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Test Bank For Maternal & Child Health Nursing, Care of the Childbearing & Childrearing Family 8th Edition by JoAnne Silbert-Flagg, Pillitteri, Adele | All Chapters | COMPLETE GUIDE A+$17.99
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Test Bank For Maternal & Child Health Nursing, Care of the Childbearing & Childrearing Family 8th Edition by JoAnne Silbert-Flagg, Pillitteri, Adele | All Chapters | COMPLETE GUIDE A+
Test Bank For Maternal & Child Health Nursing, Care of the Childbearing & Childrearing Family 8th Edition by JoAnne Silbert-Flagg, Pillitteri, Adele | All Chapters | COMPLETE GUIDE A+
,E S
7. A pregnant patient from nondominant culture arrives for a prenatal examination is
escorted to an examination room. When asked to remove clothing and wear an
examination gown, the patient hesitates. What should the nurse do to ensure cultural
sensitivity in preparation for the examination?
A) Leave the room.
B) Stay in the room.
C) Assist with clothing removal.
D D) Stand the distance of business space from the patient.
Ans: A
Feedback:
I The patient may be from a culture that values modesty. Because the patient hesitated to
U
remove clothing while the nurse was in attendance, the nurse should leave the room to
permit the patient to change into the examination gown. Staying in the room, assisting
with clothing removal, or standing at the business distance from the patient does not
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respect the patient's modesty.
8. The nurse teaches a pregnant patient from a nondominant culture that the health care
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provider wants the patient to rest for several hours every afternoon. Which patient
statement indicates that teaching has been effective?
A) “I need to go to sleep a few hours earlier every night.”
B) “I can stay in bed for a few more hours every morning.”
C
C) “I can lie down before lunch and then again right after dinner.”
D) “I need to lie down after lunch and not get up until it's time to prepare dinner.”
Ans: D
Feedback:
T
The nurse is evaluating the patient's comprehension of teaching regarding obtaining rest
O
for several hours every afternoon. The statement about lying down after lunch and not
getting up until time to prepare dinner indicates the patient understands the teaching.
The other statements indicate that additional teaching is necessary because going to
sleep earlier each evening, lying in bed longer each morning, and resting before lunch
N
and after dinner do not demonstrate understanding of the health care provider's
instructions.
P
O
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,E S9. The husband of a patient in active labor asks the nurse to phone him when the baby is
delivered because he needs to go to work. Which nursing response respects the
husband's culture?
A) Ask if he knows that he can stay with his wife during labor.
B) Tell him that all fathers now stay with their wives during labor.
C) Tell him he is missing out on the opportunity of a lifetime by leaving.
D) Insist he stay with his wife during labor because she will need his support.
D Ans: A
Feedback:
When implementing care, the nurse needs to avoid forcing cultural values onto others.
I The nurse needs to appreciate that such values are ingrained and usually very difficult to
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change. The nurse also does not know the cultural value of work and should not assume
that the patient's delivery is more important that work in that family's culture. The
responses that “tell” or “insist” that the husband stay to support the patient do not
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respect the family's culture.
10. A pregnant patient from a nondominant culture arrives 2 hours late for a scheduled
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sonogram. What does this patient's behavior indicate to the nurse?
A) The patient is confused.
B) The patient does not wear a wrist watch.C
C) Time orientation may be different for the patient's culture.
D) The patient's culture may focus on the past and not the future.
Ans: C
Feedback:
T
The patient who is from a culture that has a different time orientation than the dominant
culture will have difficulty adhering to time expectations. The patient not arriving for
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the diagnostic test at the scheduled time does not mean that the patient is confused. It is
inconsequential if the patient does or does not wear a wrist watch. There is no enough
information to determine if the patient is from a culture that focuses on the past and not
the future. N
P
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, S 11. A pregnant patient from a nondominant culture explains that milk and dairy products
cannot be consumed for 2 months during the pregnancy because of the need to fast for
her religion. Which response should the nurse make after learning this information?
A) “I'm sure that you don't need to follow this while you are pregnant.”
E B) “Avoiding milk and dairy products for 2 months will harm the fetus.”
C) “There are other food sources where you can obtain the nutrients that are in milk.”
D) “You must have a great deal of will power to avoid milk and dairy products for 2
D Ans: C
months.”
Feedback:
I The patient is explaining a religious practice that influences the patient's culture. The
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nurse needs to support this practice by offering other food sources for the patient to
consume which can provide the same or similar nutrients as the foods that are being
abstained. Stating that religious practices do not need to be followed while pregnant is
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not taking the patient's cultural needs into consideration. Stating that avoiding milk and
dairy products will harm the fetus is an inappropriate scare tactic to persuade the patient
to follow the nurse's cultural expectations. Stating that the patient has will power has no
value and should not be made by the nurse.
H
12. The nurse is visiting a patient from a nondominant culture that was recently discharged
C
from the hospital for complications of pregnancy. Which outcome of care would be
appropriate for this patient?
A) The patient will return to normal activities of daily living.
B) The patient will understand signs of the complication developing again.
T
C) The patient will consult with cultural healers to ensure the complication does not
occur again.
D) The patient will follow medical advice and keep all scheduled appointments for
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continued care.
Ans: B
Feedback: N
Because the patient is from a nondominant culture, the best outcome of care would be
for the patient to understand the signs of the complication developing again so that
medical treatment can be obtained as soon as possible. An outcome that the patient will
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return to normal activities of daily living may not be appropriate because of the
complication. The patient may consult with cultural healers about the complication, but
it is unclear if the complication can be treated by them. Expecting the patient to follow
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medical advice and keep all scheduled appointments does not necessarily take the
patient's cultural needs into consideration.
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