chapter 22 caring for the child with a psychosocial or cognitive condition nursing school test banks
chapter 22 caring for the child with a psychosocial or cognitive condition nursing school
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Chapter 22: Caring for the Child With a Psychosocial or Cognitive Condition Nursing School Test Banks
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Chapter 22: CarŤng for the Search …
ChŤld WŤth a PsychosocŤal
or CognŤtŤve CondŤtŤon
NursŤng School Test Banks
Chapter 22: Caring for the Child With a Psychosocial or
Cognitive Condition
MULTIPLE CHOICE
1. A nurse wishes to increase an at-risk childs resilience.
What action by the nurse would be most helpful?
A. Assist the child in recognizing internal resources.
B. Help the child see that others are worse off.
C. Instruct the child to toughen up.
D. Teach the child therapeutic communication skills.
ANS: A
Resilience is the ability to recognize and use internal or
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,external resources in dealing with adversity. Helping the
child see his or her internal resources is a positive step in
improving resiliency. Telling the child that others are worse
off than he or she is or that he or she should toughen up is
dismissive and not helpful. Teaching appropriate
communication is important, but children do not need
therapeutic communication skills.
2. A faculty member is explaining the impact of immigration
on mental health to a group of nursing students. What
information should the faculty member provide?
A. Immigrants have multiple sources for health care, so
their needs should be met.
B. Meeting basic human needs often outweighs the need
for mental health.
C. Refugees and immigrants do not often have mental
health problems.
D. Because immigrants do not speak English, mental health
assessment is difficult.
ANS: B
New immigrants to this country are often consumed with
learning English, getting jobs, and adapting to an entirely
different way of life in a new world. Often meeting these
basic human needs consumes family energy, leaving family
members no resources to identify and seek treatment for
psychosocial or cognitive disorders. Immigrants suffer
from disparities in health care, and often their health-care
needs are unmet. Immigrants and refugees do have mental
health problems, especially if they have come from war-
torn or violent societies. Not all immigrants are non-
English-speaking individuals.
3. When working with immigrant and refugee families, what
strategy by the nurse is likely to have the most positive
impact?
A. Avoid anticipatory guidance and focus on immediate
problems.
B. Praise the families often for what they are doing well.
C. Refer them to social services agencies that work with
immigrants.
D. Teach them the laws and customs regarding discipline in
the United States.
ANS: B
Nurses who work with immigrant/refugee families should
praise the families for what they are doing well and keep
resilience-promoting strategies in mind. Anticipatory
guidance can prepare families for handling future problems.
Referrals are always an important aspect of care when
appropriate, but the nurse needs to provide effective
strategies. Newcomers to this country do need to
understand laws surrounding discipline if they come from a
country in which typical disciplinary measures might be
seen as problematic in the United States.
4. The pediatric nurse is assessing a child who complains
of a stomach ache. This is the childs fourth visit to the
clinic for the same problem, and there has not been a
diagnosis yet. What action by the nurse is best?
A. Ask about childs functioning and development.
B. Instruct the mother not to keep the child home from
school.
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