Test Bank For Pediatric Nursing The Critical Components of Nursing Care 1st Edition By Rudd

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Test Bank For Pediatric Nursing The Critical Components of Nursing Care 1st Edition By Rudd

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WITH ANSWERS

 

Pediatric Nursing The Critical Components of Nursing Care 1st Edition By Rudd

 

Chapter 1: Issues and Trends

 

 

 

Multiple Choice

 

 

 

  1. A 3-year-old is an inpatient on an orthopedic floor. The mother is participating in care as much as possible. The nurse knows that the participation of parents with the care of a child is known as:
  2. Family-Centered Care Model.
  3. Medical Care Model of Care.
  4. Patient-Centered Care Model.
  5. Illness Care Model.

 

ANS: 1

  Feedback
1. Family-Centered Care emphasizes the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships among health-care providers, patients, and families.
2. Traditional approach to the diagnosis and treatment of illness as practiced by physicians. Diagnoses a defect, or dysfunction, within the patient, using a problem-solving approach.
3. Includes consideration of patients cultural traditions, their personal preferences and values, their family situations, and their lifestyles.
4. Pathways of care that are made up of the dimensions of life to maintain an overall feeling of wellness and/or health.

KEY: Content Area: Professional| Integrated Processes: Caring | Client Need: Safe and Effective Care Environment | Cognitive Level: Knowledge | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. A nurse is explaining the physical maturity of a 12-year-old boy to a nursing student. The nursing student knows that all except one the following areincluded in assessing physical maturity:
  2. Mastering fine motor skills.
  3. Language development.
  4. Linear growth.

 

ANS: 2

  Feedback
1. Fine motor skills are part of the physical maturation.
2. Language development is a part of cognitive maturation.
3. Immunizations are part of the physical maturation.
4. Linear growth is part of the physical maturation.

KEY: Content Area: Growth and Development | Integrated Processes: Nursing Process | Client Need: Health Promotion and Maintenance| Cognitive Level: Comprehension | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. Promotion for family-centered care consists of all except one of the following strategies:
  2. Emphasizing family strengths.
  3. Identifying family coping skills.
  4. Developing unidirectional communication.
  5. Promotion of family empowerment.

 

ANS: 3

 

  Feedback
1. Identification of family strategies allows for confidence to be built.
2. Identification of coping skills allows for family members to know when help is needed.
3. Uni-directional communication is limited in communication with others, thus not benefitting the child.
4. Family advocacy is important so all needs for the child can be met.

KEY: Content Area: Family| Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Knowledge | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. Culturally sensitive care is noted when a nurse:
  2. Asks the family what time they should prepare the child for prayer.
  3. Enters the room during prayer time to deliver a medication because it is due.
  4. Provides a Muslim family with meal trays that contain pork.
  5. Comments on the lack of personal hygiene for the child and siblings.

 

ANS: 1

  Feedback
1. Culturally sensitive care is noted because the nurse is planning care around the sacred prayer time.
2. Culturally sensitive care is not being noted. The nurse is not considerate of the need for prayer time.
3. Muslim families do not eat pork.
4. Levels of hygiene may be related to the family culture.

KEY: Content Area: Culture | Integrated Processes: Nursing Care | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. Levis mother has requested a priest to baptize him during his hospitalization. Baptism in the Christian faith is seen as:
  2. A rite of passage for all people.
  3. A ritual performed before the death of a child.
  4. A prayer service.
  5. A ritual for persons to be followers of Jesus Christ.

 

ANS: 4

 

  Feedback
1. Baptism is a ritual in which Christians give their life to the following of Jesus Christ.
2. Can be performed prior to death. Baptism is a ritual in which Christians give their life to the following of Jesus Christ.
3. Baptism is a ritual in which Christians give their life to the following of Jesus Christ.
4. Baptism is a ritual in which Christians give their life to the following of Jesus Christ.

KEY: Content Area: Cultural/Religion | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. The leading infant mortality risk in the United States is:
  2. Birth defects.
  3. Prematurity/low birth weight.
  4. Sudden Infant Death Syndrome (SIDS).
  5. Unintentional injury.

 

ANS: 1

 

  Feedback
1. The leading risk for infant mortality in the United States.
2. The second leading risk for infant mortality in the United States.
3. The third leading risk for infant mortality in the United States.
4. The fifth leading risk for infant mortality in the United States.

KEY: Content Area: Health Promotion | Integrated Processes: Caring | Client Need: Safe and Effective Care Environment | Cognitive Level: Knowledge | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. The nurse is speaking to a group of teenagers about health promotion. The nurse knows the leading cause of mortality for this age range is:
  2. Cancer.
  3. Homicide.
  4. Unintentional injury.
  5. Suicide.

 

ANS: 3

  Feedback
1. Cancer is lower on the scale for mortality rate for this age range.
2. Homicide is lower on the scale for mortality rate for this age range.
3.  Unintentional injury is the leading cause for mortality rate in this age range.
4. Suicide is lower on the scale for mortality rate for this age range.

KEY: Content Area: Health Promotion | Integrated Processes: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehensions | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. A staff nurse explains relationship-based care to an inpatient daughters father as:
  2. Your family is one of many on this unit. We will work to take care of your daughter to the best of our ability.
  3. You and your family are part of the plan of care so we all, staff and doctors, can meet the needs of your daughter.
  4. I am sorry, but I do not have time to speak with you right now. I will have the charge nurse come answer your questions.
  5. The staff values input and will ask you when we have questions about your daughter.

ANS: 2

 

  Feedback
1. The comment is offhand and does not show the father that his daughter is going to receive individualized care, which is a major component of relationship-based care.
2. The nurse addresses the needs of the father at this time.
3. The nurse states that she does not have time, but by delegating this conversation to someone else, the father does not have a relationship with the nurse, which is not suitable.
4. The nurse did not allow the father to give input about his daughter freely. The nurse requires him to have permission.

KEY: Content Area: Relationship | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Analysis | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. In the last 10 years in pediatric nursing, there has been an increase in:
  2. Obesity.
  3. Diabetes.
  4. Hypertension.
  5. All of the above.

 

ANS: 4

  Feedback
1. All have been increasing in the last 10 years.
2. All have been increasing in the last 10 years.
3. All have been increasing in the last 10 years.
4. Correct

KEY: Content Area: Disease Processes          | Integrated Processes: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Knowledge | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. The purpose of the Best Pharmaceuticals for Children Act of 2007 was:
  2. To regulate the types of medications given to children.
  3. To require manufacturers to test medication on children if the intention is for use with children.
  4. To provide safety caps on all medications with children in the household.
  5. To increase awareness of medication use in children.

 

ANS: 2

  Feedback
1. Medications were being given to children before the act was passed.
2. The testing done on children helps to predict the outcomes when used with other children. Up until this point, medications that were tested on adults were being used for children.
3. The act does not deal with home safety for medications.
4. The act does increase awareness, but is not the best answer for this question.

KEY: Content Area: Legal | Integrated Processes: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Application | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. For which of the following is a masters degree required?
  2. Pediatric outpatient nurse
  3. Pediatric intensive care unit nurse
  4. Clinical nurse specialist
  5. Home care nurse

 

ANS: 3

  Feedback
1. RN licensure required
2. RN licensure required
3. Masters degree required
4. RN licensure required

KEY: Content Area: Safe and Effective Care Environment | Integrated Processes: Teaching/Learning | Client Need: Safe and Effective Care Environment | Cognitive Level: Cognitive | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. A pediatric nurse with undergraduate preparation has a wide range of career opportunities, which might include the following:
  2. Pediatric hospice nurse.
  3. Neonatal nurse practitioner.
  4. Pediatric nursing professor.
  5. Pediatric clinical nurse specialist.

 

ANS: 1

  Feedback
1. Requires undergraduate preparation
2. Requires a graduate-level degree
3. Requires a graduate-level degree
4. Requires a graduate-level degree

 

KEY: Content Area: Professionalism | Integrated Processes: Teaching/Learning | Client Need: Safe and Effective Care Environment | Cognitive Level: Application | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. A staff nurse may be required to complete additional training or certification for a pediatric unit, which might include:
  2. Pediatric Advanced Life Support.
  3. Certified Pediatric Oncology Nurse.
  4. Certification for neonatal or pediatric critical care.
  5. All of the above.

 

ANS: 4

  Feedback
1. PALs may be required for advanced training for a pediatric floor.
2. Certification may be required if the population base is high in oncology patients.
3. Neonatal or pediatric critical care certification may be required, in order to have highly trained individuals in the units.
4. All of the above-listed training and certifications might be required for a staff nurse.

 

KEY: Content Area: Safe and Effective Care Environment | Integrated Processes: Teaching/Learning | Client Need: Safe and Effective Care Environment | Cognitive Level: Knowledge | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. Pediatric nurses are confronted with an increase in lifestyle-related illnesses of children, such as:
  2. Diabetes.
  3. Hypertension.
  4. Obesity.
  5. All of the above.

 

ANS: 4

  Feedback
1. Diabetes is a lifestyle-related illness for some children.
2. Hypertension is increasing in the population because of diet and lack of exercise.
3. Obesity is rising in children because of diet and exercise issues.
4. All of the responses are correct. Diabetes, hypertension, and obesity are all increasing lifestyle illnesses in children.

 

KEY: Content Area: Health Promotion and Maintenance | Integrated Processes: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. The Best Pharmaceuticals for Children Act, the Pediatric Research Equity Act, and the Pediatric Medical Device Safety and Improvement Act enhance pediatric related research and practice by:
  2. Not requiring parental consent.
  3. Increasing the potential number of children included as research study participants.
  4. Not requiring Hospital Institutional Review Boards to review research protocols.
  5. Requiring consent from a close family member.

 

ANS: 2

  Feedback
1. Consent is required by the parents/guardian.
2. These acts have increased the potential number of children being included as research study participants.
3. Hospital Institutional Review Boards are required to review research proposals.
4. Consent is required by the parent or guardian.

 

KEY: Content Area: Safety | Integrated Processes: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. As a nursing student in a pediatric course, one should reasonably expect the following training:
  2. Simulated-learning environments with infant/child human patient simulators and use of standardized patient scenarios.
  3. Insurance approval mechanisms.
  4. Health promotion and disease prevention.
  5. 1 and 3.

 

ANS: 1

  Feedback
1. Simulation allows for nursing students to practice and have patients with situations that are not present during clinical times.
2. Insurance approval mechanisms are not typically covered in a pediatric nursing course.
3. Health promotion and disease prevention aid in decreasing issues related to illnesses that are preventable in children.
4. Simulation allows for nursing students to practice on and have patients with situations that are not present during clinical times. Health promotion and disease prevention aid in decreasing issues related to illnesses that are preventable in children.

 

KEY: Content Area: Safety | Integrated Processes: Teaching/Learning | Client Need: Physiological Integrity | Cognitive Level: Knowledge | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. The prudent pediatric nurse must explore beyond the traditional view of culture as being simply ethnicity to deliver culturally sensitive care. Assessment of the patient/family should include:
  2. Physical assessment.
  3. Signed consent to treat.
  4. Family constellation (blended, single parent, cohabitating, gay/lesbian, etc.).
  5. Birth history.

 

ANS: 3

  Feedback
1. This should be included, but one must consider what is acceptable to the culture of the patient.
2. Consents are still required, but this does not include the factors of culture and ethnicity.
3. Family constellation (blended, single parent, cohabitating, gay/lesbian, etc.) should be considered in order to deliver culturally sensitive care.
4. Birth history is objective information; it does not, in itself, need to be considered to provide culturally sensitive care.

 

KEY: Content Area: Culture| Integrated Processes: Nursing Process| Client Need: Psychosocial Integrity | Cognitive Level: Application | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. A trend of increased pediatric hospital admissions can be attributed to:
  2. Fewer pediatricians.
  3. Lack of primary care access.
  4. Better health insurance coverage for children.
  5. An increase in the environmental air quality.

 

ANS: 2

  Feedback
1. The number of pediatricians does not affect the number of hospital admissions.
2. Children who have not obtained primary care have been noted to be sicker when admitted to the hospital than those children who have received with primary care.
3. Hospital admissions have not been attributed to better insurance coverage for children.
4. Increased air quality does not increase pediatric hospital admissions.

 

KEY: Content Area: Health | Integrated Processes: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Evaluation | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. Historically, early pediatric nursing care:
  2. Included families in the plan of care and allowed one parent to be present with the child.
  3. Employed relationship-based care.
  4. Included flexibility in family visitation.
  5. Was impersonal and focused primarily on preventing the spread of disease.

 

ANS: 4

  Feedback
1. Parents were not included in the decision making and were not allowed to be present with the child at all times.
2. Relationship-based care was not historically considered.
3. Visitation has historically been rigid.
4. Historically, pediatric care was impersonal and focused on preventing the spread of disease.

 

KEY: Content Area: Health Care | Integrated Processes: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Evaluation | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. A pediatric nurse evaluating the state of evidence-based practices may be best served by reviewing peer-reviewed professional journals in addition to which of the following electronic resources?
  2. Blogs regarding specific disease states
  3. Agency for Healthcare Quality and Research
  4. General search engine results
  5. All of the above

 

ANS: 2

  Feedback
1. Blogs do not typically include evidence-based practice.
2. Agency for Healthcare Quality and Research  provides peer-reviewed professional journals.
3. General search engines do not typically provide information to support evidence-based practice.
4. Blogs and general searches do not necessarily provide information on evidence-based practice.

 

KEY: Content Area: Management of Care | Integrated Processes: Teaching/Learning | Client Need: Safe and Effective Care Environment | Cognitive Level: Knowledge | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. Relationship-based care expands care delivery beyond core concepts of family-centered care to include:
  2. Informed consent that only includes the parent, regardless of age of the pediatric patient.
  3. The nurses developing a relationship with family members through one-on-one conversations.
  4. Focusing on identifying the relationship structure of the family.
  5. Exclusion of siblings from the plan of care.

 

ANS: 2

  Feedback
1. Informed consent includes the parent and sometimes the child, depending on the the childs age and mental status.
2. Relationship-based nursing includes one-on-one conversations with the family members.
3. Relationship-based nursing does not simply focus on identifying the structure of the family.
4. When appropriate, siblings can be included in the plan of care with relationship-based care.

 

KEY: Content Area: Family Centered Care | Integrated Processes: Nursing Process | Client Need: Safe and Effective Care Management | Cognitive Level: Application | REF: Chapter 1 | Type: Multiple Choice

 

 

 

  1. A nurse is aware that there will be a surgical pediatric patient admitted later in the day, but report has not been called yet. What is the most common surgical procedure for pediatric patients?
  2. Internal fixation of fracture
  3. Cleft lip and palate repair
  4. Appendectomy
  5. Myelomeningocele repair

 

ANS: 3

  Feedback
1. Fractures are not the most common surgical procedure.
2. A cleft lip and palate repair has a low occurrence . These are usually done in infancy.
3. An appendectomy is one of the most common pediatric surgeries.
4. A myelomeningocele repair occurs soon after birth and is not as common as an appendectomy.

 

KEY: Content Area: Surgery | Integrated Processes: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Knowledge | REF: Chapter 1 | Type: Multiple Choice

 

 

 

Multiple Response

 

 

 

  1. Identify the statements that define the nursing profession. Select all that apply.
  2. Development and publication of professional standards
  3. Educational opportunities
  4. Professional organizations
  5. Medical research
  6. Certifications of specialty areas

ANS: 1, 2, 3, 5

 

  Feedback
1. Part of the core standards
2. Part of the core standards
3. Part of the core standards
4. Medical research is not appropriate. The use of nursing research is needed.
5. Part of the core standards.

KEY: Content Area: Professionalism | Integrated Processes: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Knowledge | REF: Chapter 1 | Type: Multiple Response

Chapter 3: Family Dynamics and Communicating with Children and Families

 

 

 

Multiple Choice

 

 

 

  1. Latrisha is a 15-year-old girl who is in the clinic for her school physical. Latrishas mother informs the nurse that the forms for her school physical must be filled out by the nurse or the doctor so that Latrisha can play on the volleyball team. When speaking with Latrisha and her mom, the nurse knows it is important to:
  2. Be mindful of letting the patient answer questions.
  3. Give attention to the doctors schedule and make sure the visit goes as quickly as possible.
  4. Respond quickly to Latrishas questions so there are no long pauses in conversation.
  5. Speak loudly so Latrisha and her mother can hear the conversation clearly.

 

ANS: 1

  Feedback
1. Some answers may be sensitive to a teenager and take longer to receive a reply. Giving a patient time to answer is important so that they do not feel rushed.
2. The schedule is important, but the patient needs should be met. The nurse may need to advocate for the patient in this situation.
3. Quick responses increase anxiety.
4. Speaking loudly can increase anxiety.

KEY: Content Area: Communication | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. According to Title III of the Americans with Disabilities Act (ADA), health-care providers must supply:
  2. Quality care for all patients.
  3. Quality care for patients and families.
  4. Auxiliary aids and services for communication with people who are deaf or hard of hearing.
  5. Auxiliary aids and services for communication with people who are blind or have difficulty seeing.

 

ANS: 3

  Feedback
1. The ADAs Title III does not address the quality of care for patients.
2. The ADAs Title III does not address the quality of care for patients or families.
3. The ADAs Title III addresses the needs for hearing-impaired individuals.
4. The ADAs Title III does not address vision.

KEY: Content Area: Communication | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. A new mother is receiving information about the newborn hearing screens for her baby girl. The nurse knows that the mother understands the reason for the screening when she states:
  2. My daughter will need this screen, and then a follow-up in three months.
  3. My daughter will need the screen done now. It should be repeated if we note she is not meeting developmental milestones.
  4. It is my decision to participate in this hearing screen, so I am going to decline the screening because I do not know if my insurance will cover it.
  5. I should have a hearing screen done again when she enters school.

 

ANS: 2

  Feedback
1. Follow-up screens are done only if an abnormality is noted.
2. It is important to assess all the ways the communication and comprehension of a child are not meeting developmental milestones.
3. Hearing screens are done on all newborn infants.
4. A hearing screen may be done when entering school, but that does not address this question.

KEY: Content Area: Communication | Integrated Processes: Teaching/Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. When speaking with a family about the plan of care for the day, Leslie knows she should avoid using:
  2. Medical jargon.
  3. Time for questions.
  4. Active listening skills.
  5. All of the answers should be used for effective communication.
  6. All the answers should not be used for effective communication.

ANS: 1

  Feedback
1. Medical jargon can be confusing for families, thus explaining what terms mean will enable the family to better understand the needs of the child.
2. Time for questions is important in promote understanding for the patient/family.
3. Listening skills are needed for quality communication.
4. One answer is correct.
5. One answer is correct.

KEY: Content Area: Communication | Integrated Processes: Communication/Documentation | Client Need: Heath Promotion and Maintenance | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. When speaking with a family who is experiencing a medical emergency with their child, it is important for the nurse to:
  2. Allow time for questions.
  3. Avoid false hope.
  4. Allow for a quiet environment.
  5. Be empathetic and sincere.
  6. All of the above are correct.
  7. None of the above are correct.

 

ANS: 5

  Feedback
1. This is a component of effective communication for the situation, along with other answers.
2. This is a component of effective communication for the situation, along with other answers.
3. This is a component of effective communication for the situation, along with other answers.
4. This is a component of effective communication for the situation, along with other answers.
5. All of the answers provide effective communication for the situation.
6. One answer is correct.

KEY: Content Area: Communication | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Knowledge | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Trevon, a 4-year-old has been admitted to the emergency room via ambulance after a motor vehicle accident. Trevon is unconscious and is being given life-sustaining treatment. When the family arrives, the charge nurse takes Trevons parents to a family room. It is important that the nurse:
  2. Provides clear information.
  3. Does not provide promises.
  4. Calls a member of the clergy and a social worker to be with the family.
  5. All of the above should be addressed for Trevons family.
  6. None of the above should be addressed for Trevons family.

 

ANS: 4

  Feedback
1. Needed for effective care for the family, along with other answers
2. Needed for effective care for the family, along with other answers
3. Needed for effective care for the family, along with other answers
4. All the answers provide effective communication for the situation.
5. One answer is correct.

KEY: Content Area: Communication | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Ellie was adopted at the age of two. Her adoptive family is known as her:
  2. Family of choice.
  3. Family of origin.
  4. Nuclear family.
  5. Nontraditional family.

 

ANS: 2

  Feedback
1. This type of family occurs by marriage or co-habitation, not adoption.
2. This type of family is correct because the adoptive parents are raising Ellie.
3. This defines the members of the family.
4. This defines the members of the family that are not part of a nuclear family.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. The nurse is reviewing Keirnans extended family tree to help the family identify genetic makeup due to Kiernans diagnosis of cystic fibrosis. The nurse knows that when looking at the extended family, it usually reviews:
  2. One set of grandparents from the paternal and maternal side.
  3. Three generations of family members from the paternal and maternal sides.
  4. Nontraditional family patterns.
  5. Nuclear family patterns.

 

ANS: 2

  Feedback
1. Extended family goes beyond one generation.
2. Extended family is viewed as reaching the third generation.
3. Nontraditional family patterns review types of families, not the generations.
4. Nuclear family patterns review the families, not the generations.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Alec, a 7-year-old, lives with his biological parents, but they are not married. This type of family would be considered:
  2. A dyad family.
  3. An adoptive family.
  4. A cohabitating family.
  5. An extended family.

 

ANS: 3

  Feedback
1. This type of family does not have children.
2. Alec is a biological child, so adoptive does not apply.
3. This family is living together, but the parents are not married.
4. There is no skip in a generation with this family.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Knowledge | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Family dynamics for children can impact:
  2. Interactions with all family members.
  3. Communication patterns.
  4. Sibling rivalry.
  5. 1 and 2 only.
  6. All of the above.

 

ANS: 5

  Feedback
1. Family dynamics are influenced by all interactions and other answers.
2. Family dynamics are influenced by all communication patterns and other answers.
3. Family dynamics are influenced by all sibling rivalry and other answers.
4. More than one answer is correct.
5. All the answers influence family dynamics.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Knowledge | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Forming in the Group Theory of Pediatric Nursing discusses the relationships between:
  2. marriage or cohabitation.
  3. family or group accomplishments.
  4. emotional clashes of personalities.
  5. death, divorce, and empty nesters.

 

ANS: 1

  Feedback
1. This is the definition in the Group Family Theory.
2. This is considered performing in the Group Family Theory.
3. This is considered storming in the Group Family Theory.
4. This is considered adjourning in the Group Family Theory.

KEY: Content Area: Family | Integrated Processes: Teaching/Learning | Client Need: Psychosocial Integrity | Cognitive Level: Knowledge | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Lesa is working with a family that has eight children. Lesa knows that the relationships between siblings can be viewed as a subsystem of which theory?
  2. Family Group Theory
  3. Family Systems Theory
  4. Murray Bowen Theory
  5. Satir Family Therapy

 

ANS: 2

  Feedback
1. This theory does not break the family into subsystems.
2. The family is looked at in subsystems to identify interactions.
3. This theory does not break the family into subsystems.
4. This theory does not break the family into subsystems.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Cael was diagnosed with terminal cancer six months ago. His family has been adjusting to the changes in Caels condition. His diagnosis is affecting each member of the family in a different way. The nurse knows Caels family is exhibiting behaviors similar to:
  2. The Death and Dying Theory.
  3. The Resiliency Model of Family Stress, Adjustment, and Adaptation.
  4. Murray Bowens Theory.
  5. The Family Group Theory.

 

ANS: 2

  Feedback
1. Death has not occurred, so this theory is not applicable.
2. This model demonstrates how the family adjusts to the changes and adapts.
3. This theory does not address the adaptation of the family members.
4. This theory does not address the adaptation of the family members.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Psychological Integrity | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. How would Bowens Family Systems Theory view the relationship of an adoptive daughter who is older than the biological son?
  2. The theory sees each family member as interdependent, so the interactions between the siblings are not of importance in this theory.
  3. The theory is not appropriate for this relationship because of the birth order.
  4. The theory assists with the analysis of behavior and development due to the sibling order.
  5. The theory is not appropriate for this relationship because not enough information is supplied.

 

ANS: 3

  Feedback
1. Sibling order is important to this theory.
2. Sibling order is important to this theory.
3. Behavior and development because of sibling order is part of the theory.
4. There is enough information to identify the theory.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Application | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. The main difference in Duvalls view of the Family Development Theory and other theorists is:
  2. Family is placed into categories throughout its lifespan.
  3. A healthy family is open-minded and shares love.
  4. A family cutting off emotionally from others is viewed as healthy.
  5. Families are viewed as constantly adjusting due to crisis.

 

ANS: 1

  Feedback
1. The view of family through a lifespan is one of the key elements of Duvalls theory.
2. This is a different theory.
3. This is a different theory.
4. This is a different theory.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Kenisha is a home health pediatric nurse. She has been working with a family for the past month. Kenisha has to fill out paperwork describing the family unit. Kenisha is aware that family can be described as all of the following except:
  2. A group of two people.
  3. A blood relationship only between the parent and child.
  4. A same-sex couple with children.
  5. A grandparent, mother, and child living in the house.

 

ANS: 2

  Feedback
1. Can be labeled a family
2. This is not the only way to define a family.
3. Can be labeled a family
4. Can be labeled a family

KEY: Content Area: Family | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Application | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Stella is assessing the family of her pediatric home health care patient. Stellas is using Neumans Systems Theory to assess the familys needs. When using this theory, it is important to:
  2. Make sure all members of the family are assessed and able to express their personal needs for the care of the patient.
  3. Focus solely on the patients needs.
  4. Work with the family and health-care professionals to provide advanced directives.
  5. Meet the developmental needs of the child.

 

ANS: 1

  Feedback
1. A key factor in Neumans theory is to let all members of the family express themselves.
2. Focusing on one family members needs is not part of Neumans theory.
3. This is a key factor in Family-Focused Care, not Neumans theory.
4. This is a key factor in Family-Focused Care, not Neumans theory.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Application | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Miriam, a nursing student, has been learning about theory in regards to family and pediatric nursing. The case study that has been presented describes the role of the provider, therapists, and the childs caregivers. Miriam knows these descriptors are assessments noted in:
  2. Kings theory.
  3. Roys theory of Adaptation.
  4. Family-Focused Theory.
  5. Structural-Functional Theory.

 

ANS: 4

  Feedback
1. This theory reviews family as a social system.
2. This theory reviews how the family deals with life stress.
3. This theory emphasizes family involvement in caregiving.
4. This theory reviews the roles of the provider, therapists, and the childs caregivers in the care of the child.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. A student nurse is doing her clinical practicum experience in an outpatient family access clinic. The student nurse watches the registered nurse review the family history with a mother. Important questions to ask on an initial history assessments of a child should include:
  2. Socioeconomic status.
  3. Parenting styles.
  4. Family structure.
  5. All of the above

 

ANS: 4

  Feedback
1. A factor in family assessment, along with other choices
2. A factor in family assessment, along with other choices
3. A factor in family assessment, along with other choices
4. All the factors listed are part of a quality family assessment.

KEY: Content Area: Family | Integrated Processes: Nursing Process | Client Need: Communication/Documentation | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Jessica is complaining to the school nurse about her parents. She states that she feels her parents do not let her make any decisions and have strict rules. The school nurse knows this type of parenting style is known as:
  2. Permissive.
  3. Democratic.
  4. Authoritarian.
  5. Ambiguous.

 

ANS: 3

  Feedback
1. Children have full control of decisions in this parenting style.
2. A combination of firm rules and freedom for children to make a decisions characterize this parenting style.
3. Parents have absolute rule and do not let the child make decisions in this parenting style.
4. This is not a parent style.

KEY: Content Area: Family | Integrated Processes: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Dora, a 4-year-old child, has been asked to create a family drawing. This is being asked of Dora because it will show the nurse:
  2. The childs view of the family members.
  3. The childs wish for a family.
  4. The childs perception of family values.
  5. Nothing. This is an activity for the child while the nurse obtains a cognitive assessment.

 

ANS: 1

  Feedback
1. The purpose is to identify how the child views the family.
2. This is not a wish activity.
3. Family values are not assessed in this task.
4. This task can give an indication of the cognitive level of understanding of family, but the main purpose is to see how the child views the family.

KEY: Content Area: Family | Integrated Processes: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Application | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. When performing the family APGAR questionnaire on Wesleys family, the nurse notes that his father spends very little time with him. The nurse knows that with this area being low, the family:
  2. Lacks quality growth and function, so there is risk.
  3. Lacks the ability to devote time to children and has a highly functional pattern.
  4. Is at risk for not nurturing a child and could be at risk for developing a dysfunctional family pattern.
  5. Is at risk for sharing responsibility for the child and is highly dysfunctional.

 

ANS: 3

  Feedback
1. Bonding is the concern for the family based on this type of response from the father
2. Bonding is the concern for the family based on this type of response from the father.
3. The father is not demonstrating a nurturing bond with the child.
4. Bonding is the concern for the family based on this type of response from the father.

KEY: Content Area: Family | Integrated Processes: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Analysis | REF: Chapter 3 | Type: Multiple Choice

 

 

 

  1. Damon is a 3-month-old patient on the pediatric floor for a post-operative stay. Cyndie, his primary nurse, is about to assess Damon for the first time this shift. A therapeutic approach to the assessment would be:
  2. Cooing, speaking in soft tones, and smiling at Damon as she performs the assessment.
  3. Talking loudly and not making eye contact with Damon during the assessment.
  4. Speaking to the parent during the entire assessment so as much information can be gathered from the parent as possible.
  5. To not talk and try to keep Damon as quiet as possible to during the assessment.

 

ANS: 1

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