Pediatrics Ch. 2

A female patient who lost her spouse tells the nurse that she has to start working to ensure that there is stable income for her family. The patient expects her elder child to take care of the younger one. What is affected in this family after the tragic loss of the male parent?

Family structure

The nurse is teaching a group of nursing students about Native American culture. Which statement does the nurse include in the teaching?

"Native American children are at risk of dropping out of school"

The parents of a child ask the nurse, "Which behavior is helpful for developing feelings of self-worth, self-esteem, and self- acceptance in the child?" What is the nurse's best response?

"Parents should try to react positively to their child."

Which statement is appropriate when managing misbehavior in a child?

"Please put the book down."

After interacting with a couple, the nurse confirms that the couple is in stage II of Duvall's developmental stages of the family. Which statements of the couple support the nurse's conclusion? Select all that apply.

"We are maintaining a strong marital bond." "We are getting used to our new parenting roles."

The nurse has taught the parents of preschool children about techniques to minimize misbehavior in their children. Which statements made by the parents show an understanding of the instructions given? Select all that apply.

"We should reprimand our child in a firm but normal tone of voice." "We should set limits for our child with some friendly reminders." "We should recognize when our child is tired to prevent conflicts."

A 7-year-old child tells the nurse, "Grandpa, Mommy, Daddy, and my sister live at my house." The nurse, drawing on knowledge of family structure and function, identifies this family structure as what?

Extended family

During the initial interview, the nurse learns that the infant's family consists of the parents, an adoptive elder brother, the parents, and a grandmother. How can this family be categorized?

Extended family

A nurse is assessing a family for effective coping and defensive strategies. Which family social system theory will the nurse use?

Family stress theory

The nurse notices that the family of a patient with cancer is under stress due to the patient's condition. The nurse intervenes with the family to help them cope with the stress and anxiety related to this crisis. The nurse's intervention is based on which theoretical model?

Family stress theory

A parent brings a child to the clinic for a regular checkup. The health care provider begins to ask questions about the family's medical history. The parent privately explains that the child is adopted, and does not want the child to know. What is the most appropriate advice for the give this parent?

The nurse should advise the parent to speak openly to the child and tell the truth.

The nurse visits a family for home care and notices that the parents in the family are very strict with the children. The children follow all the rules set forth by the parents diligently and are put on strict time-out upon breaking them. What type of parental control is practiced by this family?

Authoritarian

The nurse observes a child with aggressive behavior who has a high body mass index. During interaction with the parents, the nurse finds that the adolescent has irregular dietary habits. Which question should the nurse ask the parents as part of the assessment?

"How long does your child spend on the Internet per day?"

The nurse uses developmental theory to help guide a couple whose teenage child has decided to move out of the house and live independently. What remarks by the nurse suggest the usage of developmental theory? Select all that apply.

"I am sure your child is leaving for the right reasons, and this is a natural stage of maturity." "It is a good opportunity to develop a new hobby or practice the old ones."

Which statements does the nurse use when reprimanding a child for misbehavior? Select all that apply.

"I am unhappy when you miss dinner." "I don't like seeing you hurting others again."

While reviewing the laboratory reports of a Mexican patient, the nurse finds traces of lead in the patient's blood. The nurse learns that the patient extensively uses home remedies. Which other statement does the nurse anticipate from the patient?

"I am using greta and azarcon to reduce digestive problems."

The nurse finds that a child shows signs and symptoms of obesity and aggressive behavior. The child's parent states that the child is on a low-fat diet. Which question from the nurse helps uncover the reason for this situation?

"Is there an internet connection in the child's room?"

A female patient is hesitant to take hot soup for breakfast. When asked the reason for the hesitation, the patient tells the nurse, "My menses have started. I cannot take any hot food now." What is the nurse's best response?

"May I bring you something else for breakfast?"

What does the nurse include when teaching parents about mass media?

"The child can be allowed to watch educational programs."

The parents of a 2-year-old child from an extended family say to the nurse, "One of our friends told us that 2-year-olds experience sibling rivalry. After knowing this we are in a dilemma whether to plan for our second child." Which response given by the nurse is most appropriate?

"The children must be encouraged to spend much time with each other."

The nurse is educating parents about the use of entertainment media for children. Which statement by a parent indicate that the parent requires further teaching?

"The use of entertainment media is helpful in developing a good food habits in children."

The nurse is caring for a child of African culture with epilepsy. What questions should the nurse ask the family to help explore their culture? Select all that apply.

"What do you think caused this sickness?" "Why do you think this illness happened?" "What do you fear the most about your child's sickness?"

A person is eager to adopt a child. The person wants to know which age group of children adapt well to adoption. Which is the best response by the nurse?

5-month-olds

One of the parents of an adolescent tells the school nurse about an inevitable divorce. The adolescent has experienced anxiety and worry and is engaging in acting-out behaviors. How should the nurse recognize the adolescent's response to divorce?

A common way in which adolescents react to divorce

The nurse is educating a couple preparing to become parents. What positive traits should the nurse advocate to make them effective parents? Select all that apply.

Active listening among the family Keeping up with immunizations Improving family communication

The nurse is planning care for a patient with a different ethnic background from the nurse's own. What is the most appropriate goal for the nurse in caring for this patient?

Adapt, as necessary, ethnic practices to health needs.

The nurse is caring for a child belonging to the Asian culture. The child is unwilling to eat the food provided in the hospital. What does the nurse do in this situation?

Ask the family member to get homemade food based on the child's diet plan

What does the nurse recognize as a faith healing and religious ritual that can easily be mistaken for child abuse?

Cupping

A single working parent of a 2-year-old child comes to the clinic for a health checkup. The parent is worried about caring for the child while managing work. Which option can help the parent work outside the home and attend to the child?

Day care service

The nurse is assessing a 14-year-old child who has recently discovered he or she is adopted. What may be a sign that the child is not handling this information well?

Decline in school grades

The teacher of a 9-year-old child reports dramatic changes in the child's behavior to the school nurse. The child showed a decline in performance and started throwing temper tantrums in class. The child is also not willing to inform his or her parents about a sports event held at the school. What life event can trigger such behavior?

Divorce of parents

During the assessment, the nürse finds that the child watches television more than 6 hours per day. Based on this information, what further assessments should the nurse make? Select all that apply.

Drug abuse Alcoholism Eating disorder

Which external asset do young people receive from a community that values them an lets them contribute to others?

Empowerment

A married couple has decided to adopt a child after failing to conceive naturally. The nurse explains the entire process of adoption to the couple. The couple seems worried and anxious about having a new family member and how well the child attach to them as a new parents. How can the nurse help this couple?

Encourage the couple to go to a state parental support group

What term refers to a shared cultural, social, and linguistic heritage?

Ethnicity

A patient is not willing to be looked after by a nurse who is of a different race. What is this attitude indicative of?

Ethnocentrism

What is term for the emotional attitude that one's own ethnic group is superior to others?

Ethnocentrism

The nurse is assessing a Chinese infant who presents with a rash on the body. After communicating with the parents. the nurse finds that the parents think the rash was caused by giving the baby hot food. They are unwilling to give the evaporated milk formula that was suggested by their pediatrician to the infant because it has to be heated during preparation. What is the appropriate nursing action in this situation?

Explain the importance of administering the prescribed formula to the infant

A parent is interested in obtaining information about foster care. What is the most appropriate explanation the nurse can give the parent?

Foster care is placing the child in an approved living situation away from the family.

What advice is appropriate for parents who are preparing to tell their children about their decision to divorce?

Give reassurance that the divorce is not the children's fault.

Which factor is a component of "invisible poverty"?

Inferior medical services

The parents tell the nurse that their 15-year-old adopted child often acts out and uses the adoptive status as a justification for the behavior. The parents ask the nurse how they should deal with this behavior. What is the nurse's best response?

Instruct the parents to set the same rules with.the adopted child with their biologic children.

The practice of cultural humility is continual and an important concept in the nursing process. How can nurses facilitate this process? Select all that apply.

Integrating cultural knowledge Recognizing cultural differences Acting in a culturally appropriate manner Being aware of their own beliefs and practices.

While caring for a child, the nurse finds that the child's parents refuse blood transfusion. The nurse finds that the child's family has refused to sign an organ donation form. Which religious denomination might the child belong to?

Jehovah's Witness

What would make communication between cultures easier for the nurse?

Keeping common greetings in the family's language with the patient's chart

What role do nurses play in ensuring that spiritual health care practices do not negatively affect the therapeutic relationship between the nurse and the patient?

Keeping communication between the family and health care team open

Which families may correspond to stage VII of Duvall's developmental stages of the family?

Middle-aged families

A community health nurse is performing assessment of an adolescent. When assessing the primary social group of the adolescent, the nurse should obtain information about which group?

Peers

The nurse observes that a child is tearing and throwing papers on the floor. The child's parent does not scold the child but explains the reason to maintain neatness. When the child again tears the рapers the parent still does not control or punish the child. Which parenting style does this reflect?

Permissive

Which internal asset does the nurse encourage in young members of the community by giving them a sense of their own power, purpose, worth and promise?

Positive identity

A child's parent is worried and disappointed about the child's behavior. The parent tells the nurse, "My child does not obey my instructions, bullies peers, and doesn't complete their homework on time." What should the instruct the parent to do to change the child's behaviors? Select all that apply.

Prevent the situations that make the child aggressive. Reward the child when homework is completed on 'time.

A child is hospitalized for a serious illness. The child's parents are from the middle east and speak little english. The child's father just stepped out when the nurse presented the consent form to the mother for an emergency procedure. The mother is hesitant and refuses to sign the consent form.

Provide a consent form in the patient's language

Which nursing intervention ensures the comfort of an older child in need of discipline?

Providing a private environment for the child

The nurse is assessing a child who belongs to the Jehovah's Witnesses. After the assessment, the nurse finds that the child requires a blood transfusion. However, the child's parents refuse the blood transfusion after learning about the child's condition. What is the most appropriate nursing action in this situation?

Report this incident to a family court.

What is the best approach for the nurse to provide when caring for a child from a different culture?

Respecting the child's beliefs and understanding that the family is the constant in the child's life

The parents of a toddler ask the nurse for suggestions about discipline. When discussing the use of timeouts, which of the following suggestions should the nurse include?

Select an area that is safe and nonstimulating, such as a hallway.

Children are taught the values of their culture through observation and feedback on their own behavior. A nurse teaching a class on cultural awareness competence should be aware of what factors that may be culturally determined? Select all that apply.

Social roles Degree of competition Determination of status

What is the most overwhelming adverse influence on health?

Socioeconomic status

During which stage of Duvall's developmental stages of the family would a family experience arguments with teenage children for autonomy, refocus on midlife, marital, and career issues, and show concern for their older parents?

Stage V

In which stage of Duvall's developmental stages of the family would someone prepare for his or her own death?

Stage VIII

The parents of a 7-year-old child have decided to get a divorce. What should the nurse instruct the parents to do so that the child can acclimate to the changes?

Tell the child about the divorce before one parent moves out.

What is a quality, identified by Dunst, Trivette, and Deal, that helps a strong family function effectively?

The ability to engage in problem-solving activities that meet the needs and resources of the family

The nurse is assessing a child belonging to a Caribbean family. The nurse finds that the child's knees are rough and scaly. The child does not report having any knee injury. What does the nurse interpret from this finding?

The child has been physically punished.

The nurse is assessing the children of divorced parents at a community center. Which behavioral change should the nurse expect to find in the 3-year-old child? Select all that apply

The child is afraid of parental abandonment The child blames himself or herself for the parents' divorce.

During the home visit, the nurse finds that the child lives with the mother, stepfather, and half sibling. What should the nurse report in the assessment of the child?

The child lives in a blended family.

The court granted joint physical custody of a child to a couple who sought a divorce after being married for 8 years. What does this decision of the court imply?

The child stays with both parents for shared amounts of time.

During a home visit, the nurse finds that the parents are following an authoritarian parenting style to control their children. What will be the impact of this parenting style on the child's behavior? Select all that apply.

The children become extremely shy and self-conscious. The children are docile and dependent on parents

A couple with 7-year-old child get divorced. Who would be given custody of the child?

The custody is given to the parent who is best able to provide for the child's welfare.

What should the nurse recognize as the main characteristic of the family systems theory?

The interactions among the family members and the environment

A parent of a child always places the child in a time-out when the child misbehaves or when the child does not follow the instructions. Which form of punishment should the parent adopt during a time-out?

The parent places the child in the corner

What does the nurse infer about the family of a widowed patient married to a divorced woman who are raising their children together?

The patient belongs to a blended family.

A patient tells the nurse, "We belong to a superior ethnic group, and our values, beliefs, and perceptions are the correct ones." What does the nurse infer from this statement?

The patient is showing ethnocentrism.

During a home visit, the nurse determines that the patient lives with her husband and two biologic children. There are no other people living in the home. How should the nurse document these findings?

The patients is living in a traditional nuclear family.

A nurse is caring for a dying child of the Muslim faith. What important nursing consideration is related to this child's impending death?

There are specific practices to be followed.

Which statement concerning folk remedies is true?

They may be used to reinforce the treatment plan.

Which phrase is descriptive of families parented by gay or lesbian couples?

This family environment can be just as healthy as any other.

After completing the assessment of a newborn, the nurse instructs the newborn's father to spend time with and play with the newborn. What is the probable reason for this instruction?

To soothe and relieve distress in the infant.

The nurse finds a blister on the wrist area while assessing a Jewish patient. When asked about the burn, the patient tells the nurse, "My grandmother had rubbed garlic on my wrist." What is the reason for the grandmother to take this action?

To treat skin infections

Which statement is true according to family systems theory?

Too little change or too much change damages family integrity.

Which strategies does the nurse implement for effective communication when working with an Asian patient who is scheduled to undergo an appendectomy? Select all that apply.

Use common names of body parts while talking with the patient. Explain all the terms associated with the consent form to the patient. Use a telephone language interpreter while talking to the patient.

The nurse is educating parents about behavior modification techniques to discipline children. What advice does the nurse provide to the parents to help them in disciplining children? Select all that apply.

Use rewards to encourage positive behavior. Promise a visit to the zoo for good behavior. Use time-outs to help the child become calm.

What does the nurse recognize as a strength of the family systems theory?

Useful for families of varying structure and in various stages of the life cycle

In all cultures some type of home remedy is used. The nurse should be aware of the practices commonly used by different cultures. Identify the cultures and the home remedies commonly practiced. Select all that apply.

Vietnamese may practice coining. The Asian family may consult a specialized practitioner who uses moxibustion. Mexican-Americans may consult a curandero for healing powers recognized as gift from God.

What is descriptive of family system theory?

When the family system is disrupted, change may occur at any point in the system.

The parent of a hospitalized child tells the nurse, "We don't eat meat. We're practicing Buddhists and strict vegetarians." What is the most appropriate intervention by the nurse?

Ordering the child a meatless tray

The nurse is assessing the parenting styles of parents in a community-based setting. Which parent is exhibiting an authoritative or democratic parenting style?

Parent D

The nurse is assessing a group of families at a primary health care center. After the assessment, the nurse finds that most of the families are in the third stage according to Duvall's developmental stages of family. Which developmental task should the nurse find in these families?

Parents and children accept separation as a part of life cycle..

A couple with three children seeks a divorce. The school nurse encourages the parents to tell the children about their situation. The parents agree and ask the nurse for advice about informing their children about the divorce with minimal negative impact on the children. What should the nurse suggest to the parents? Select all that apply.

Parents should tell all their children together. Children should be provided reassurance. Parents should give the reason for their divorce.

A 12-year-old living with foster parents presents to the clinic with a severe ear infection. While assessing the patient, what other things should the nurse observe to make sure the child is living in a safe and clean environment? Select all that apply.

Check for signs of abuse in the child. Talk to the child to assess the living situation. Talk to the foster parents about how to assess neglect. Check for overall good health of the child.

A camp nurse is assessing a group of children attending summer camp. Which children, according to nurse's knowledge of special parenting situations, are at risk for a sense of belonging?

Children recently placed in foster care

Which is an appropriate intervention for a child who misbehaves in school?

Contact the child's parents.

Following an assessment of a family, the nurse finds that the family has invisible poverty. Which are the characteristics of a family with invisible poverty? Select all that apply.

Lack of health care facilities Limited employment opportunities

Parents who are divorcing are worried about how the divorce will affect their child. Which symptom indicates unhealthy coping in the child?

Loss of appetite

The nurse is assessing school-age children for problems with communication skills. In which children should the nurse expect to find an inadequate language comprehension? Select all that apply.

Lower-class Children from ethnic groups Bilingual children

During a home visit, the nurse finds that the parent of a child is in the acute phase of divorce. Which behavior in the parent supports the nurse's finding?

Making the decision to separate

Successful adaptation to the stress of transition to parenthood involves two types of family resources. Identify these two resources. Select all that apply.

Coping strategies Internal resources

The nurse is teaching the mother of a school-age child discipline strategies. What consequences are preferred and more effective discipline strategies?

Natural