Chapter 02: Family-Centered Nursing Care

Chapter 02: Family-Centered Nursing Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. What formula guides the use of “time-out” as a disciplinary method?

a.	Use the guideline of one minute per each year of the child’s age.
b.	Relate the length of the time-out to the severity of the behavior.
c.	Never use time-out for a child younger than age 4 years.
d.	Follow the time-out with a treat.

 

 

ANS:   A

 

	Feedback
A	In time-out, the child is told to sit on a chair for a predetermined time, usually 1 minute per year of age.
B	Relating time to a behavior is subjective and inappropriate when the child is very young.
C	Time-out can be used with a toddler.
D	Negative behavior should not be reinforced with a positive action.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 42

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance

 

2. What is the nurse’s best approach when an 8-year-old boy frequently causes a disruption in the playroom by taking toys from other children?

a.	Exclude 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 the child’s 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	The child should not be made to feel guilty and to have his self-esteem attacked.
D	The nurse can focus on the behavior most effectively by using “I” rather than “you” messages. A “you” message criticizes the child and uses guilt in an attempt to change behavior.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 42

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

3. Families who deal effectively with stress have which of the following behavior patterns?

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.
B	Healthy families know that stress is temporary and may be positive.
C	Healthy families recognize that some stress is normal in all families.
D	Because some stress is normal in all families, there is no reason to feel guilty. Guilt only immobilizes the family and does not lead to resolution of the stress.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pgs 32-33

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Psychosocial Integrity

 

4. Which of the following families will most likely have the greatest 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 in her adjustment to the crisis.
B	Parents who are in a new environment will have increased stress related to their lack of a support system.
C	Because this family has had positive experiences in the past, they can draw from those experiences and feel confident about the current setting.
D	This family has an extensive support system, which will assist the parents in adjusting to the crisis.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pgs 32-33

OBJ:    Nursing Process Step: Planning         MSC:   NCLEX: Psychosocial Integrity