NSG 222 Family Health Nursing - Exam 2 review Latest Update 2024-2025 100% Complete 460 Questions and Verified Correct Answers Already Graded A+
A 46-year-old woman from Bosnia came to the United States 6 years ago. Although she did not celebrate Christmas when she lived in Bosnia, she celebrates Christmas with her family now. This woman has experienced assimilation into the culture of the United
States because she:
A .Chose to be bicultural.
- Adapted to and adopted the American culture.
- Had an extremely negative experience with the American culture.
- Gave up part of her ethnic identity in favor of the American culture. - CORRECT
ANSWER: B. Adapted to and adopted the American culture.
Assimilation results when an individual gradually adopts and incorporates the characteristics of the dominant culture.
A 6-month-old child from Guatemala was adopted by an American family in Indiana.The child's socialization into the American midwestern culture is best described as:
- Assimilation.
- Acculturation.
- Biculturalism.
D. Enculturation. - CORRECT ANSWER: D. Enculturation.
Socialization into one's primary culture as a child is known as enculturation.
A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle is involved in this situation?
- Fidelity
- Beneficence
- Nonmaleficence
D. Respect for autonomy - CORRECT ANSWER: B. Beneficence
The immunization is a clear effort to provide benefit. Beneficence refers to "doing good." Fidelity refers more to keeping promises. Nonmaleficence refers to the commitment to avoid harm. Respect for autonomy refers to the commitment to include patients in the decision-making process regarding health care plans. 1 / 4
A community health nurse is making a healthy baby visit to a new mother who recently emigrated to the United States from Ghana. When discussing contraceptives with the new mom, the mother states that she won't have to worry about getting pregnant for the time being. The nurse understands that the mom most likely made this statement
because:
- She won't resume sexual relations until her baby is weaned.
- She is taking the medroxyprogesterone (Depo-Provera) shot.
- Her husband was recently deployed to Afghanistan.
D. She has access to free condoms from the clinic. - CORRECT ANSWER: A. She
won't resume sexual relations until her baby is weaned.
In some African cultures such as in Ghana and Sierra Leone some women will not resume sexual relations with their husbands until the baby is weaned.
A female Jamaican immigrant has been late to her last two clinic visits, which in turn had to be rescheduled. The best action that the nurse could take to prevent the patient
from being late to her next appointment is:
- Give her a copy of the city bus schedule.
- Call her the day before her appointment as a reminder to be on time.
- Explore what has prevented her from being at the clinic in time for her appointment.
- Refer her to a clinic that is closer to her home. - CORRECT ANSWER: C. Explore
what has prevented her from being at the clinic in time for her appointment
Present-time orientation is in conflict with the dominant organizational norm in health care that emphasizes punctuality and adherence to appointments. Nurses need to expect conflicts and make adjustments when caring for ethnic groups.
A nursing student is doing a community health rotation in an inner-city public health department. The student investigates sociodemographic and health data of the people served by the health department, and detects disparities in health outcomes between
the rich and poor. This is an example of a(n):
- Illness attributed to natural and biological forces.
- Creation of the student's interpretation and descriptions of the data.
- Influence of socioeconomic factors in morbidity and mortality.
- Combination of naturalistic, religious, and supernatural modalities. - CORRECT
ANSWER: C. Influence of socioeconomic factors in morbidity and mortality.
Health disparity populations are populations that have a significant increased incidence or prevalence of disease or that have increased morbidity, mortality, or survival rates compared to the health status of the general population.
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A nursing student is taking postoperative vital signs in the postanesthesia care unit. She knows that some ethnic groups are more prone to genetic disorders. Which of the following patients is most at risk for developing malignant hypertension?
- Ashkenazi Jew
- Chinese American
- African American
D. Filipino - CORRECT ANSWER: C. African American
Certain genetic disorders are linked with specific ethnic groups such as malignant hypertension among African Americans.
A precise definition for the word quality is difficult to articulate when it comes to quality of life. Why? (Select all that apply.)
- Quality of life is measured by potential income, and average income varies in
- Community values are subject to change, and communities influence definitions of
- Individual experiences influence perceptions of quality in potentially different ways,
- Placing measurable value on elusive elements such as cognitive skills, ability to
different regions of the country.
"quality."
making consensus difficult.
perform meaningful work, and relationship to family is challenging. - CORRECT
ANSWER: B. Community values are subject to change, and communities influence
definitions of "quality."
- Individual experiences influence perceptions of quality in potentially different ways,
- Placing measurable value on elusive elements such as cognitive skills, ability to
making consensus difficult.
perform meaningful work, and relationship to family is challenging.
Definitions of quality depend on individual experience and value integrated into community standards, but value refers to elements beyond monetary value.
A registered nurse is admitting a patient of French heritage to the hospital. Which question asked by the nurse indicates that the nurse is stereotyping the patient?
- "What are your dietary preferences?"
- "What time do you typically go to bed?"
- "Do you bathe and use deodorant more than one time a week?"
- "Do you have any health issues that we should know about?" - CORRECT
ANSWER: C. "Do you bathe and use deodorant more than one time a week?"
Nurses need to avoid stereotypes or unwarranted generalizations about any particular group that prevents further assessment of the individual's unique characteristics. 3 / 4
Culture strongly influences pain expression and need for pain medication. However,
cultural pain is:
- Not expressed verbally or physically.
- Expressed only to others from a similar culture.
- Usually more intense than physical pain.
- Suffered by a patient whose valued way of life is disregarded by practitioners. -
CORRECT ANSWER: D. Suffered by a patient whose valued way of life is disregarded by practitioners.
Patients suffer cultural pain when health care providers disregard values or cultural beliefs.
During their clinical post-conference meeting, several nursing students were discussing their patients with their instructor. One student from a middle-class family shared that her patient was homeless. This is an example of caring for a patient from a different:
- Ethnicity.
- Culture.
- Heritage.
D. Religion. - CORRECT ANSWER: B. Culture.
Culture is the context in which groups of people interpret and define their experiences relevant to life transitions. This includes events such as birth, illness, and dying. It is the system of meanings by which people make sense of their experiences.
Ethical dilemmas often arise over a conflict of opinion. What is the critical first step in negotiating the difference of opinion?
- Consult a professional ethicist to ensure that the steps of the process occur in full.
- Gather all relevant information regarding the clinical, social, and spiritual aspects of
- Ensure that the attending physician or health care provider has written an order for
- List the ethical principles that inform the dilemma so negotiations agree on the
the dilemma.
an ethics consultation to support the ethics process.
language of the discussion. - CORRECT ANSWER: B. Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma.
Before proceeding with discussion about any difficult situation, just as in the nursing process, participants take time to gather all relevant information as insurance for reliability and validity during the discussion.
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