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Chapter 02: Community Care: The Family and Culture
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
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.
DIF: Cognitive Level: Remember REF: p. 19
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
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.
DIF: Cognitive Level: Understand REF: pp. 21-22 TOP: Nursing Process: Planning
MSC: Client Needs: Psychosocial Integrity
3. Using the family stress theory as an interventional approach for working with families
experiencing parenting challenges, the nurse can assist the family in selecting and altering
internal context factors. Which statement best describes the components of an internal
context?
a. Biologic and genetic makeup
b. Maturation of family members
c. Family’s perception of the event
Maternity and Women’s Health Care 11th Edition Lowdermilk Test Bank
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d. Prevailing cultural beliefs of society