Deck 3: The Childbearing and Child-Rearing Family

Question 1

A nurse is caring for a child with the religion of Christian Science.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) Inform the spiritual care department that the child has been admitted to the hospital.
C) Allow parents to sign a form opting out of routine immunizations.
D) Ask parents whether the child has been baptized.

Answer 1

Allow parents to sign a form opting out of routine immunizations.

Question 2

Which family will most likely have the most difficulty coping with an 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 are living in an apartment while they look for a house
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

Answer 2

Parents who have just moved to the area and are living in an apartment while they look for a house

Question 3

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

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

Answer 3

He may have culturally related food preferences.

Question 4

More than 100 different ethno-cultural groups reside within the United States,and numerous traditional health beliefs are observed among these groups.Traditional beliefs related to the maintenance of health are likely to include

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

Question 5

The parent of a child who has had numerous hospitalizations asks the nurse for advice because her 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 6

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 7

The consequences technique will assist children to learn the direct result of their behavior.This technique can be used with children from toddler age to adolescence.If children learn to understand consequences,they are less likely to repeat the offending behavior.Consequences fall into which categories? Select all that apply.

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

Question 8

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 9

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) Authoritarian
B) Authoritative
C) Permissive
D) Disciplinarian

Question 10

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

A) Immunizations
B) Autopsy
C) Organ donation
D) Blood transfusion

Question 11

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 12

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 13

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 14

A traditional family structure in which 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 15

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

Question 16

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 17

In general,healthy families are able to adapt to changes within the family unit; however,some factors add to the usual stress experienced by any family.The nurse is in a unique position to assess the child 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

Question 18

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 19

The nurse observes that when an 8-year-old boy enters the playroom,he 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.
B) Explain to the children in the playroom that he is very ill and should be allowed to have the toys.
C) Approach the child in his 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 20

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 21

Parents of children with special needs often require specialized care and experience frequent hospitalizations.When caring for these families,the nurse should be aware that they may experience financial hardship due to their child's condition and require assistance in obtaining referrals to resources.Is this statement true or false?

Question 22

___________ refers to the view that one's own culture's way of doing things is always the best.

Question 23

A _________ family is one formed when single,divorced,or widowed parents bring children from a previous union into the new relationship.