Chapter 2 Families, Cultures, and Complementary Therapies
1) A couple who came to the United States two years ago with their two
children are seeing the nurse in the community clinic. The nurse knows their
family is acculturating when the mother makes which statement?
1. The children are much less well-behaved than they used to be.
2. Our diet now includes hamburgers and French fries.
3. We celebrate the same holidays that we used to at home.
4. When the children leave the house, I worry about them.
Answer: 2
Explanation: 2. Inclusion of fast food in the diet is an indication of
acculturation, because it shows a belief in the nutritional value of these foods
and an acceptance of purchasing fast food as equivalent in value to home-
cooked meals.
Page Ref: 22
Cognitive Level: Understanding
Client Need/Sub: Psychosocial Integrity: Cultural Awareness/Cultural
Influences on Health
Standards: QSEN Competencies: I. B. 3. Provide patient-centered care with
sensitivity and respect for the diversity of human experience. | AACN
Essentials Competencies: VII. 7. Collaborate with other healthcare
professionals and patients to provide spiritually and culturally appropriate
health promotion and disease and injury prevention interventions. | NLN
Competencies: Relationship-Centered Care: Appreciate the patient as a whole
person, with his or her own life story and ideas about the meaning of health
or illness. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Compare the characteristics of different types of
families.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing
experience.
,1
Copyright 2016 Pearson Education, Inc.
2) Which of the following best describes a nuclear family?
1. A family is composed of an unmarried woman who chooses to conceive or
adopt without a life partner.
2. Children live in a household with both biologic parents and no other relatives
or persons.
3. A couple shares household and childrearing responsibilities with parents,
siblings, or other relatives.
4. The head of the household is widowed, divorced, abandoned, or separated or
most often the mother remains unmarried.
Answer: 2
Explanation: 2. In the nuclear family, children live in a household with both
biologic parents and no other relatives or persons.
Page Ref: 19
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Developmental Stages
and Transitions
Standards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic,
and social backgrounds function as sources of patient, family, and community
values. | AACN Essentials Competencies: VII. 3. Assess health/illness beliefs,
values, attitudes, and practices of individuals, families, groups, communities,
and populations. | NLN Competencies: Relationship- Centered Care: The role
of family, culture, and community in a persons development. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Compare the characteristics of different types of families.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing
experience.
3) What is the term for when children alternate between two homes, spending
varying amounts of time with each parent in a situation called co-parenting and
usually involving joint custody?
,1. Blended or reconstituted nuclear family
2. Extended kin network family
3. Binuclear family
4. Extended family
Answer: 3
Explanation: 3. A binuclear family is a postdivorce family in which the biologic
children are members of two nuclear households, with parenting by both the
father and the mother.
Page Ref: 20
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Developmental Stages
and Transitions
Standards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic,
and social backgrounds function as sources of patient, family, and community
values. | AACN Essentials Competencies: VII. 3. Assess health/illness beliefs,
values, attitudes, and practices of individuals, families, groups, communities,
and populations. | NLN Competencies: Relationship- Centered Care: The role
of family, culture, and community in a persons development. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Compare the characteristics of different types of families.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing
experience.
2
Copyright 2016 Pearson Education, Inc.
4) Duvalls eight stages in the family life cycle of a traditional nuclear family
have been used as the foundation for contemporary models that describe the
developmental processes and role expectations for different family types.
Which of the following is an example of Stage IV of this family life cycle?
1. Families launching young adults (all children leave home)
2. Families with preschool-age children (oldest child is between 2.5 and 6 years
of age)
, 3. Middle-aged parents (empty nest through retirement)
4. Families with schoolchildren (oldest child is between 6 and 13 years of
age)
Answer: 4
Explanation: 4. Stage IV is families with schoolchildren (oldest child is
between 6 and 13 years of age).
Page Ref: 21
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Developmental Stages
and Transitions
Standards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic,
and social backgrounds function as sources of patient, family, and community
values. | AACN Essentials Competencies: VII. 3. Assess health/illness beliefs,
values, attitudes, and practices of individuals, families, groups, communities,
and populations. | NLN Competencies: Relationship- Centered Care: The role
of family, culture, and community in a persons development. |
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2 Identify the stages of a family life cycle.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing
experience.
5) A 7-year-old client tells the nurse that Grandpa, Mommy, Daddy, and my
brother live at my house. The nurse identifies this as what type of family?
1. Binuclear
2. Extended
3. Gay or lesbian
4. Traditional
Answer: 2
Explanation: 2. An extended family consists of a couple who share the house
with their parents, siblings, or other relatives.
Page Ref: 20
1) A couple who came to the United States two years ago with their two
children are seeing the nurse in the community clinic. The nurse knows their
family is acculturating when the mother makes which statement?
1. The children are much less well-behaved than they used to be.
2. Our diet now includes hamburgers and French fries.
3. We celebrate the same holidays that we used to at home.
4. When the children leave the house, I worry about them.
Answer: 2
Explanation: 2. Inclusion of fast food in the diet is an indication of
acculturation, because it shows a belief in the nutritional value of these foods
and an acceptance of purchasing fast food as equivalent in value to home-
cooked meals.
Page Ref: 22
Cognitive Level: Understanding
Client Need/Sub: Psychosocial Integrity: Cultural Awareness/Cultural
Influences on Health
Standards: QSEN Competencies: I. B. 3. Provide patient-centered care with
sensitivity and respect for the diversity of human experience. | AACN
Essentials Competencies: VII. 7. Collaborate with other healthcare
professionals and patients to provide spiritually and culturally appropriate
health promotion and disease and injury prevention interventions. | NLN
Competencies: Relationship-Centered Care: Appreciate the patient as a whole
person, with his or her own life story and ideas about the meaning of health
or illness. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Compare the characteristics of different types of
families.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing
experience.
,1
Copyright 2016 Pearson Education, Inc.
2) Which of the following best describes a nuclear family?
1. A family is composed of an unmarried woman who chooses to conceive or
adopt without a life partner.
2. Children live in a household with both biologic parents and no other relatives
or persons.
3. A couple shares household and childrearing responsibilities with parents,
siblings, or other relatives.
4. The head of the household is widowed, divorced, abandoned, or separated or
most often the mother remains unmarried.
Answer: 2
Explanation: 2. In the nuclear family, children live in a household with both
biologic parents and no other relatives or persons.
Page Ref: 19
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Developmental Stages
and Transitions
Standards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic,
and social backgrounds function as sources of patient, family, and community
values. | AACN Essentials Competencies: VII. 3. Assess health/illness beliefs,
values, attitudes, and practices of individuals, families, groups, communities,
and populations. | NLN Competencies: Relationship- Centered Care: The role
of family, culture, and community in a persons development. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Compare the characteristics of different types of families.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing
experience.
3) What is the term for when children alternate between two homes, spending
varying amounts of time with each parent in a situation called co-parenting and
usually involving joint custody?
,1. Blended or reconstituted nuclear family
2. Extended kin network family
3. Binuclear family
4. Extended family
Answer: 3
Explanation: 3. A binuclear family is a postdivorce family in which the biologic
children are members of two nuclear households, with parenting by both the
father and the mother.
Page Ref: 20
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Developmental Stages
and Transitions
Standards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic,
and social backgrounds function as sources of patient, family, and community
values. | AACN Essentials Competencies: VII. 3. Assess health/illness beliefs,
values, attitudes, and practices of individuals, families, groups, communities,
and populations. | NLN Competencies: Relationship- Centered Care: The role
of family, culture, and community in a persons development. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Compare the characteristics of different types of families.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing
experience.
2
Copyright 2016 Pearson Education, Inc.
4) Duvalls eight stages in the family life cycle of a traditional nuclear family
have been used as the foundation for contemporary models that describe the
developmental processes and role expectations for different family types.
Which of the following is an example of Stage IV of this family life cycle?
1. Families launching young adults (all children leave home)
2. Families with preschool-age children (oldest child is between 2.5 and 6 years
of age)
, 3. Middle-aged parents (empty nest through retirement)
4. Families with schoolchildren (oldest child is between 6 and 13 years of
age)
Answer: 4
Explanation: 4. Stage IV is families with schoolchildren (oldest child is
between 6 and 13 years of age).
Page Ref: 21
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Developmental Stages
and Transitions
Standards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic,
and social backgrounds function as sources of patient, family, and community
values. | AACN Essentials Competencies: VII. 3. Assess health/illness beliefs,
values, attitudes, and practices of individuals, families, groups, communities,
and populations. | NLN Competencies: Relationship- Centered Care: The role
of family, culture, and community in a persons development. |
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2 Identify the stages of a family life cycle.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing
experience.
5) A 7-year-old client tells the nurse that Grandpa, Mommy, Daddy, and my
brother live at my house. The nurse identifies this as what type of family?
1. Binuclear
2. Extended
3. Gay or lesbian
4. Traditional
Answer: 2
Explanation: 2. An extended family consists of a couple who share the house
with their parents, siblings, or other relatives.
Page Ref: 20
