Question 1 of 12
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Which benefits of being part of a community would be considered internal assets?
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- Providing a social group for children to interact with each other in a positive environmentCommunities provide both internal and external assets to children. Internal assets include social competencies. Children need to learn social competencies in order to make positive choices.
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- Providing a college night for high school seniors to review available educational opportunitiesCommunities provide both internal and external assets to children. Internal assets include a commitment to learning. Children need to develop a commitment to education.
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- Ensuring that the children participating in a community project feel valued, safe, and secureCommunities provide both internal and external assets to children. External assets include empowerment. Children need to feel valued, safe, and secure.
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- Providing group talks related to positive choices children should makeCommunities provide both internal and external assets to children. Internal assets include positive values. Children need a sense of values to direct their choices.
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- Providing opportunities for children to grow through enriching programsCommunities provide both internal and external assets to children. External assets include constructive use of time. Children need opportunities to grow through enriching opportunities.
Question 2 of 12
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Which actions should a teacher make to improve cognitive ability and academic progress, model and shape positive behaviors, and enforce standards of conduct?
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- Correct a child for not listening in classInfluencers work together with a child’s parents to improve cognitive ability, academic progress, model and shape positive behaviors, and enforce standards of conduct. Correcting a child for not listening in class is enforcing standards of conduct.
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- Take a child home after schoolIt is not the responsibility of a teacher to take a child home after school.
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- Praise a group of children for working well as a teamInfluencers work together with a child’s parents to improve cognitive ability, academic progress, model and shape positive behaviors, and enforce standards of conduct. Praising a group of children for working well as a team is a form of shaping positive behaviors.
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- Administer pop quizzes on a regular basisInfluencers work together with a child’s parents to improve cognitive ability, academic progress, model and shape positive behaviors, and enforce standards of conduct. Administering pop quizzes on a regular basis is an example of improving cognitive ability in children.
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- Schedule regular parent-teacher conferencesInfluencers work together with a child’s parents to improve cognitive ability, academic progress, model and shape positive behaviors, and enforce standards of conduct. Scheduling regular parent-teacher conferences is an example of the influencer and parents working together.
Question 3 of 12
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Which outcomes should be expected when children become part of a peer group?
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- Children have the opportunity to experience other children’s values.When children become part of a peer group, they have the opportunity to experience other children’s values within their peer group.
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- Children have the opportunity to be accepted no matter what.Peer groups have their own sets of values that each child must conform to in order to be accepted by the group.
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- Children must conform to the peer group in order to be accepted.Peer groups have their own sets of values that each child must conform to in order to be accepted by the group.
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- Children learn how to deal with complex social interactions when they join a peer group.Children use these peer groups to learn how to deal with complex social interactions such as dominance, hostility, and how to deal with authority figures.
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- Peer groups provide socialization to its members based on a standard set by the group.The type of socialization provided by the peer groups is based on the members’ backgrounds, interests, and capabilities; however, peer group socialization is not based on set standards.
Question 4 of 12
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Which negative consequences in children have been associated with the influence of media and technology?
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- Increase in violent behaviorData has shown that exposure to media violence can be a factor in violent and aggressive behavior.
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- Irresponsible beliefs and attitudes about sexExposure to sexual images and attitudes in the media has led to irresponsible attitudes and behaviors by children, related to sexual conduct.
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- Decline in literacy skillsImproved, not declining, literacy skills are associated with technology and media use by children.
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- Increase in childhood obesityStudies have shown a link between the amount of screen time allotted for children and the prevalence of obesity.
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- Unrealistic expectations regarding body imageMedia can play a role in body image awareness, expectations, and body dissatisfaction.
Question 5 of 12
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What guidance should the nurse provide to the parents of a 5-year-old child regarding the use of technology?
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- A 5-year-old should have unlimited time using technology.For children 2 to 5 years old, screen time should be limited to 1 hour per day of high-quality programming.
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- A 5-year-old should be limited to 1 hour of technology use per day.For children 2 to 5 years old, screen time should be limited to 1 hour per day of high-quality programming.
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- The parents should only allow the 5-year-old to use the tablet before bedtime.Use of technology can affect sleep quality and therefore parents should restrict use at least 30 minutes before bedtime.
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- A 5-year-old should be limited to only using technology for communication.For children aged younger than 18 months, screen-based media should be avoided except for video chatting. For children 2 to 5 years old, screen time should be limited to 1 hour per day of high-quality programming.
Question 6 of 12
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Which questions should the nurse ask parents regarding their child’s use of technology?
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- “How much screen time is your child allotted on a daily basis?”Asking a parent about time allotments for their child’s technology use is an appropriate question; Academic Pediatric Association has recommendations for the amount of time a child of a particular age spends using technology on a daily basis.
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- “Do you allow your child to use technology before bedtime?”Asking a parent about their child’s use of technology before bedtime is an appropriate question; use of technology can affect sleep quality and therefore parents should restrict use at least 30 minutes before bedtime.
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- “Which type of tablet do you allow your child to use?”It is important for parents to monitor their child’s use of technology, but the type of tablet is not a concern.
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- “Do you monitor what your child is doing with technology?”It is important for parents to monitor their child’s use of technology. Parents should also foster good online behavior.
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- “How much physical activity does your child take part in?”Asking a parent about the amount of their child’s physical activity is an appropriate question. The obvious effect of media on children is the lack of physical activity that its use creates. This lack of physical activity can lead to obesity.
Question 7 of 12
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A child, whose family has just recently immigrated to the United States, is scheduled for surgery; however, the child’s parents are reluctant to sign the consent. Which action should the nurse consider in this situation?
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- Encourage the family to sign the consent.Continuing to push the family towards something that they may not understand puts the nurse-patient therapeutic relationship at risk.
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- Contact the primary health care provider to cancel the surgery.While this may be necessary at some point, it is not the next step.
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- Provide ongoing assessment of the family.Further assessing the family in order to determine what the issues are takes into account their concerns and shows cultural competence on the part of the nurse.
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- Continue to prepare the child for surgery.Ignoring the family and continuing to prepare the child for the surgery will neither solve the problem of getting the consent signed, nor show empathy for the concerns of the family.
Question 8 of 12
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Which term represents a group of people who share biological, physical characteristics and hereditary traits?
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- RaceRace is used to describe people that have the same outward, physical appearance.
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- NationalityNationality is an ethnic group forming a part of one or more political nations.
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- EthnicityEthnicity describes a group of people that share characteristics that are different from society which defines their cultural behavior.
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- CultureCulture is the customs, arts, social institutions, and achievements of a particular nation, people, or other social group.
Question 9 of 12
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Which questions would the nurse ask members of a family who just arrived from another country?
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- Has anyone in the family been in contact with someone who was ill in the past 30 days?It is important to determine if the patient or family members have been exposed to any potentially communicable diseases before leaving their country of origin.
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- Is anyone in the family experiencing persistent cough or had a recent unexplained weight loss?Persistent cough and unexplained weight loss can be signs of tuberculosis, which is common in some countries outside of the United States.
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- Is your family here in the United States legally?While undocumented immigrant families are at a higher risk of health issues due to their limited access to health care, it is not the nurse’s job to ask these types of questions.
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- Which country did you immigrate from?Asking the family which country they immigrated from may help with risk assessment and/or diagnosis based on knowledge of endemic diseases in other countries.
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- What type of insurance do you have?While this may be an important conversation for the hospital, the type of insurance should not affect the nurse’s care of the patient.
Question 10 of 12
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Which statement helps the nurse identify that a family is spiritual, but not necessarily affiliated with a particular religion?
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- We practice going to confession every week.A specific set of beliefs enacted through a practice is the definition of religion.
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- We share an awareness of our love for one another.Spirituality is described as a unique awareness, belief, practice, or experience that started in childhood.
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- We believe that the spirits move among us.Spirituality is awareness, belief, practice or experience. Spirituality is not associated with seeing spirits.
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- We attend church services once every week.Attending a church service weekly is a practice associated with formalized religion. Spirituality is not a formal practice, but rather an awareness or belief.
Question 11 of 12
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Which question(s) should the nurse ask when using the BELIEF mnemonic while assessing the family of a sick child?
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- Is it ok if I ask you some questions regarding any religious or spiritual beliefs?The nurse should seek permission to discuss spirituality with the patient and family.
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- Do you have any rituals or practices that you follow related to having a sick child?The “L” in BELIEF stands for lifestyle. The nurse should ask questions regarding religious beliefs and rituals.
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- Does your family associate with a formal religious belief system?The “B” in BELIEF stands for belief system. Nurses should ask questions related to the family’s association with a formal religious belief system.
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- Would you like me to contact anybody from your faith to help support you during your child’s hospital stay?The “I” in BELIEF stands for involvement. Nurses should ask questions related to resources that the family may need during the child’s hospitalization.
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- Do you believe in a higher power?Using the BELIEF Model, the nurse should not ask specific religious belief questions such as if the family believes in a higher power.
Question 12 of 12
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While performing an admission assessment on a toddler, the nurse notes a religious amulet around the child’s neck. Which action should the nurse consider?
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- Asking the parents about the significance of the necklaceAsking about the significance of the necklace in a nonthreatening manner is the first step in conveying respect for the child and family’s religion/culture.
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- Removing the necklace from the child’s neckWhile the necklace may need to be removed during the hospitalization, it is important to understand the significance of the necklace; talk with the parents about the necklace prior to removal.
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- Asking the parents why they have the necklace on the childAsking the parents “why” can be seen as a judgmental or even threatening question. The nurse has a better chance of gaining trust and respect by using nonthreatening language.
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- Asking the child about the significance of the necklaceAsking the child about the significance of the necklace in a nonthreatening manner is the first step, but the nurse must also consider the developmental level of the child. A toddler may not understand the significance of the necklace. The nurse would be better off asking the parents about the significance.
