Chapter 02: Community Care: The Family and Culture
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
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
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
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
b. Beliefs and values
c. Boundaries and channels
d. Socialization processes
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.