Cultural SS

A gay couple is considering adopting a newborn and they want to know the long-term outcomes for children in gay families. What is the best response by the nurse?

Their psychological health is similar to children of heterosexual parents.

An 5-year-old adoptive child has been injured on the playground and will require orthopedic surgery. The nurses encourage the parents to stay with the child as much as possible while the child is in the hospital based on which potential reason?

They may be afraid they are going to be given back to the foster-care system.

The first phase of divorce is marked by quarreling, hurt feelings, and whispered conversations, as the parents realize they are no longer compatible.

True

The nurse is assessing a nuclear family that consists of a newborn, father, mother, 5-year-old brother, and 13-year-old sister. Which member of the family would the nurse use to identify the stage for this family?

13-year-old sister

The nurse is preparing to reduce a young parent's anxiety about a child needing hospitalization. Which action should the nurse prioritize?

Include the parent in the medical decision-making.

A couple who has been married for 10 years chose to postpone having children until their professional careers were established. They now feel ready to start a family. After many months of trying, they are consulting with a fertility expert. The nurse should anticipate that this couple may be experiencing which NANDA due to the negative aspect of postponing pregnancy? You Selected:

Ineffective childbearing process

A 2-year-old child has been diagnosed recently with leukemia. She has been admitted to the hospital for initiation of treatment. The family is trying to cope with the new diagnosis, and family members describe themselves as being "in a state of shock." In working with the family, which of the following would be the priority nursing diagnosis?

Ineffective family coping related to new illness of the child

A 7-year-old child who has recently immigrated with his family is brought to the school nurse because he refuses to eat lunch. Which response should the nurse prioritize?

Investigate for potential cultural issues.

A busy family with working parents, two teenagers who can drive, and one school-age child find it hard to communicate effectively on a daily basis since they rarely have a sit-down-together meal during the week. The clinic nurse might suggest which ways the family can interact and problem solve with their busy schedule? Select all that apply.

Plan a 15-minute time daily when all family members can "touch base" with each other. Have all family members check in every evening by email or text to the designated person (usually a parent). Have a bulletin board so family members can write messages and document activities. Reserve one night a week as "family night" where all activities center around a family game or movie.

The nurse recognizes that which factors contribute to the increase in single-parent families?

Rising divorce rates

A nurse is reviewing information about how an increase in family mobility affects the overall health status fo the family. The nurse demonstrates understanding of the information when the nurse identifies which aspect as playing a role?

Services can be inconsistent across local and regional areas.

Students are reviewing information about family structures and functions. They demonstrate understanding of the information when they identify which of the following as true?

Despite changes in family structure, the nuclear family is still prominent.

A genogram is a diagram of family and community relationships

False

The mother of an adopted child asks the nurse when she should tell her child that he/she was adopted. What is the best response by the nurse?

"As early as the child can understand or by 4 years of age, when the child is old enough to begin to understand the story of adoption."

A grandmother is the primary caretaker for her two grandsons due to financial reasons. The grandmother cooks primarily comfort foods consisting of fried foods with gravy. Her son recently went to the emergency department with chest pain where it was determined that he had no heart damage but his total cholesterol level was 395 mg/dL (10.23 mmol/L). The son was taught about ways to lower his cholesterol level. The grandmother has read the material. Which statement made by the grandmother demonstrates the most positive expected outcome for this scenario?

"I will read labels and omit trans-fatty acids from cooking when possible."

The nurse is preparing to discuss birthing options with a 25-year-old female who is in a low-risk pregnancy with one older child. Which option will be best for the nurse to recommend for this client?

Any birthing settings

The nurse is preparing a prenatal seminar for young mothers. Which type of information should the nurse gather to ensure success of the program?

Approximate education level of the participants

A nurse is providing care to a group of childbearing families from a different culture at the local family health clinic. Which action should the nurse prioritize?

Assess personal feelings about that culture.

A nurse is preparing to assess a family which recently went through a divorce. The family now consists of a 40-year-old female, her 16-year-old son and 5-year-old daughter. The mother will continue as the primary wage earner with her current employment and has full custody of the children. Which action should the nurse prioritize with this family?

Assess the son for emotional trauma.

A nurse is working with a family that is experiencing stress. Which action would the nurse encourage the family to do first?

Attempt to describe the reason for feeling stressed

After teaching students about different family structures, the instructor determines that the session was successful when the students identify which of the following as comprising a blended family. Select all that apply.

Birth parent Non-birth parent Step children Birth children

The nurse is assessing a family and identifies that the members of this family include a man, a woman, and the woman's child from a previous relationship. Which of the following family types does this description match? select all that apply.

Blended

What behaviors might the nurse expect to see in a 3-year-old child whose parents have been recently divorced?

Clinginess, bed-wetting, and thumb sucking

The nurse is conducting a postpartum home visit. Which action would not necessarily be a responsibility of a visit?

Conducting a well-baby visit to start the child's immunizations

The nurse is assessing a family in which the parents are going through a divorce. There are three siblings in the family: a 4-year-old girl, a 10-year-old boy, and a 15-year-old girl. Which of the following is an important framework for the nurse to use when assessing the response of each child to the divorce?

Developmental stages

A 4-year-old adopted child has begun to ask questions about when she was born. Which suggestions by the clinic nurse would be considered the most appropriate answer for this child related to her birth? Select all that apply.

Explain to the child that she grew inside another woman, but after the birth she was given to her adoptive mom and dad to raise. Avoid criticizing the biological parents but reinforce how much the adoptive mom and dad love them.

A mother of a 9-year-old child newly diagnosed with diabetes is struggling to comes to terms with all the blood monitoring and medications the child will need to maintain a normal quality of life. The mother works full-time and is the primary wage earner for the family. Which interventions suggested by the nurse can possibly help this family? Select all that apply.

Explore how other family members can help with a portion of the responsibility for medication administration. Provide education for the child in regards to testing blood glucose levels. Suggest that a nearby grandparent help with healthy meal preparation while the mother is at work.

While assessing a family, the nurse notes indications of altered family functioning. Which of the following would the nurse most likely note? Select all that apply.

Expression of guilt Noncompliance with treatment regimen Significant difficulty with changes

The community health nurse is assessing a new client who reports he has recently moved to the area and is living with an aunt and her parents. The nurse determines this client resides in which type of family structure?

Extended

Assessment of an adult client reveals that he lives with his wife and three children. The client's father-in-law lives in an in-law suite attached to the client's home. The client's parents live about a block away and visit the family often. The nurse interprets this as which type of family?

Extended family

When reviewing the history of a pregnant client, the nurse identifies that the client has an extended family and that they all live together in a small home. Further assessment reveals that the family is not coping well because of the unexpected pregnancy, thus causing undue stress on the client. What would be a positive outcome for the nursing diagnosis of Ineffective family coping mechanisms related to an unplanned pregnancy?

Family members state that they have found ways to stretch their resources to adapt for a new family member in the home.

A nurse is concerned about a 14-year-old girl under her care because she has recently learned of an outbreak of sexually transmitted diseases at the girl's high school. The nurse asks the girl's parents whether they would be willing to let the nurse discuss it with their daughter in private, along with contraception options. The mother quickly interrupts the nurse and says, "Absolutely not. We will discuss that with her ourselves." Which role is the mother playing in this situation?

Gatekeeper

The nurse is working with a same-sex couple, both of whom have children from previous relationships. Although the couple have no plans of marrying, they view their relationship as monogamous and long-term. Which family structure would apply to this family? Select all that apply.

Gay or lesbian family Cohabitation family Blended family

A 3-year-old child is brought to the clinic with concerns about aggressive behaviors. The nurse determines that the parents are going through a divorce. What other questions might the nurse ask to assess the impact of the divorce on the child? Select all that apply.

How is your child sleeping at night? Is your child wetting the bed? Is your child willing to spend the night with his grandparents?

The nurse is assessing an infant girl at its first well-baby visit. The nurse also observes the actions of the 6-year-old brother and parents who share that she was the best anniversary present they received this year. Which type of family will the nurse conclude these individuals represent? You Selected:

Nuclear

A nurse is assessing a family and asks, "Who is primarily responsible for taking care of the children" What role is the nurse trying to establish?

Nurturer

A high-school nurse has noticed a trend in the reading ability of the freshman class. This high school is located in a poor, urban area where there is a high proportion of single mothers raising their children with minimal financial support. Young children many times do not have adult supervision with homework. The local school nurses discuss issues within the school area. Which suggestion by a high school nurse would be a realistic solution to the problem described in this scenario?

Organize a group of local high school students to begin a reading program in the grade school to increase interest in reading.

The mother of an ill client states, "I feel so guilty that I have to go to work and cannot be with my child." The nurse realizes this statement reflects

Parental role conflict

A community health nurse is preparing to teach childbirth classes at the local high school. This nurse is actively involved in which type of community health care?

Primary prevention

The family of orientation refers to

The family that one is born into

A nurse is assessing a multigenerational family and determines that the family is experiencing problems with communication. Which suggestion would be most appropriate to help promote communication?

Using a family bulletin board that each member can check each day for messages.

A 7-year-old child with asthma has missed so many days of school that the child is considered to be truant. The school nurse does an assessment of the family and learns that the mother is in another city all week for work, the father leaves for work early each morning and returns home late in the evening, and the elderly maternal grandmother takes care of the child. Which question would be helpful in assessing the child's health needs? Select all that apply.

Who is in charge of the child's asthma management? Who makes sure the child takes the medications every day? Who is the primary contact person for the school nurse?

During assessment for a child with cystic fibrosis who is new to the practice, the nurse notes that the father keeps asking about costs and if there is a "cheaper" way of providing the care that the child needs without compromising health. For example, insteading of buying prepackaged normal saline for breathing treatments, he asks if they can boil water (and containers with lids) and add the salt to the water in proper portions. When documenting this assessment, the nurse would identify the father as playing which role in the family based on the aforementioned questions?

allocation of resources

A woman in her third trimester of pregnancy has difficulty travelling from her inner-city apartment to the health care provider's office for ultrasound imaging. She has no car and is unfamiliar with the public transportation available in the area of the provider's office. Which intevention would most likely address this woman's challenges?

an ecomap including information on public transportation

The nurse interviews a family that consists of a husband and wife who have both previously been in a marital relationship and who are living with two children. The children are the biological children of the mother and were born before the remarriage. This family situation is termed a(n):

blended family.

Nursing students are learning about family structure and want to learn about their own families. Which of the following diagrams could they use that will show family structure?

genogram

A family that regularly takes in foster children is visiting the junior high school nurse to inform the staff that there will be a new 8th grade foster child beginning school the following week. The school nurse should monitor this new student for which psychosocial response to being moved to the foster care system?

high level of insecurity

A nurse who has been caring for a 10 year old for the last 2 weeks has noticed that even though the mother has stayed by his side, the two have barely spoken. The mother is on her cell phone constantly; the patient listens to music on earphones all the time. What is the most logical reason for this lack of communication?

increased technology

During a home visit from a "Parents as Teachers" leader, the leader notes the mom is enforcing "time out" when the preschool child breaks a rule. The mother is responsible for establishing rules and work assignments based on the child's age. When documenting the family assessment visit, the leader would identify the mother as fulfilling which family role?

maintenance of order

A high-school nurse has noted several of the incoming freshman are "only children" (they have no siblings). The nurse plans some "brown bag lunch discussions" for this group of students. Which topics should be addressed in these sessions? Select all that apply.

managing stress getting a "failing" grade at school when a favorite sports team loses

Two previously divorced people are getting married and becoming a blended family. They each have two children from prior marriages. They have met with a family counselor to discuss potential problems of blended families and ways to deal with the problems. Which potential problem will likely occur at some early point in the marrage?

rivalry for attention of a parent

A nurse is discharging a young patient who has been hospitalized for the last 3 weeks with leukemia. The patient will need home care. When starting the discharge instructions, the nurse focuses on the mother. The father informs the nurse that he will be the one caring for the child. In this case the nurse made an assumption regarding which of the following?

role fulfillment

During a visit with a new family, the nurse assesses one of their children. The nurse asks about current immunization status and how often the child visits the family health care provider. The nurse also asks the child about experiences with activities outside the home. The nurse reviews the importance of safety like wearing helmets. Given this data, what age group of child would one anticipate this nurse is assessing?

school-age

A nurse working in a busy urban family clinic has noted a high percentage of single mothers. What should the nurses in this clinic be prepared to offer these single mothers?

support when a problem related to childrearing occurs

A couple is arguing and bickering all the time. This couple has not told the children yet that they are planning to get a divorce. When the couple discusses this with the school nurse, the nurse shares that at this early phase, children likely experience what type of feelings?

take blame for their parents quarreling and try to behave better