Deck 2: Diversity and Inclusion Maternal Child Nursing

Question 1

A school-age child, a member of a family with a mother, father, and toddler, is hospitalized. The father is employed outside of the home, and the mother stays at home with the other child. The mother is challenged with supporting both children at this time. What should the nurse suggest to the mother?

A) Place the toddler in day care.
B) Suggest the father take time off to help.
C) Ask extended family members to help out during this time.
D) Visit with the patient after the father comes home from work.

Answer 1

Ask extended family members to help out during this time.

Question 2

A preadolescent patient, a member of a single-parent family, has abdominal pain and the health care provider suspects that an appendectomy might need to be performed. The patient's father is asking for a second opinion, whereas the mother tells the nurse to do whatever needs to be done to help the patient. What does the nurse need to assess before moving forward with planning care for this patient?

A) Permission to miss school
B) Identify the custodial parent
C) The type of health insurance
D) Plans for help upon discharge

Answer 2

Identify the custodial parent

Question 3

During a family assessment, the nurse learns that the male parent smokes. What should the nurse do with this information to support the 2020 National Health Goals?

A) Document the information in the medical record.
B) Explain that smoking can cause long-term health problems.
C) Ask if the male parent has made any efforts towards smoking cessation.
D) Suggest that smoking be done away from other family members because of health concerns.

Answer 3

Ask if the male parent has made any efforts towards smoking cessation.

Question 4

During a family assessment, it is identified that the mother is unemployed but stays at home to prepare meals, monitor medication doses, and comfort the children with emotional issues. The father works outside of the home and pays the bills. Which terms should the nurse use to document the role of the father in this family? (Select all that apply.)

A) Provider
B) Nurturer
C) Culture bearer
D) Health manager
E) Financial manager

Question 5

The nurse is completing an assessment of a family with a preschool-age child. Which areas should the nurse focus when instructing the parents on tasks needed during this stage of family development? (Select all that apply.)

A) Prevention of accidental injuries
B) Importance of child's socialization
C) Promoting health through immunizations
D) Socialization through sporting events
E) Need for dental care and health assessments

Question 6

The nurse is caring for a school-age child whose mother works two jobs, father is away from the home during the week truck driving, and older brother has a part-time after school job. The child will be hospitalized for several weeks for chemotherapy treatments. Which nursing diagnosis should the nurse identify as being appropriate for this family?

A) Impaired parenting
B) Parental role conflict
C) Health-seeking behaviors
D) Readiness for enhanced family coping

Question 7

The nurse is evaluating outcomes about a family's ability to care for an adolescent child that is recovering from a spinal cord injury. Which statements indicate that this family is transitioning in a healthy manner?

A) The patient states the injuries "messed up" the rest of his life.
B) The mother states the need to have a break at least once per week.
C) The patient states fewer episodes of nausea with changing position.
D) The father states the child's accident has brought the family closer together.
E) The mother states the ability to provide care for the child is becoming easier.

Question 8

The nurse is planning outcomes of care for a family whose infant was born with a birth defect. Which outcome statement would be the most appropriate for this family?

A) The parents will seek information regarding the birth defect.
B) The parents will limit involvement with extended family members.
C) The mother will return to work after 6 weeks as planned before the delivery.
D) The father will learn to care for the infant so that the mother can return to work.

Question 9

The nurse is visiting a family with a toddler and school-age child. Which teaching should the nurse provide to the parents that would be appropriate for both children?

A) Increased freedom
B) Actions to ensure safety
C) Encourage independent thinking
D) Importance of school experiences

Question 10

A recently separated mother is overwhelmed with caring for three children under the age of 5 years. The oldest child has been recently diagnosed with muscular dystrophy. Which health care providers should the nurse consult to help the mother? (Select all that apply.)

A) Dietician
B) Physician
C) Pharmacist
D) Social worker
E) Physical therapist

Question 11

A family of dual-parent employment with two school-age children has moved into a community. During the home visit, the nurse overhears the children talking about something on the Internet being more interesting than school work. What type of information would be beneficial for the nurse to share with the parents at this time?

A) School clubs that meet on the weekends
B) Community activities planned specifically for after school
C) Names of the Internet providers that service the community
D) Local businesses seeking workers for part-time employment

Question 12

The nurse is visiting a family new to a community. The mother has a disability, and the adolescent child is being treated for anorexia. What will the nurse do first when assessing this family?

A) Construct an ecomap.
B) Complete a genogram.
C) Assess the home for safety.
D) Discuss the daughter's anorexia.

Question 13

The nurse has been working with a family on actions that strengthen loyalty between all members. Which healthy family behavior has been the focus of the nurse's interventions?

A) Division of labor
B) Physical maintenance
C) Socialization of family members
D) Maintenance of motivation and morale

Question 14

The nurse determines that a small nuclear family has achieved the family task of division of labor. What did the nurse assess in this family to come to this conclusion?

A) Parents take the children out to meet the new neighbors.
B) Parents and children attend religious services every week.
C) Older children finish homework before watching television.
D) Mother cares for children while father works outside of the home.

Question 15

An extended family is experiencing a crisis. Excessive work demands have caused the primary parents to work longer hours, but the grandmother who usually watches the children after school is recovering from hip replacement surgery. What can the nurse suggest to help this family through this period of time?

A) One parent reduces work hours.
B) Children go to the grandmother's house after school.
C) Identify another extended family member to assist while the grandmother recovers.
D) Recommend the children learn independence and stay at home alone until a parent arrives.