ch 2 peds
Which role should nurses play in ensuring that spiritual health care practices do not negatively affect the therapeutic relationship between the nurse and the patient? 1 Maintain open communication between the family and health care team. 2 Assume that the patient will freely communicate personal religious needs. 3 Provide a traditional Western diet and allow the patient to choose what to eat. 4 Assume the patient adheres to all of the common practices of the documented religion.
1 Keeping communication between the family and health care team open and asking about any influences that can occur is a key role played by nurses in preventing the development of a nontherapeutic relationship between the nurse and patient. Assuming that the patient will freely communicate personal religious needs, providing a traditional Western diet, and allowing the patient to choose what to eat could negatively affect the therapeutic relationship between the nurse and patient. The nurse should not assume that a patient who identifies as a follower of a particular religion adheres to all of the common religious practices of that religion.
Parents of a 10-year-old child ask the nurse if they should tell their child about their decision to get divorced. Which response by the nurse would be appropriate? Select all that apply. 1 "Discuss your decision with your child." 2 "Refrain from crying in front of your child." 3 "Give reassurance that you love your child." 4 "Allow your child to freely express feelings." 5 "Refrain from telling your child because it will depress the child."
1,3,4 Parents should discuss the decision to separate with their children. Sufficient time should be set aside for these discussions and these discussions should take place during a calm period and not after an argument. Parents should allow their children to express their feelings and emotions and help them cope with the situation. Parents should reassure their children that they love them, because the child's need for love and reassurance is tremendous at this time. Parents physically holding or touching their children will provide warmth and reassurance. Parents should not fear crying in front of children during the initial disclosure of a divorce, because it gives children permission to cry and express their feelings. Parents should tell their children about their divorce. Children would already be experiencing vague and difficult feelings, so telling the truth helps them understand the situation and deal with it.
Which are characteristics of permissive parents? Select all that apply. 1 Rare use of punishment 2 Identification of themselves as role models 3 Expectation for children to follow all rules 4 Allow children to oppose their standards of conduct 5 Firm control over their children, tempered with encouragement
1,4 Permissive parents exert little control over their children. They rarely punish their children. They do not impose their own standards of conduct on their children. They respect the individuality of their children and allow their children to oppose family standards or regulations. Permissive parents consider themselves to be resources for their children, not role models. Authoritarian parents expect their children to rigidly follow the rules they establish. Authoritative parents have firm control over their children, tempered with encouragement, understanding, and security.
Which option would the nurse discuss with a single parent of a 2-year-old child, who is concerned about caring for the child while managing a work schedule? 1 Prenatal care 2 Daycare service 3 Adoption service 4 Tertiary hospital care
2 Single parents who are working can use a daycare facility for their children while they are at work. Prenatal care is needed for regular health checks of pregnant women. Adoption services are needed by people who want to adopt children. Tertiary hospitals are for those in need of medical intervention.
The nurse asks a child of Jewish ancestry about a blister noted on the wrist. The child tells the nurse, "My grandmother rubbed garlic there." Which condition is the grandmother treating? 1 Poor eyesight 2 A skin infection 3 Digestive problems 4 A respiratory illness
2 Yemenite Jews believe that applying crushed garlic cloves on the wrist of a person will treat infections. Applying or rubbing garlic is not believed to improve eyesight, treat digestive problems, or cure respiratory illness. In the Indian culture, surma is sometimes used to improve eyesight. In the Mexican culture, greta has been used to treat digestive problems. In the Chinese culture, some believe that taking hot food can eliminate respiratory illnesses.
Which description of foster care is accurate? 1 Living permanently with an adoptive family 2 An institutional setting where many children live together 3 An approved living situation away from the family of origin 4 Living with grandparents but away from the biologic parents
3 By definition, foster care is an approved living situation in which the child is placed away from the family. These people are generally unrelated to the child, and this arrangement is for a fixed period of time. An orphanage is an institution for children without parents. Many children live with their relatives or grandparents if parents are unable to care for the children or if the parents have died. This is not considered foster care. Adoption is when a child is permanently placed in a new home and the new parents adopt the child.
The court granted joint physical custody of a child to a couple who sought a divorce after being married for 8 years. Which disposition of the child reflects this decision? 1 Staying with the father for most of the time 2 Staying with the mother for most of the time 3 Staying with both parents for a shared amount of time 4 Staying with the mother, but the father is also a legal guardian
3 In joint physical custody, the child can live with one parent and then with the other per the predetermined agreed-upon time duration. Both parents mutually alternate care and control over the child. In joint legal custody, the child gets to stay with one parent, but both parents are legal guardians. Complete custody is awarded to the parent who is more reliable and able to care for the child.
A couple with a 7-year-old child get divorced. Which factor is considered when determining who gets custody of the child? 1 Financial resources 2 The preference of the child 3 Ability to best provide for the child's welfare 4 Familiarity with the existing care of the child
3 The child's welfare is always the prime deciding factor to determine the child's custody. Custody is given to the parent who is best able to provide for the child's welfare. This parent may be the mother or the father. The preference of the child may be discussed but does not necessarily play a part in the decision.
At which age will a child best adapt to adoption? 1 1 year 2 7 years 3 15 years 4 5 months
4 A 5-month-old baby is much easier to adopt because the baby is not yet attached to anybody and tends to adapt well to a new environment. The earlier the child is adopted, the better the child adapts to the new home. Children who are 1 year, 7 years, or 15 years old may not adapt well because they have not had consistency in their lives and may have developed other attachments.
While interacting with a nurse, a 14-year-old child is judgmental about the nurse's culture and tells the nurse that the child's own ancestors' beliefs are the only acceptable way to be or think. Which attitude is this child displaying? 1 Prejudice 2 Narcissism 3 Stereotyping 4 Ethnocentrism
4 Ethnocentrism is the attitude that a person's beliefs are the only acceptable beliefs and all other beliefs are wrong. Prejudice is having preconceived opinions or feelings before becoming aware of the relevant facts. Narcissism is a social or cultural problem. It is a problem in a person's or group's relationship with others or self. Stereotyping refers to labeling a specific type of individual or a certain way of doing things.
Which term is defined as the emotional attitude that one's own ethnic group is superior to others? 1 Culture 2 Ethnicity 3 Socialization 4 Ethnocentrism
4 Ethnocentrism is the emotional attitude that one's own ethic group is superior to others; that one's values, beliefs, and perceptions are the correct ones, and that the group's ways of living and behaving are the best way. Culture is a pattern of assumptions, beliefs, and practices that unconsciously frames the outlook and decisions of a group of people. Ethnicity is the classification of or affiliation with any of the basic groups or divisions of humankind or any heterogeneous population differentiated by customs, characteristics, language, or similar distinguishing factors. Socialization is the process by which individuals learn the roles that are expected of them.
Which are characteristics of a family with invisible poverty? Select all that apply. 1 Poor nutrition 2 Poor sanitation 3 Insufficient clothing 4 Lack of health care facilities 5 Limited employment opportunities
4,5 Invisible poverty refers to the deprivation of social and cultural resources such as health care facilities and employment opportunities. Poor nutrition, poor sanitation, and insufficient clothing are due to the lack of material and financial resources. This is also known as visible poverty.
Culture includes which of the following? Select all that apply. A. Cultural competence, which includes building skills in the health care provider, such as offering lists of common foods, health care beliefs, and important rituals B. Cultural humility, which requires that health care providers participate in a continual process of self-reflection and self-critique C. Recognizing the power of the health care provider role that views the patient and family as full members of the health care team D. A particular group with its values, beliefs, norms, patterns, and practices that are learned, shared, and transmitted from one generation to another E. A complex whole in which each part is interrelated, including beliefs, tradition, lifeways, and heritage
B. Cultural humility, which requires that health care providers participate in a continual process of self-reflection and self-critique C. Recognizing the power of the health care provider role that views the patient and family as full members of the health care team D. A particular group with its values, beliefs, norms, patterns, and practices that are learned, shared, and transmitted from one generation to another
Duvall's Developmental Stages of the Family include which of the following? Select all that apply. A. Stages an individual progresses through in his or her moral and spiritual development B. Stages families progress through in adulthood C. Stages that designate how parenting progresses as a child develops D. Stages that designate appropriate discipline related to developmental stages E. Stages that describe the journey a couple will take as their children mature
B. Stages families progress through in adulthood C. Stages that designate how parenting progresses as a child develops E. Stages that describe the journey a couple will take as their children mature
Family systems theory includes: A. Direct causality, meaning each change affects the whole family B. Family systems react to changes as they take place, not initiate it C. A balance between morphogenesis and morphostasis is necessary D. Theory is used primarily for family dysfunction and pathology
C. A balance between morphogenesis and morphostasis is necessary
The nurse is explaining the strategy of consequences to a parent he is working with. Which response by the parent indicates that more teaching is needed when he describes the types of consequences? A. Natural: those that occur without any intervention B. Logical: those that are directly related to the rule C. Transforming: allowing the child to come to the conclusion on his or her own D. Unrelated: those that are imposed deliberately
C. Transforming: allowing the child to come to the conclusion on his or her own
Ways to integrate spiritual practices into nursing care include: A. Explaining the religious practices you personally take part in B. Realizing that young children have little understanding regarding their spirituality C. Agreeing with children and their families when they explain their religious beliefs so they are not offended D. Becoming knowledgeable about the religious worldviews of cultural groups found in the patients you care for 114
D. Becoming knowledgeable about the religious worldviews of cultural groups found in the patients you care for
