Test bank for wongs nursing care of infants and children 12th edition by marilyn j. hockenberry elizabeth a. duffy karen gibbs latest update 2023-2024

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Test bank for wong's nursing care of infants and children 12th edition by marilyn j. hockenberry elizabeth a. duffy karen gibbs latest update 2023-2024 Whenever possible, nurses should facilitate the integration of ethnic practices into health care provision. The ethnic background is part of the individual; it should be difficult to eliminate the influence of ethnic background. The ethnic practices need to be evaluated within the context of the health care setting to determine whether they are conflicting.

DIF: Cognitive Level: Applying TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial Integrity

1. How is the family systems theory best described?

a.	The family is viewed as the sum of individual members.
b.	A change in one family member cannot create a change in other members.
c.	Individual family members are readily identified as the source of a problem.
d.	When the family system is disrupted, change can occur at any point in the system.

ANS: D

Family systems theory describes an interactional model. Any change in one member will create change in others. Although the family is the sum of the individual members, family systems theory focuses on the number of dyad interactions that can occur. The interactions, not the individual members, are the problem.

DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

2. When discussing discipline with the mother of a 4-year-old child, which should the nurse include?

a.	Parental control should be consistent.
b.	Withdrawal of love and approval is effective at this age.
c.	Children as young as 4 years rarely need to be disciplined.
d.	One should expect rules to be followed rigidly and unquestioningly.

ANS: A

For effective discipline, parents must be consistent and must follow through with agreed-on actions. Withdrawal of love and approval is never appropriate or effective. The 4-year-old child will test limits and may misbehave. Children of this age do not respond to verbal reasoning. Realistic goals should be set for this age-group. Discipline is necessary to reinforce these goals. Discipline strategies should be appropriate to the child’s age and temperament and the severity of the misbehavior. Following rules rigidly and unquestioningly is beyond the developmental capabilities of a 4-year-old child.

DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Psychosocial Integrity

3. A parent of a school-age child tells the school nurse that the parents are going through a divorce. The child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as what?

a.	Indicative of maladjustment
b.	A common reaction to divorce
c.	Suggestive of a lack of adequate parenting
d.	An unusual response that indicates a need for referral

ANS: B

Parental divorce affects school-age children in many ways. In addition to difficulties in school, they often have profound sadness, depression, fear, insecurity, frequent crying, loss of appetite, and sleep disorders. The child’s responses are common reactions of school-age children to parental divorce.

DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Psychosocial Integrity

4. A mother brings 6-month-old Eric to the clinic for a well-baby checkup. She comments, “I want to go back to work, but I don’t want Eric to suffer because I’ll have less time with him.” Which is the nurse’s most appropriate answer?

a.	“I’m sure he’ll be fine if you get a good babysitter.”
b.	“You will need to stay home until Eric starts school.”
c.	“Let’s talk about the childcare options that will be best for Eric.”
d.	“You should go back to work so Eric will get used to being with others.”

ANS: C

Asking the mother about childcare options is an open-ended statement that will assist the mother in exploring her concerns about what is best for both her and Eric. The other three answers are directive; they do not address the effect that her working will have on Eric.

DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Psychosocial Integrity

5. A foster parent is talking to the nurse about the health care needs for the child who has been placed in the parent’s care. Which statement best describes the health care needs of foster children?

a.	Foster children always come from abusive households and are emotionally fragile.
b.	Foster children tend to have a higher-than-normal incidence of acute and chronic health problems.
c.	Foster children are usually born preterm and require technologically advanced health care.
d.	Foster children will not stay in the home for an extended period, so health care needs are not as important as emotional fulfillment.

ANS: B

Children who are placed in foster care have a higher incidence of acute and chronic health problems and may experience feelings of isolation and confusion; therefore, they should be monitored closely. Foster children do not always come from abusive households and may or may not be emotionally fragile; not all foster children are born preterm or require technically advanced health care; and foster children may stay in the home for extended periods, so their health care needs require attention.

DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

6. The nurse is planning to counsel family members as a group to assess the family’s group dynamics. Which theoretic family model is the nurse using as a framework?

a.	Feminist theory
b.	Family stress theory
c.	Family systems theory
d.	Developmental theory

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