PEDS PrepU Ch.2

Which behavior suggests that a family is a well one?

A mother states she has grown up since giving birth to her children.

Being a community-based nurse means that you have a different set of skills than those of your counterparts who work in a hospital. As a community-based nurse you also face unique issues and challenges. What is one of the unique aspects of community-based nursing?

Autonomous

A 40-year-old pregnant client tells her nurse that she would like to give birth in a birthing center because she wants several friends and family members to be there and will have more freedom at the center. What would be the most important factor for the nurse to point out when discussing this option with the client?

Birthing centers do not always have pediatricians on staff if the newborn has special needs.

The nurse interviews a family that consists of a husband and wife who have both previously been in a marital relationship and who are living with two children. The children are the biological children of the mother and were born before the remarriage. This family situation is termed a(n):

Blended family

The key factor in providing home care is determining whether the patient's condition is

Critical

The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?

Just ask the family about their culture and listen.

A family of a mother, father, and a 6-year-old boy was recently enlarged to include a new baby sister. What type of family does this represent?

Nuclear

A family is getting divorced and is asking about what is best for the children. How should the nurse approach this question?

The nurse should encourage the father to be involved in the care of the children.

A nurse is changing roles in her job such that she will now be primarily providing home care to children rather than seeing them in a health care facility. She knows that she will need which of the following skills or traits when working in this new environment? (Select all that apply.)

• Acute care nursing skills • Great flexibility • Ability to teach family members how to give care • Ability to encourage frustrated family members

Advocacy for your client is an important aspect of community-based nursing. What is one way a community-based nurse can advocate for a child that is her client?

Assisting the family to apply for Medicaid or other forms of health care reimbursement

A couple has recently been divorced. The couple has joint custody of their 15-year-old daughter. The nurse recognizes that the daughter is now at a 50% greater risk for which of the following?

Beginning smoking or drinking alcohol

The nurse interviews a family that consists of a husband and wife. Both have been married previously and living with two children. The children are the biological children of the mother and were born before the remarriage. The nurse would document this family structure as which of the following?

Blended family

The nurse is performing an assessment on a woman who is at 18 weeks' gestation. The nurse is completing the social assessment and asks the woman who lives in the household. The woman informs the nurse that she, her husband, their daughter, and his son from a previous marriage live in the household. The nurse correctly identifies this as a:

Blended family.

Families today tend toward spending less time together than families did historically. What is one factor that could be used to explain this trend?

Children participate in many school activities

The nurse is caring for a 4-year-old boy with Ewing sarcoma who is scheduled for a computed axial tomography (CAT) scan tomorrow. Which is the best example of therapeutic communication?

Describing what it is like to get a CAT scan using words he understands

The nurse uses family-centered care to care for children in a pediatric office. Upon what concept is family-centered care based?

The family is the constant in the child's life and the primary source of strength.

The nurse is teaching the student nurse how to communicate effectively with children. Which method would the nurse recommend?

Direct questions and explanations to the child.

Which of the following may occur in the blended type of family at a greater level than other types of families?

Disagreement about childrearing practices

Home care is most successful when

Each member of the family can share the household tasks of the patient

The family functions as the oldest and most basic social unit in society. What is the primary purpose of the family?

Ensure survival

The nurse is providing care for a 2-year-old girl with a chronic respiratory disease present since birth. Which would be of least help in working effectively with the parents?

Expect parents to perform procedures precisely as taught.

A married couple has 3-year-old twins. They own a dog. The father's mother lives with them. The father is a professor; the mother has resigned from her position as a legal secretary to be the children's primary caregiver. Which type of family does this represent?

Extended

An elderly woman brings her 10-year-old granddaughter to the doctor's office for a vaccination. The nurse learns that the elderly woman lives with her daughter, son-in-law, and three grandchildren. What type of family is this?

Extended family

Assessment of an adult client reveals that he lives with his wife and three children. The client's father-in-law lives in an in-law suite attached to the client's home. The client's parents live about a block away and visit the family often. The nurse interprets this as which type of family?

Extended family

A nurse is trying to reduce a mother's anxiety about her child being in the hospital. Which would be the best way to accomplish this?

Include the mother in the medical decision making.

The biggest benefit of health care provided in the home is

Inclusion of the entire family in health care planning and provision

Community care settings for the pediatric client are as varied in their settings as they are in their functions. Much of the care of the pediatric client has been shifted from the hospital setting to a community setting suitable for the care being provided. Which community care setting is appropriate for assessing vision and hearing in children?

Schools

A 24-year-old woman is the mother of an 8-month-old baby. The woman's father lives nearby in a nursing home. Which type of family does this represent?

Single parent

Which of the following interventions would be considered primary prevention in community-based health care?

Teaching women to take folic acid supplements to prevent neural tube defects

One type of medicine a patient on home care receives could be given with any of the following schedules. Which of the following would be most effective in helping compliance?

Three times a day at 10 am, 2 pm, and 10 pm

A pregnant teenager is not certain that she will like home care because she is afraid she will feel lonely. You suggest that

everyone could eat together.

A boy you care for tells you that his mother is a psychologist while his father is unemployed. His mother is the one who reminds him to take his medicine and also comforts his sister when she cries. Analyzing this description of his parents' roles, you would conclude that his

mother is the provider and nurturer.

After teaching students about different family structures, the instructor determines that the session was successful when the students identify which of the following as comprising a blended family. Select all that apply.

• Birth children • Birth parent • Step children • Non-birth parent