Quiz 3 correct answers

While observing a mother visiting her preterm son in the neonatal intensive care nursery, the nurse notes that she has not yet begun the bonding process. Which statement by the mother supports the nurse's conclusion?

"It's such a tiny baby."

A client with multiple sclerosis is admitted to the hospital. The client's exacerbations have become more frequent and more severe. One day, the client's partner confides to the nurse, "Life is getting very hard and depressing, and I am upset with myself for thinking about a nursing home." After listening to the partner's concerns, which is the best response by the nurse?

"Joining a support group of people who are coping with this problem may be helpful."

Which instruction should the nurse give to parents to help their child get accustomed to a new babysitter?

"Stay close and allow the child to observe the babysitter."

A 50-year-old male client has difficulty communicating because of expressive aphasia after a cerebrovascular accident (CVA, also known as a "brain attack"). When the nurse asks the client how he is feeling, his wife answers for him. How should the nurse address this behavior?

Acknowledge the wife but look at the client for a response.

A nurse is planning an initial home care visit to a mother who has given birth to a high-risk infant. At what time of day should the nurse schedule the visit for it to be most productive?

At a time that will be convenient for the family

A nurse is assessing a child who is accompanied by a parent. The parent has remarried and has another child from the second marriage. What kind of a family does this child belong to?

Blended family

A client with advanced bone cancer is experiencing cachexia. The nurse discusses the nutritional aspect of palliative care with the family. What is the importance of the nurse explaining these nutritional interventions to the family?

Enhances the quality of the client's life

Obesity in children is an ever-increasing problem. What should a nurse consider before confronting the problem with individual children?

Familial and cultural influences are deciding factors in eating habits

Which statement defines the term family resiliency?

Family resiliency is the ability of the family to cope with stressors

At which stage of Kohlberg's theory does an individual want to fulfill the expectations of one's immediate group?

Good boy-nice girl orientation The good boy-good girl orientation stage involves an individual who wants to win the approval and maintain the expectations of one's immediate group. During the society-maintaining orientation stage, an individual expands focus from a relationship with others to societal concerns. The instrumental relativist orientation stage involves a child who wants to follow his or her parent's rules. The universal ethical principle orientation stage defines "right" by the decision of conscience according to self-chosen ethical principles.

The nurse explains to the mother of a preschool child that Erikson identified which developmental conflict for children from 3 to 5 years?

Initiative versus guilt

What must the nurse assess first when planning to promote mother-infant attachment?

Mother-infant interaction

A chronically ill, older client tells the home care nurse that the daughter with whom the client lives seems run-down and disinterested in her own health, as well as the health of her children, who are 5, 7, and 12 years old. The client tells the nurse that the daughter coughs a good deal and sleeps a lot. Why is it important that the nurse pursue the daughter's condition for potential case findings?

Older adults with chronic illness are more susceptible to tuberculosis.

A mother brings her 7-year-old son into an outpatient clinic for a follow-up appointment. The mother appears angry and agitated with the boy. Looking at the boy's medical chart, the nurse notes that the boy has a diagnosis of encopresis. What is the primary symptom of encopresis?

Passing feces either voluntarily or involuntarily into inappropriate places

The nurse is providing care for parents who have experienced a stillbirth. What is the most appropriate intervention at this time?

Providing the parents the opportunity to say goodbye to their newborn

The nurse is developing a plan of care for the client who has activity intolerance. In determining the desired client outcomes, what should the nurse do?

Set priorities and outcomes using the client's and family input.

A mother and her 5-year-old daughter have been referred to a child advocacy center for a forensic pediatric sexual examination. Before the child is examined or interviewed, the mother gives a detailed history, relaying her suspicion that the child's maternal grandfather sexually assaulted her. As the interview progresses, the mother suddenly says, "My father sexually molested me when I was a child, but I try not to think about it." What defense mechanism does the nurse recognize that the mother's statement demonstrates?

Suppression

A nurse is working with a child who was physically abused by a parent. What is the most important goal for this family?

The child will live in a safe environment

What is the primary focus of nursing care in the "family as context" approach?

The health and development of an individual

The parents of a gifted 4-year-old note that their child has been showing signs of rebellion and acting out. One important thing to teach the parents about gifted children is what?

They need boundaries like any other child

The spouse of a client who had a brain attack (cerebrovascular accident) tells the home health nurse that the client cries easily and without provocation. The spouse asks why the client is so emotionally fragile. What is the nurse's best response?

This behavior is a common response over which the client has very little control.

What does a nurse expect to determine about a child with a diagnosis of reactive attachment disorder?

Is able to develop just superficial relationships with others

A nurse is assessing a middle-aged client whose children have left home in search of work. The client is trying to adjust to these family changes. Which family life-cycle stage is the client going through?

Launching children and moving on The client is adjusting to a reduction in family size after the adult children have left home in search of work. The client is going through the launching children and moving on stage of the family life-cycle stage. An individual going through the family in later life stage deals with retirement and the loss of a spouse, siblings, or other peers. The family in the adolescents stage of the family lifecycle involves establishing flexible boundaries to accommodate the growing child's independence. An individual experiencing the unattached young adult stage begins to differentiate themselves from his or her family of origin. The young adult establishes him or herself at work while the young adult's parents experience the launching children and moving on stage.