Chapter 03 The Childbearing and Child-Rearing Family

Chapter 03  The Childbearing and Child-Rearing Family

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse teaches parents that the formula used to guide time-out as a disciplinary method is

a. 1 minute per each year of the child’s age.
b. to relate the length of the time-out to the severity of the behavior.
c. never to use time-out for a child younger than 4 years.
d. to follow the time-out with a treat.

ANS: A
It is important to structure time-out in a time frame that allows the child to understand why he
or she has been removed from the environment. The current guideline is 1 minute per age in
years. Relating time to a behavior is subjective and is inappropriate when the child is very
young. Time-out can be used with the toddler. Negative behavior should not be reinforced
with a positive action.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 44 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance

2. The nurse observes that when an 8-year-old enters the playroom, the child often causes

disruption by taking toys from other children. The nurse’s best approach for this behavior is to
a. ban the child from the playroom until the child learns to control behavior.
b. explain to the children in the playroom that this child is very ill and should be

allowed to have the toys.
c. approach the child in his or her room and ask, “Would you like it if the other

children took your toys from you?”
d. approach the child in his room and state, “I am concerned that you are taking the

other children’s toys. It upsets them and me.”

ANS: D
By the nurse’s using “I” rather than the “you” message, the child can focus on the behavior.
The child and the nurse can begin to explore why the behavior occurs. Banning the child from
the playroom will not solve the problem. The problem is his behavior, not the place where he
exhibits it. Illness is not a reason for a child to be undisciplined. When the child recovers, the
parents will have to deal with a child who is undisciplined and unruly. Children should not be
made to feel guilty and to have their self-esteem attacked.

PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 44 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Health Promotion and Maintenance

3. Families who deal effectively with stress exhibit which behavior pattern?

a. Focus on family problems
b. Feel weakened by stress
c. Expect that some stress is normal
d. Feel guilty when stress exists

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ANS: C
Healthy families recognize that some stress is normal in all families. Healthy families focus
on family strengths rather than on the problems and know that stress is temporary and may be
positive. If families are dealing effectively with stress, then weakening of the family unit
should not occur. Because some stress is normal in all families, feeling guilty is not
reasonable. Guilt only immobilizes the family and does not lead to resolution of the stress.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 38 OBJ: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity

4. Which family will most likely have the most difficulty coping with a seriously ill child?

a. A single-parent mother who has the support of her parents and siblings
b. Parents who have just moved to the area and have not yet found health care

providers
c. The family of a child who has had multiple hospitalizations related to asthma and

has adequate relationships with the nursing staff
d. A family in which there is a young child and four older married children who live

in the area

ANS: B
Parents in a new environment will have increased stress related to their lack of a support
system. They have no previous experiences in the setting from which to draw confidence.
Not only does this family not have friends or relatives to help them, they must find a provider
when their child is seriously ill. Although only one parent is available, she has the support of
her extended family, which will assist her in adjusting to the crisis. Because this family has
had positive experiences in the past, family members can draw from those experiences and
feel confident about the setting. This family has an extensive support system that will assist
the parents in adjusting to the crisis.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 38 | Box 3.1 OBJ: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity

5. A nurse determines that a child consistently displays predictable behavior and is regular in

performing daily habits. Which temperament is the child displaying?
a. Easy
b. Slow-to-warm-up
c. Difficult
d. Shy

ANS: A
Children with an easy temperament are even tempered, predictable, and regular in their habits.
They react positively to new stimuli. The slow-to-warm-up temperament type prefers to be
inactive and moody. A high activity level and adapting slowly to new stimuli are
characteristics of a difficult temperament. Shyness is a personality type and not a
characteristic of temperament.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 43 OBJ: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity

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