Ch. 3 Wong's - Evolve NCLEX Practice Q's

A nurse is assessing parental styles of a family and notes little to no control over their children. This style of parenting is called __________________________.

"Permissive" Permissive parents exert little to no control over their children's actions. These parents consider themselves to be resources for their children instead of role models. These parents do not use limit setting and discipline.

A camp nurse is assessing a group of children attending summer camp. Based on the nurse's knowledge of special parenting situations, which group of children is at risk for a sense of belonging? A. Children adopted as infants B. Children recently placed in foster care C. Children whose parents recently divorced D. Children who recently gained a step-parent

B. Children recently placed in foster care Children placed in foster care are at greater risk to have problems perceiving a sense of belonging. Children adopted at birth have fewer problems with acceptance when parents follow pre-adoption counseling about disclosure. Children of divorced parents often fear abandonment. Children who gain a stepparent are at risk for having trust problems with the new parent.

Studies of families with only one child indicate that only children A. tend to be selfish. B. are similar to firstborn children. C. are less stimulated toward achievement. D. grow up lonely and dependent on adults.

B. are similar to firstborn children. As only children, they have many of the characteristics of firstborn children. Selfishness is not associated with birth order. Being less stimulated toward achievement is characteristic of middle children. Loneliness and dependence on adults are not associated with birth order.

A 7-year-old child tells the nurse, "Grandpa, Mommy, Daddy, and my sister live at my house." Based on the nurse's knowledge of family structure and function, the nurse identifies this family structure as a A. binuclear family. B. extended family. C. reconstituted family. D. traditional nuclear family.

B. extended family. An extended family contains at least one parent, one or more children, and one or more members, related or unrelated, other than the parent or sibling such as grandparents. A binuclear family refers to parents continuing the parenting role while terminating the spousal unit. A reconstituted family, also called blended family, includes at least one stepparent, stepsibling, or half-sibling. A traditional nuclear family consists of a married couple and their biologic children.

Successful adaptation to the stress of transition to parenthood involves two types of family resources. These resources include (Select all that apply) A. adaptation. B. integration. C. coping strategies. D. internal resources E. community resources.

C, D C. coping strategies. D. internal resources Coping strategies is the use of social support systems and community resources for dealing with the stressors of parenthood. Internal resources include adaptability and integration. Adaptation is part of internal resources. Adaptation is learning to be patient, becoming better organized, and more flexible. Integration is part of internal resources. Integration is the couple's attempt to continue some activities they engaged in prior to becoming parents. Community resources are part of coping strategies.

Which is appropriate advice for parents who are preparing to tell their children about their decision to divorce? A. Avoid crying in front of children. B. Avoid discussing the reason for the divorce. C. Give reassurance that the divorce is not the children's fault. D. Give reassurance that the divorce will not affect most aspects of the children's life.

C. Give reassurance that the divorce is not the children's fault. Parents, if able, should hold and touch children and reassure them that the children are not the cause of the divorce. Parents can cry in front of children; it may give the children permission to do the same. Parents should provide the reasons for the divorce in a manner the children will understand. Giving reassurance that the divorce will not affect most aspects of the children's life would most likely be false reassurance, since many aspects will change.

Research notes that birth position of children affects their personalities. According to ordinal position, what is a characteristic of the youngest child? A. Able to identify more with their parents than with their peers B. Are expected to do more household chores C. More dependent than firstborn children D. Are more flexible in their thinking

D. Are more flexible in their thinking Youngest children develop interpersonal skills, the ability to negotiate, and accept less favorable outcomes better than older siblings; therefore, they are more flexible Firstborn and only children identify more with their parents than peers. Youngest children identify more with peers than parents and make friends more easily. Youngest children have fewer demands placed on them for household help Youngest children are less dependent than firstborn children

Which phrase is descriptive of homosexual or gay-lesbian families? A. Nurturing environment is lacking B. Stability needed to raise healthy children is lacking C. Sexual identities of children are at risk D. Family environment can be just as healthy as any other

D. Family environment can be just as healthy as any other Although these families may be different from heterosexual families, the environment can be as healthy as any other. Lacking a nurturing environment is reflective of the parents and family, not the type of family. Lacking in stability is reflective of the parents and family, not the type of family. There is little evidence to support that the sexual identities of children are at risk.

Which is descriptive of family system theory? A. Family is viewed as the sum of individual members. B. 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.

D. When the family system is disrupted, change can occur at any point in the system. 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. Change in any family member will affect other members of the family. The interactions are considered to be the problem, not the individual members.

A nurse is assessing a family for effective coping and defensive strategies. The family social system theory the nurse will use is the A. family systems theory, as derived from general systems theory. B. resiliency Model of Family Stress, Adjustment, and Adaptation. C. family developmental theory. D. family stress theory.

D. family stress theory. Family stress theory explains how families react to stressful events and suggest factors that promote adaptation to stress. When too many stresses occur in a short period of time for adaptation to occur, a state of crisis occurs. Family systems theory emphasizes the relationships among and between family members and the environment. The Resiliency Model of family Stress, Adjustment, and Adaptation demonstrates that the family is required to make adjustments and adaptations. Family developmental theory addresses family change over time.