Chapter 2 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 2  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCSA
A seven-year-old client tells you, “Grandpa, Mommy, Daddy, and my brother live at my house.” The nurse identifies this family type as a(n):
1. Extended family.
2. Traditional nuclear family.
3. Binuclear family.
4. Heterosexual cohabitating family.
Correct Answer: 1
Rationale 1: An extended family contains a parent or a couple who share the house with their children and another adult relative.
Rationale 2: The traditional nuclear family consists of both biological parents, the children, and no other relatives or persons living in the household.
Rationale 3: A binuclear family includes divorced parents who have joint custody of their biological children; the children alternate spending varying amounts of time in the home of each parent.
Rationale 4: A heterosexual cohabitating family consists of a heterosexual couple, with or without children, living together outside of marriage.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2-2

Question 2
Type: MCSA
During assessment of a child’s biological family history, it is especially important that the nurse asking the mother for information uses the term “child’s father” instead of “your husband” in the situation of a:
1. Traditional nuclear family.
2. Two-income nuclear family.
3. Traditional extended family.
4. Heterosexual cohabitating family.
Correct Answer: 4
Rationale 1: In the traditional nuclear family, the child’s father is the same person as the mother’s husband.
Rationale 2: The two-income nuclear family consists of children living with both biological parents where both parents are employed. The child’s father is the same person as the mother’s husband.
Rationale 3: In the traditional extended family, the child’s father is the same person as the mother’s husband. In this family group, there will be other adult relatives living as a member of the family.
Rationale 4: The couple in a heterosexual cohabitating family is not married, so no husband exists; the nurse should be asking about the child’s father.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2-2

Question 3
Type: MCSA
The community health nurse is assessing several families for various strengths and needs in regard to afterschool and backup child care arrangements. The family type that typically will benefit most from this assessment and subsequent interventions is the:
1. Traditional nuclear family.
2. Extended family.
3. Binuclear family.
4. Single-parent family.
Correct Answer: 4
Rationale 1: The traditional nuclear family has two adults who can share in the care and nurturing of its children.
Rationale 2: The extended family generally has two or more adults who can share in the care and nurturing of its children.
Rationale 3: The binuclear family generally has at least two adults who can share in the care and nurturing of its children.
Rationale 4: The single-parent family most typically lacks social, emotional, and financial resources. Nursing considerations for such families should include referrals to options that will enable the parent to fulfill work commitments while providing the child with access to resources that can support the child’s growth and development.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 2-2

Question 4
Type: MCSA
The community health nurse is making an initial visit to a family. The most effective and efficient way for the nurse to assess the parenting style in use is to:
1. Ask the parents, “What rule is hardest for your child to obey?”
2. Ask the children what happens when they break the rules.
3. Ask the parents, “How often do you hug or kiss your children?”
4. Observe the parent interacting with the child for five minutes.
Correct Answer: 2
Rationale 1: Learning about rules is less helpful than is an explanation of enforcement efforts and success.
Rationale 2: Parental styles are assessed while the family explains how it handles situations that require limit setting.
Rationale 3: Learning about how the parents express affection will not provide adequate information about parenting styles.
Rationale 4: While under short term observation, parental behavior may not be accurate. A less complete picture of parenting style is obtained during a brief artificial observation.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2-3

 

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