Deck 3: Family Influences on Child Health Promotion

Question 1

Which of the following statements is true concerning the role-transition experience of new parents?

A)Parents' marital relationship can have a positive or negative effect on the role transition.
B)Infants with special care needs help strengthen parents' sense of confidence in their new role.
C)Young parents adjust to the new role easier than older parents.
D)Parents' previous experience with children makes the role transition more difficult.

Answer 1

Parents' marital relationship can have a positive or negative effect on the role transition.

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 which of the following?

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

Answer 2

Common reaction to divorce

Question 3

Which of the following is most characteristic of the physical punishment of children, such as spanking?

A)Psychological impact is usually minimal.
B)Children rarely become accustomed to spanking.
C)Children's development of reasoning increases.
D)Misbehavior is likely to occur when parents are not present.

Answer 3

Misbehavior is likely to occur when parents are not present.

Question 4

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

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

Question 5

What type of family would the nurse call one in which a mother, her children, and a stepfather live?

A)Blended
B)Nuclear
C)Binuclear
D)Extended

Question 6

Which of the following family theories explains how families react to stressful events and suggests factors that promote adaptation to these events?

A)Interactional theory
B)Developmental system theory
C)Family stress theory
D)Duvall's developmental theory

Question 7

Birth position of children affects their personalities. Which of the following is considered characteristic of children who are the youngest in their family?

A)More dependent than firstborn children
B)More outgoing than firstborn children
C)Identify more with parents than with peers
D)Are subject to greater parental expectations

Question 8

Studies about the ordinal position of children suggest that firstborn children tend to:

A)Be praised less often.
B)Be more achievement oriented.
C)Are more popular with the peer group.
D)Identify with peer group more than parents.

Question 9

When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is called:

A)Permissive.
B)Dictatorial.
C)Democratic.
D)Authoritarian.

Question 10

Dunst, Trivette, and Deal identified the qualities of strong families that help them function effectively. These include which of the following?

A)Lack of congruence among family members
B)Clear set of family values, rules, and beliefs
C)Adoption of one coping strategy that always promotes positive functioning in dealing with life events
D)Sense of commitment toward growth of individual family members as opposed to that of the family unit

Question 11

Children may feel that they are responsible for their parents' divorce and interpret the separation as punishment. At what age is this most likely to occur?

A)1 year
B)4 years
C)8 years
D)13 years

Question 12

Which of the following family theories is described as a series of tasks for the family throughout its life span?

A)Interactional theory
B)Developmental system theory
C)Structural-functional theory
D)Duvall's developmental theory

Question 13

When discussing discipline with the mother of a 4-year-old child, the nurse should include which of the following?

A)Children as young as 4 years rarely need to be punished.
B)Parental control should be consistent.
C)Withdrawal of love and approval is effective at this age.
D)One should expect rules to be followed rigidly and unquestioningly.

Question 14

Which of the following applies to the rate of frequency of monozygotic (identical) twins being born?

A)Is affected by heredity
B)Is affected by maternal age
C)Varies among races
D)Occurs uniformly in all populations

Question 15

A mother brings 6-month-old Eric to the clinic for a well-baby check-up. 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 would be which of the following?

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."

Question 16

What type of family would the nurse call one in which the paternal grandmother, the parents, and two minor children live?

A)Blended
B)Nuclear
C)Binuclear
D)Extended

Question 17

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 which of the following?

A)Some twins thrive best when they are constantly together.
B)Individuation cannot occur if twins are together too much.
C)Separating twins at an early age helps them develop mentally.
D)When twins are constantly together, pathologic bonding occurs.