Question 1

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

Accepted Answer

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

Question 2

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

A)Indicative of maladjustment.
B)Common reaction to divorce.
C)Suggestive of lack of adequate parenting.
D)Unusual response that indicates need for referral.

Common reaction to divorce.

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. Uncommon responses to parental divorce include indications of maladjustment,the suggestion of lack of adequate parenting,and the need for referral.

Question 3

Studies about the ordinal position of children suggest that firstborn children tend to:&#10;A)Be praised less often.&#10;B)Be more achievement oriented.&#10;C)Be more popular with the peer group.&#10;D)Identify with peer group more than 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 4

Which family 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 the 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 5

What is most characteristic of the physical punishment of children,such as spanking?&#10;A)Psychologic impact is usually minimal.&#10;B)Children rarely become accustomed to spanking.&#10;C)Children's development of reasoning increases.&#10;D)Misbehavior 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 psychologic injury and interfere 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 development of moral reasoning.

Question 6

Nicole and Kelly,age 5 years,are identical twins. Their parents tell the nurse that the girls always want to be together. The nurse's suggestions should be based on knowing that:&#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 7

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." The nurse's most appropriate answer is:

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."

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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 directive statements and do not address the effect of her working on Eric.

Question 8

The 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 teaching?&#10;A)&#34;My marital relationship can have a positive or negative effect on the role transition.&#34;&#10;B)&#34;If an infant has special care needs,the parents' sense of confidence in their new role is strengthened.&#34;&#10;C)&#34;Young parents can adjust to the new role easier 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 serve as positive influences on 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 9

A 3-year-old girl was adopted immediately after birth. The 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 ages 7 and 10 years.
C)It is not necessary to tell the child who was adopted so young.
D)It is best to wait until the child asks about it.

Accepted Answer

It is important for the parents not to withhold information about the adoption from the child. It is an essential component of the child's identity. There is no recommended best time to tell children. It is believed that children should be told young enough so they do not remember a time when they did not know. It should be done before the children enter school to keep third parties from telling the children before the parents have had the opportunity.

Question 10

What type of family is one in which all members are 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 one 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,single-parent or homosexual families). To accommodate these other varieties of family styles,the descriptive term household is frequently used.

Question 11

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

Accepted Answer

The answer of When assessing a family,the nurse determines that...

Question 12

A young couple who has just delivered their first child adapts to the stress of new parenthood by using two types of family resources. These include (choose all that apply):&#10;A)Internal resources.&#10;B)Adaptation.&#10;C)Integration.&#10;D)Coping strategies.&#10;E)Community resources.

Accepted Answer

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

Question 13

What applies to the rate of frequency of monozygotic (identical) twins being 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

The answer of What applies to the rate of frequency...

Deck 31: Family Influences on Child Health Promotion