Exam (elaborations)
NUR 232 PEDS exam 1
Exam study book Clinical Case Studies for the Family Nurse Practitioner of Leslie Neal-Boylan - ISBN: 9781118277850 (NUR 232 PEDS exam 1)
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NUR 232 PEDS exam 1Developmental theory - ANSWER addresses family changes over time
-nurse assesses how well new parents are accomplishing individual and family
developmental tasks
-families structure, roles, function
Family nursing interventions - ANSWER Nurse includes family in care plan
-family dynamics
-weaknesses/strengths
-thorough family assessment
Family roles - ANSWER each family has its own traditions and values
-determines experiences child will have and should have
role learning - ANSWER roles are learned through socialization
-children learn through interactions, play
discipline helps children - ANSWER -test their limits of control
-achieve in areas appropriate for mastery at their level
-channel undesirable feelings into constructive activity
-protect themselves from danger
-learn socially acceptable behavior
minimizing misbehavior - ANSWER SET EXPECTATIONS
-set realistic goals for acceptable/ unacceptable behavior
-structure opportunities for learning to lessen feelings of inadequacy
-praise children for desirable behavior with attention/verbal approval
-structure environment to prevent unnecessary difficulties
-set clear and reasonable rules
*teach desirable behavior through example
-review expected behavior
-phrase requests positively
-call attention to undesirable behavior as it happens
-give advance reminders (tv show ends in 20 mins)
-be attentive to situations
-offer sympathetic explanations
-keep promises
-avoid conflicts
-provide opportunities of control and power
pattern of undesirable. behavior - ANSWER children learn that if they are persistent
the behavior is permitted
Reasoning discipline - ANSWER explain why an act is wrong
-more for older children
-young children are unable to "see other side" or distinguish from others point of view
"This is the rule and this is how I expect you to behave"
,Scolding discipline - ANSWER Shame or criticism
"you are bad boy"
-children take this literally and affects their personality
Behavior modification theory - ANSWER behavior that is rewarded will be repeated;
behavior that is not rewarded will be extinguished
reward discipline - ANSWER Positive approach
-encourage children to behave in a certain way allows for decrease of misbehavior
"tokens or stars"
verbal approval must accompany
ignoring discipline - ANSWER behavior will eventually extinguish
-hard due to parents giving in
types of consequences - ANSWER Natural - occur without intervention "being late,
having to clean up dinner table"
Logical- directly related to rule "not being allowed to play until other toys are cleaned
up"
Unrelated- those imposed deliberately "no playing until homework is completed"
Time out discipline - ANSWER Period where the child calms down
-allow for child to become bored and agree to behave to return to family
"cooling off period"
-child must understand rules and expected behavior
-explain to child
RULE -1 min per year of age ex 5 year old gets 5 mins
Corporal (physical) punishment - ANSWER spanking
-teaches children violence is acceptable
can result in psychological/physiological injury
Family dynamics - ANSWER Interrelationships between and among family members
variables
-qualities of relationships
-roles of family members
-evolving complexity of family
Evolving complexity - ANSWER more family members= more complex interactions
-have assigned roles (may change overtime)
-healthy families adjust and adapt
advanced notice - ANSWER giving child a heads up before stopping/ doing
something
(warnings)
Special parenting roles - ANSWER divorce, kinship, foster, adoption
, DO NOT ASK - ANSWER Is child yours or adopted or what do you know about the
real parents , do they have the same father, how much did it cost to adopt child
influences on families/children - ANSWER -school (peers)
-community (what is accepted/unaccepted)
-culture/ethnicity/race
-socioeconomic status
-extended family
-relationships
influence a childs behavior
schools influence - ANSWER important site for health promotion
-positive health behaviors and promotional skills
-promotes academic outcomes
-peer relationships
-teachers act as models and shape behavior
-socialization (social roles)
-learn expectations of the society
peer culture influence - ANSWER impact socialization of children
-develop cultures of their own
-children must conform to be accepted as members
-influences subjects like taboos (drugs, sex)
community influence on children - ANSWER influence is synergistic
-low socioeconomic status increases risk of negative health outcomes
-financial stressors in parents can inhibit effective parenting
-low status can affect childs education
social media influence - ANSWER risk of obesity, disrupted sleep, delays in cognitive
social/language development, diminished parent-child interaction
-if educational may benefit child and booster cognitive skills (social)
-chance to learn/gather information
-maintain relationships
assess/educate frequency, content of social media use and how to maintain privacy
-influence violence through video games/ shows
-affect childs self esteem (body image)
race and ethnicity influence - ANSWER influence family structure, food preferences,
expressions of emotion
-may experience health disparities
poverty influence - ANSWER can negatively affect a childs health
-can cause acute/chronic stress
-low birth weight/infant mortality/delayed language development
parental education influence - ANSWER parent economic status directly affects
childs economic status
-Screening be done at each child wellness visit assess ability to meet basic needs
-identify risk factors
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