Wednesday, January 15, 2014

Sample NCLEX Question MCN; separation of men’s and women’s roles during pregnancy and birth

Question
Mr. And Mrs. W. recently arrived in the United States from East Asia.  Mr. W. brings his wife to the hospital in late labor; his mother and Mrs. W.’s sister are also present.  As the nurse directs Mr. W. to the dressing room to change into a scrub suit, Mrs. W. anxiously states, “No, he can’t come with me.  Get my sister and mother-in-law.” The nurse’s best response is,

a.  “I’m sorry, but out hospital only allows the father into the delivery.”
b.  “I’ll ask the doctor if that’s OK.
c.  “When I talk to your husband, I’m sure he’ll want to be with you.”

d.  “That’s fine.  I’ll show your husband the waiting area.

Correct Answer: d. One consideration is the East Asian husband’s lack of involment during pregnancy and birth; this is a mutually agreeable separation of men’s and women’s roles.

a. The client’s cultural background must be integrated into any management strategy; referring to policy does not ensure culturally sensitive care.
b. The nurse is responsible for assessing cultural factors and integrating strategies into the client’s plan of care.
c.  Nursing profession, as the profession most involved in providing    holistic care to individuals, must be knowledgeable about and skilled in values, beliefs, and health-illness practices of different cultures; omission of cultural factors is a major obstacle to providing quality care.

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