Question 1

The nurse is discussing parenting in reconstituted families with a new stepparent.The nurse is aware that the new stepparent understands the teaching when which statement is made?

Accepted Answer

The entry of a stepparent into a ready-made family requires adjustments for all family members.Power conflicts are expected,and flexibility,mutual support,and open communication are critical in successful relationships.So the statement that power conflicts are possible means teaching was understood.Some obstacles to the role adjustments and family problem solving include disruption of previous lifestyles and interaction patterns,complexity in the formation of new ones,and lack of social supports.Most children from divorced families want to live in a two-parent home.There should be continued contact with grandparents.

Question 2

The nurse is discussing issues that are important with parents considering a cross-racial adoption.Which statement made by the parents indicates further teaching is needed?

Accepted Answer

In international adoptions,the medical information the parents receive may be incomplete or sketchy; weight,height,and head circumference are often the only objective information present in the child's medical record.Further teaching is needed if the parents expect full medical information.It is advised that parents who adopt children with different ethnic backgrounds do everything to preserve the adopted children's racial heritage.Strangers may make thoughtless comments and talk about the children as though they were not members of the family.It is vital that family members declare to others that this is their child and a cherished member of the family.

Question 3

Match the terms used to describe groups with shared values, beliefs, norms, patterns, and practices.
-Distinguishes humans by physical traits

Accepted Answer

Race refers to categorization of people based on physical traits such as skin color, hair texture, and facial features.

Answer: C) Ethnicity 
 Ethnicity refers to shared cultural practices, beliefs, and norms that a group of people share.

Answer: B) Gender 
 Gender refers to the socially constructed roles, behaviors, and expectations associated with being male or female.

Answer: D) Social class 
 Social class refers to the hierarchical categorization of people based on their economic and social status in society.

Answer: E) Socialization 
 Socialization refers to the process through which individuals acquire the values, beliefs, and norms of their culture and society. It is a key factor in shaping a person's identity and worldview.

Question 4

The parents of a 5-year-old child ask the nurse how they can minimize misbehavior.Which responses should the nurse give?

Accepted Answer

To minimize misbehavior,parents should (1)set clear and reasonable rules and expect the same behavior regardless of the circumstances, (2)praise children for desirable behavior with attention and verbal approval,and (3)teach desirable behavior through their own example.Parents should call attention to unacceptable behavior as soon as it begins and provide children with opportunities for power and control.

Question 5

Which describe the feelings and behaviors of adolescents related to divorce?

Accepted Answer

Feelings and behaviors of adolescents related to divorce include a disturbed concept of sexuality; withdrawing from family and friends; worrying about themselves,parents,and siblings; and expressions of anger,sadness,shame,and embarrassment.Engaging in fantasy to seek understanding of the divorce is a reaction by a child who has preconceptual cognitive processes,not the formal thinking processes adolescents have.

Question 6

The nurse is explaining different parenting styles to a group of parents.The nurse explains that an authoritative parenting style can lead to which child behavior?

Accepted Answer

Children raised by parents with an authoritative parenting style tend to have high self-esteem and are self-reliant,assertive,inquisitive,content,and highly interactive with other children.Children raised by parents with an authoritarian parenting style tend to be sensitive,shy,self-conscious,retiring,and submissive.

Question 7

The nurse is caring for an adolescent hospitalized for asthma.The adolescent belongs to a large family.The nurse recognizes that the adolescent is likely to relate to which group?

Accepted Answer

Adolescents from a large family are more peer oriented than family oriented.Adolescents in small families identify more strongly with their parents and rely more on them for advice.

Question 8

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." Which is the nurse's most appropriate answer?

Accepted Answer

Asking the mother about child care options is an open-ended statement that will assist the mother in exploring her concerns about what is best for both her and Eric.The other three answers are directive; they do not address the effect that her working will have on Eric.

Question 9

The nurse is presenting a staff development program about understanding culture in the health care encounter.Which components should the nurse include in the program?

Accepted Answer

There are several different ways health care providers can best attend to all the different facets that make up an individual's culture.Cultural competence tends to promote building information about a specific culture.Cultural sensitivity,a second way of understanding culture in the context of the clinical encounter,may be understood as a way of using one's knowledge,consideration,understanding,respect,and tailoring after realizing awareness of self and others and encountering a diverse group or individual.Cultural humility,the third component,is a commitment and active engagement in a lifelong process that individuals enter into for an ongoing basis with patients,communities,colleagues,and themselves.Cultural research is not a component of understanding culture in the health care encounter.

Question 10

The nurse is planning to counsel family members as a group to assess the family's group dynamics.Which theoretic family model is the nurse using as a framework?

Accepted Answer

In family systems theory,the family is viewed as a system that continually interacts with its members and the environment.The emphasis is on the interaction between the members; a change in one family member creates a change in other members,which in turn results in a new change in the original member.Assessing the family's group dynamics is an example of using this theory as a framework.Family stress theory explains how families react to stressful events and suggests factors that promote adaptation to stress.Developmental theory addresses family change over time using Duvall's family life cycle stages based on the predictable changes in the family's structure,function,and roles,with the age of the oldest child as the marker for stage transition.Feminist theories assume that privilege and power are inequitably distributed based upon gender,race,and class.

Question 11

The nurse is teaching parents about the effects of media on childhood obesity.The nurse realizes the parents understand the teaching if they make which statements?

Accepted Answer

A number of studies have demonstrated a link between the amount of screen time and obesity.Advertising of unhealthy food to children is a long-standing marketing practice,which may increase snacking in the face of decreased activity.In addition,both increased screen time and unhealthy eating may also be related to unhealthy sleep.Increased screen time does not lead to a better knowledge of nutrition or increased physical activity.

Question 12

Match the terms used to describe groups with shared values, beliefs, norms, patterns, and practices.
-Persons who have unique cultural,social,and linguistic heritage

Accepted Answer

Ethnicity refers to groups of people who share a common cultural heritage, including traditions, language, religion, and beliefs.

Question 13

Match the terms used to describe groups with shared values, beliefs, norms, patterns, and practices.
-Incorporates levels of education,occupation,income,and access to resources

Accepted Answer

Social class is the term that incorporates levels of education, occupation, income, and access to resources. While race, gender, and ethnicity also involve shared values, beliefs, norms, patterns, and practices, they are not directly linked to socioeconomic status in the same way that social class is. Socialization is the process by which individuals learn and internalize cultural norms and values.

Question 14

Which describe the feelings and behaviors of early preschool children related to divorce?

Accepted Answer

Feelings and behaviors of early preschool children related to divorce include regressive behavior,fear of abandonment,and blaming themselves for the divorce.Fear regarding the future and intense desire for reconciliation of parents is a reaction later school-age children have to divorce.

Question 15

The nurse is reviewing the importance of role learning for children.The nurse understands that children's roles are primarily shaped by which members?

Accepted Answer

Children's roles are shaped primarily by the parents,who apply direct or indirect pressures to induce or force children into the desired patterns of behavior or direct their efforts toward modification of the role responses of the child on a mutually acceptable basis.

Question 16

A foster parent is talking to the nurse about the health care needs for the child who has been placed in the parent's care.Which statement best describes the health care needs of foster children?

Accepted Answer

Children who are placed in foster care have a higher incidence of acute and chronic health problems and may experience feelings of isolation and confusion; therefore,they should be monitored closely.Foster children do not always come from abusive households and may or may not be emotionally fragile; not all foster children are born prematurely or require technically advanced health care; and foster children may stay in the home for extended periods,so their health care needs require attention.

Question 17

The school nurse understands that children are impacted by divorce.Which has the most impact on the positive outcome of a divorce?

Accepted Answer

Family characteristics are more crucial to the child's well-being during a divorce than specific child characteristics,such as age or sex.High levels of ongoing family conflict are related to problems of social development,emotional stability,and cognitive skills for the child.

Question 18

Parents of a preschool child ask the nurse,"Should we set rules for our child as part of a discipline plan?" Which is an accurate response by the nurse?

Accepted Answer

Nurses can help parents establish realistic and concrete "rules." The clearer the limits that are set and the more consistently they are enforced,the less need there is for disciplinary action.Delaying punishment weakens its intent.Children want and need limits.Unrestricted freedom is a threat to their security and safety.Reasoning involves explaining why an act is wrong and is usually appropriate for older children,especially when moral issues are involved.However,young children cannot be expected to "see the other side" because of their egocentrism.

Question 19

A parent of a school-age child tells the school nurse that the parents are going through a divorce.The child has not been doing well in school and sometimes has trouble sleeping.The nurse should recognize this as what?

Accepted Answer

Parental divorce affects school-age children in many ways.In addition to difficulties in school,they often have profound sadness,depression,fear,insecurity,frequent crying,loss of appetite,and sleep disorders.The child's responses are common reactions of school-age children to parental divorce.

Question 20

Match the terms used to describe groups with shared values, beliefs, norms, patterns, and practices.
-Process by which society communicates its competencies,values,and expectations

Accepted Answer

The term "socialization" is used to describe the process by which society communicates its competencies, values, and expectations to individuals, shaping them into members of particular social groups with shared values, beliefs, norms, patterns, and practices. Race, gender, ethnicity, and social class are all examples of social categories or identities that individuals may experience as part of the socialization process, but they are not terms used to describe the process itself.

Quiz 2: Social,cultural,religious,and Family Influences on Child Health Promotion