Question 1

A nurse is teaching a group of new parents about the experience of role transition.Which statement by a parent indicates a correct understanding of the process?&#10;A) &#34;My marital relationship can have a positive or negative effect on role transition.&#34;&#10;B) &#34;If an infant has special needs, the parents' sense of confidence in their new role is strengthened.&#34;&#10;C) &#34;Young parents can more easily adjust to the new role than older parents.&#34;&#10;D) &#34;A parent's previous experience with children makes the role transition more difficult.&#34;

Accepted Answer

If parents are supportive of each other,they can act as positive influences on the process of establishing satisfying parental roles.When marital tensions alter caregiving routines and interfere with the enjoyment of the infant,the marital relationship has a negative effect.Infants with special care needs can be a significant source of added stress.Older parents are usually more able to cope with the greater financial responsibilities,changes in sleeping habits,and reduced time for each other and other children.Parents who have previous experience with parenting appear more relaxed,have less conflict in disciplinary relationships,and are more aware of normal growth and development.

Question 2

A mother brings 6-month-old Eric to the clinic for a well-baby checkup.She comments,"I want to go back to work,but I don't want Eric to suffer because I'll have less time with him." What is the nurse's most appropriate response?

A) "I'm sure he'll be fine if you get a good babysitter."
B) "You will need to stay home until Eric starts school."
C) "You should go back to work so Eric will get used to being with others."
D) "Let's talk about the child care options that will be best for Eric."

"Let's talk about the child care options that will be best for Eric."

Accepted Answer

"Let's talk about the child care options that will be best for Eric" is an open-ended statement that will assist the mother in exploring her concerns about what is best for both her and Eric."I'm sure he'll be fine if you get a good babysitter," "You will need to stay home until Eric starts school," and "You should go back to work so Eric will get used to being with others" are all directive statements and do not address the effect of her working on Eric.

Question 3

Nicole and Kelly,age 5 years,are identical twins.Their parents tell the nurse that the girls always want to be together.Which statement about twins should the nurse's suggestions be based on?&#10;A) Some twins thrive best when they are constantly together.&#10;B) Individuation cannot occur if twins are together too much.&#10;C) Separating twins at an early age helps them develop mentally.&#10;D) When twins are constantly together, pathologic bonding occurs.

Accepted Answer

Twins work out a relationship that is reasonably satisfactory to both.They develop a remarkable capacity for cooperative play and considerable loyalty and generosity toward each other.Parents should foster individual differences and allow the children to follow their natural inclinations.Individuation does occur.In twinship,one member of the pair is more dominant,outgoing,and assertive than the other.Early separation may produce unnecessary stresses for the children.There is no evidence that pathologic bonding occurs.

Question 4

Studies about the ordinal position of children suggest that firstborn children tend to be which of the following?&#10;A) Praised less often&#10;B) More achievement-oriented&#10;C) More popular with their peer group&#10;D) Identifying with their peer group more than their parents

Accepted Answer

Firstborn children,like only children,tend to be more achievement-oriented.Later-born children are praised less often,are more popular with their peer group,and identify with their peer group more than with their parents.

Question 5

Which type of family is made up entirely of members related by blood?&#10;A) Consanguineous&#10;B) Affinal&#10;C) Family of origin&#10;D) Household

Accepted Answer

A consanguineous family is one of the most common types,and consists of members who have a blood relationship.The affinal family is made up of marital relationships.Although the parents are married,they may each bring children from a previous relationship.The family of origin is the family unit that a person is born into.Considerable controversy has been generated about the newer concepts of families (i.e.,communal,lone-parent,or homosexual families).To accommodate these other varieties of family styles,the descriptive term household is frequently used.

Question 6

When assessing a family,the nurse determines that the parents exert little or no control over their children.What is this parenting style called?&#10;A) Permissive&#10;B) Dictatorial&#10;C) Democratic&#10;D) Authoritarian

Accepted Answer

Permissive parents avoid imposing their own standards of conduct and allow their children to regulate their own activity as much as possible.The parents exert little or no control over their children's actions.Dictatorial or authoritarian parents attempt to control their children's behaviour and attitudes through unquestioned mandates.They establish rules and regulations or standards of conduct that they expect children to follow rigidly and unquestioningly.Democratic parents combine permissive and dictatorial styles.They direct their children's behaviour and attitudes by emphasizing the reasons for rules and negatively reinforcing deviations.They respect the child's individual nature.

Question 7

Which outcome is most characteristic of the physical punishment of children,such as spanking?&#10;A) The psychological impact is usually minimal.&#10;B) Children rarely become accustomed to spanking.&#10;C) The development of children's reasoning increases as a result of physical punishment.&#10;D) Misbehaviour is likely to occur when parents are not present.

Accepted Answer

Through the use of physical punishment,children learn what they should not do.When parents are not around,it is more likely that children will misbehave because they have not learned to behave well for their own sake but rather out of fear of punishment.Spanking can cause severe physical and psychological injury,and interferes with effective parent-child interaction.Children do become accustomed to spanking,requiring more severe corporal punishment each time.The use of corporal punishment may interfere with the child's moral reasoning development.

Question 8

What statement applies to the rate of frequency at which monozygotic (identical)twins are born?&#10;A) The rate is affected by heredity.&#10;B) The rate is affected by maternal age.&#10;C) It varies among races.&#10;D) It occurs uniformly in all populations.

Accepted Answer

Monozygotic twins occur with the same frequency uniformly in all populations.The tendency toward monozygotic twins is unaffected by heredity.Monozygotic twins are not affected by maternal age,but higher-order births are.The frequency is uniform among races.

Question 9

Which theory explains how families react to stressful events and suggests factors that promote adaptation to these events?&#10;A) Family systems theory&#10;B) Developmental theory&#10;C) Family stress theory&#10;D) Family assessment

Accepted Answer

Family stress theory explains the reaction of families to stressful events.In addition,crisis intervention strategies are used to help family members cope with the challenging event.In the family systems theory,the focus is on the interaction of family members within the larger environment.In developmental theory,the nurse provides anticipatory guidance to help family members cope with the challenging event.Family assessment is not a theory.An assessment is necessary to discover the family's dynamics,strengths,and weaknesses.

Question 10

The birth order of children affects their personalities.What is considered to be a characteristic of children who are the youngest in their family?&#10;A) They are more dependent than firstborn children.&#10;B) They are more outgoing than firstborn children.&#10;C) They identify more with parents than with peers.&#10;D) They are subject to greater parental expectations.

Accepted Answer

Later-born children are obliged to interact with older siblings from birth; they seem to be more outgoing and make friends more easily than firstborns.Firstborn and only children are more dependent than later-born children,both types identify more with their parents than their peers,and both are subject to greater parental expectations.

Question 11

The parent of a school-age child tells the school nurse that he or she is going through a divorce.The child has not been doing well in school and sometimes has trouble sleeping.What should the nurse recognize about this behaviour?

A) It is indicative of maladjustment.
B) It is a common reaction to divorce.
C) It is suggestive of lack of adequate parenting.
D) It is an unusual response that indicates need for referral.

Accepted Answer

The answer of The parent of a school-age child tells...

Question 12

A 3-year-old girl was adopted immediately after birth.Her parents have just asked the nurse how they should tell the child that she is adopted.Which guideline concerning adoption should the nurse use in planning her response?

A) Telling the child is an important aspect of their parental responsibilities.
B) The best time to tell the child is between 7 and 10 years of age.
C) It is not necessary to tell a child who was adopted so young.
D) It is best to wait until the child asks about it.

Accepted Answer

The answer of A 3-year-old girl was adopted immediately after...

Question 13

A young couple who has just delivered their first child adapts to the stress of new parenthood by using which type of internal resource?&#10;A) Maladaptation&#10;B) Relying on community members&#10;C) Integration&#10;D) Coping strategies

Accepted Answer

The answer of A young couple who has just delivered...

Deck 31: Family Influences on Child Health Promotion