Chapter 02: Community Care: 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. Based on this information, what family form best
describes this family?
a. Married-blended family
b. Extended family
c. Nuclear family
d. Same-sex family
ANS: A
Married-blended families are formed as the result of divorce and remarriage. Unrelated
family members join 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 male and female partners along with the children resulting from
that union. A same-sex family is a family with homosexual partners who cohabit with or
without children.
PTS: 1 DIF: Cognitive Level: Remember
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
2. Which key factors play the most powerful role in the behaviors of individuals and families?
a. Rituals and customs NURSINGTB.COM
b. Beliefs and values
c. Boundaries and channels
d. Socialization processes
ANS: B
Beliefs and values are the most prevalent factors in the decision-making and
problem-solving behaviors of individuals and families. This prevalence is particularly true
during times of stress and illness. 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 with interactions within the community, but they are not the
criteria used for decision making within the family.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
3. What is the primary difference between hospital care and home health care?
a. Home care is routinely and continuously delivered by professional staff.
b. Home care is delivered on an intermittent basis by professional staff.
c. Home care is delivered for emergency conditions.
d. Home care is not available 24 hours a day.
, ANS: B
Home care is generally delivered on an intermittent basis by professional staff members.
The primary difference between health care in a hospital and home care is the absence of the
continuous presence of professional health care providers in a client’s home. In a true
emergency, the client should be directed to call 9-1-1 or to report to the nearest hospital’s
emergency department. Generally, home health care entails intermittent care by a
professional who visits the client’s home for a particular reason and provides on-site care for
periods shorter than 4 hours at a time.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
4. The woman’s family members are present when the nurse arrives for a postpartum and
newborn visit. What should the nurse do?
a. Observe the family members’ interactions with the newborn and one another.
b. Ask the woman to meet with her and the baby alone.
c. Perform a brief assessment on all family members who are present.
d. Reschedule the visit for another time so that the mother and infant can be privately
assessed.
ANS: A
The nurse should introduce her or himself to the client and to the other family members who
are 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 N reRmSaI
caU rnG
teN -cB
alT hi.
ldCnuM
rse is to provide care to the new
postpartum mother and to her infant, not to all family members. The nurse can politely ask
about the other people in the home and their relationships with the mother. Unless an
indication is given that the woman would prefer privacy, the visit may continue.
PTS: 1 DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. What is a limitation of a home postpartum visit?
a. Distractions limit the nurse’s ability to teach.
b. Identified problems cannot be resolved in the home setting.
c. Necessary items for infant care are not available.
d. Home visits to different families may require the nurse to travel a great distance.
ANS: D
One limitation of home health visits is the distance the nurse must travel between clients.
Driving directions should be obtained by telephone before the visit. The home care nurse is
accustomed to distractions but may request that the television be turned off so that attention
can be focused on the client and her family. Problems cannot always be resolved; however,
appropriate referrals may be arranged by the nurse. The nurse is required to bring any
necessary equipment, such as a thermometer, baby scale, or laptop computer, for
documentation.
PTS: 1 DIF: Cognitive Level: Understand
, TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
6. When the services of an interpreter are needed, which is the most important factor for the
nurse to consider?
a. Using a family member who is fluent in both languages
b. Using an interpreter who is certified, and documenting the person’s name in the
nursing notes
c. Directing questions only to the interpreter
d. Using an interpreter only in an emergency
ANS: B
Using a certified interpreter ensures that the standards of care are met and that the
information exchanged is reliable and unaltered. The name of the interpreter should be
documented for legal purposes. Asking a family member to interpret may not be
appropriate, although many health care personnel must adopt this approach in an
emergency. Furthermore, most states require that certified interpreters be used when
possible. When using an interpreter, the nurse should direct questions to the client. The
interpreter is simply a means by which the nurse communicates with the client. Every
attempt should be made to contact an interpreter whenever one is needed. During an
emergency, health care workers often rely on information interpreted by family members.
This information may be private and should be protected under the rules established by the
Health Insurance Portability and Accountability Act (HIPAA). Furthermore, family
members may skew information or may not be able to interpret the exact information the
nurse is trying to obtain.
PTS: 1 DIF:NUCRoS
gnIitN
ivG
eTLB
ev.
elC
:AOpMply
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
7. Which traditional family structure is decreasing in numbers and attributable to societal
changes?
a. Extended family
b. Binuclear family
c. Nuclear family
d. Blended family
ANS: C
The nuclear family has long represented the traditional American family in which husband,
wife, and children live as an independent unit. As a result of rapid changes in society, this
number is steadily decreasing as other family configurations are socially recognized.
Extended families involve additional blood relatives other than the parents. A binuclear
family involves two households. A blended family is reconstructed after divorce and
involves the merger of two families.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
8. Which pictorial tool can assist the nurse in assessing the aspects of family life related to
health care?
a. Genogram
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. Based on this information, what family form best
describes this family?
a. Married-blended family
b. Extended family
c. Nuclear family
d. Same-sex family
ANS: A
Married-blended families are formed as the result of divorce and remarriage. Unrelated
family members join 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 male and female partners along with the children resulting from
that union. A same-sex family is a family with homosexual partners who cohabit with or
without children.
PTS: 1 DIF: Cognitive Level: Remember
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
2. Which key factors play the most powerful role in the behaviors of individuals and families?
a. Rituals and customs NURSINGTB.COM
b. Beliefs and values
c. Boundaries and channels
d. Socialization processes
ANS: B
Beliefs and values are the most prevalent factors in the decision-making and
problem-solving behaviors of individuals and families. This prevalence is particularly true
during times of stress and illness. 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 with interactions within the community, but they are not the
criteria used for decision making within the family.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
3. What is the primary difference between hospital care and home health care?
a. Home care is routinely and continuously delivered by professional staff.
b. Home care is delivered on an intermittent basis by professional staff.
c. Home care is delivered for emergency conditions.
d. Home care is not available 24 hours a day.
, ANS: B
Home care is generally delivered on an intermittent basis by professional staff members.
The primary difference between health care in a hospital and home care is the absence of the
continuous presence of professional health care providers in a client’s home. In a true
emergency, the client should be directed to call 9-1-1 or to report to the nearest hospital’s
emergency department. Generally, home health care entails intermittent care by a
professional who visits the client’s home for a particular reason and provides on-site care for
periods shorter than 4 hours at a time.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
4. The woman’s family members are present when the nurse arrives for a postpartum and
newborn visit. What should the nurse do?
a. Observe the family members’ interactions with the newborn and one another.
b. Ask the woman to meet with her and the baby alone.
c. Perform a brief assessment on all family members who are present.
d. Reschedule the visit for another time so that the mother and infant can be privately
assessed.
ANS: A
The nurse should introduce her or himself to the client and to the other family members who
are 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 N reRmSaI
caU rnG
teN -cB
alT hi.
ldCnuM
rse is to provide care to the new
postpartum mother and to her infant, not to all family members. The nurse can politely ask
about the other people in the home and their relationships with the mother. Unless an
indication is given that the woman would prefer privacy, the visit may continue.
PTS: 1 DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. What is a limitation of a home postpartum visit?
a. Distractions limit the nurse’s ability to teach.
b. Identified problems cannot be resolved in the home setting.
c. Necessary items for infant care are not available.
d. Home visits to different families may require the nurse to travel a great distance.
ANS: D
One limitation of home health visits is the distance the nurse must travel between clients.
Driving directions should be obtained by telephone before the visit. The home care nurse is
accustomed to distractions but may request that the television be turned off so that attention
can be focused on the client and her family. Problems cannot always be resolved; however,
appropriate referrals may be arranged by the nurse. The nurse is required to bring any
necessary equipment, such as a thermometer, baby scale, or laptop computer, for
documentation.
PTS: 1 DIF: Cognitive Level: Understand
, TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
6. When the services of an interpreter are needed, which is the most important factor for the
nurse to consider?
a. Using a family member who is fluent in both languages
b. Using an interpreter who is certified, and documenting the person’s name in the
nursing notes
c. Directing questions only to the interpreter
d. Using an interpreter only in an emergency
ANS: B
Using a certified interpreter ensures that the standards of care are met and that the
information exchanged is reliable and unaltered. The name of the interpreter should be
documented for legal purposes. Asking a family member to interpret may not be
appropriate, although many health care personnel must adopt this approach in an
emergency. Furthermore, most states require that certified interpreters be used when
possible. When using an interpreter, the nurse should direct questions to the client. The
interpreter is simply a means by which the nurse communicates with the client. Every
attempt should be made to contact an interpreter whenever one is needed. During an
emergency, health care workers often rely on information interpreted by family members.
This information may be private and should be protected under the rules established by the
Health Insurance Portability and Accountability Act (HIPAA). Furthermore, family
members may skew information or may not be able to interpret the exact information the
nurse is trying to obtain.
PTS: 1 DIF:NUCRoS
gnIitN
ivG
eTLB
ev.
elC
:AOpMply
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
7. Which traditional family structure is decreasing in numbers and attributable to societal
changes?
a. Extended family
b. Binuclear family
c. Nuclear family
d. Blended family
ANS: C
The nuclear family has long represented the traditional American family in which husband,
wife, and children live as an independent unit. As a result of rapid changes in society, this
number is steadily decreasing as other family configurations are socially recognized.
Extended families involve additional blood relatives other than the parents. A binuclear
family involves two households. A blended family is reconstructed after divorce and
involves the merger of two families.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
8. Which pictorial tool can assist the nurse in assessing the aspects of family life related to
health care?
a. Genogram
