Chapter 3: Family Dynamics and Communicating with Children and Families

Chapter 3: Family Dynamics and Communicating with Children and Families

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Latrisha is a 15-year-old girl who is in the clinic for her school physical. Latrisha’s mother informs the nurse that the forms for her school physical must be filled out by the nurse or the doctor so that Latrisha can play on the volleyball team. When speaking with Latrisha and her mom, the nurse knows it is important to:
2. Be mindful of letting the patient answer questions.
3. Give attention to the doctor’s schedule and make sure the visit goes as quickly as possible.
4. Respond quickly to Latrisha’s questions so there are no long pauses in conversation.
5. Speak loudly so Latrisha and her mother can hear the conversation clearly.

 

ANS: 1

	Feedback
1.	Some answers may be sensitive to a teenager and take longer to receive a reply. Giving a patient time to answer is important so that they do not feel rushed.
2.	The schedule is important, but the patient needs should be met. The nurse may need to advocate for the patient in this situation.
3.	Quick responses increase anxiety.
4.	Speaking loudly can increase anxiety.

KEY: Content Area: Communication | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge | REF: Chapter 3 | Type: Multiple Choice

 

 

 

2. According to Title III of the Americans with Disabilities Act (ADA), health-care providers must supply:
3. Quality care for all patients.
4. Quality care for patients and families.
5. Auxiliary aids and services for communication with people who are deaf or hard of hearing.
6. Auxiliary aids and services for communication with people who are blind or have difficulty seeing.

 

ANS: 3

	Feedback
1.	The ADA’s Title III does not address the quality of care for patients.
2.	The ADA’s Title III does not address the quality of care for patients or families.
3.	The ADA’s Title III addresses the needs for hearing-impaired individuals.
4.	The ADA’s Title III does not address vision.

KEY: Content Area: Communication | Integrated Processes: Communication/Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge | REF: Chapter 3 | Type: Multiple Choice

 

 

 

3. A new mother is receiving information about the newborn hearing screens for her baby girl. The nurse knows that the mother understands the reason for the screening when she states:
4. “My daughter will need this screen, and then a follow-up in three months.”
5. “My daughter will need the screen done now. It should be repeated if we note she is not meeting developmental milestones.”
6. “It is my decision to participate in this hearing screen, so I am going to decline the screening because I do not know if my insurance will cover it.”
7. “I should have a hearing screen done again when she enters school.”

 

ANS: 2

	Feedback
1.	Follow-up screens are done only if an abnormality is noted.
2.	It is important to assess all the ways the communication and comprehension of a child are not meeting developmental milestones.
3.	Hearing screens are done on all newborn infants.
4.	A hearing screen may be done when entering school, but that does not address this question.

KEY: Content Area: Communication | Integrated Processes: Teaching/Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis | REF: Chapter 3 | Type: Multiple Choice

 

 

 

4. When speaking with a family about the plan of care for the day, Leslie knows she should avoid using:
5. Medical jargon.
6. Time for questions.
7. Active listening skills.
8. All of the answers should be used for effective communication.
9. All the answers should not be used for effective communication.

ANS: 1

	Feedback
1.	Medical jargon can be confusing for families, thus explaining what terms mean will enable the family to better understand the needs of the child.
2.	Time for questions is important in promote understanding for the patient/family.
3.	Listening skills are needed for quality communication.
4.	One answer is correct.
5.	One answer is correct.

KEY: Content Area: Communication | Integrated Processes: Communication/Documentation | Client Need: Heath Promotion and Maintenance | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

5. When speaking with a family who is experiencing a medical emergency with their child, it is important for the nurse to:
6. Allow time for questions.
7. Avoid false hope.
8. Allow for a quiet environment.
9. Be empathetic and sincere.
10. All of the above are correct.
11. None of the above are correct.

 

ANS: 5

	Feedback
1.	This is a component of effective communication for the situation, along with other answers.
2.	This is a component of effective communication for the situation, along with other answers.
3.	This is a component of effective communication for the situation, along with other answers.
4.	This is a component of effective communication for the situation, along with other answers.
5.	All of the answers provide effective communication for the situation.
6.	One answer is correct.

KEY: Content Area: Communication | Integrated Processes: Communication/Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Knowledge | REF: Chapter 3 | Type: Multiple Choice

 

 

 

6. Trevon, a 4-year-old has been admitted to the emergency room via ambulance after a motor vehicle accident. Trevon is unconscious and is being given life-sustaining treatment. When the family arrives, the charge nurse takes Trevon’s parents to a family room. It is important that the nurse:
7. Provides clear information.
8. Does not provide promises.
9. Calls a member of the clergy and a social worker to be with the family.
10. All of the above should be addressed for Trevon’s family.
11. None of the above should be addressed for Trevon’s family.

 

ANS: 4

	Feedback
1.	Needed for effective care for the family, along with other answers
2.	Needed for effective care for the family, along with other answers
3.	Needed for effective care for the family, along with other answers
4.	All the answers provide effective communication for the situation.
5.	One answer is correct.

KEY: Content Area: Communication | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

7. Ellie was adopted at the age of two. Her adoptive family is known as her:
8. Family of choice.
9. Family of origin.
10. Nuclear family.
11. Nontraditional family.

 

ANS: 2

	Feedback
1.	This type of family occurs by marriage or co-habitation, not adoption.
2.	This type of family is correct because the adoptive parents are raising Ellie.
3.	This defines the members of the family.
4.	This defines the members of the family that are not part of a nuclear family.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | REF: Chapter 3 | Type: Multiple Choice

 

 

 

8. The nurse is reviewing Keirnan’s extended family tree to help the family identify genetic makeup due to Kiernan’s diagnosis of cystic fibrosis. The nurse knows that when looking at the extended family, it usually reviews:
9. One set of grandparents from the paternal and maternal side.
10. Three generations of family members from the paternal and maternal sides.
11. Nontraditional family patterns.
12. Nuclear family patterns.

 

ANS: 2

	Feedback
1.	Extended family goes beyond one generation.
2.	Extended family is viewed as reaching the third generation.
3.	Nontraditional family patterns review types of families, not the generations.
4.	Nuclear family patterns review the families, not the generations.

KEY: Content Area: Family | Integrated Processes: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | REF: Chapter 3 | Type: Multiple Choice