Deck 12: Caring for Families Under Stress

Question 1

The pediatric nurse should understand that which type of stress occurs in response to an intense experience, such as an accident or a family death, to which the child is required to adapt?

A) Positive stress
B) Secondary stress
C) Tolerable stress
D) Toxic stress

Answer 1

C

Question 2

What type of anticipatory guidance would you give to parents on how help their children cope with stress?

A) Children will learn how to cope with stress from their peers.
B) Children will require professional coaching to properly deal with stress.
C) Children will model their coping mechanisms after those exhibited by the parents.
D) Children will inherently cope with stress in their own way and should be supported.

Answer 2

C

Question 3

As a pediatric nurse, you must be familiar with how children across the developmental period commonly deal with stress. If a child deals with stress by acting out, being fearful of separation or abandonment, or having increased nightmares, in what stage of development is this child?

A) Infant
B) Toddler
C) Preschooler
D) School-age

Answer 3

C

Question 4

As a pediatric nurse, you should be aware that which of the following is one of the most common reactions to stress that is observed in children?

A) Regression of behavior to a lower developmental stage
B) Progression of behavior to a higher developmental stage
C) Alteration of behavior recognizable to the child's peers
D) Development of physical manifestations such as depression or high blood pressure

Question 5

According to Selve's general adaptation theory, how does the body react physiologically during the second stage of the stress response, known as "resistance"?

A) The body releases epinephrine, norepinephrine, and cortisol into the bloodstream.
B) The body compensates at peak capacity as it tries to adapt to the stressor.
C) The body's natural defenses begin to break down.
D) The body becomes susceptible to illness, tissue damage, ulcers, and high blood pressure.

Question 6

The family unit may be experiencing stress due to daily demands. Which of the following behaviors is commonly exhibited by a family under stress?

A) Eating meals together at an unrushed pace
B) Spending quality time together enjoying each other's company
C) Engaging in sedentary and solitary behaviors such as watching TV or playing video games
D) Viewing stress as a challenge that is both temporary and controllable

Question 7

If a family and child presents with evidence of trauma, violence, current drug or alcohol abuse, or severe neglect or abuse, what should be the focus of the healthcare team?

A) Assessing severity and symptoms of the child
B) Assessing severity and symptoms of the family
C) Securing a safe environment for the child
D) Providing interventions on how to cope with the stressful situation

Question 8

What phenomenon occurs when parents are engaged in collaboration with the healthcare team and are supported in helping their child cope with illness, injury, and hospitalization?

A) Trust develops between the parents and healthcare team
B) The parent-child relationship deepens
C) The healthcare team gains confidence in providing appropriate care for the child
D) The child is reassured that his or her condition will improve

Question 9

Despite limited evidence supporting this practice, what medications are primary care physicians prescribing children who experience a serious medical condition?

A) Antidepressants
B) Opioid pain medications
C) Anticoagulants
D) Antiulcer medications

Question 10

As a pediatric nurse, which of the following behaviors would be indicative of an adolescent being under significant stress?

A) Aggression
B) Poor self-esteem
C) Poor school performance
D) Prolonged gastrointestinal distress