The nurse should be aware that the criteria used to make ...

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The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family:
 
  a. Rituals and customs. c. Boundaries and channels.
  b. Values and beliefs. d. Socialization processes.

Question 2

While working in the prenatal clinic, you care for a very diverse group of patients. When planning interventions for these families, you realize that acceptance of the interventions will be most influenced by:
 
  a. Educational achievement. c. Subcultural group.
  b. Income level. d. Individual beliefs.

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Answer to Question 1

ANS: B
Values and beliefs are the most prevalent factors in the decision-making and problem-solving techniques of families. 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 with the community, but they are not the criteria used for decision making within the family.

Answer to Question 2

ANS: D
The patient's beliefs are ultimately the key to acceptance of health care interventions. However, these beliefs may be influenced by factors such as educational level, income level, and ethnic background. Educational achievement, income level, and subcultural group all are important factors. However, the nurse must understand that a woman's concerns from her own point of view will have the most influence on her compliance.