Question 1 of 12
Report content error
Which task is indicative of a family in the fifth stage according to developmental theory?
-
- Adjusting within the marital system to meet the responsibilities of parenthoodStage II—Families with Infants
- Correct
- Balancing freedom with responsibilityStage V—Families with Teenagers
-
- Refocusing on the marriageStage VII—Middle-Aged Families
-
- Encouraging children’s educational achievementsStage IV—Families with Schoolchildren
Question 2 of 12
Report content error
According to Family Stress Theory, which characteristic can help a family manage stress?
- Correct
- ResilienceHow families react to stressful events can be explained using family stress theory. A family’s resilience helps them to deal with stress.
-
- StructureFamily structure includes all of the people who are considered part of the family. While all of these people may help the family deal with the stress, family structure is not part of the family stress theory.
-
- Functional tasksFamily function is the interactions of the family members with each other. While the interactions between family members may help the family deal with the stress, family function is not part of the family stress theory.
-
- Role assignmentRoles are the positions that each member plays within the family. While the roles of each member may help the family deal with the stress, role assignments are not part of the family stress theory.
Question 3 of 12
Report content error
Which concepts are included in family systems theory?
- Correct
- Differentiation of selfDr. Murray Bowen described the theory based on eight concepts: triangles, differentiation of self, nuclear family emotional process, family projection process, multigenerational transmission process, emotional cutoff, sibling position, and societal emotional process.
- Correct
- Family projection processDr. Murray Bowen described the theory based on eight concepts: triangles, differentiation of self, nuclear family emotional process, family projection process, multigenerational transmission process, emotional cutoff, sibling position, and societal emotional process.
- Correct
- Emotional cutoffDr. Murray Bowen described the theory based on eight concepts: triangles, differentiation of self, nuclear family emotional process, family projection process, multigenerational transmission process, emotional cutoff, sibling position, and societal emotional process.
- Correct
- Societal emotional processDr. Murray Bowen described the theory based on eight concepts: triangles, differentiation of self, nuclear family emotional process, family projection process, multigenerational transmission process, emotional cutoff, sibling position, and societal emotional process.
-
- The Joining of FamiliesThe Joining of Families is part of developmental theory.
-
- Family resilienceFamily resilience is part of family stress theory.
Question 4 of 12
Report content error
Which situations may lead to role change for a child in the family?
- Correct
- Adoption of a new baby by a family with a school-aged childWith the addition of another child, the child’s role will now change to the role of sibling.
- Correct
- A baby born to a teenager who is living at homeThe teenager’s role in the home changes and grows from being a daughter to being both a daughter and a mother.
-
- A 5-year-old starting schoolThe child starting school may develop based on the learning taking place in school, but the child’s family role does not change.
- Correct
- Being adopted into a new familyA child who was just adopted must now learn the new role of being a child with parents, a possible sibling, or a member of an extended family.
-
- A toddler who learns to walkA toddler learning how to walk is experiencing their family from a different viewpoint, but their role within the family has not changed.
Question 5 of 12
Report content error
In which way is family structure relevant to family function?
- Correct
- The structure of the family allows functions to be carried out.Family structure allows family functions to be carried out.
-
- It includes all of the people who are considered part of the family.Family structure includes all of the people who are considered part of the family. This definition does not indicate a relationship between family structure and function.
-
- It is made up of the interactions of the family members with each other.Family function is the interactions of the family members with each other. This definition does not indicate a relationship between family structure and function.
-
- Family structure impacts the ability of family to communicate with each other.Both effective and ineffective communication can occur in any family, regardless of family structure.
Question 6 of 12
Report content error
Which observations should cause the nurse to conclude that a patient’s family is a strong one?
- Correct
- The parents show appreciation for each other.When parents show appreciation for each other they are displaying components of a strong family.
- Correct
- Family members cheer each other on to promote individual success.Advocating for family members and being a support system for each other are aspects of a strong family unit.
- Correct
- The children describe multiple family outings.Stories of families doing things together for pleasure are indicative of a strong family.
- Correct
- Family members work to resolve conflict.Evidence of collaboration to solve problems is evidence of a strong family.
-
- Parents are unwilling to bend the rules at any time.Rigid parenting style is not indicative of a strong family unit.
-
- The family communicates solely through use of electronic devices.A lack of face-to-face, personal communication is not a characteristic of a strong family. Solely communicating through electronic devices is not indicative of a strong family.
Question 7 of 12
Report content error
Which parent action observed by the nurse should be documented as authoritative parenting?
-
- Parent tells the child to “do it because I say so!”Enforcing rules by stating “because I say so” is an example of authoritarian parenting, not authoritative parenting.
-
- The parent consults the child first about the rule.Consulting a child about the rules for behavior and action is an example of permissive parenting.
-
- The parent disciplines the child by withdrawing love.Withdrawal of love is an example of authoritarian parenting.
- Correct
- The parent reinforces the reasons for rules during the discipline.In authoritative parenting, the reasons that rules exist are discussed and reinforced at the time of discipline. Children of authoritative parents are assertive, inquisitive, content, and highly interactive with other children.
Question 8 of 12
Report content error
Which statement explains the difference between limit setting and discipline?
- Correct
- Limit setting refers to establishing rules and guidelines, while discipline is the enforcement of those rules and guidelines.Limit setting is the rules and guidelines put in place for behavior. Discipline is the action taken to enforce the rules or limits.
-
- Discipline refers to rules and guidelines, while limit setting is the enforcement of those rules and guidelines.Limit setting is the rules and guidelines put in place for behavior. Discipline is the action taken to enforce the rules or limits.
-
- Limit setting and discipline are the same thing.Limit setting is the rules and guidelines put in place for behavior. Discipline is the action taken to enforce the rules or limits.
-
- Both discipline and limit setting include reasoning.Reasoning is a type of discipline explaining why what the child did is wrong.
Question 9 of 12
Report content error
Which technique of discipline is the parent using if they take the child aside and explain the cause for the discipline and why what the child did is wrong?
- Correct
- ReasoningReasoning is when a parent explains why what the child did is wrong.
-
- Positive and negative reinforcementPositive reinforcement is used when a behavior that is rewarded will be repeated and negative reinforcement is used when a behavior that is not rewarded will be extinguished.
-
- Consistently ignoring behaviorBy consistently ignoring behavior the premise is that the behavior will eventually minimize or stop.
-
- Time-OutTime-Out is when the parent sends the child to their room as the consequence to a problem.
Question 10 of 12
Report content error
The nurse is caring for a 12-year-old child who mentions that her parents are going through a divorce. The child seems withdrawn and down. The nurse should be concerned about which condition?
- Correct
- DepressionDepression is a mood disorder that can be caused by the stress from a family going through divorce. Withdrawal and feeling down are common symptoms of depression.
-
- Missing the parentsWhile the child may be missing the parents, the current divorce is causing a larger problem.
-
- Lack of sleepThe child may have problems sleeping due to the divorce, but this should not lead to the child becoming withdrawn and down.
-
- Regression in behaviorRegression in behavior can be a symptom caused by divorce, but regression is not characterized by being withdrawn or down.
Question 11 of 12
Report content error
The nurse shows understanding of the difference between adoptive parents and biological parents with which statement?
- Correct
- “Adoptive parents often do not have the same resources and time for preparation as biological parents.”Since adoption may happen on short notice, adoptive parents often do not have the same resources or time for preparation as biological parents.
-
- “Adoptive parents love their children less than biological parents.”The amount of love shown by any parent, regardless of the origin of the child, is unrelated to whether the child was adopted or biological.
-
- “Biological parents have more anxiety over their children than do adoptive parents.”Anxiety levels regarding one’s children are unrelated to origin (i.e., adoptive vs. biological).
-
- “Adoptive parents have more anxiety over their children than do biological parents.”Anxiety levels regarding one’s children are unrelated to origin (i.e., adoptive vs. biological).
Question 12 of 12
Report content error
Which issues should the nurse address in the family where both parents are working outside of the home?
- Correct
- Child careThe pediatric nurse can help families find suitable child care by providing resources to the parents.
- Correct
- Stress related to time demandsThe pediatric nurse can help families find help with the stress related to time demands by providing resources to the parents.
- Correct
- Shifting rolesRoles often shift in order for families to learn new roles outside of the norm. The pediatric nurse can help families adjust to these new roles and provide resources to help.
- Correct
- Family timeThe pediatric nurse can help families spend more time together by suggesting different family social options and resources.
-
- Family financesThe family’s use of money is at their discretion and outside of the pediatric nurse’s scope of practice.