EAQ Communiction - Concept HESI
After an uneventful 8-hour labor a client gives birth. Once the airway has been ensured and the neonate has been dried and wrapped in a blanket, the nurse places the newborn in the mother's arms. The mother asks, "Is my baby normal?" What is the best response by the nurse?
"Let's unwrap your baby so you can see for yourself."
Identify factors associated with an increased incidence of abuse within a family. Select all that apply.
*Pregnancy *Drug abuse *Sexual orientation
Which type of family is formed when both parents bring children from previous relationships into a joint living situation?
Blended family
A nurse is working with a couple and their two children. The 14-year-old son has been in trouble at school because of truancy and poor grades. The 16-year-old daughter is quiet and withdrawn and refuses to talk to her parents. The parents have had severe marital problems for the past 10 years. What is the priority nursing concern at this time?
Couple's marital problems are affecting their children
During data collection, the nurse finds that a preschool-age child is stressed about the family relocating to a different city. The nurse tells the parents about ways to reduce the child's stress during the transition. What is the best approach the parents can take to help their child cope with the transition?
Explaining what the child can expect
Which family consists of a traditional family and an additional family?
Extended family
Which type of family involves a nuclear family plus additional family members living in the same household?
Extended family
A court orders a family to place its children in a private home after deeming the parents unable to care for the children. Which type of family is reflected in this situation?
Foster family
Several hours after delivery, a new mother expresses ambivalence regarding her infant. How will the nurse promote bonding between this mother and her newborn?
Having the mother feed the infant
A child wants to be on time for a family dinner. According to Kohlberg's theory, what stage of development is the child going through?
Instrumental relativist orientation
A nurse has learned that infants born to very young mothers are at risk for neglect or abuse primarily because an adolescent characteristically does what?
Is involved in seeking her own identity
An older client who has had multiple hospital admissions for recurring heart failure is returned to the hospital by an adult child. The client is admitted for observation to the coronary care unit and calmly states, "I know I'm sick, but I can really take care of myself at home." What should the nurse conclude that the client most likely is attempting to do?
Maintain independence
What must the nurse assess first when planning to promote mother-infant attachment?
Mother-infant interaction
The nurse is obtaining the history of a client in the third trimester who is visiting the prenatal clinic for the first time. She tells the nurse she has two toddlers at home, that their father abandoned the family last month, and that she doesn't know what to do. The nurse concludes that the client is what?
Overwhelmed by the situation
The practice of separating parents from their newborn immediately after birth and limiting their time with the infant during the first few days after delivery contradicts what studies?
Parent-child attachment
Which statement regarding abuse is true?
Sexual abuse is nonconsensual sexual contact with another individual.
What behavior does the nurse suggest a parent will notice in her 2-year-old child after the death of a family member?
The child exhibits changes in sleeping patterns.
A 7-year-old boy is brought to the clinic by the mother, who tells the nurse that her child has been having trouble in school, has difficulty concentrating, and is falling behind in schoolwork since she and her husband separated 6 months ago. The mother reports that lately her child has not been eating dinner, and she often hears him crying when he is alone. What basis for these behaviors should the nurse consider?
The child may be blaming himself for his parents' breakup.
Which stage of life is termed senescence stage?
The last stage of the life cycle
The parents of a critically ill 7-year-old child constantly blame each other for their child's illness. What parental response suggests that the nurse's intervention has been successful?
The parents make an appointment with a family counselor.
The parents of a gifted 4-year-old notice that their child has been showing signs of rebellion and acting out. What is one important thing to teach the parents about gifted children?
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 bestresponse?
This behavior is a common response over which the client has very little control.
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
A community healthcare nurse is conducting a survey about homeless children in the community. Which finding helps the nurse distinguish absolute homelessness from relative homelessness?
The children do not have a physical shelter and may sleep outdoors or in vehicles.
A married 35-year-old client is to undergo a tubal ligation. Which factor in the history contributes the most to the healthy resolution of any emotional problem associated with sterilization?
The client has a son and daughter and feels that her family is complete
