Exam (elaborations)
Chapter 3 The Childbearing and Child-Rearing Family
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Chapter 3 The Childbearing and Child-Rearing Family
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Chapter 3: The Childbearing and Child-Rearing FamilyTest Bank
MULTIPLE CHOICE
1. The formula used to guide time-out as a disciplinary method is
a. 1 minute per each year of the child’s age
b. To relate the length of the time-out to the severity of the behavior
c. Never to use time-out for a child younger than 4 years
d. To follow the time-out with a treat
ANS: A
Feedback
A It is important to structure time-out in a time frame that allows the child to
understand why he or she has been removed from the environment.
B Relating time to a behavior is subjective and is inappropriate when the child is
very young.
C Time-out can be used with the toddler.
D Negative behavior should not be reinforced with a positive action.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 50
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. The nurse observes that when an 8-year-old boy enters the playroom, he often causes
disruption by taking toys from other children. The nurse’s best approach for this behavior is to
a. Ban the child from the playroom.
b. Explain to the children in the playroom that he is very ill and should be allowed to
have the toys.
c. Approach the child in his room and ask, “Would you like it if the other children
took your toys from you?”
d. Approach the child in his room and state, “I am concerned that you are taking the
other children’s toys. It upsets them and me.”
ANS: D
Feedback
A Banning the child from the playroom will not solve the problem. The problem is
his behavior, not the place where he exhibits it.
B Illness is not a reason for a child to be undisciplined. When the child recovers,
the parents will have to deal with a child who is undisciplined and unruly.
C Children should not be made to feel guilty and to have their self-esteem attacked.
D By the nurse’s using “I” rather than the “you” message, the child can focus on
the behavior. The child and the nurse can begin to explore why the behavior
occurs.
PTS: 1 DIF: Cognitive Level: Application REF: p. 50
, OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
3. Families who deal effectively with stress exhibit which behavior pattern?
a. Focus on family problems
b. Feel weakened by stress
c. Expect that some stress is normal
d. Feel guilty when stress exists
ANS: C
Feedback
A Healthy families focus on family strengths rather than on the problems and know
that stress is temporary and may be positive.
B If families are dealing effectively with stress, then weakening of the family unit
should not occur.
C Healthy families recognize that some stress is normal in all families.
D Because some stress is normal in all families, feeling guilty is not reasonable.
Guilt only immobilizes the family and does not lead to resolution of the stress.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 42
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
4. Which family will most likely have the most difficulty coping with an ill child?
a. A single-parent mother who has the support of her parents and siblings
b. Parents who have just moved to the area and are living in an apartment while they
look for a house
c. The family of a child who has had multiple hospitalizations related to asthma and
has adequate relationships with the nursing staff
d. A family in which there is a young child and four older married children who live
in the area
ANS: B
Feedback
A Although only one parent is available, she has the support of her extended
family, which will assist her in adjusting to the crisis.
B Parents in a new environment will have increased stress related to their lack of a
support system. They have no previous experiences in the setting from which to
draw confidence.
C Because this family has had positive experiences in the past, family members
can draw from those experiences and feel confident about the setting.
D This family has an extensive support system that will assist the parents in
adjusting to the crisis.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 42 | Box 3-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. A nurse determines that a child consistently displays predictable behavior and is regular in
performing daily habits. Which temperament is the child displaying?
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