Deck 3: The Childbearing and Child-Rearing Family

Question 1

The nurse is caring for a patient from a different culture and is frustrated by what appears to be a lack of cooperation on the patient's part.A colleague states that the patient is "in America and should do what everyone else does." This is an example of what trait?

A) Ethnocentrism
B) Cultural congruency
C) Rudeness
D) Ignorance

Answer 1

Ethnocentrism

Question 2

The nurse is in a unique position to assess children for symptoms of neglect.Which high-risk family situation places the child at the greatest risk for being neglected?

A) Marital conflict and divorce
B) Adolescent parenting
C) Substance abuse
D) A child with special needs

Answer 2

Substance abuse

Question 3

To resolve family conflict,it is necessary to have open communication,accurate perception of the problem,and a(n)

A) intact family structure.
B) arbitrator.
C) willingness to consider the view of others.
D) balance in personality types.

Answer 3

willingness to consider the view of others.

Question 4

A nurse is caring for a child who is a Christian Scientist.What intervention should the nurse include in the care plan for this child?

A) Offer iced tea to the child who is experiencing deficient fluid volume.
B) Offer to inform a Christian Science practitioner of the child's admission.
C) Allow parents to sign a form opting out of routine immunizations.
D) Ask parents whether the child has been baptized.

Question 5

A pictorial tool that can assist the nurse in assessing aspects of family life related to health care is the

A) genogram.
B) ecomap.
C) life cycle model.
D) human development wheel.

Question 6

What should the nurse expect to be problematic for a family whose religious affiliation is Jehovah's Witness?

A) Birth control
B) Autopsy
C) Plasma expanders
D) Blood transfusion

Question 7

Which family will most likely have the most difficulty coping with a seriously ill child?

A) A single-parent mother who has the support of her parents and siblings
B) Parents who have just moved to the area and have not yet found health care providers
C) The family of a child who has had multiple hospitalizations related to asthma and has adequate relationships with the nursing staff
D) A family in which there is a young child and four older married children who live in the area

Question 8

A traditional family structure in which married male and female partners and their children live as an independent unit is known as a(n)_____ family.

A) extended
B) binuclear
C) nuclear
D) blended

Question 9

When providing anticipatory guidance to parents regarding disciplining children,the nurse teaches that behavioral consequences fall into which categories? (Select all that apply.)

A) Corporal
B) Natural
C) Logical
D) Unrelated
E) Behavioral

Question 10

What characteristic would most likely be found in a Mexican-American family?

A) Stoicism
B) Close extended family
C) Considering docile children weak
D) Very interested in health-promoting lifestyles

Question 11

According to Friedman's classifications,providing such physical necessities as food,clothing,and shelter is the __________ family function.

A) economic
B) socialization
C) reproductive
D) health care

Question 12

The nurse teaches parents that the formula used to guide time-out as a disciplinary method is

A) 1 minute per each year of the child's age.
B) to relate the length of the time-out to the severity of the behavior.
C) never to use time-out for a child younger than 4 years.
D) to follow the time-out with a treat.

Question 13

While reviewing the dietary-intake documentation of a 7-year-old Asian patient with a fractured femur,the nurse notes that the patient consistently refuses to eat the food on his tray.What assumption is most likely accurate?

A) The child is a picky eater.
B) The child needs less food because of bed rest.
C) The child may have culturally related food preferences.
D) The child is probably eating between meals and spoiling his appetite.

Question 14

The nurse observes that when an 8-year-old enters the playroom,the child often causes disruption by taking toys from other children.The nurse's best approach for this behavior is to

A) ban the child from the playroom until the child learns to control behavior.
B) explain to the children in the playroom that this child is very ill and should be allowed to have the toys.
C) approach the child in his or her room and ask, "Would you like it if the other children took your toys from you?"
D) approach the child in his room and state, "I am concerned that you are taking the other children's toys. It upsets them and me."

Question 15

A nurse is caring for the seriously ill child of a single parent.The parent reports being overwhelmed with the situation and not being able to make decisions.What action by the nurse is best?

A) Refer the patient to the hospital's social work department.
B) Call the chaplain service and ask for a chaplain visit.
C) Ask the parent if any other family member can come and assist.
D) Have the parent describe coping methods used for past crises.

Question 16

A nurse determines that a child consistently displays predictable behavior and is regular in performing daily habits.Which temperament is the child displaying?

A) Easy
B) Slow-to-warm-up
C) Difficult
D) Shy

Question 17

A nurse observes that parents discuss rules with their children when the children do not agree with the rules.Which style of parenting is being displayed?

A) Autocratic
B) Authoritative
C) Permissive
D) Disciplinarian

Question 18

Which statement is true about the characteristics of a healthy family?

A) The parents and children have rigid assignments for all the family tasks.
B) Young families assume the total responsibility for the parenting tasks, refusing any assistance.
C) The family is overwhelmed by the significant changes that occur as a result of childbirth.
D) Adults agree on the majority of basic parenting principles.

Question 19

Families who deal effectively with stress exhibit which behavior pattern?

A) Focus on family problems
B) Feel weakened by stress
C) Expect that some stress is normal
D) Feel guilty when stress exists

Question 20

The parent of a child who has had numerous hospitalizations asks the nurse for advice because the child has been having behavior problems at home and in school.In discussing effective discipline,what is an essential component?

A) All children display some degree of acting out, and this behavior is normal.
B) The child is manipulative and should have firmer limits set on her behavior.
C) Positive reinforcement and encouragement should be used to promote cooperation and the desired behaviors.
D) Underlying reasons for rules should be given, and the child should be allowed to decide which rules should be followed.

Question 21

Traditional ethnocultural beliefs related to the maintenance of health are likely to include which of the following? (Select all that apply.)

A) Avoidance of natural events such as a solar eclipse
B) Practicing silence, meditation, and prayer
C) Protection of the soul by avoiding envy or jealousy
D) Understanding that a hex, spell, or the evil eye may cause illness or injury
E) Turning to Western medicine first before trying traditional practices

Question 22

The nurse is caring for a child from a Middle Eastern family.Which interventions should the nurse include in planning care? (Select all that apply.)

A) Include the father in the decision making.
B) Ask for a dietary consult to maintain religious dietary practices.
C) Plan for a male nurse to care for a female patient.
D) Ask the housekeeping staff to interpret if needed.
E) Allow time for prayer.

Question 23

A nurse is teaching a parenting group about behavior modification.What information does this nurse include in teaching? (Select all that apply.)

A) Food rewards are highly motivating and as such are encouraged.
B) Negative behavior from the child should be ignored by parents.
C) Undesirable behavior may initially get worse if it is ignored.
D) 1 minute per age is the suggested time limit for discipline.
E) For younger kids, a behavior chart is a good visual cue.