Pediatric Nursing The Critical Components of Nursing Care 1st Edition by Kathryn Rudd

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Sample Question

Chapter 3: Family Dynamics and Communicating with Children and Families

Multiple Choice

2. 3. 4. 5.

Latrisha is a 15-year-old girl who is in the clinic for her school physical. Latrisha’s 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: Be mindful of letting the patient answer questions. Give attention to the doctor’s schedule and make sure the visit goes as quickly as possible. Respond quickly to Latrisha’s questions so there are no long pauses in conversation. Speak loudly so Latrisha and her mother can hear the conversation clearly.

ANS: 1 Feedback 1.

Some answers m Giving a patient

The schedule is need to advocat

Quick responses

Speaking loudly

According to Title III of the Americans with Disabilities Act (ADA), health-care providers must supply: 3. Quality care for all patients. 4. Quality care for patients and families.

Auxiliary aids and services for communication with people who are deaf or hard of hearing. 6. Auxiliary aids and services for communication with people who are blind or have difficulty seeing.

ANS: 3 Feedback 1.

The ADA’s Title

3. 4. 5. 6. 7.

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: “My daughter will need this screen, and then a follow-up in three months.” “My daughter will need the screen done now. It should be repeated if we note she is not meeting developmental milestones.” “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.” “I should have a hearing screen done again when she enters school.”

ANS: 2 Feedback 1.

Follow-up screen

It is important to

child are not me 3.

Hearing screens

A hearing screen this question.

When speaking with a family about the plan of care for the day, Leslie knows she should avoid using: 5. Medical jargon. 6. Time for questions. 7. Active listening skills. 8. All of the answers should be used for effective communication. 9. All the answers should not be used for effective communication. ANS: 1 Feedback 1.

Medical jargon c will enable the f

Time for questio

Listening skills a

One answer is c

When speaking with a family who is experiencing a medical emergency with their child, it is important for the nurse to: 6. Allow time for questions. 7. Avoid false hope. 8. Allow for a quiet environment. 9. Be empathetic and sincere. 10. All of the above are correct. 11. None of the above are correct.

ANS: 5 Feedback 1.

This is a compon answers.

All of the answe

One answer is c

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 lifesustaining treatment. When the family arrives, the charge nurse takes Trevon’s parents to a family room. It is important that the nurse:

7. 8. 9. 10. 11.

Provides clear information. Does not provide promises. Calls a member of the clergy and a social worker to be with the family. All of the above should be addressed for Trevon’s family. None of the above should be addressed for Trevon’s family.

ANS: 4 Feedback 1.

Needed for effec

All the answers

One answer is c

7. 8. 9. 10. 11.

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

ANS: 2 Feedback 1.

This type of fam

This defines the

The nurse is reviewing Keirnan’s extended family tree to help the family identify genetic makeup due to Kiernan’s diagnosis of cystic fibrosis. The nurse knows that when looking at the extended family, it usually reviews: 9. One set of grandparents from the paternal and maternal side. 10. Three generations of family members from the paternal and maternal sides. 11. Nontraditional family patterns. 12. Nuclear family patterns.

ANS: 2 Feedback 1.

Extended family

Nontraditional fa

Nuclear family p

Alec, a 7-year-old, lives with his biological parents, but they are not married. This type of family would be considered: 10. A dyad family.

11. 12. 13.

An adoptive family. A cohabitating family. An extended family.

ANS: 3 Feedback 1.

This type of fam

Alec is a biologic

This family is liv

There is no skip

10. 11. 12. 13. 14. 15.

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

ANS: 5 Feedback 1.

Family dynamics

More than one a

All the answers

11.

“Forming” in the Group Theory of Pediatric Nursing discusses the relationships between: 12. marriage or cohabitation. 13. family or group accomplishments. 14. emotional clashes of personalities. 15. death, divorce, and empty nesters.

ANS: 1 Feedback 1.

This is the defin

This is considere

12.

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? 13. Family Group Theory 14. Family Systems Theory 15. Murray Bowen Theory

16.

Satir Family Therapy

ANS: 2 Feedback 1.

This theory does

The family is loo

This theory does

13.

Cael was diagnosed with terminal cancer six months ago. His family has been adjusting to the changes in Cael’s condition. His diagnosis is affecting each member of the family in a different way. The nurse knows Cael’s family is exhibiting behaviors similar to: 14. The Death and Dying Theory. 15. The Resiliency Model of Family Stress, Adjustment, and Adaptation. 16. Murray Bowen’s Theory. 17. The Family Group Theory.

ANS: 2 Feedback 1.

Death has not o

This model dem

This theory does

14.

How would Bowen’s Family Systems Theory view the relationship of an adoptive daughter who is older than the biological son? 15. The theory sees each family member as interdependent, so the interactions between the siblings are not of importance in this theory. 16. The theory is not appropriate for this relationship because of the birth order. 17. The theory assists with the analysis of behavior and development due to the sibling order. 18. The theory is not appropriate for this relationship because not enough information is supplied.

ANS: 3 Feedback 1.

Sibling order is i

Behavior and de

There is enough

15.

The main difference in Duvall’s view of the Family Development Theory and other theorists is: 16. Family is placed into categories throughout its lifespan. 17. A healthy family is open-minded and shares love. 18. A family cutting off emotionally from others is viewed as healthy.

19.

Families are viewed as constantly adjusting due to crisis.

ANS: 1 Feedback 1.

The view of fam theory.

This is a differen

16.

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: 17. A group of two people. 18. A blood relationship only between the parent and child. 19. A same-sex couple with children. 20. A grandparent, mother, and child living in the house.

ANS: 2 Feedback 1.

Can be labeled a

This is not the o

Can be labeled a

17.

Stella is assessing the family of her pediatric home health care patient. Stella’s is using Neuman’s Systems Theory to assess the family’s needs. When using this theory, it is important to: 18. Make sure all members of the family are assessed and able to express their personal needs for the care of the patient. 19. Focus solely on the patient’s needs. 20. Work with the family and health-care professionals to provide advanced directives. 21. Meet the developmental needs of the child.

ANS: 1 Feedback 1.

A key factor in N themselves.

Focusing on one

This is a key fac

18.

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 child’s caregivers. Miriam knows these descriptors are assessments noted in: 19. King’s theory. 20. Roy’s theory of Adaptation. 21. Family-Focused Theory. 22. Structural-Functional Theory.

ANS: 4 Feedback 1.

This theory revie

This theory emp

This theory revie in the care of th

19.

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: 20. Socioeconomic status. 21. Parenting styles. 22. Family structure. 23. All of the above

ANS: 4 Feedback 1.

A factor in famil

All the factors lis

20.

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: 21. Permissive. 22. Democratic. 23. Authoritarian. 24. Ambiguous.

ANS: 3 Feedback 1.

Children have fu

A combination o characterize this

Parents have ab parenting style.

This is not a par

21.

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: 22. The child’s view of the family members. 23. The child’s wish for a family. 24. The child’s perception of family values. 25. Nothing. This is an activity for the child while the nurse obtains a cognitive assessment.

ANS: 1 Feedback 1.

The purpose is t

This is not a wis

Family values ar

This task can giv but the main pu

22.

When performing the family APGAR questionnaire on Wesley’s family, the nurse notes that his father spends very little time with him. The nurse knows that with this area being low, the family: 23. Lacks quality growth and function, so there is risk. 24. Lacks the ability to devote time to children and has a highly functional pattern. 25. Is at risk for not nurturing a child and could be at risk for developing a dysfunctional family pattern. 26. Is at risk for sharing responsibility for the child and is highly dysfunctional.

ANS: 3 Feedback

Bonding is the c father

Bonding is the c father.

The father is no

Bonding is the c father.

23.

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: 24. Cooing, speaking in soft tones, and smiling at Damon as she performs the assessment. 25. Talking loudly and not making eye contact with Damon during the assessment. 26. Speaking to the parent during the entire assessment so as much information can be gathered from the parent as possible. 27. To not talk and try to keep Damon as quiet as possible to during the assessment.

ANS: 1 Feedback 1.

This action is ap and likes to wat

Talking loudly ca

It is important to before or after t

It is important to

24. 25. 26.

When attempting to get the blood pressure of a 3 year old, it is important to: Encourage questions. Let the child touch, smell, and see the equipment prior to taking the blood pressure. 27. Place the cuff on a teddy bear so the child can see what is going to occur. 28. All are appropriate actions when taking the blood pressure of a 3 year old. 29. 1 and 2 are appropriate actions for attempting to take the blood pressure of a 3 year old.

ANS: 4 Feedback 1.

Correct action, a

Correction actio

All the actions a blood pressure.

All answers are

25.

When starting an IV on a 9 year old, the nurse knows it is important to:

26. 27. 28. 29. 30.

Answer any questions. Give the child a task to do for the IV, such as preparing the tape. Allow time for the child to express how he/she feels about getting an IV. All of the above are important when starting an IV on the child. 2 and 3 are important when starting an IV on the child.

ANS: 4 Feedback 1.

This age range w answers are also

Giving a task to control over wha

Expressing feeli answers are also

This age range w a task to the chi over what is hap procedure.

26.

Sarah is a 14-year-old girl about to get her HPV vaccine. The nurse working with Sarah knows that, as a nurse, she should: 27. Explain that the vaccine is very important and all of her friends are receiving it. 28. Explain the injection procedure and provide information about the HPV vaccine on her level. 29. Use language such as “pokie” and “owwie” to describe the possible pain of the injection. 30. Allow her to text while the injection is occurring so that Sarah is distracted in order to help reduce the pain of the injection.

ANS: 2

Feedback 1.

This is not being

Appropriate ans

The terms can b level.

Distraction work thus the nurse w

27.

Donavon has expressed to the school nurse that his mother’s boyfriend drinks several beers each night. When Donavon’s mother is at work, the boyfriend has offered Donavon a beer. Donavon expresses that he feels like he needs to take care of the boyfriend while his mother is at work. This shift in roles is known as: 28. Responsible Member Role. 29. Hero Member Role. 30. Scapegoat Role. 31. Lost Child Role.

ANS: 1 Feedback 1.

The child has ta

The child is not

The child is able

True/False

28.

Trey has been admitted from the operating room to the pediatric floor for the repair of a broken humorous. On the chart, it states that Trey has been blind for two years. The nurse should communicate each action prior to performing the action so Trey knows what is going to occur.

ANS: T Feedback 1.

Telling the patie cannot see wha

Multiple Response

29.

Jared has assessed a family with a 6-year-old boy and an 8-year-old boy for his family assessment project for a nursing course. The faculty member knows that Jared has assessed for family structure, development, and rituals with which of the following comments? 30. The two boys live with their maternal grandmother and mother. 31. The family lives in a rundown area of a mobile-home park. 32. Both boys are in the school-age stages, exhibiting Industry vs. Inferiority. 33. The family requires “quite time.” During this time, each boy goes to their room in the evening to read or play. 34. The family receives food stamps.

ANS: 1, 3, 4, 5 Feedback 1.

Structural Famil

Does not apply

Family Developm

Family Rituals

Structural Famil