NURS 3444: Peds Exam 1
Family-centered care - correct answer Philosophy of care with mutually beneficial
partnership between the family and healthcare team
Each party respects what other brings to interactions
Collaboration brings optimal outcome
Parents' perspective can be critical to quality of care
Family-focused care - correct answer A paternalistic approach with a more narrow
perspective wherein the health-care team puts together a plan of care in what they deem to be the
patient's and family's best interest—care team is viewed as having the expertise and the patient/family
is minimally involved in the assessment and planning but then expected to follow through with
recommendations
If a family has a cultural background different than yours as a nurse, what is the correct action to take
based on a family-centered model to facilitate what the family would like? - correct answer
-Ask questions and learn preferences
-Incorporate cultural preferences into all care
-Determine how condition influences family functioning
-Identify family member responses
-Show respect and nonjudgmental attitude
-Understand family roles and organization, communication, time orientation, and cultural practices of
family
-Ensure family is center of care and decision making
If a pediatric patient is going into surgery, who is responsible for explaining the risks, benefits, and
alternatives to the surgery, and what is this called? - correct answer The physician
or provider, and this is called obtaining informed consent
,Emancipated minor - correct answer Economically self-supporting adolescents
under age 18 who are not subject to parental control and can legally give consent
-Married
-Pregnant
-Enlisted
-Incarcerated
Or minor parents of a child patient can legally give consent
Mature minors - correct answer Adolescents between the ages of 14 and 18 able to
understand treatment risks may give independent consent to receive or refuse treatment for limited
conditions by federal law, such as testing and treating sexually transmitted infections, contraceptive
services, substance abuse, and mental health care
Do not have authority to consent for general medical treatment in most states
Assent - correct answer Voluntary agreement to accept treatment or to participate
in a research study
Child must have a basic understanding of what will be done and what is required for participation and
must know that they can dissent as well
In order to provide family-centered care, a nurse must: - correct answer Always
check in with the family about decisions, their informed choices, and how this affects the child
Binuclear family - correct answer A post divorce family in which the biologic
children are members of two nuclear households, with coparenting by the mother and the father. The
children alternate between the two homes, spending varying amounts of time with each parent in a
situation called coparenting, usually involving joint custody.
,This type of family is a model for effective communication, in which both biological parents are involved
in the child's upbringing and provide additional support and role models in the form of extended family
members.
Nuclear family - correct answer Children live in a household with both biological
parents and no other relatives or persons
One or both parents may work (dual-earner families)
Child-free family - correct answer A family is child free by choice or due to infertility
issues
Extended family - correct answer A couple shares household and child-rearing
responsibilities with parents, siblings, or other relatives, such as grandparents
Grandparents may take care of children because of the inability of parents to care for their children
Extended kin network family - correct answer A specific form of an extended family
in which two nuclear families of primary or unmarried kin live in close proximity to each other, sharing a
social support network, chores, goods, and services
Single parent family - correct answer A family in which the head of the household is
widowed, divorced, abandoned, separated, or remains unmarried, and must assume child-rearing
responsibilities independently. This may be difficult for the individual, who may lack social and
emotional support, needs assistance with child-rearing responsibilities, and faces financial strain.
Single-mother-by-choice family - correct answer Family composed of an unmarried
woman who chooses to conceive or adopt without a life partner.
Women typically are older, college educated, and financially stable and have contemplated pregnancy
prior to conceiving.
, Blended or reconstituted nuclear family - correct answer Two parents with biologic
children from a previous marriage or relationship who marry or cohabit
Heterosexual cohabiting family - correct answer A heterosexual couple who may or
may not have children and who live together outside of marriage.
Includes never-married individuals, as well as divorced or widowed persons.
Gay and lesbian families - correct answer Two adults of the same gender live
together as domestic partners with or without children, and those in which a gay or lesbian parent rears
a child.
Children in these families may be from a previous heterosexual union, or be born to or adopted by one
or both members of the same-sex couple. A biologic child may be born to one of the partners through
artificial insemination or through a surrogate mother.
Parenting styles - correct answer Authoritarian, authoritative, permissive,
indifferent
Authoritarian parenting - correct answer HIGH CONTROL, LOW WARMTH
-Child may become fearful, withdrawn, unassertive
-Girls often PASSIVE AND DEPENDENT
-Boys often REBELLIOUS AND AGGRESSIVE
Authoritative parenting - correct answer Moderately high control, high warmth
-Child tends to be well adjusted, self-reliant, self-controlled, and socially competent
-Child's self-esteem and school performance generally good
Permissive parenting - correct answer Low control, high warmth
-Child may become rebellious, aggressive, socially inept, self-indulgent, or impulsive
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