PRIMARY CARE OF THE CHILDBEARING
AND CHILDREARING FAMILY TEST BANK
UPDATED COMPLETE QUESTIONS WITH
ACCURATE ANSWERS
●● A woman in labor has brought a butcher knife with her and insists on
putting it under her hospital mattress to "cut the labor pain." Your best
response to this practice would be to:
teach her to use chest breathing with contractions.
educate her about the cause of labor pain.
tell her that she cannot keep the knife because it is a lethal weapon.
allow her to keep the knife under her mattress during labor.
Answer: allow her to keep the knife under her mattress during labor.
Respect for cultural values is important for developing effective nurse-
client relationships.
●● A clinical nurse specialist is conducting a review class for a group of
nurses about cultural competence and cultural diversity. Which term
reflects the view of the world and set of traditions of a specific social
group passed down through generations?
,culture
race
values
ethnicity
Answer: culture
Culture consists of the world view and group of traditions shared by a
social group and passed down through generations.
●● A community health nurse is actively involved in various community
projects. The nurse is providing a secondary prevention activity by
organizing which event?
a skin cancer screening fair
sexually transmitted infection (STI) education
internet instruction for older adults
application of a colostomy device
Answer: a skin cancer screening fair
Secondary prevention measures are those taken to screen for diseases
(such as skin cancer screening), delayed development according to
criteria, or use of medication. Primary prevention involves health
promotion activities to prevent the development of illness or injury. This
level of prevention includes giving information which could include
,teaching older adults how to use the internet to find reliable information
concerning various diseases, or providing STI education to prevent the
spread of the disease. Tertiary prevention includes health promotion
activities that focus on rehabilitation and that provide information to
prevent further injury or illness, such as teaching a client how to
properly apply a colostomy device.
●● A woman is in the second stage of labor, 8-cm dilated and 90%
effaced. She keeps very quiet without expressing any outward signs of
pain. Which intervention by the nurse would be most appropriate in this
situation?
Administer pain medication without asking the woman.
Allow the woman to labor according to her cultural beliefs.
Monitor the woman to attempt to predict when it is time to push.
Review the nursing goal to minimize the amount of pain with birth.
Answer: Allow the woman to labor according to her cultural beliefs.
The way people respond to pain is an example of a trait that is heavily
influenced by culture. Some women and children scream with pain;
others remain stoic and quiet. Both are "proper" responses, just
culturally different. The best nursing intervention is to allow the woman
to labor the way that is best for her. Administering pain medication
without permission is unacceptable nursing practice. The nurse will have
to assess the woman frequently, especially noting if any blood is coming
from the vagina and performing frequent vaginal exams to know when it
, is time to push. "A close watch" could mean just looking into the room
frequently. In some cultures, being stoic is expected behavior, so
minimizing the pain may not be the goal of the woman.
●● A nurse is developing a plan of care for a client of Muslim faith.
Which action demonstrates an understanding of providing culturally
competent care?
The client is asked to encourage family members to bring in special
foods.
The client's traditional healing and health practices will be assessed for
implementation.
The client is asked if there are any meal preferences to be included in the
care plan.
The client will be referred to the hospital chaplain for spiritual support.
Answer: The client is asked if there are any meal preferences to be
included in the care plan.
It is important for all nurses to incorporate the client's traditional healing
and health practices with conventional medicine. Some clients may
prefer certain foods or drinks when they are ill. Diets may be different
and need to be considered during the process of determining the
AND CHILDREARING FAMILY TEST BANK
UPDATED COMPLETE QUESTIONS WITH
ACCURATE ANSWERS
●● A woman in labor has brought a butcher knife with her and insists on
putting it under her hospital mattress to "cut the labor pain." Your best
response to this practice would be to:
teach her to use chest breathing with contractions.
educate her about the cause of labor pain.
tell her that she cannot keep the knife because it is a lethal weapon.
allow her to keep the knife under her mattress during labor.
Answer: allow her to keep the knife under her mattress during labor.
Respect for cultural values is important for developing effective nurse-
client relationships.
●● A clinical nurse specialist is conducting a review class for a group of
nurses about cultural competence and cultural diversity. Which term
reflects the view of the world and set of traditions of a specific social
group passed down through generations?
,culture
race
values
ethnicity
Answer: culture
Culture consists of the world view and group of traditions shared by a
social group and passed down through generations.
●● A community health nurse is actively involved in various community
projects. The nurse is providing a secondary prevention activity by
organizing which event?
a skin cancer screening fair
sexually transmitted infection (STI) education
internet instruction for older adults
application of a colostomy device
Answer: a skin cancer screening fair
Secondary prevention measures are those taken to screen for diseases
(such as skin cancer screening), delayed development according to
criteria, or use of medication. Primary prevention involves health
promotion activities to prevent the development of illness or injury. This
level of prevention includes giving information which could include
,teaching older adults how to use the internet to find reliable information
concerning various diseases, or providing STI education to prevent the
spread of the disease. Tertiary prevention includes health promotion
activities that focus on rehabilitation and that provide information to
prevent further injury or illness, such as teaching a client how to
properly apply a colostomy device.
●● A woman is in the second stage of labor, 8-cm dilated and 90%
effaced. She keeps very quiet without expressing any outward signs of
pain. Which intervention by the nurse would be most appropriate in this
situation?
Administer pain medication without asking the woman.
Allow the woman to labor according to her cultural beliefs.
Monitor the woman to attempt to predict when it is time to push.
Review the nursing goal to minimize the amount of pain with birth.
Answer: Allow the woman to labor according to her cultural beliefs.
The way people respond to pain is an example of a trait that is heavily
influenced by culture. Some women and children scream with pain;
others remain stoic and quiet. Both are "proper" responses, just
culturally different. The best nursing intervention is to allow the woman
to labor the way that is best for her. Administering pain medication
without permission is unacceptable nursing practice. The nurse will have
to assess the woman frequently, especially noting if any blood is coming
from the vagina and performing frequent vaginal exams to know when it
, is time to push. "A close watch" could mean just looking into the room
frequently. In some cultures, being stoic is expected behavior, so
minimizing the pain may not be the goal of the woman.
●● A nurse is developing a plan of care for a client of Muslim faith.
Which action demonstrates an understanding of providing culturally
competent care?
The client is asked to encourage family members to bring in special
foods.
The client's traditional healing and health practices will be assessed for
implementation.
The client is asked if there are any meal preferences to be included in the
care plan.
The client will be referred to the hospital chaplain for spiritual support.
Answer: The client is asked if there are any meal preferences to be
included in the care plan.
It is important for all nurses to incorporate the client's traditional healing
and health practices with conventional medicine. Some clients may
prefer certain foods or drinks when they are ill. Diets may be different
and need to be considered during the process of determining the
