Maternal Child Nursing Care 6th Edition Test Bank Questions and Answers Verified 2025

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 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 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. 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 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. 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. 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. 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. 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 re- ceptive 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. 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. 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 developmental stages at the same time. The family is probably in a combination of beginning families, preschool, school-aged and adolescent, and launching stages. The competing priorities of all these stages pave the way for chaos. chapter 1 A nurse is working with a patient who is newly married and pregnant and says she is distressed because she and her husband seem to be so different, and they argue over petty issues. What action by the nurse using group theory would be best? A. Ask the patient if she can remember why she and her husband fell in love. B. Caution her that this level of disagreement will cause stress to the unborn baby. C. Offer the patient a referral to a community counseling center for couples' therapy. D. Reassure her that this is normal and help her brainstorm ways to work cooperatively. D. Reassure her that this is normal and help her brainstorm ways to work cooperatively. According to group theory, groups evolve through the distinct stages of forming, storming, norming, performing, and adjourning. Storming often occurs when a group that has recently formed notices differences in members, leading to chaos or confusion. This couple is in this stage. At this point, the nurse's best action is to reassure the patient and help her brainstorm ways of working together cooperatively, which might include forming rules or procedures that both parties agree to follow. chapter 1 A clinic nurse is using group theory to assess a family whose youngest child recently moved back home after graduating from college and is unable to find a job. Which statement by a parent would indicate to the nurse that goals for norming have been met? A. "I'm glad my son stays in his room in the basement all day, so he doesn't bother us." B. "It's hard to decide how much food to buy because we don't know where he's eating." C. "My son is gone a lot of the time, so we really don't notice that he moved back in." D. "We have agreed not to have a curfew as long as we know when he will be home." D. "We have agreed not to have a curfew as long as we know when he will be home." According to group theory, a healthy family adjusts to changes in its structure by resetting roles and norms. In this family, a launched child has moved back in, disrupting the patterns established when he left. Agreeing to new rules and roles is a sign of adaptation. chapter 1 A student observes as an adult brother and sister lash out at the nurse caring for their hospitalized parent. The parent lives at home but is dependent on the children for care and is obviously neglected. The nurse has informed the children that social work will be involved in their parent's case. How does the nurse explain this interaction?