Dwnload Full Wongs Nursing Care of Infants and Children 11th Edition Hockenberry Test Bank PDF
Dwnload Full Wongs Nursing Care of Infants and Children 11th Edition Hockenberry Test Bank PDF
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Chapter 02: Social, Cultural, Religious, and Family Influences on Child Health
Promotion
MULTIPLE CHOICE
1. Children are taught the values of their culture through observation and feedback relative to
their own behavior. In teaching a class on cultural competence, the nurse should be aware
that which factor may be culturally determined?
a. Ethnicity
b. Racial variation
c. Status
d. Geographic boundaries
ANS: C
Status is culturally determined and varies according to each culture. Some cultures ascribe
higher status to age or socioeconomic position. Social roles also are influenced by the
culture. Ethnicity is an affiliation of a set of persons who share a unique cultural, social,
and linguistic heritage. It is one component of culture. Race and culture are two distinct
attributes. Whereas racial grouping describes transmissible traits, culture is determined by
the pattern of assumptions, beliefs, and practices that unconsciously frames or guides the
outlook and decisions of a group of people. Cultural development may be limited by
geographic boundaries, but the boundaries are not culturally determined.
2. The nurse is aware that if patients’ different cultures are implied to be inferior, the
emotional attitude the nurse is displaying is what?
a. Acculturation
b. Ethnocentrism
c. Cultural shock
d. Cultural sensitivity
ANS: B
Ethnocentrism is the belief that one’s way of living and behaving is the best way. This
includes the emotional attitude that the values, beliefs, and perceptions of one’s ethnic
group are superior to those of others. Acculturation is the gradual changes that are
produced in a culture by the influence of another culture that cause one or both cultures to
become more similar. The minority culture is forced to learn the majority culture to
survive. Cultural shock is the helpless feeling and state of disorientation felt by an outsider
attempting to adapt to a different culture group. Cultural sensitivity, a component of
culturally competent care, is an awareness of cultural similarities and differences.
3. Which term best describes the sharing of common characteristics that differentiates one
group from other groups in a society?
4. After the family, which has the greatest influence on providing continuity between
generations?
a. Race
b. School
c. Social class
d. Government
ANS: B
Schools convey a tremendous amount of culture from the older members to the younger
members of society. They prepare children to carry out the traditional social roles that will
be expected of them as adults. Race is defined as a division of humankind possessing traits
that are transmissible by descent and are sufficient to characterize race as a distinct human
type; although race may have an influence on childrearing practices, its role is not as
significant as that of schools. Social class refers to the family’s economic and educational
levels. The social class of a family may change between generations. The government
establishes parameters for children, including amount of schooling, but this is usually at a
local level. The school culture has the most significant influence on continuity besides
family.
5. The nurse is planning care for a patient with a different ethnic background. Which should
be an appropriate goal?
a. Adapt, as necessary, ethnic practices to health needs.
b. Attempt, in a nonjudgmental way, to change ethnic beliefs.
c. Encourage continuation of ethnic practices in the hospital setting.
d. Strive to keep ethnic background from influencing health needs.
ANS: A
Whenever possible, nurses should facilitate the integration of ethnic practices into health
care provision. The ethnic background is part of the individual; it should be difficult to
eliminate the influence of ethnic background. The ethnic practices need to be evaluated
within the context of the health care setting to determine whether they are conflicting.
6. The nurse discovers welts on the back of a Vietnamese child during a home health visit.
The child’s mother says she has rubbed the edge of a coin on her child’s oiled skin. The
nurse should recognize this as what?
a. Child abuse
b. Cultural practice to rid the body of disease
c. Cultural practice to treat enuresis or temper tantrums
d. Child discipline measure common in the Vietnamese culture
ANS: B
This is descriptive of coining. The welts are created by repeatedly rubbing a coin on the
child’s oiled skin. The mother is attempting to rid the child’s body of disease. Coining is a
cultural healing practice. Coining is not specific for enuresis or temper tantrums. This is
not child abuse or discipline.
7. A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the
child only the broth that comes on the clear liquid tray. Food items, such as Jell-O,
Popsicles, and juices, are left. Which statement best explains this?
a. The parent is trying to feed the child only what the child likes most.
b. Hispanics believe the “evil eye” enters when a person gets cold.
c. The parent is trying to restore normal balance through appropriate “hot” remedies.
d. Hispanics believe an innate energy called chi is strengthened by eating soup.
ANS: C
In several cultures, including Filipino, Chinese, Arabic, and Hispanic, hot and cold
describe certain properties completely unrelated to temperature. Respiratory conditions
such as pneumonia are “cold” conditions and are treated with “hot” foods. The child may
like broth but is unlikely to always prefer it to Jell-O, Popsicles, and juice. The evil eye
applies to a state of imbalance of health, not curative actions. Chinese individuals, not
Hispanic individuals, believe in chi as an innate energy.
Author: Various
Language: English
Credits: Charlene Taylor, David Garcia, Jon Ingram and the Online
Distributed Proofreading Team at https://www.pgdp.net (This
file was produced from images generously made available by
The Internet Library of Early Journals. Noted on site that this
resource is no longer available.)
THE BUILDER.
PRECURSOR NUMBER.
THIRD IMPRESSION OF FIVE THOUSAND.