Optimizing Outcomes for Mothers, Children, and
Families, 7th Edition – Susan L. Ward & Shelton M.
Hisley (ISBN: 9780803636651) – Questions & Answers
– Complete Guide A+
1. chapter 1
A nurse wishes to improve their cultural sensitivity while working with patients. Which actionby the nurse would best
indicate progress toward this goal?
A. Demonstrate good knowledge of different cultural health beliefs
B. Effectively respond to the needs of people of different cultures
C. Interact respectfully with patients who have differing health beliefs
D. Recognize that they will never be the expert in other cultures: C. Interact respectfully with patients who have
differing health beliefs
2. chapter 1
A nurse manager is evaluating staff members on their cultural competence. Which action best demonstrates this
characteristic?
A. Attends workshops on cultural diversity and health practices
B. Participates in community health events with minority populations
C. Plans care with the family members within their cultural beliefs
D. Uses family members as interpreters to make them feel important: C. Plans care with the family members within
their cultural beliefs
3. chapter 1
A patient wishes to use complementary therapy when managing a chronic health condition.
Which action by the nurse is most appropriate?
A. Advise the patient that stopping medical treatment may cause it to worsen.
B. Inform the patient that there are no complementary therapies for this condition.
C. Investigate herbs that can be substituted for prescription drugs.
D. Suggest the patient add massage therapy to the medical regimen.: D. Suggest the patient add massage therapy to
the medical regimen.
,Complementary therapy is nontraditional medical treatment used together with
conventional medical treatment. Adding massage to the medical regimen is an example of using complementary
therapy.
4. chapter 1
A nurse is working with a family that uses multiple complementary and alternative medicine (CAM) modalities. What
action by the nurse is best?
A. Allow the family to continue these practices as desired.
B. Assess how these practices reflect religious beliefs.
C. Inform the family that most of these practices do not work.
D. Provide evidence-based information about the therapies.: D. Provide evidence-based information about the
therapies.
The nurse working with individuals or families who use CAM practices should respect
the beliefs, values, and desires of the patient. The nurse should encourage families to
make decisions regarding CAM practices based on evidence and
research into their effects. The nurse can best assist in this by providing and discussing information
5. Chapter 1
A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar. What action by the nurse will
best promote effective communication?
A. Call for a professional interpreter to translate information.
B. Pattern voice tone and eye contact after the patient's behaviors.
C. Talk slowly and deliberately using simple language and cues.
D. Use nonverbal communication as much as possible with the patient.: B. Pattern voice tone and eye contact after
the patient's behaviors.
In the situation where the nurse is unfamiliar with the patient's culture, the nurse
should pattern verbal and nonverbal communication after the patient's own style.
6. chapter 1
A nurse manager expects all employees to be patient advocates. Which nursing action best demonstrates this nursing
role?
A. Arranging a family-physician conference to clarify treatment plans
B. Encouraging treatment options based on personal beliefs and values
C. Giving contact information for governmental assistance agencies
D. Working on a political campaign to reduce poverty in the state: A. Arranging a family-physician conference to clarify
treatment plans
,In the advocate role, the nurse should promote patient-/family-centered care and
work to provide the patient with more control, power, and self-determination in the
health-care setting. The nurse who arranges a family-physician conference to clarify
treatment plans is advocating for the patient.
7. chapter 1
A patient and family have the nursing diagnosis of impaired verbal communication secondary to a language barrier.
What action by the patient/family would best indicate that short-term goals for this diagnosis have been met?
A. Able to communicate long-term desires for health of the patient
B. Demonstrates comprehension by head nodding and saying "yes"
C. States understanding of condition and treatment via an interpreter
D. Understands how nonverbal communication varies between cultures:
C. States understanding of condition and treatment via an interpreter
For a language barrier, using a professional interpreter is not only the best way to
manage communication, it is also legally required. The best short-term goal for the
patient and family is to obtain understanding of the patient's illness and treatment
and state, through the interpreter, that this is the case.
8. chapter 1
A nurse is working with family members who have been striving to improve their functioning as a family unit. What
behavior would suggest to the nurse that the family is meeting its goals?
A. The children are in multiple activities to develop talents.
B. The desire to be understood guides most communication.
C. Family members gave up some activities to eat dinner together on most nights.
D. The parents have a strong desire for the children to succeed.: C. Family members gave up some activities to eat
dinner together on most nights.
Effective tools for families include ways to enhance family performance. One very
effective tool is to put the family first in this very chaotic world. Giving up some
activities to eat dinner together shows the family is putting the unit first over
individual desires.
9. chapter 1
A nurse works a great deal with refugees and is frustrated because, as a group, they don't seem to want to implement
desired health behaviors. What action by the nurse would be most helpful?
A. Conduct a health screening and educational event each month.
B. Provide written information in the group's native language.
C. Teach selected group representatives to be lay health educators.
, D. Try to establish relationships within the refugee community.: C. Teach selected group representatives to be lay
health educators.
According to family systems theory, each family system contains boundaries that
affect how the outside world interacts with the family. Families that have recently
immigrated to the United States might have closed boundaries and may only be
receptive to health information provided by extended family members or members
of their community. Establishing a lay health educator program in which community
members can be taught health information with the intent of delivering it to their
communities would be a good way to work with these families while respecting their
boundaries.
10. chapter 1
A patient is dismissed from the hospital and is receiving nursing care at home to help in the recovery from a serious
illness and operation. The visiting nurse notes that the family is in a state of disarray and members are disorganized
and not communicating. The patient is trying to direct everyone's actions. The nurse calls a family meeting. What action
by the nurse is best?
A. Encourage family members to make "to do" lists and assign chores.
B. Explain that changes in one person require changes in the others.
C. Make a referral to a counselor or mental health nurse practitioner.
D. Tell the family members that, for the patient to recover, they must assume the patient's role.: B. Explain that
changes in one person require changes in the others.
Family systems theory recognizes that changes in one member of a family affects
every other member of the family. For the family to function effectively, all
members need to adapt to the major changes in one of the members.
11. chapter 1
A nurse is working with a blended family of 1 year with five children aged 3, 7, 13 (twins), and 19. The parents seem
overly stressed and anxious and do not seem to work well as a unit. What can the nurse conclude about this family?
A. Communication problems are the core of the parents' stress.
B. Economic stressors are impacting the parental dyad.
C. The family is in too many developmental stages to master any of them.
D. There are too many children to give each one adequate attention.: C. The family is in too many developmental
stages to master any of them.
In family developmental theory, the age of the child determines the stage the family is
in. If there is more than one child, the family is probably in multiple
