Test Bank for Davis Advantage for Maternal
Child Nursing Care 3rd Edition Scannell
Chapter 1 - 33 Updated 2024
,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: #.
Page: 13
Heading: Cultural Practices
Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
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
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 16
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health
Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation [Evaluating]
Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action is
too limited in scope to demonstrate cultural competence.
B. Participating in community events with diverse populations can increase cultural
knowledge, but this action is too limited in scope to demonstrate cultural
competence.
C. The culturally sensitive nurse can understand and respond to the needs of
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,
unifies the nurse–patient relationship, and will motivate the patient (and family) to
make positive health changes.
D. Nurses should use professional interpreters when needed.
3. 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.
ANS: D
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 18
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
, Concept: Promoting Health
Difficulty: Moderate
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
warn them of the effects of stopping treatment.
B. There are always complementary therapies that can be added to a medical regimen.
C. Substituting herbs for prescription medication is an example of alternative therapy.
D. Complementary therapy is nontraditional medical treatment used together with
conventional medical treatment. Adding massage to the medical regimen is an ex-
ample of using complementary therapy.
4. 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.
ANS: D
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 18
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Family; Promoting Health
Difficulty: Moderate
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.
B. A culturally competent nurse will assess how religious and spiritual beliefs affect
health-care practices, but the nurse needs to advocate for the patient/family by
providing solid information.
C. Many CAM practices have demonstrated benefit, so telling the family they don’t
work is false information.
D. 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.
,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?
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.
ANS: B
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 13
Heading: Cultural Practices
Integrated Processes: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
A. There is no indication that this patient does not speak English, so using an
interpreter is inappropriate.
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
nonverbal communication is inappropriate.
6. 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
, ANS: A
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 17
Heading: Health Disparities
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Evaluation [Evaluating]
Concept: Critical Thinking; Nursing Roles
Difficulty: Difficult
Feedback
A. 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.
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
advocacy but is too limited in scope to be the best answer.
D. Working on political campaigns is a way of demonstrating advocacy but is too
limited in scope to be the best answer.
7. 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
ANS: C
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
Difficulty: Moderate
Feedback
A. Communicating long-term desires is a better long-term outcome for this diagnosis.
B. Nodding the head and saying “yes” do not always indicate agreement,
understanding, or approval. In some cultures, this behavior signifies respect.
C. 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.
D. Understanding the differences in nonverbal communication between cultures is not
an appropriate short-term goal.
8. 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.
ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 13
Heading: Bowen Family Systems Theory
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation [Evaluating]
Concept: Family; Critical Thinking
Difficulty: Difficult
Feedback
A. Children being involved in multiple activities often cuts into family time and can be
disruptive.
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
, functioning.
9. 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.
ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 12
Heading: Family Systems Theory
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
Concept: Family; Critical Thinking
Difficulty: Difficult
Feedback
A. Regularly occurring health events might improve the nurse’s standing in the com-
munity, but it would not be the most helpful option.
B. Written information may or may not be helpful; many refugees are illiterate in their
native languages and some languages do not have a written form.
C. 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.
D. Establishing relationships within the community is advisable but does not go far
enough to solve the problem.
,10. 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.
ANS: B
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 12
Heading: Group Theory
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Family
Difficulty: Moderate
Feedback
A. Making lists and assigning chores are simple tasks that might help with
organization, but this does not go far enough in solving the problem.
B. 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.
C. The family may or may not need a referral for counseling.
D. Simply telling the family members a fact does not give them enough information to
adapt.
11. 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.
, ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 12
Heading: Family Theories and Development Frameworks
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Family; Critical Thinking
Difficulty: Difficult
Feedback
A. Without further information, the nurse cannot conclude that communication
problems are the root cause of the issue.
B. Without further information, the nurse cannot conclude that economic stressors are
the root cause of the issue.
C. 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.
D. Simply concluding that the family has too many children is judgmental and does not
leave any room for interventions.
12. 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. Whataction 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.
ANS: D
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 12
Heading: Group Theory
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Child Nursing Care 3rd Edition Scannell
Chapter 1 - 33 Updated 2024
,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: #.
Page: 13
Heading: Cultural Practices
Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
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
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 16
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health
Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation [Evaluating]
Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action is
too limited in scope to demonstrate cultural competence.
B. Participating in community events with diverse populations can increase cultural
knowledge, but this action is too limited in scope to demonstrate cultural
competence.
C. The culturally sensitive nurse can understand and respond to the needs of
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,
unifies the nurse–patient relationship, and will motivate the patient (and family) to
make positive health changes.
D. Nurses should use professional interpreters when needed.
3. 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.
ANS: D
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 18
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
, Concept: Promoting Health
Difficulty: Moderate
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
warn them of the effects of stopping treatment.
B. There are always complementary therapies that can be added to a medical regimen.
C. Substituting herbs for prescription medication is an example of alternative therapy.
D. Complementary therapy is nontraditional medical treatment used together with
conventional medical treatment. Adding massage to the medical regimen is an ex-
ample of using complementary therapy.
4. 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.
ANS: D
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 18
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Family; Promoting Health
Difficulty: Moderate
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.
B. A culturally competent nurse will assess how religious and spiritual beliefs affect
health-care practices, but the nurse needs to advocate for the patient/family by
providing solid information.
C. Many CAM practices have demonstrated benefit, so telling the family they don’t
work is false information.
D. 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.
,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?
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.
ANS: B
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 13
Heading: Cultural Practices
Integrated Processes: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
A. There is no indication that this patient does not speak English, so using an
interpreter is inappropriate.
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
nonverbal communication is inappropriate.
6. 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
, ANS: A
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 17
Heading: Health Disparities
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Evaluation [Evaluating]
Concept: Critical Thinking; Nursing Roles
Difficulty: Difficult
Feedback
A. 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.
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
advocacy but is too limited in scope to be the best answer.
D. Working on political campaigns is a way of demonstrating advocacy but is too
limited in scope to be the best answer.
7. 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
ANS: C
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
Difficulty: Moderate
Feedback
A. Communicating long-term desires is a better long-term outcome for this diagnosis.
B. Nodding the head and saying “yes” do not always indicate agreement,
understanding, or approval. In some cultures, this behavior signifies respect.
C. 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.
D. Understanding the differences in nonverbal communication between cultures is not
an appropriate short-term goal.
8. 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.
ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 13
Heading: Bowen Family Systems Theory
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation [Evaluating]
Concept: Family; Critical Thinking
Difficulty: Difficult
Feedback
A. Children being involved in multiple activities often cuts into family time and can be
disruptive.
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
, functioning.
9. 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.
ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 12
Heading: Family Systems Theory
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
Concept: Family; Critical Thinking
Difficulty: Difficult
Feedback
A. Regularly occurring health events might improve the nurse’s standing in the com-
munity, but it would not be the most helpful option.
B. Written information may or may not be helpful; many refugees are illiterate in their
native languages and some languages do not have a written form.
C. 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.
D. Establishing relationships within the community is advisable but does not go far
enough to solve the problem.
,10. 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.
ANS: B
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 12
Heading: Group Theory
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Family
Difficulty: Moderate
Feedback
A. Making lists and assigning chores are simple tasks that might help with
organization, but this does not go far enough in solving the problem.
B. 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.
C. The family may or may not need a referral for counseling.
D. Simply telling the family members a fact does not give them enough information to
adapt.
11. 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.
, ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 12
Heading: Family Theories and Development Frameworks
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Family; Critical Thinking
Difficulty: Difficult
Feedback
A. Without further information, the nurse cannot conclude that communication
problems are the root cause of the issue.
B. Without further information, the nurse cannot conclude that economic stressors are
the root cause of the issue.
C. 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.
D. Simply concluding that the family has too many children is judgmental and does not
leave any room for interventions.
12. 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. Whataction 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.
ANS: D
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
uum
Objective: #.
Page: 12
Heading: Group Theory
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
