Deck 3: Family Influences on Child Health Promotion

Question 1

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 would be which statement?

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."

Answer 1

"Let's talk about the child-care options that will be best for Eric."

Question 2

A parent of a newborn is expressing concern about returning to work after taking time off under the Family and Medical Leave Act (FMLA).The nurse understands that the Act allows a new parent to take off from work for _____ weeks.(Record your answer as a whole number.)

Answer 2

12
The passage of the Family and Medical Leave Act (FMLA)in 1993 set the stage for a greater focus on the issues of contemporary families.FMLA allows eligible employees to take up to 12 weeks of unpaid leave each year to care for newborn or newly adopted children,parents,or spouses who have serious health conditions or to recover from their own serious health condition.

Question 3

Which 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

Answer 3

More outgoing than firstborn children

Question 4

Which is the term for a family in which the paternal grandmother,the parents,and two minor children live together?

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

Question 5

Parents of a firstborn child are asking whether it is normal for their child to be extremely competitive.The nurse should respond to the parents that studies about the ordinal position of children suggest that firstborn children tend to:

A)be praised less often.
B)be more achievement oriented.
C)be more popular with the peer group.
D)identify with peer group more than parents.

Question 6

A nurse is admitting a child,in foster care,to the hospital.The nurse recognizes that foster parents care for the child _____ hours a day.(Record your answer as a whole number.)

Question 7

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

A)Children as young as 4 years old 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 8

Which 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.

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

Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?

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

Question 11

A nurse is conducting a teaching session on the use of time-out as a discipline measure to parents of toddlers.Which are correct strategies the nurse should include in the teaching session? (Select all that apply.)

A)Time-out as a discipline measure cannot be used when in a public place.
B)A rule for the length of time-out is 1 minute per year.
C)When the child misbehaves, one warning should be given.
D)The area for time-out can be in the family room where the child can see the television.
E)When the child is quiet for the specified time, he or she can leave the room.

Question 12

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 statement?

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.

Question 13

A 35-year-old client is currently on fertility treatments.When responding to a question from the client about multiple births,which statement by the nurse is accurate?

A)Use of fertility treatments has been associated with an increase in multiple births.
B)Your chance of having multiple births is at the same rate as all women of childbearing age.
C)There is not enough evidence about the use of fertility treatments increasing the rate of multiple births.
D)Because of your age and the fertility treatments, you have almost a 100% chance of a multiple birth.

Question 14

A nurse is selecting a family theory to assess a patient's family dynamics.Which family theory best describes a series of tasks for the family throughout its life span?

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

Question 15

A nurse is assessing a family's structure.Which describes a family in which a mother,her children,and a stepfather live together?

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

Question 16

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

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

Question 17

The nurse is teaching a group of new parents about the experience of role transition.Which statement by a parent would indicate a correct understanding of the teaching?

A)"My marital relationship can have a positive or negative effect on the role transition."
B)"If an infant has special care needs, the parents' sense of confidence in their new role is strengthened."
C)"Young parents can adjust to the new role easier than older parents."
D)"A parent's previous experience with children makes the role transition more difficult."

Question 18

Divorced parents of a preschool child are asking whether their child will display any feelings or behaviors related to the effect of the divorce.The nurse is correct when explaining that the parents should be prepared for which type of behaviors? (Select all that apply.)

A)Displaying fears of abandonment
B)Verbalizing that he or she "is the reason for the divorce"
C)Displaying fear regarding the future
D)Ability to disengage from the divorce proceedings
E)Engaging in fantasy to understand the divorce

Question 19

Dunst,Trivette,and Deal identified the qualities of strong families that help them function effectively.Which qualities are included? (Select all that apply.)

A)Ability to stay connected without spending time together
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
E)Ability to engage in problem-solving activities
F)Sense of balance between the use of internal and external family resources

Question 20

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 guidelines concerning adoption should the nurse use in planning a 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.