Chapter 02: The Family and Culture
MULTIPLE CHOICE
1. A married couple lives in a single-family house with their newborn son and the husband’s
daughter from a previous marriage. Which family form best describes this family?
a. Blended family
b. Extended family
c. Nuclear family
d. Same-sex family
ANS: A
Blended families are formed as the result of divorce and remarriage. Unrelated family members
join together to create a new household. Members of an extended family are kin, or family
members related by blood, such as grandparents, aunts, and uncles. A nuclear family is a
traditional family with a male and female partner along with the children resulting from that
union. A same-sex family is a family with homosexual partners who cohabit with or without
children.
DIF: Cognitive Level: Knowledge REF: p. 15
OBJ: Nursing Process: Assessment
2. In what form do families tend to be most socially vulnerable?
a. Blended family
b. Extended family
c. Nuclear family
d. Lone-parent family
ANS: D
The lone-parent family, particularly the female lone-parent family, is more likely to have a
lower income and to experience poverty, which in turn can affect the health status of family
members. The married-blended family, the extended family, and the nuclear family are not
most socially vulnerable.
DIF: Cognitive Level: Knowledge REF: p. 16 OBJ: Nursing Process: Planning
, 3. What is the focus of relational nursing?
a. Primarily disease prevention
b. Provision of health services
c. Recognition of determinants of health
d. Resiliency of the woman and her
family
ANS: C
Relational nursing focuses primarily on the recognition of the determinants of health. It is more
congruent with health promotion than disease prevention. The focus of perinatal nursing has
moved away from the provision of health service in order to focus on the determinants of
health. The resiliency of the woman and her family is not the focus of relational nursing.
DIF: Cognitive Level: Knowledge REF: p. 17 OBJ: Nursing Process: Planning
4. The nurse should be aware that the criteria used to make decisions and solve problems within
families are based primarily on which factor(s)?
a. Rituals and customs
b. Values and beliefs
c. Boundaries and channels
d. Socialization processes
ANS: B
Values and beliefs are the most prevalent factors in the decision-making and problemsolving
techniques of families. Although culture may play a part in the decision-making process of a
family, ultimately values and beliefs dictate the course of action taken by family members.
Boundaries and channels affect the relationship between the family members and the health
care team, not the decisions within the family. Socialization processes may help families
interact with the community, but they are not the criteria used for decision making within the
family.
DIF: Cognitive Level: Comprehension REF: p. 20 OBJ: Nursing Process: Planning
5. Using the family stress theory as an intervention approach for working with families experiencing
parenting, the nurse can help the family change which internal context factor?
MULTIPLE CHOICE
1. A married couple lives in a single-family house with their newborn son and the husband’s
daughter from a previous marriage. Which family form best describes this family?
a. Blended family
b. Extended family
c. Nuclear family
d. Same-sex family
ANS: A
Blended families are formed as the result of divorce and remarriage. Unrelated family members
join together to create a new household. Members of an extended family are kin, or family
members related by blood, such as grandparents, aunts, and uncles. A nuclear family is a
traditional family with a male and female partner along with the children resulting from that
union. A same-sex family is a family with homosexual partners who cohabit with or without
children.
DIF: Cognitive Level: Knowledge REF: p. 15
OBJ: Nursing Process: Assessment
2. In what form do families tend to be most socially vulnerable?
a. Blended family
b. Extended family
c. Nuclear family
d. Lone-parent family
ANS: D
The lone-parent family, particularly the female lone-parent family, is more likely to have a
lower income and to experience poverty, which in turn can affect the health status of family
members. The married-blended family, the extended family, and the nuclear family are not
most socially vulnerable.
DIF: Cognitive Level: Knowledge REF: p. 16 OBJ: Nursing Process: Planning
, 3. What is the focus of relational nursing?
a. Primarily disease prevention
b. Provision of health services
c. Recognition of determinants of health
d. Resiliency of the woman and her
family
ANS: C
Relational nursing focuses primarily on the recognition of the determinants of health. It is more
congruent with health promotion than disease prevention. The focus of perinatal nursing has
moved away from the provision of health service in order to focus on the determinants of
health. The resiliency of the woman and her family is not the focus of relational nursing.
DIF: Cognitive Level: Knowledge REF: p. 17 OBJ: Nursing Process: Planning
4. The nurse should be aware that the criteria used to make decisions and solve problems within
families are based primarily on which factor(s)?
a. Rituals and customs
b. Values and beliefs
c. Boundaries and channels
d. Socialization processes
ANS: B
Values and beliefs are the most prevalent factors in the decision-making and problemsolving
techniques of families. Although culture may play a part in the decision-making process of a
family, ultimately values and beliefs dictate the course of action taken by family members.
Boundaries and channels affect the relationship between the family members and the health
care team, not the decisions within the family. Socialization processes may help families
interact with the community, but they are not the criteria used for decision making within the
family.
DIF: Cognitive Level: Comprehension REF: p. 20 OBJ: Nursing Process: Planning
5. Using the family stress theory as an intervention approach for working with families experiencing
parenting, the nurse can help the family change which internal context factor?
