(peds) Ch 2: multiple choice

d (-It is important for the parents not to withhold information about the adoption from the child. It is an essential component of the child's identity. There is no recommended best time to tell children. It is believed that children should be told young enough so they do not remember a time when they did not know. It should be done before the children enter school to prevent third parties from telling the children before the parents have had the opportunity.)

A 3-year-old child was adopted immediately after birth. The parents have just asked the nurse how they should tell the child that she is adopted. Which guideline concerning adoption should the nurse use in planning a response? a. It is best to wait until the child asks about it. b. The best time to tell the child is between the ages of 7 and 10 years. c. It is not necessary to tell a child who was adopted so young. d. Telling the child is an important aspect of their parental responsibilities

d (Family systems theory describes an interactional model. Any change in one member will create change in others. Although the family is the sum of the individual members, family systems theory focuses on the number of dyad interactions that can occur. The interactions, not the individual members, are considered to be the problem.)

How is family systems theory best described? a. The family is viewed as the sum of individual members. b. A change in one family member cannot create a change in other members. c. Individual family members are readily identified as the source of a problem. d. When the family system is disrupted, change can occur at any point in the system.

b (clear set of family rules, values, and beliefs that establish expectations about acceptable and desired behavior is one of the qualities of strong families that help them function effectively. Strong families have a sense of congruence among family members regarding the value and importance of assigning time and energy to meet needs. Varied coping strategies are used by strong families. The sense of commitment is toward the growth and well-being of individual family members, as well as the family unit.)

The nurse is teaching a group of new nursing graduates about identifiable qualities of strong families that help them function effectively. Which quality should be included in the teaching? a. Lack of congruence among family members. 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.

c

The nursing student recognizes that ____________ is an important institution in which children systematically learn about the negative consequences of behavior that departs from social expectations. a. church b. athletics c. school d. family

c (Areas must be non stimulating and safe. The child becomes bored in this environment and then changes behavior to rejoin activities. The child's room may have toys and activities that negate the effect of being separated from the family. The general rule is 1 minute per year of age. An hour per year is excessive. When the child cries, refuses, or is more disruptive, the time-out does not start; the time-out begins when the child quiets.)

The parents of a young child ask the nurse for suggestions about discipline. When discussing the use of time-outs, which should the nurse include? a. Send the child to his or her room if the child has one. b. A general rule for length of time is 1 hour per year of age. c. Select an area that is safe and non stimulating, such as hallway. d. If the child cries, refuses, or is more disruptive, try another approach.

b,c,e

What does Duvall's Developmental Stages of the Family include? Select all that apply. a. Stages an individual progresses through in their 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

d

What is a way to integrate spiritual practices into nursing care? 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 that they are not offended d. Becoming knowledgeable about the religious world views of cultural groups found in the patients you care for

c

What is the most effective way for nurses to identify family strengths and weaknesses? a. Asking open-ended questions b. Observing for family patterns c. Performing a detailed nursing assessment d. Making assumptions based on past experience with families

a (Permissive parents avoid imposing their own standards of conduct and allow their children to regulate their own activity as much as possible.)

When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is called which? a. Permissive. b. Dictatorial. c. Democratic. d. Authoritarian.

b

Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events? a. Interactional theory. b. Family stress theory. c. Erikson's psychosocial theory. d. Developmental systems theory.

b

Which family theory is described as a series of tasks for the family throughout its life span? a. Exchange theory. b. Developmental theory. c. Structural-functional theory. d. Symbolic interaction theory.

d (Although gay or lesbian families may be different from heterosexual families, the environment can be as healthy as any other. Lacking a nurturing environment and stability is reflective on the parents and family, not the type of family. There is little evidence to support that children become homosexual like their parents.)

Which is an accurate description of homosexual (or gay-lesbian) families? a. A nurturing environment is lacking. b. The children become homosexual like their parents. c. The stability needed to raise healthy children is lacking. d. The quality of parenting is equivalent to that of non-gay parents.

d (The schools convey a tremendous amount of culture from the older members to the younger members of society. They prepare children to carry out the traditional social roles that will be expected of them as adults.)

Which of the following (after the family) is most likely to have the greatest influence on providing continuity between generations? a. Race b. Social class c. Government d. Schools

b

Which of the following definitions views the family from an economic standpoint? a. Interpersonal aspects of the family and its responsibility for personality development b. A productive unit providing for material needs. c. A social unit interacting with the larger society, creating the context within which cultural values and identity are formed d. Fulfilling the biologic function of perpetuation of the species

b

Which of the following is primarily responsible for shaping children's roles? a. Teachers b. Parents c. Siblings d. Friends

c

Which of the following theories is derived from general systems theory, a science of "wholeness" characterized by interaction among the components of the system and between the system and the environment? a. Family stress theory b. Developmental theory c. Family systems theory d. Resilience theory

a

Which theory identifies the family as a small group (ie, a semiclosed system of personalities that interacts with the larger cultural social system)? a. Developmental theory b. Family systems theory c. Family stress theory d. Resilience theory

b

Which type of family should the nurse recognize when a mother, her children, and a stepfather live together? a. Traditional nuclear. b. Blended. c. Extended. d. Binuclear.

c

Which type of family should the nurse recognize when the paternal grandmother, the parents, and two minor children live together? a. Blended. b. Nuclear. c. Extended. d. Binuclear.