ATI Leadership Proctored Exam
While working in the prenatal clinic, you care for a very diverse group of
patients. When planning interventions for these families, you realize that
acceptance of the interventions will be most influenced by:
a. Educational achievement. c. Subcultural group.
b. Income level. d. Individual beliefs.
ANS: D
The patients beliefs are ultimately the key to acceptance of health care
interventions. However, these beliefs may be influenced by factors such as
educational level, income level, and ethnic background. Educational achievement,
income level, and subcultural group all are important factors. However, the nurse
must understand that a womans concerns from her own point of view will have the
most influence on her compliance.
PTS: 1 DIF: Cognitive Level: Application REF: 22
OBJ: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
The nurses care of a Hispanic family includes teaching about infant care. When
developing a plan of care, the nurse bases interventions on the knowledge that in
traditional Hispanic families:
Breastfeeding is encouraged immediately after birth.
Male infants typically are circumcised.
The maternal grandmother participates in the care of the mother and her
infant.
, Special herbs mixed in water are used to stimulate the passage of
meconium.
ANS: C
In Hispanic families, the expectant mother is influenced strongly by her
mother or mother-in-law. Breastfeeding often is delayed until the third
postpartum day. Hispanic male infants usually are not circumcised. Olive or
castor oil may be given to stimulate the passage of meconium.
PTS: 1 DIF: Cognitive Level: Application REF: 26
OBJ: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
The womans family members are present when the home care maternal-child nurse
arrives for a postpartum and newborn visit. What should the nurse do?
Observe the family members interactions with the newborn and one another.
Ask the woman to meet with her and the baby alone.
Do a brief assessment on all family members present.
Reschedule the visit for another time so that the mother and infant can be
assessed privately.
ANS: A
, The nurse should introduce herself to the patient and the other family members
present. Family members in the home may be providing care and assistance to the
mother and infant. However, this care may not be based on sound health practices.
Nurses should take the opportunity to dispel myths while family members are
present. The responsibility of the home care maternal-child nurse is to provide care
to the new postpartum mother and her infant, not to all family members. The nurse
can politely ask about the other people in the home and their relationships with the
woman. Unless an indication is given that the woman would prefer privacy, the visit
may continue.
PTS: 1 DIF: Cognitive Level: Analysis REF: 33
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
The nurse should be aware that during the childbearing experience an African-
American woman is most likely to:
Seek prenatal care early in her pregnancy.
Avoid self-treatment of pregnancy-related discomfort.
Request liver in the postpartum period to prevent anemia.
Arrive at the hospital in advanced labor.
ANS: D
African-American women often arrive at the hospital in far-advanced labor. These
women may view pregnancy as a state of wellness, which is often the reason for
delay in seeking prenatal care. African-American women practice many self-
treatment options for various discomforts of pregnancy, and they may request liver
in the postpartum period, but this is based on a belief that the liver has a high
blood content.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 26
While working in the prenatal clinic, you care for a very diverse group of
patients. When planning interventions for these families, you realize that
acceptance of the interventions will be most influenced by:
a. Educational achievement. c. Subcultural group.
b. Income level. d. Individual beliefs.
ANS: D
The patients beliefs are ultimately the key to acceptance of health care
interventions. However, these beliefs may be influenced by factors such as
educational level, income level, and ethnic background. Educational achievement,
income level, and subcultural group all are important factors. However, the nurse
must understand that a womans concerns from her own point of view will have the
most influence on her compliance.
PTS: 1 DIF: Cognitive Level: Application REF: 22
OBJ: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
The nurses care of a Hispanic family includes teaching about infant care. When
developing a plan of care, the nurse bases interventions on the knowledge that in
traditional Hispanic families:
Breastfeeding is encouraged immediately after birth.
Male infants typically are circumcised.
The maternal grandmother participates in the care of the mother and her
infant.
, Special herbs mixed in water are used to stimulate the passage of
meconium.
ANS: C
In Hispanic families, the expectant mother is influenced strongly by her
mother or mother-in-law. Breastfeeding often is delayed until the third
postpartum day. Hispanic male infants usually are not circumcised. Olive or
castor oil may be given to stimulate the passage of meconium.
PTS: 1 DIF: Cognitive Level: Application REF: 26
OBJ: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
The womans family members are present when the home care maternal-child nurse
arrives for a postpartum and newborn visit. What should the nurse do?
Observe the family members interactions with the newborn and one another.
Ask the woman to meet with her and the baby alone.
Do a brief assessment on all family members present.
Reschedule the visit for another time so that the mother and infant can be
assessed privately.
ANS: A
, The nurse should introduce herself to the patient and the other family members
present. Family members in the home may be providing care and assistance to the
mother and infant. However, this care may not be based on sound health practices.
Nurses should take the opportunity to dispel myths while family members are
present. The responsibility of the home care maternal-child nurse is to provide care
to the new postpartum mother and her infant, not to all family members. The nurse
can politely ask about the other people in the home and their relationships with the
woman. Unless an indication is given that the woman would prefer privacy, the visit
may continue.
PTS: 1 DIF: Cognitive Level: Analysis REF: 33
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
The nurse should be aware that during the childbearing experience an African-
American woman is most likely to:
Seek prenatal care early in her pregnancy.
Avoid self-treatment of pregnancy-related discomfort.
Request liver in the postpartum period to prevent anemia.
Arrive at the hospital in advanced labor.
ANS: D
African-American women often arrive at the hospital in far-advanced labor. These
women may view pregnancy as a state of wellness, which is often the reason for
delay in seeking prenatal care. African-American women practice many self-
treatment options for various discomforts of pregnancy, and they may request liver
in the postpartum period, but this is based on a belief that the liver has a high
blood content.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 26
