DEVELOPMENTAL - FAMILY DYNAMICS

A parent asks a nurse for suggestions because a 2-year-old child wants to take a bath alone. What is the most appropriate suggestion that the nurse should provide?

"Allow the child to wash herself with supervision."

While observing a mother visiting her preterm son in the neonatal intensive care nursery, the nurse notes that she has not yet begun the bonding process. Which statement by the mother supports the nurse's conclusion?

"It's such a tiny baby."

While communicating with a child in a hospital setting, the nurse understands that the child's family pattern is patriarchal. Which statement of the child would lead to this conclusion?

"My father makes all decisions regarding my education."

The wife of a client who has completed alcohol detoxification relates that she is concerned about her husband's behavior if he starts drinking again. She says, "When the drinking starts it really disrupts my family, and I'm not sure how to handle it." What is the best response by the nurse?

Attend Al-Anon meetings and avoid assuming responsibility for your husband's behavior."

Which type of family is formed when both parents bring children from previous relationships into a joint living situation?

Blended family

Which are the most likely physical findings to be seen in a client who is the victim of intimate partner violence? Select all that apply.

Burns Abrasions Human bites

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 The 16-year-old daughter is quiet and withdrawn and refuses to talk to her parents.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

Which type of family pattern favors negotiation, compromise, and growth?

Democratic

An infant is born with a bilateral cleft palate. Plans are made to begin reconstruction immediately. What nursing intervention should be included to promote parent-infant attachment?

Demonstrating positive acceptance of the infant

A nurse is preparing to counsel a client whose two previous pregnancies were uneventful, ending in term vaginal births of healthy children. Before beginning prenatal counseling what should the nurse consider about multiparas with previous uneventful pregnancies?

Each pregnancy is a unique experience that is stressful despite multiparity.

The parents of an overweight adolescent girl tell the nurse that they are concerned that their daughter feels inferior to her sister, who is an attractive, successful college senior. They ask the nurse what they can do about this problem. What should the nurse do?

Encourage the parents to give the adolescent recognition for her strong points

What should supportive nursing care at the beginning of the mother's infant relationship include?

Encouraging the mother to help out with simple aspects of her newborn's care

A client with advanced bone cancer is experiencing cachexia. The nurse discusses the nutritional aspect of palliative care with the family. What is the importance of the nurse explaining these nutritional interventions to the family?

Enhances the quality of the client's life

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 client with dementia and a percutaneous endoscopic gastrostomy (PEG) tube is being cared for at home. Which action provides evidence that a family member is effectively managing the client's care?

Head of the bed remains elevated after the feeding.

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

While communicating with a family that has been affected by interpersonal violence, the nurse asks what the family does for relaxation. Which realm of family life processes is the nurse trying to assess?

Interactive

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

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

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

Who would form an integral part of a nuclear family?

Married parents with children

During a family visit, a child states, "My dad moved out. I live with my mom and grandmother." Which type of family pattern does this statement indicate?

Matriarchal

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

Identify factors associated with an increased incidence of abuse within a family. Select all that apply.

Pregnancy Drug abuse Sexual orientation

What is a function of a bereavement support group?

Providing families who have lost loved ones a chance to communicate and share their feelings

Which statement regarding abuse is true?

Sexual abuse is nonconsensual sexual contact with another individual.

During a family assessment, a client reports that she and her husband are divorced and that she wants to adopt a child. Which type of family does this report indicate?

Single-parent family

Which type of family involves unmarried couples living together and sharing roles?

Social contract family

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.

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.

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.

Which statement is true regarding the stages of family development?

The roles of parenting change during the disengagement stage.

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 parents of a gifted 4-year-old note 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 best response?

This behavior is a common response over which the client has very little control.