A cultural assessment provides information to the healthcare provider about the effect of culture on which of the following? (Select all that apply)
Environmental control factors
Space and physical contact
Time orientation
Political affiliation
Communication
Correct Answer : A,B,C,E
Rationale:
A. Environmental control factors such as how a culture interacts with and manages its environment, including health practices and beliefs about health and illness, are crucial in a cultural assessment.
B. Space and physical contact concerns how different cultures perceive personal space and physical interaction, which affects comfort and communication.
C. Time orientation refers to how different cultures view time, which can impact scheduling, punctuality, and planning in healthcare interactions.
D. Political affiliation is generally not a focus of cultural assessments in healthcare contexts. Cultural assessments are more concerned with direct aspects of health and interpersonal interactions rather than political views.
E. Communication includes language, non-verbal cues, and cultural norms around communication, all of which are essential for effective healthcare delivery.
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Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. The child attending a childcare program does not necessarily indicate risk for abuse. Childcare attendance alone does not provide evidence of abuse risk.
B. The partner living with his parents may affect the dynamics of the household but does not directly indicate risk for the child unless further context suggests otherwise.
C. The child reporting seeing the mother being hit with a baseball bat is a significant indicator of potential abuse and trauma, which could put the child at risk.
D. Clinging to the mother's side may indicate anxiety or fear, which could be related to an abusive environment or trauma.
E. Unemployment and alcohol abuse by the partner are risk factors for intimate partner violence and can also affect the safety and well-being of the child.
Correct Answer is ["B","C","D"]
Explanation
Rationale:
A. Interventions should be planned and adapted based on the family’s specific context and needs. They are not completely unstructured but should be flexible and responsive.
B. The nurse-family relationship is central to the CFIM, facilitating effective communication and collaboration.
C. Focusing on family strengths and resiliency is a key aspect of the CFIM, aiming to build on what the family does well to improve functioning.
D. Interventions should be tailored to each family’s context and guided by their specific beliefs and experiences.
E. Family interventions aim to support and improve family functioning rather than correct all issues. The goal is not to resolve every problem but to enhance overall family functioning and support.