Family Dynamics Custom Adaptive Quizzes
A client with mild preeclampsia is told that she must remain on bed rest at home. The client starts to cry and tells the nurse that she has two small children at home who need her. How should the nurse respond? 1 "Let's explore your available current support and opportunities for child care." 2 "Are you worried about how you'll be able to handle this problem?" 3 "You can get a neighbor to help out, and your husband can do the housework in the evening." 4 "You can prepare light meals and the children can go to nursery school a few hours each day."
1 "Let's explore your available current support and opportunities for child care."
A primipara has just given birth at 37 weeks' gestation. What should the nurse do to assist the attachment process between the mother and her newborn? 1 Encourage continuous rooming-in 2 Assign one nurse to care for both of them 3 Allow extra visiting privileges in the nursery 4 Teach the client how to breast-feed the baby
1 Encourage continuous rooming-in
A nurse is planning care for a client who gave birth to a preterm male infant. Which response does the nurse anticipate that this mother may experience? 1 Feelings of failure and loss of control 2 Thoughts related to guilt and withdrawal 3 Fear of forming a healthy relationship with her son until he is out of danger 4 Need for increased attachment behaviors because of her son's life-threatening condition
1 Feelings of failure and loss of control
While in the postanesthesia care unit after surgery to create a colostomy, a client requests that no one be allowed to visit. To support the client, what should the nurse do? 1 Give assurance of respect for the client's wishes 2 Determine the reason that visitors are not wanted 3 Promote communication by asking how the client really feels 4 Explain that the surgery is over and everything is going well
1 Give assurance of respect for the client's wishes
At which stage of Kohlberg's theory does an individual want to fulfill the expectations of one's immediate group? 1 Good boy-nice girl orientation 2 Society-maintaining orientation 3 Instrumental relativist orientation 4 Universal ethical principle orientation
1 Good boy-nice girl orientation
The nurse assesses a married 35-year-old client who is scheduled to undergo a tubal ligation. The nurse prepares to assess the client's possible emotional response to the procedure. The factor in this client's history that contributes most to the healthy resolution of any emotional problems associated with sterilization is what? 1 The client has a son and daughter and feels that her family is complete. 2 She believes that the surgery will relieve her monthly dysmenorrhea. 3 The client knows that her husband does not want her to have any more children. 4 She has just had a complicated birth and never wants to give birth again.
1 The client has a son and daughter and feels that her family is complete.
The nurse is teaching the mother of a 3-year-old child about techniques to promote medicine adherence. What instructions should the nurse include in the teaching? Select all that apply. 1 Choose the proper dosage form. 2 Compensate for spilled or spit-out medicine by overdosing. 3 Complete the prescribed dose. 4 Use calibrated spoons for measuring liquid formulations. 5 Improve palatability of the drug by mixing it with food or juice.
1 Choose the proper dosage form. 3 Complete the prescribed dose. 4 Use calibrated spoons for measuring liquid formulations.
The nurse is assessing a client using the family health system (FHS). Which question should the nurse ask to assess the interactive process of the family? 1"Who are the members of your family?" 2"Does the family prepare and follow a budget?" 3"How do the family members manage their health care?" 4"Does any member of the family have any chronic illness?"
1"Who are the members of your family?"
While caring for a family, the nurse finds that the family has accepted the shifts of generational roles. Which change in the family status for proceeding developmentally would the nurse observe? 1Dealing with retirement 2Taking on parental roles 3Adjusting to a reduction in family size 4Refocusing on midlife material and career issues
1Dealing with retirement
A 4-year-old child who has never been separated from parents or siblings is admitted to the hospital. What is most important for the nurse to encourage the parents to do? 1Have one of them stay with the child. 2Visit the child during regular visiting hours. 3Bring a favorite toy to the hospital for the child. 4Allow the nurse to be the child's major caregiver
1Have one of them stay with the child.
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? 1 How the parents can set limits on their children's behavior 2 How the couple's marital problems are affecting their children 3 How the son's behavior in school will impair his relationships with peers 4 How the daughter's withdrawn behavior limits her ability to talk with her friends
2 How the couple's marital problems are affecting their children
A 4-year-old abused child, after being hospitalized for severe injuries, is placed in temporary foster care. The foster family comes to the hospital to meet the child. What action should the nurse take to facilitate their first meeting? 1 Decorating the child's room with "Welcome" signs 2 Providing the child and foster family with a private room 3 Encouraging the child to draw a picture of the foster family 4 Answering the child's questions and adding details before the meeting
2 Providing the child and foster family with a private room
Which component of postpartum care is most important for the nurse to provide when helping a new mother on the postpartum unit develop her role as a parent? 1 Teaching her how to care for the baby 2 Providing time for her and her baby to be together 3 Responding to any questions she has about her baby's behavior 4 Demonstrating baby care and evaluating her return demonstration
2 Providing time for her and her baby to be together
A nurse is concerned when an 11-month-old infant is brought to the pediatric clinic weighing 9 lb 3 oz (4167 g). The nurse suspects that the infant is suffering from physical and emotional neglect. What observations lead the nurse to suspect maltreatment? Select all that apply. 1 Stranger anxiety 2 Inappropriate clothing 3 Social unresponsiveness 4 Frequent rocking motions 5 Adequate personal hygiene
2 Inappropriate clothing 3 Social unresponsiveness 4 Frequent rocking motions
A married couple in their 80s is living independently. They have three adult children. The husband, who is alert but forgetful, has an enlarged prostate and at times is incontinent of urine. The wife has diabetes and rheumatoid arthritis and walks with difficulty. Both need assistance with bathing, dressing, and meal preparation. What does the nurse suggest as the most suitable plan for this couple? 1 Admit them together to a nursing home. 2 Place them together in an assisted-living facility. 3 Keep them in their home with a home health aide. 4 Encourage them to move in with one of their children.
3 Keep them in their home with a home health aide.
he nurse is teaching the parents of an epileptic child about disease management. Which statement made by the parent indicates effective learning? Select all that apply. 1 "My child should take carbamazepine before meals." 2 "I should administer valproic acid along with milk." 3 "I should stop giving phenytoin if any skin rash develops." 4 "I should shake the suspension dosage forms before administering them to the child." 5 "I should maintain a record to measure the symptoms of epilepsy before and after administration of drug."
3 "I should stop giving phenytoin if any skin rash develops." 4 "I should shake the suspension dosage forms before administering them to the child." 5 "I should maintain a record to measure the symptoms of epilepsy before and after administration of drug."
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? 1 This is a way of getting attention that should be ignored. 2 The client can remember only depressing events from the past. 3 The client feels guilty about the demands being placed on the family. 4 This behavior is a common response over which the client has very little control.
4 This behavior is a common response over which the client has very little control.
Which intervention by the nurse helps the family feel in control when the client is to be discharged home? 1Instruct the family to ensure the client's room is safe. 2Ask the family to ensure that the client has only low-fat meals. 3Ask the family to coordinate with the staff at the rehabilitation center. 4Ensure a family member is confident about changing dressings correctly.
4Ensure a family member is confident about changing dressings correctly.
A 10-year-old child who has head lice tells the school nurse, "I'm mad because my mother said I got lice because I don't keep myself clean." What is the most therapeutic response by the nurse? 1 "Do you feel that your mother's putting you down?" 2 "There's no relationship between cleanliness and lice." 3 "Are you and your mother having problems getting along?" 4 "People who don't keep themselves clean are more likely to get lice."
1 "Do you feel that your mother's putting you down?"
On the first postpartum day, a client whose infant is rooming in asks the nurse to return her baby to the nursery and bring the baby to her only at feeding times. How should the nurse respond? 1 "It seems that you've changed your mind about rooming in." 2 "I think you're having difficulty caring for the baby." 3 "All right. I'll inform the other nurses of your decision." 4 "You must be tired. I'll bring the baby back at feeding time."
1 "It seems that you've changed your mind about rooming in."
The nurse is interviewing a client admitted for uncontrolled diabetes after binging on alcohol for the past 2 weeks. The client states, "I am worried about how I am going to pay my bills for my family while I am hospitalized." Which statement by the nurse would best elicit information from the client? 1 "You are worried about paying your bills?" 2 "Don't worry; your bills will get paid eventually." 3 "When was the last time you were admitted for hyperglycemia?" 4 "You really shouldn't be drinking alcohol because of your diagnosis of diabetes."
1 "You are worried about paying your bills?"
What is the primary reason that the nurse encourages the family of an alcoholic to become involved in the treatment program? 1 Alcoholism involves the entire family. 2 Alcoholics try to hide their drinking from their families. 3 Family members provide insights into the dynamics behind the drinking. 4 Family members have been most successful in providing necessary support.
1 Alcoholism involves the entire family.
Which behavior indicates to the nurse that a new mother is in the taking-hold phase? 1 Calling the baby by name 2 Talking about the labor and birth 3 Touching the baby with her fingertips 4 Being involved with the infant's need to eat and sleep
1 Calling the baby by name
An infant with a myelomeningocele is scheduled for surgery to close the defect. Which nursing action best facilitates the parent-child relationship in the preoperative period? 1 Encouraging the parents to stroke their infant 2 Allowing the parents to hold their infant in their arms 3 Referring the parents to the Spina Bifida Association of America (Canada: Spina Bifida and Hydrocephalus Association of Canada) 4 Teaching the parents to use special techniques when feeding the infant
1 Encouraging the parents to stroke their infant
The husband of a woman who had her fourth child 3 weeks ago states she has been irritable and crying frequently since bringing the newborn home. He asks the nurse whether this is normal. The nurse tries to help him understand the situation by explaining what? 1 Having four children is tiring, and assistance may be needed. 2 His wife probably has the postpartum blues, but it will soon pass. 3 This behavior is common after birth, and he should not be too concerned. 4 Women often express themselves by crying, and he should allow her to continue
1 Having four children is tiring, and assistance may be needed.
A 3-year-old child is hospitalized with nephrotic syndrome. The child has oliguria and generalized edema. What factor does the nurse identify that will have the greatest effect on the child's adjustment to hospitalization? 1 Lack of parental visits 2 Inability to select a variety of foods 3 Response of peers to the edematous appearance 4 Willingness to participate in cooperative play activities
1 Lack of parental visits
In which situation does the nurse consider the family as context? 1 The nurse is caring for an individual with tonsillitis. 2 The nurse is caring for a dying client and all the family members. 3 The nurse is teaching young parents about caring for their toddler. 4 The nurse is assessing the needs of the family caregivers of a client.
1 The nurse is caring for an individual with tonsillitis
A nurse in the neonatal intensive care unit (NICU) is assessing new parents for behaviors that might indicate difficulty with bonding. The nurse determines that support may be helpful when she observes the parents doing what? 1 Visiting other babies in the NICU 2 Touching their baby with their fingertips 3 Discussing equipment being used for their baby 4 Asking numerous questions about their baby's condition
1 Visiting other babies in the NICU
A preterm newborn is placed in the neonatal intensive care unit. What is the first concern that the nurse anticipates for this infant's mother? 1Fear of touching the infant 2Failure to bond with the infant 3Inability to provide breast milk for the infant 4Anxiety that the father may not accept the infant
1Fear of touching the infant
A client delivered a 7-lb 6-oz (3345 g) female infant at 11 pm yesterday after a labor of 14 hours. After breakfast the nursery staff brings the baby to the new mother. The mother smiles at the baby, then asks that the nurse take the baby back to the nursery because she has not had a shower yet. One hour later the nurse returns with the infant. Again the mother smiles at the baby; then she holds her, kisses her, and feeds her a bottle. Immediately after feeding the baby, the mother calls the nursery and asks if the baby be picked up so she can take a nap. Which behavior is the new mother demonstrating? 1Taking in 2Letting go 3Taking hold 4Bonding failure
1Taking in
A client gives birth to a healthy girl. Her husband expresses delight but appears anxious and tends to avoid physical contact with his newborn. Later he says to the nurse, "My wife seems so wrapped up in the baby—I hope she has time for me." How should the nurse respond? 1 "Your parents may be able to help you and your spouse." 2 "You feel that you'll have to fend for yourself. Tell me more about your concerns." 3 "Your concern about future adjustments in your life is valid." 4 "You'll both be so busy that you won't even miss her attention."
2 "You feel that you'll have to fend for yourself. Tell me more about your concerns."
A 40-year-old client with a terminal illness wishes to die at home in the presence of his or her spouse and child. Who will be the primary concern of the nurse viewing this family as context? 1 Child 2 Client 3 Spouse 4 Whole family
2 Client
The parents of a toddler with recently diagnosed moderate cognitive impairment state, "Our child should be able to attend college with help and medication." What should the nurse conclude? 1 They accept the child's diagnosis. 2 Denial is being used as a defense mechanism. 3 They want to explore their child's limitations. 4 Intellectualization helps them put the diagnosis into perspective
2 Denial is being used as a defense mechanism.
Which intervention does the nurse implement to develop a caring relationship with the client's family? 1 Deciding healthcare options for the client 2 Identifying the client's family members and their roles 3 Declining to inform the client's family after performing a procedure 4 Refraining from discussing the client's health with the family
2 Identifying the client's family members and their roles
A nurse plans to use family therapy as a means of helping a family cope with their child's terminal illness. The nurse bases this choice on what principle? 1 It is more efficient to interact with the whole family together. 2 The entire family is involved because what happens to one member affects them all. 3 It will prevent the parents from deceiving each other about the true nature of their child's condition. 4 The nurse can control manipulation and alliances better by using this mode of intervention.
2 The entire family is involved because what happens to one member affects them all.
What changes in family status are required for developmental changes in an adolescent to occur? Select all that apply. 1 Establishment of the adolescent in work 2 A refocusing on midlife material and career issues 3 Adjustment of the marital system to make space for children 4 Permitting adolescents to move in and out of the family system 5 Making room in the system for the wisdom and experience of older adults
2 A refocusing on midlife material and career issues 4 Permitting adolescents to move in and out of the family system
What are the similarities between the first and second stages of Kohlberg's theory? Select all that apply. 1 Both stages explain the tendency of "being good." 2 Both stages describe a child's obedience to rules. 3 Both stages are associated with preconventional reasoning. 4 Both stages describe moral reasoning on the basis of society. 5 Both stages discuss a child recognizing other points of views
2 Both stages describe a child's obedience to rules. 3 Both stages are associated with preconventional reasoning.
The nurse is caring for a dying client. Which interventions should the nurse implement for the client and family? Select all that apply. 1 Arrange for restorative care. 2 Help the family set up home care if required. 3 Refrain from telling the family that the client is dying. 4 Know the client and family's strengths and weaknesses. 5 Arrange for church or community support for the family.
2 Help the family set up home care if required. 4 Know the client and family's strengths and weaknesses. 5 Arrange for church or community support for the family.
An eighth-grade teacher reports to a school nurse that a student has suddenly dropped out of activities, has been receiving bad grades, has a flat affect, and cries for no specific reason. Which familial factors should be investigated to identify the cause of this behavior? Select all that apply. 1 Lack of future options 2 Parental loss 3 Unavailable parents 4 Social incompetency 5 Child abuse or neglect
2 Parental loss 3 Unavailable parents 5 Child abuse or neglect
A client who has reached the stage of acceptance in the grieving process appears peaceful but demonstrates a lack of involvement with the environment. How should the nurse address this behavior? 1Ignore the client's behavior when possible. 2Accept the behavior the client is exhibiting. 3Explore the reality of the situation with the client. 4Encourage participation within the client's environment.
2Accept the behavior the client is exhibiting.
The mother of an 18-year-old man comes to the local mental health center. She is extremely upset because of her son's behavior since the young man returned from his freshman year at college. He takes his brother's clothing, comes in at all hours, and refuses to get a job. Sometimes he is happy and outgoing, but at other times he is withdrawn. The mother asks why her son is like this. While contemplating this situation, the nurse considers that which adjectives usually apply to adolescents? 1 Anxious and unhappy 2 Angry and irresponsible 3 Impulsive and self-centered 4 Hyperactive and self-destructive
3 Impulsive and self-centered
The nurse is caring for a couple who have just received amniocentesis results indicating that their fetus has trisomy 18. Why is it important for a nurse to support the parents' decision to abort a fetus with a birth defect even if the nurse is morally opposed to abortion? 1 Supporting them will eliminate feelings of guilt. 2 The parents are legally responsible for the decision. 3 It is important for maintenance of the family equilibrium. 4 The nurse's support will relieve the pressure caused by this decision
3 It is important for maintenance of the family equilibrium.
When a diagnosis of child abuse is established, what is the priority of nursing care? 1 Promoting bonding with the child 2 Staying with the parents while they visit 3 Protecting the total well-being of the child 4 Teaching methods of discipline to the parents
3 Protecting the total well-being of the child
A 12-year-old child who has a history of school failure and destructive acting out is admitted to a child psychiatric unit with the diagnosis of conduct disorder. The youngest of three children, the child is identified by both the parents and the siblings as the family problem. The nurse recognizes the family's pattern of relating to the child as what? 1 Controlling 2 Patronizing 3 Scapegoating 4 Overburdening
3 Scapegoating
A nurse is counselling a parent about the changes a toddler may exhibit after the death of a family member. What should the nurse include in the counselling? Select all that apply. 1 "The toddler will be resilient over the loss." 2 "The toddler will understand the cause of the loss." 3 "The toddler may have bowel or bladder disturbances." 4 "The toddler may express changes in sleeping patterns." 5 "The toddler will get disrupted in developing an autonomous sense of self."
3 "The toddler may have bowel or bladder disturbances." 4 "The toddler may express changes in sleeping patterns."
A nurse is caring for a client whose mobility is restricted to a wheelchair following a motor vehicle accident. The client has been prescribed physiotherapy as a part of rehabilitation care. What interventions should the nurse consider when the client is discharged from the healthcare facility? Select all that apply. 1 Focus firmly on the challenges faced by the client 2 Refrain from including children in the support system 3 Assist the family in identifying community support systems 4 Encourage the primary caregiver to set a routine time for respite 5 Consider the primary caregiver's experience in the discharge plan
3 Assist the family in identifying community support systems 4 Encourage the primary caregiver to set a routine time for respite 5 Consider the primary caregiver's experience in the discharge plan
A nurse educates a group of parents about the psychosocial changes of adolescents. Which statement made by parents indicates inadequate learning? 1"Adolescents search for personal identity." 2"Adolescents establish close peer relationships." 3"Adolescents love their parents in every situation." 4"Adolescents wish to be independent while keeping good family ties."
3"Adolescents love their parents in every situation."
A primary healthcare provider recently diagnosed attention deficit-hyperactivity disorder (ADHD) in a pediatric client. When working with the family of this child, what should the nurse initially assess about the parents? 1History of the disorder 2Relationship with each other 3Attitudes about the diagnosis 4Understanding of the treatment regimen
3Attitudes about the diagnosis
Often when a family member is dying, the client and the family are at different stages of grieving. During which stage of a client's grieving is the family likely to require more emotional nursing care than the client? 1 Anger 2 Denial 3 Depression 4 Acceptance
4 Acceptance
Which relationship is of most concern to the nurse because of its importance in the formation of the personality? 1 Peer relationships 2 Sibling relationships 3 Spousal relationships 4 Parent-child relationships
4 Parent-child relationships
The bed alarm is ringing because an older adult client is attempting to get out of bed. A nurse enters the room and finds the client agitated and confused. The family member is upset and states, "He has never been like this. I don't know what to do." After getting the client back into bed, which nursing action is most appropriate? 1 Asking the family member to step out of the room so the client can rest 2 Placing a vest restraint on the client to prevent the client from falling out of bed 3 Explaining to the family that it is common for older clients to get confused while in the hospital 4 Requesting the nursing assistant to stay with the client while the nurse calls the primary healthcare provider
4 Requesting the nursing assistant to stay with the client while the nurse calls the primary healthcare provider
What factor is most significant for the nurse working with the family of an infant born with a genetic disorder? 1 The family's willingness to give physical care to their infant 2 The family's understanding of the factors causing the infant's disorder 3 The family's response to the reactions of significant others to their infant 4 The family's readiness to talk about problems their infant may have in the future
4 The family's readiness to talk about problems their infant may have in the future
The parents of a 2½-year-old child whose older sibling recently died tell a nurse in the pediatric well-child clinic that their child has started to hit them and refuses to go to bed at night. What is the best explanation the nurse can give for this behavior? 1 The child fears dying while asleep. 2 The child is seeking the parents' attention. 3 The child is in the "terrible twos" developmental stage. 4 This is an appropriate reaction to anxiety within the household.
4 This is an appropriate reaction to anxiety within the household.
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 studies related to what? 1Early rooming-in 2Taking-in behaviors 3Taking-hold behaviors 4Parent-child attachment
4Parent-child attachment
What suggestions should the nurse give to a family to foster developmental changes in an adolescent child? Select all that apply. 1 "Start focusing on midlife material and career issues." 2 "Shift your attention to the concerns of older people." 3 "Concentrate more on strengthening your marital system." 4 "Work on letting your adolescent move in and out of the family." 5 "Work on adjusting your marital system to make space for the adolescent."
1 "Start focusing on midlife material and career issues." 2 "Shift your attention to the concerns of older people." 4 "Work on letting your adolescent move in and out of the family."
What changes can be noticed in adolescents during the process of development of emotional autonomy? Select all that apply. 1 Adolescents do not run to their parents if they are upset. 2 Adolescents do not see their parents as an absolute authority. 3 Adolescents interact with their parents as peers. 4 Adolescents have not established emotional bonds with relationships outside the family. 5 Adolescents seek suggestions from others and critically weigh alternate courses before making a final judgment.
1 Adolescents do not run to their parents if they are upset. 2 Adolescents do not see their parents as an absolute authority. 3 Adolescents interact with their parents as peers.
A parent of four is remanded to the psychiatric unit by the court for observation. The client was arrested and charged with abusing a 2-year-old child, who is in the pediatric intensive care unit in critical condition. The nurse approaches the client for the first time. How should the nurse anticipate that the client will likely respond? Select all that apply. 1 By denying beating the child 2 By avoiding talking about the situation 3 By asking where the other three children are 4 By expressing excessive concern for the child 5 By exhibiting an emotional response that is inconsistent with the degree of injury
1 By denying beating the child 2 By avoiding talking about the situation 5 By exhibiting an emotional response that is inconsistent with the degree of injury
Which information should a nurse provide to a child's caregivers to ensure safe, proper handling and use of medication? Select all that apply. 1 Drug storage 2 Written instructions 3 Calculation of the dosage based on symptoms 4 Nature and duration of the adverse response 5 Demonstration of the techniques of administration
1 Drug storage 2 Written instructions 4 Nature and duration of the adverse response 5 Demonstration of the techniques of administration
What should a nurse do if a 2-year-old child insists on drinking milk from a cup without assistance? Select all that apply. 1 Give the child a cup with two handles. 2 Put a plastic bib around the child. 3 Restrict the child to drinking without assistance. 4 Divert the child to do other activities. 5 Punish the child for insisting on drinking milk without assistance.
1 Give the child a cup with two handles. 2 Put a plastic bib around the child
A nurse is considering the family's role in discharge planning for an adult client who has been in a psychiatric facility. What is the most appropriate nursing action after the nurse obtains the client's consent? 1 Informing the family when discharge will occur 2 Including the family when making specific discharge plans 3 Answering family members' questions about the client's illness 4 Having family members help assess the client's readiness for discharge
2 Including the family when making specific discharge plans
A new father tells the nurse that he is anxious about not feeling like a father. What is the priority nursing action to meet this father's needs? 1 Encouraging the father's participation in a parenting class 2 Providing time for the father to be alone with and get to know the baby 3 Offering the father a demonstration on newborn diapering, feeding, and bathing 4 Allowing time for the father to ask questions after viewing a film about a new baby
2 Providing time for the father to be alone with and get to know the baby
After giving birth to her third child, a client tearfully says to the nurse, "How much more can I give of myself?" Which principle should the nurse consider in the care of any new mother? 1 It is easier to adjust to the first child than to later ones. 2 Feeling anger and resentment toward a child is pathologic. 3 Some parents experience feelings of being overwhelmed by multiple children. 4 Parents usually have inborn feelings of love and acceptance of their children.
3 Some parents experience feelings of being overwhelmed by multiple children
The parents of a newborn arrive for the first clinic appointment. Accompanying them is their 18-month-old toddler. At the beginning of the intake interview the nurse notes that the mother is formula-feeding the infant, the toddler is playing on the floor, and the father is reading a magazine. What should the nurse ask the father to do at this time? 1 Give a bottle to the baby. 2 Take the toddler for a walk. 3 Stay and participate in the discussion. 4 Leave the nurse and the mother alone.
3 Stay and participate in the discussion.
A nurse may best assist abusive parents in altering behavior toward their abused 2-year-old child by helping them do what? 1Recognize what behavior is appropriate for a toddler. 2Learn appropriate ways of punishing a toddler's inappropriate behavior. 3Identify the specific ways in which the toddler's behavior provokes frustration. 4Ignore the toddler's negative nondestructive behavior while supporting acceptable behavior.
3Identify the specific ways in which the toddler's behavior provokes frustration.
A 6-week-old infant and his mother arrive in the emergency department in an ambulance. The father arrives several minutes later with two children, 7 and 9 years old. The infant is not breathing, and the eventual diagnosis is sudden infant death syndrome (SIDS). The parents take turns holding the infant in another room. The nurse remains present and provides emotional support to the parents. What is an important short-term goal for this family? 1Identifying the problems that they will be facing as a result of the loss of the infant 2Accepting that there was nothing that they could have done to prevent the infant's death 3Including the infant's siblings in the events and grieving in the wake of the infant's death 4Seeking out other families who have lost infants to SIDS and obtaining support from them
3Including the infant's siblings in the events and grieving in the wake of the infant's death
The nurse is assessing a young couple planning to start a family. What should the nurse tell the couple about the change that they will have to encounter in their family life-cycle? 1Develop intimate peer relationships 2Maintain own functions and interests 3Realign relationships with extended family 4Refocus on midlife material and career issues
3Realign relationships with extended family
The registered nurse is teaching the nursing student about the realms of family life. Which component does the registered nurse include while teaching about integrity processes? 1 Family rituals 2 Family relationships 3 Family life stressors and daily hassles 4 Family care takings and responsibilities
1 Family rituals
The nurse explains to the mother of a preschool child that Erikson identified which developmental conflict for children from 3 to 5 years? 1 Initiative versus guilt 2 Industry versus inferiority 3 Breaking away versus staying at home 4 Sexual impulses versus psychosexual development
1 Initiative versus guilt
What is a priority nursing intervention in the care of a drug-dependent mother and infant? 1 Supporting the mother's positive responses toward her infant 2 Requesting that family members share responsibility for infant care 3 Keeping the infant separated from the mother until the mother is drug free 4 Helping the mother understand that the infant's problems are a result of her drug intake
1 Supporting the mother's positive responses toward her infant
What should supportive nursing care at the beginning of the mother-infant relationship include? 1 Suggesting that the mother choose breastfeeding instead of formula feeding 2 Advising the mother to engage in rooming-in with the newborn at the bedside 3 Encouraging the mother to help out with simple aspects of her newborn's care 4 Observing the mother-infant interaction unobtrusively to evaluate the relationship
3 Encouraging the mother to help out with simple aspects of her newborn's care
The nurse should be concerned about a client's mother-infant bonding if the client is reluctant to do what on the first postpartum day? 1 Undress the newborn 2 Breast-feed her newborn 3 Look at her newborn's face 4 Attend classes for newborn care
3 Look at her newborn's face
A 13-year-old student visits the school nurse numerous times over the course of several weeks. The student has reported, "I worry about my parents because I don't want them to get a divorce. They tell me that they're happy, but I can't stop worrying. I'm having trouble sleeping, I'm always tired, and my grades have dropped." Which condition does the nurse consider that this student may be experiencing? 1Panic disorder 2Separation anxiety 3Generalized anxiety 4Acute stress disorder
3Generalized anxiety
An adolescent client with antisocial personality disorder plans to live with the parents after discharge. The parents request advice on how to respond to their child's unruly behavior. What is the most therapeutic response by the nurse? 1 "Discuss the behavior with your child and encourage the development of self-control." 2 "Avoid setting expectations for behavior and react to each situation as it arises." 3 "Help your child find new friends and encourage finding a job and assuming personal responsibility." 4 "Set clear limits, explain the consequences if your child disregards them, and firmly and consistently apply them."
4 "Set clear limits, explain the consequences if your child disregards them, and firmly and consistently apply them."
An infant is born with exstrophy of the bladder. The parents are concerned and confused when they are told that their infant will need surgery. What nursing intervention will best help the infant's parents? 1 Teaching them about their infant's postoperative care 2 Decreasing the odor of leaking urine by keeping the infant clean 3 Reassuring them that their infant will be healthy after the surgery 4 Demonstrating the same manner of care for the infant as for other infants on the unit
4 Demonstrating the same manner of care for the infant as for other infants on the unit
A 16-year-old boy with a diagnosis of adolescent adjustment disorder and his family are beginning family therapy. What is the best initial nursing approach? 1 Setting long-term goals for the family 2 Letting the client express his feelings first 3 Having the parents explain their rationale for setting firm limits 4 Encouraging each family member to share how the problem is perceived
4 Encouraging each family member to share how the problem is perceived
Which topic should the nurse include when teaching an expectant couple and their existing children about meeting the psychosocial development of the newborn? 1 Strict feeding schedules 2 Neonatal PKU screening 3 Cry patterns related to basic needs 4 Family involvement as a means of nurturing
4 Family involvement as a means of nurturing
A nurse is supportive of a child receiving long-term rehabilitation in the home rather than in a health care facility. Why is living with the family so important to a child's emotional development? 1 It provides rewards and punishment. 2 The child's development is supported. 3 It reflects the mores of a larger society. 4 It is where child's identity and roles are learned.
4 It is where child's identity and roles are learned.
A client with a terminal illness reaches the stage of acceptance. How can the nurse best help the client during this stage? 1 Acknowledge the client's crying. 2 Encourage unrestricted family visits. 3 Explain details of the care being given. 4 Stay nearby without initiating conversation.
4 Stay nearby without initiating conversation.
A family has undergone the emotional transition of accepting a new generation of members into the family system. Which changes in the family's status are required to proceed developmentally? Select all that apply. 1 Taking on parental roles 2 Adjusting to a reduction in family size 3 Development of intimate peer relationships 4 Adjusting the marital system to make space for children 5 Realigning relationships to in-laws and grandchildren
1 Taking on parental roles 4 Adjusting the marital system to make space for children
A nurse is assessing a toddler and the dynamics of the child's family, in which abuse is suspected. What behaviors are expected? Select all that apply. 1 The child cringes when approached. 2 The child has unexplained healed injuries. 3 The parents are overly affectionate toward the child. 4 The child lies still while surveying the environment. 5 The parents give detailed accounts of the child's injuries
1 The child cringes when approached. 2 The child has unexplained healed injuries. 4 The child lies still while surveying the environment.
How do adolescents establish family identity during psychosocial development? Select all that apply. 1 By acting independently to make his or her own decisions 2 By evaluating his or her own health with a feeling of well-being 3 By fostering his or her own development within a balanced family structure 4 By building close peer relationships to achieve acceptance in the society 5 By achieving marked physical changes
1 By acting independently to make his or her own decisions 3 By fostering his or her own development within a balanced family structure
According to Erikson, a child's increased vulnerability to anxiety in response to separation or pending separation from significant others results from failure to complete a developmental stage. What does the nurse call this stage? 1 Trust 2 Identity 3 Initiative 4 Autonomy
1 Trust
How would an adolescent mother ensure the appropriate cognitive development of her child? 1 The adolescent mother should stay alone. 2 The adolescent mother should receive nursing guidance. 3 The adolescent mother should perform well in academics. 4 The adolescent mother and the grandmother should stay together.
2 The adolescent mother should receive nursing guidance.
Which interventions does the nurse implement to empower a family who has a child with Down syndrome? Select all that apply. 1 Ask the family to engage in spiritual activities. 2 Help the family recognize the possible stressors. 3 Encourage the use of problem-solving strategies. 4 Encourage more out-of-home activities for the parents. 5 Refer the family to support groups and Internet resources.
2 Help the family recognize the possible stressors. 3 Encourage the use of problem-solving strategies. 5 Refer the family to support groups and Internet resources.
Which intervention may promote adherence to drug therapy in pediatric clients? Select all that apply. 1 Multiple dosing 2 Suggesting that the parent mix oral drugs with juice 3 Taking extra time with parents to ensure skilled participation 4 Providing the parents with a calibrated spoon to measure liquid formulations 5 Selecting the most convenient dosage form and dosing schedule
2 Suggesting that the parent mix oral drugs with juice 3 Taking extra time with parents to ensure skilled participation 4 Providing the parents with a calibrated spoon to measure liquid formulations 5 Selecting the most convenient dosage form and dosing schedule