Deck 3: The Child in Context of the Family

Question 1

When the nurse treats families as context, the emphasis is on which of the following?

A) extended family
B) nuclear family
C) community
D) individual

Answer 1

individual

Question 2

Sociologists define the family as a group of people:

A) with blood ties, adoption, guardianship, or marriage
B) with a focus on perpetuating the species
C) who are living together
D) who have strong emotional ties

Answer 2

who are living together

Question 3

Which of the following definitions best matches the U.S. Bureau of Census definition of family?

A) everyone in a household regardless of relationship
B) father, mother, and children
C) a group of two or more people related by birth, marriage, or adoption and residing together
D) a household of only those related by marriage(s) or birth, which would include extended family

Answer 3

a group of two or more people related by birth, marriage, or adoption and residing together

Question 4

Nurses using a contemporary definition should identify a client's family by asking which of these questions?

A) Who do you consider to be your family?
B) Are your parents and siblings living?
C) Are you married and do you have any children?
D) Who lives with you in your household?

Question 5

The major goal of the nurse using Neuman's nursing theory would be to:

A) assist the individual to identify helpful and antagonistic family members
B) help keep the family structure stable within its environment
C) enhance interactions between all extended family and the individual
D) minimize ineffective communication between family and society

Question 6

King's open systems theory viewed the family as:

A) the future through birthing of children
B) both hostile and helpful in ever-changing dynamics
C) a social system that influences the growth and development of individuals
D) a family system where children can be nurtured and build a strong sense of identity

Question 7

Which of the following statements best represents a major belief in King's open systems theory?

A) Nurses are partners with families.
B) Families are self-sufficient.
C) Individuals are more important than families.
D) Family is viewed only as context.

Question 8

The major goal of nursing in Roy's adaptation model is to:

A) help an individual adapt and integrate into the larger society
B) promote adaptation and minimize ineffective responses
C) help the individual adapt to maturational crises
D) assist the family in adapting to interpersonal difficulties

Question 9

One of the five functions in the structural-functional theory of family is affective, which refers to the:

A) general mood of the family
B) way feelings are addressed or not addressed in the family
C) family meeting the needs for love and belonging of each member
D) face or outer picture that the family shows to the outside world

Question 10

The nurse can best gain a perspective about a family value system by:

A) gaining an understanding of how a family distributes its resources
B) asking family members what they most value
C) assessing church membership and membership in community organizations
D) interviewing employers, friends, and neighbors of the family

Question 11

The major focus of the developmental theory of family is:

A) systems within which the family operates
B) predictable stages with specific issues and tasks
C) assessment of growth in holistic measures
D) relationships among individual members

Question 12

One of the best-known formulations of developmental theory involving stages was that of:

A) Freud
B) Jung
C) Duvall
D) Holmes

Question 13

An advantage of the developmental theory of families approach is that it provides nurses with information about:

A) what to expect of families at different points in their life cycle
B) pathology in the family and how it affects individuals
C) growth of individuals compared with other family members
D) limitations of individuals and families

Question 14

One of the major assumptions of Duvall's developmental theory of families is that:

A) young adults marry in their early 20s before they develop a career
B) child rearing is no longer the central focus of the life cycle
C) today's society is very diverse and includes a variety of family forms
D) the nuclear family is not as prominent as in past centuries

Question 15

Von Bertalanffy developed which of the following theories?

A) general systems theory
B) general stress and adaptation theory
C) specific developmental theory
D) specific age accomplishment theory

Question 16

General systems theory has as one of its central propositions the idea that the system is:

A) in the center of interaction surrounded by other less important but necessary systems
B) not the total sum of its parts but is characterized by wholeness and unity
C) dependent on other systems to make it function at the maximum potential
D) going to wear out at a rate no less than that of interacting systems

Question 17

The nurse working with a family and applying general systems theory must most importantly analyze the:

A) individual and the individual's educational and economic workplace
B) family and its relationship to the extended family members
C) interrelationships of family members with each other and with the larger society
D) past history of the individual members and how the past affects present performance

Question 18

A genogram is a method for recording and mapping information about:

A) morbidity, mortality, and onset of illnesses of all family members, usually for three generations
B) genealogy for as many generations back as the family can be traced
C) genocide in the population of an ethnic group, neighborhood, or town
D) illness in a military group during a particular period of history or time

Question 19

An ecomap is best described as a:

A) visual presentation of the condition of the environment in an area
B) visual representation of a family in relation to the community
C) drawing of the location of ecological projects in a given area
D) tool of the ecotourist, which demonstrates what has been seen or done

Question 20

Family assessment ideally takes place in which of the following places?

A) health care provider's office
B) child's school
C) family's church
D) child's home

Question 21

A model for family assessment that consists of structural, developmental, and functional categories is which of the following models?

A) Denver Developmental
B) Beck Assessment
C) Calgary Family Assessment
D) Minnesota Multiphasia

Question 22

The Friedman Family Assessment Model views the family as:

A) just one of the basic units of wider society along with religion, education, health, and others
B) the center of concentric circles representing the individual as the most important element in society
C) indispensable to the individual in attaining normal physical and psychological growth
D) more important than the individual in terms of predicting the future success of the individual

Question 23

The Friedman Family Assessment Model is designed to collect information or data on:

A) two categories of interest, which are the individual and the nuclear family
B) the developmental stage and history of the family
C) family coping, past and present
D) six categories of information and numerous subcategories

Question 24

The nuclear family consists of:

A) husband and wife
B) husband, wife, and their natural and adoptive children
C) any couple regardless of gender, and children acquired by the couple
D) any couple regardless of gender

Question 25

The greatest incidence of redivorce occurs in stepfamilies in which there are:

A) children from previous marriages, for both adult partners, living with the couple
B) grown stepchildren living on their own and no children living with the couple
C) children from past marriage(s) for one partner only
D) children from one partner living in the home and a new baby expected

Question 26

When the parents of preschool-aged children divorce, the children most often think which of the following things?

A) The parent with whom they live caused the problem.
B) God is punishing the family for being bad.
C) They caused the divorce and may be able to reunite the parents.
D) The parents are going to abandon the children forever at some time.

Question 27

When a preschool-aged child's parents divorce, the child is most likely to exhibit which of the following behaviors?

A) expressing feelings verbally
B) acting out anger in aggression
C) accepting the divorce as something beyond his or her control
D) blaming and hating the parent who left the home

Question 28

Which of the following things must nurses do first in order to provide culturally sensitive care to children and families?

A) assess the cultural background and beliefs of the family
B) study various cultures to gain knowledge of their core beliefs
C) recognize how their attitudes are influenced by their own values and beliefs and be aware of these values and beliefs
D) spend time observing and listening to people of the various cultures that they will come into contact with in their work as nurses

Question 29

Which of the following best describes a nurse with cultural sensitivity?

A) a person who knows the stereotypical practices and beliefs of a large number of cultural groups
B) one who has awareness and appreciation of cultural influences on health care and respect for differences in cultural beliefs and values
C) a health care professional who comes from a minority ethnic group and who has experienced cultural bias
D) a nurse who attends an annual conference on working with clients from various cultural groups

Question 30

Children raised by authoritarian parents tend to exhibit which of the following characteristics?

A) stubborn, perfectionist, tough on self and others
B) dependent, passive, low in self-esteem, low in spontaneity
C) high in self-control and self-esteem, highly creative
D) socially competent, self-reliant, responsible

Question 31

The American Academy of Pediatrics has said that discipline should not only include setting limits and punishing for wrongdoing but also help children learn:

A) rules, regulations, and goals of living in a world with others
B) never to do the offending behavior again
C) the feeling of guilt
D) to be remorseful for wrongdoing to others

Question 32

The consequences of discipline must have the following qualities:

A) effective, constructive, and not unduly harsh
B) sufficiently harsh to prevent reoccurrence of the offending behavior
C) not harsh enough to cause the parents to get into trouble with the law
D) not harsh enough to produce guilt in the one to give out the consequences

Question 33

If caregivers use verbal reprimands very frequently, they will most likely:

A) extinguish the behavior
B) change the behavior some
C) change the behavior to a worse one
D) reinforce the undesired behavior

Question 34

A defined period of time in which a child is removed from activities and social interactions because of unacceptable behavior is called a:

A) punishment
B) time-out
C) respite
D) seclusion

Question 35

The application of some form of physical pain in response to undesired behavior is called:

A) neurological stimulation
B) pain punishment
C) extinguishment
D) corporal punishment

Question 36

A parent is requesting information on the use of a time-out for her 4-year-old. The nurse recommends that the parent allow the child to remain in the unstimulating, safe environment for ____________________ minutes.

Question 37

A child is placed with kinship caregivers in foster care. The nurse is aware that kinship caregivers tend to face more challenges than nonkinship caregivers for which of the following reasons? Select all that apply.

A) Kinship caregivers tend to be younger in age.
B) Kinship caregivers tend to be in poorer health.
C) Kinship caregivers tend to have lower incomes.
D) Kinship caregivers tend to have less education.