Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the
Continuum
MULTIPLE CHOICE
1. A nurse wishes to improve their cultural sensitivity while working with patients. Which action
by 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
ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Test Bank for Davis Advantage for Maternal Page: 13
Heading: Cultural Practices
Child Nursing Care 3rd Edition Scannell Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Chapter 1 - 33 Updated 2024 Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
A. Cultural competence is the ability to interact effectively with people of different
cultures and requires a certain level of knowledge about those cultures.
B. Cultural competence is the ability to interact effectively with people of different
cultures and requires a certain level of knowledge about those cultures.
C. Cultural sensitivity is a way of approaching people who hold health beliefs different
from one’s own. A nurse with this characteristic is respectful of and open to others.
D. Cultural humility is the recognition that one will never master all information about
another culture.
2. 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
, ANS: C Concept: Promoting Health
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- Difficulty: Moderate
uum
Objective: #. Feedback
Page: 16 A. Because the patient is asking about complementary therapy, there is no need to
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health warn them of the effects of stopping treatment.
Integrated Processes: Caring B. There are always complementary therapies that can be added to a medical regimen.
Client Need: Psychosocial Integrity C. Substituting herbs for prescription medication is an example of alternative therapy.
Cognitive Level: Evaluation [Evaluating] D. Complementary therapy is nontraditional medical treatment used together with
Concept: Diversity; Critical Thinking conventional medical treatment. Adding massage to the medical regimen is an ex-
Difficulty: Difficult ample of using complementary therapy.
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action is 4. A nurse is working with a family that uses multiple complementary and alternative medicine
too limited in scope to demonstrate cultural competence. (CAM) modalities. What action by the nurse is best?
B. Participating in community events with diverse populations can increase cultural A. Allow the family to continue these practices as desired.
knowledge, but this action is too limited in scope to demonstrate cultural B. Assess how these practices reflect religious beliefs.
competence. C. Inform the family that most of these practices do not work.
C. The culturally sensitive nurse can understand and respond to the needs of D. Provide evidence-based information about the therapies.
individuals and families from different cultures. This nurse plans interventions with
a solid knowledge of the values and practices of the members of the culture. Being
open, listening to the family, and involving them in care demonstrates respect, ANS: D
unifies the nurse–patient relationship, and will motivate the patient (and family) to Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
make positive health changes. uum
D. Nurses should use professional interpreters when needed. Objective: #.
Page: 18
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching and Learning
3. A patient wishes to use complementary therapy when managing a chronic health condition. Client Need: Health Promotion and Maintenance
Which action by the nurse is most appropriate? Cognitive Level: Application [Applying]
A. Advise the patient that stopping medical treatment may cause it to worsen. Concept: Family; Promoting Health
B. Inform the patient that there are no complementary therapies for this condition. Difficulty: Moderate
C. Investigate herbs that can be substituted for prescription drugs.
D. Suggest the patient add massage therapy to the medical regimen. Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
up the opportunity to provide and discuss information about CAM.
ANS: D B. A culturally competent nurse will assess how religious and spiritual beliefs affect
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- health-care practices, but the nurse needs to advocate for the patient/family by
uum providing solid information.
Objective: #. C. Many CAM practices have demonstrated benefit, so telling the family they don’t
Page: 18 work is false information.
Heading: Complementary and Alternative Therapies D. The nurse working with individuals or families who use CAM practices should
Integrated Processes: Teaching and Learning respect the beliefs, values, and desires of the patient. The nurse should encourage
Client Need: Health Promotion and Maintenance families to make decisions regarding CAM practices based on evidence and
Cognitive Level: Analysis [Analyzing] research into their effects. The nurse can best assist in this by providing and
discussing information.
,5. 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? ANS: A
A. Call for a professional interpreter to translate information. Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
B. Pattern voice tone and eye contact after the patient’s behaviors. uum
C. Talk slowly and deliberately using simple language and cues. Objective: #.
D. Use nonverbal communication as much as possible with the patient. Page: 17
Heading: Health Disparities
Integrated Processes: Caring
ANS: B Client Need: Safe and Effective Care Environment – Management of Care
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- Cognitive Level: Evaluation [Evaluating]
uum Concept: Critical Thinking; Nursing Roles
Objective: #. Difficulty: Difficult
Page: 13
Heading: Cultural Practices Feedback
Integrated Processes: Communication and Documentation A. In the advocate role, the nurse should promote patient-/family-centered care and
Client Need: Psychosocial Integrity work to provide the patient with more control, power, and self-determination in the
Cognitive Level: Application [Applying] health-care setting. The nurse who arranges a family–physician conference to
Concept: Diversity; Critical Thinking clarify treatment plans is advocating for the patient.
Difficulty: Difficult B. The nurse advocate must ensure he or she is speaking for the patient and the
patient’s desires, not inserting personal values and beliefs into the process.
C. Giving contact information for assistance agencies is a way of demonstrating
Feedback advocacy but is too limited in scope to be the best answer.
A. There is no indication that this patient does not speak English, so using an D. Working on political campaigns is a way of demonstrating advocacy but is too
interpreter is inappropriate. limited in scope to be the best answer.
B. 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.
C. There is no indication that this patient does not speak English, so talking slowly
using simple language is inappropriate.
D. There is no indication that this patient does not speak English, so using mostly 7. A patient and family have the nursing diagnosis of impaired verbal communication secondary
nonverbal communication is inappropriate. 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”
6. A nurse manager expects all employees to be patient advocates. Which nursing action best C. States understanding of condition and treatment via an interpreter
demonstrates this nursing role? D. Understands how nonverbal communication varies between cultures
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 ANS: C
D. Working on a political campaign to reduce poverty in the state Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 14
Heading: Box 1-2 National Standards on Culturally and Linguistically Appropriate Services
Integrated Processes: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation [Evaluating]
, Concept: Promoting Health functioning.
Difficulty: Moderate
Feedback
A. Communicating long-term desires is a better long-term outcome for this diagnosis. 9. A nurse works a great deal with refugees and is frustrated because, as a group, they don’t seem to
B. Nodding the head and saying “yes” do not always indicate agreement, want to implement desired health behaviors. What action by the nurse would be most helpful?
understanding, or approval. In some cultures, this behavior signifies respect. A. Conduct a health screening and educational event each month.
C. For a language barrier, using a professional interpreter is not only the best way to B. Provide written information in the group’s native language.
manage communication, it is also legally required. The best short-term goal for the C. Teach selected group representatives to be lay health educators.
patient and family is to obtain understanding of the patient’s illness and treatment D. Try to establish relationships within the refugee community.
and state, through the interpreter, that this is the case.
D. Understanding the differences in nonverbal communication between cultures is not
an appropriate short-term goal. ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
8. A nurse is working with family members who have been striving to improve their functioning as a Page: 12
family unit. What behavior would suggest to the nurse that the family is meeting its goals? Heading: Family Systems Theory
A. The children are in multiple activities to develop talents. Integrated Processes: Teaching and Learning
B. The desire to be understood guides most communication. Client Need: Health Promotion and Maintenance
C. Family members gave up some activities to eat dinner together on most nights. Cognitive Level: Analysis [Analyzing]
D. The parents have a strong desire for the children to succeed. Concept: Family; Critical Thinking
Difficulty: Difficult
ANS: C Feedback
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- A. Regularly occurring health events might improve the nurse’s standing in the com-
uum munity, but it would not be the most helpful option.
Objective: #. B. Written information may or may not be helpful; many refugees are illiterate in their
Page: 13 native languages and some languages do not have a written form.
Heading: Bowen Family Systems Theory C. According to family systems theory, each family system contains boundaries that
Integrated Processes: Nursing Process: Evaluation affect how the outside world interacts with the family. Families that have recently
Client Need: Psychosocial Integrity immigrated to the United States might have closed boundaries and may only be re-
Cognitive Level: Evaluation [Evaluating] ceptive to health information provided by extended family members or members of
Concept: Family; Critical Thinking their community. Establishing a lay health educator program in which community
Difficulty: Difficult 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
Feedback their boundaries.
A. Children being involved in multiple activities often cuts into family time and can be D. Establishing relationships within the community is advisable but does not go far
disruptive. enough to solve the problem.
B. Communication should be guided by the desire to understand the other first, then to
be understood.
C. 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.
D. A strong desire for the children’s success does not guarantee successful family
Continuum
MULTIPLE CHOICE
1. A nurse wishes to improve their cultural sensitivity while working with patients. Which action
by 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
ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Test Bank for Davis Advantage for Maternal Page: 13
Heading: Cultural Practices
Child Nursing Care 3rd Edition Scannell Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Chapter 1 - 33 Updated 2024 Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
A. Cultural competence is the ability to interact effectively with people of different
cultures and requires a certain level of knowledge about those cultures.
B. Cultural competence is the ability to interact effectively with people of different
cultures and requires a certain level of knowledge about those cultures.
C. Cultural sensitivity is a way of approaching people who hold health beliefs different
from one’s own. A nurse with this characteristic is respectful of and open to others.
D. Cultural humility is the recognition that one will never master all information about
another culture.
2. 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
, ANS: C Concept: Promoting Health
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- Difficulty: Moderate
uum
Objective: #. Feedback
Page: 16 A. Because the patient is asking about complementary therapy, there is no need to
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health warn them of the effects of stopping treatment.
Integrated Processes: Caring B. There are always complementary therapies that can be added to a medical regimen.
Client Need: Psychosocial Integrity C. Substituting herbs for prescription medication is an example of alternative therapy.
Cognitive Level: Evaluation [Evaluating] D. Complementary therapy is nontraditional medical treatment used together with
Concept: Diversity; Critical Thinking conventional medical treatment. Adding massage to the medical regimen is an ex-
Difficulty: Difficult ample of using complementary therapy.
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action is 4. A nurse is working with a family that uses multiple complementary and alternative medicine
too limited in scope to demonstrate cultural competence. (CAM) modalities. What action by the nurse is best?
B. Participating in community events with diverse populations can increase cultural A. Allow the family to continue these practices as desired.
knowledge, but this action is too limited in scope to demonstrate cultural B. Assess how these practices reflect religious beliefs.
competence. C. Inform the family that most of these practices do not work.
C. The culturally sensitive nurse can understand and respond to the needs of D. Provide evidence-based information about the therapies.
individuals and families from different cultures. This nurse plans interventions with
a solid knowledge of the values and practices of the members of the culture. Being
open, listening to the family, and involving them in care demonstrates respect, ANS: D
unifies the nurse–patient relationship, and will motivate the patient (and family) to Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
make positive health changes. uum
D. Nurses should use professional interpreters when needed. Objective: #.
Page: 18
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching and Learning
3. A patient wishes to use complementary therapy when managing a chronic health condition. Client Need: Health Promotion and Maintenance
Which action by the nurse is most appropriate? Cognitive Level: Application [Applying]
A. Advise the patient that stopping medical treatment may cause it to worsen. Concept: Family; Promoting Health
B. Inform the patient that there are no complementary therapies for this condition. Difficulty: Moderate
C. Investigate herbs that can be substituted for prescription drugs.
D. Suggest the patient add massage therapy to the medical regimen. Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
up the opportunity to provide and discuss information about CAM.
ANS: D B. A culturally competent nurse will assess how religious and spiritual beliefs affect
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- health-care practices, but the nurse needs to advocate for the patient/family by
uum providing solid information.
Objective: #. C. Many CAM practices have demonstrated benefit, so telling the family they don’t
Page: 18 work is false information.
Heading: Complementary and Alternative Therapies D. The nurse working with individuals or families who use CAM practices should
Integrated Processes: Teaching and Learning respect the beliefs, values, and desires of the patient. The nurse should encourage
Client Need: Health Promotion and Maintenance families to make decisions regarding CAM practices based on evidence and
Cognitive Level: Analysis [Analyzing] research into their effects. The nurse can best assist in this by providing and
discussing information.
,5. 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? ANS: A
A. Call for a professional interpreter to translate information. Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
B. Pattern voice tone and eye contact after the patient’s behaviors. uum
C. Talk slowly and deliberately using simple language and cues. Objective: #.
D. Use nonverbal communication as much as possible with the patient. Page: 17
Heading: Health Disparities
Integrated Processes: Caring
ANS: B Client Need: Safe and Effective Care Environment – Management of Care
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- Cognitive Level: Evaluation [Evaluating]
uum Concept: Critical Thinking; Nursing Roles
Objective: #. Difficulty: Difficult
Page: 13
Heading: Cultural Practices Feedback
Integrated Processes: Communication and Documentation A. In the advocate role, the nurse should promote patient-/family-centered care and
Client Need: Psychosocial Integrity work to provide the patient with more control, power, and self-determination in the
Cognitive Level: Application [Applying] health-care setting. The nurse who arranges a family–physician conference to
Concept: Diversity; Critical Thinking clarify treatment plans is advocating for the patient.
Difficulty: Difficult B. The nurse advocate must ensure he or she is speaking for the patient and the
patient’s desires, not inserting personal values and beliefs into the process.
C. Giving contact information for assistance agencies is a way of demonstrating
Feedback advocacy but is too limited in scope to be the best answer.
A. There is no indication that this patient does not speak English, so using an D. Working on political campaigns is a way of demonstrating advocacy but is too
interpreter is inappropriate. limited in scope to be the best answer.
B. 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.
C. There is no indication that this patient does not speak English, so talking slowly
using simple language is inappropriate.
D. There is no indication that this patient does not speak English, so using mostly 7. A patient and family have the nursing diagnosis of impaired verbal communication secondary
nonverbal communication is inappropriate. 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”
6. A nurse manager expects all employees to be patient advocates. Which nursing action best C. States understanding of condition and treatment via an interpreter
demonstrates this nursing role? D. Understands how nonverbal communication varies between cultures
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 ANS: C
D. Working on a political campaign to reduce poverty in the state Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 14
Heading: Box 1-2 National Standards on Culturally and Linguistically Appropriate Services
Integrated Processes: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation [Evaluating]
, Concept: Promoting Health functioning.
Difficulty: Moderate
Feedback
A. Communicating long-term desires is a better long-term outcome for this diagnosis. 9. A nurse works a great deal with refugees and is frustrated because, as a group, they don’t seem to
B. Nodding the head and saying “yes” do not always indicate agreement, want to implement desired health behaviors. What action by the nurse would be most helpful?
understanding, or approval. In some cultures, this behavior signifies respect. A. Conduct a health screening and educational event each month.
C. For a language barrier, using a professional interpreter is not only the best way to B. Provide written information in the group’s native language.
manage communication, it is also legally required. The best short-term goal for the C. Teach selected group representatives to be lay health educators.
patient and family is to obtain understanding of the patient’s illness and treatment D. Try to establish relationships within the refugee community.
and state, through the interpreter, that this is the case.
D. Understanding the differences in nonverbal communication between cultures is not
an appropriate short-term goal. ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
8. A nurse is working with family members who have been striving to improve their functioning as a Page: 12
family unit. What behavior would suggest to the nurse that the family is meeting its goals? Heading: Family Systems Theory
A. The children are in multiple activities to develop talents. Integrated Processes: Teaching and Learning
B. The desire to be understood guides most communication. Client Need: Health Promotion and Maintenance
C. Family members gave up some activities to eat dinner together on most nights. Cognitive Level: Analysis [Analyzing]
D. The parents have a strong desire for the children to succeed. Concept: Family; Critical Thinking
Difficulty: Difficult
ANS: C Feedback
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- A. Regularly occurring health events might improve the nurse’s standing in the com-
uum munity, but it would not be the most helpful option.
Objective: #. B. Written information may or may not be helpful; many refugees are illiterate in their
Page: 13 native languages and some languages do not have a written form.
Heading: Bowen Family Systems Theory C. According to family systems theory, each family system contains boundaries that
Integrated Processes: Nursing Process: Evaluation affect how the outside world interacts with the family. Families that have recently
Client Need: Psychosocial Integrity immigrated to the United States might have closed boundaries and may only be re-
Cognitive Level: Evaluation [Evaluating] ceptive to health information provided by extended family members or members of
Concept: Family; Critical Thinking their community. Establishing a lay health educator program in which community
Difficulty: Difficult 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
Feedback their boundaries.
A. Children being involved in multiple activities often cuts into family time and can be D. Establishing relationships within the community is advisable but does not go far
disruptive. enough to solve the problem.
B. Communication should be guided by the desire to understand the other first, then to
be understood.
C. 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.
D. A strong desire for the children’s success does not guarantee successful family
