N545 Unit 7

Question 1

The family APGAR is a questionnaire that can be administered quickly to each family member over age 10.

Accepted Answer

True

Question 2

During introductions to the family in a family assessment, the nurse should...

Accepted Answer

ask for the name of each family member present, introduce self; and explain role

Question 3

biological parents are divorced/separated but parenting children in partnership

Accepted Answer

Binuclear family

Question 4

Not much interest in kids, no devoted time to kids/parenting, no set limits/controls, don't show approval or affection

Accepted Answer

Neglectful

Question 5

Duvall's 8 stage cycle is helpful when thinking in generalizations about families

Accepted Answer

True

Question 6

At what age is it appropriate to start using the numeric pain rating scale effectively in children?

Accepted Answer

7 years old

Question 7

How should a RN give a toddler a sense of control during an assessment?

Accepted Answer

Give the child options - "Should I look in the L or R ear first?"

Question 8

When communicating with parents and caregivers the nurse should...

Accepted Answer

provide encouragement, be aware of cultural influences, use empathy

Question 9

2 parents and offspring

Accepted Answer

Nucler family

Question 10

Which are associated with the numeric rating scale?

Accepted Answer

need to be able to count, typically used in children 7 or older, 0-10 scale

Question 11

What types of families have the highest poverty rates?

Accepted Answer

Single parent fathers, Single parent mothers

Question 12

What is considered the fifth vital sign?

Accepted Answer

pain

Question 13

When communicating with infants what should the nurse be aware of?

Accepted Answer

quality of touch, facial expressions, tone of voice

Question 14

During a home observation, the expectations are:

Accepted Answer

both the child and caregiver should be awake and present, encourage the family to act normally, the interview should be informal and low stress

Question 15

Which are goals of atraumatic care?

Accepted Answer

prevent or minimize bodily injury and pain, prevent or minimize separation from the family, promote sense of control

Question 16

Infants and toddlers verbalize their pain/discomfort by...

Accepted Answer

crying

Question 17

Both parents are employed

Accepted Answer

Two-career family

Question 18

Two nuclear families of primary or unmarried kin live in proximity

Accepted Answer

Extended-kin network

Question 19

Which are examples of PUBLIC resources?

Accepted Answer

public schools, departments of child welfare, local health departments, departments of social services

Question 20

What are independent nursing interventions the RN can utilize in a family assessment?

Accepted Answer

Identify resources available to the family, Provide patient and family education, Explore health beliefs by asking open-ended questions &being nonjudgmental

Question 21

A family _____ helps visualize how family unit interacts with community environment.

Accepted Answer

ecomap

Question 22

Which of the following are ways nurses can help families w/ coping?

Accepted Answer

Provide ways to communicate w/one another, Observe and enable strengths, Teach them coping skills, Give resources w/in the community

Question 23

A family ______ is a visual representations of gender showing lines of birth descent through generations.

Accepted Answer

genogram

Question 24

Nonpharmacologic treatments for infants

Accepted Answer

Swaddling/rocking, Pacifier, sucrose, Kangaroo care

Question 25

Nonpharmacologic treatments for toddlers focuses on what?

Accepted Answer

Distraction

Question 26

Which pain scale uses six cartoon faces that children can use to describe their pain?

Accepted Answer

Wong-Baker

Question 27

Firm but flexible limits, openness, established routines & expectations, give children explanations about discipline,

Accepted Answer

Authoritative

Question 28

Biophysical signs of pain

Accepted Answer

Increased HR & RR but low O2, Altered glucose metabolism & tissue ischemia, Guarded/impaired mobility, Diaphoresis

Question 29

When taking a physical assessment on toddlers & infants you should begin w/ least invasive procedures

Accepted Answer

False

Question 30

When observing how family members interact and respond to each other, what should NOT be important to the nurse?

Accepted Answer

how many times the family members blink

Question 31

Few controls/restraints on child's behavior, kids regulate their own behavior, kids control parents, inconsistent rules

Accepted Answer

Permissive

Question 32

How should a nurse talk to a school-aged child during an assessment?

Accepted Answer

Give explanation, rationales, & functional descriptions of what RN is doing

Question 33

Behavioral pain assessments are more reliable for recurrent chronic pain and for older children.

Accepted Answer

False

Question 34

During the interview for a family assessment, the nurse should...

Accepted Answer

provide language interpreter if needed, determine health literacy, inform when confidentiality is not ensured (e.g. suspected abuse)

Question 35

Multiple generation living under one roof

Accepted Answer

Intergenerational family

Question 36

In order for a child to become content, self-reliant, self-controlled, & open to learning the parent should...

Accepted Answer

Being warm and nurturing, Placing achievably high demands

Question 37

Nonpharmacologic care for pain in infants includes books, video games, and music.

Accepted Answer

False

Question 38

Parenting style w/ rigid rules,dictatorial, "my way or the highway", firm limits, family beliefs accepted w/out question

Accepted Answer

Authoritarian

Question 39

When doing a family APGAR, when should the nurse be concerned?

Accepted Answer

if most responses are "hardly ever", if responses vary a lot among family members

Question 40

Relatives of the nuclear family living in the same home

Accepted Answer

Extended family

Question 41

When communicating with children in early childhood, the nurse should not let the child touch the stethoscope.

Accepted Answer

False

Question 42

Kids whoa re abused or neglected are at a higher risk for which of the following?

Accepted Answer

Substance abuse, Mental illness, Lower school achievement, Delinquency

Question 43

Which of the following are correct regarding Maslow's Hierarchy of Needs

Accepted Answer

Physio needs->safety needs-> belongingness&love->esteem->self-actualization, People need to achieve one level before being able to move to the next

Question 44

Which of the following are parts of the family systems theory?

Accepted Answer

Each person is interconnected, The family is a source of strength, support, & is a constant in kids life, Each person is independent & inter-dependent on other members, Goal: maintain functioning, adapt to or respond successfully to change

Question 45

Family APGAR stands for:

Accepted Answer

Adaptability, partnership, growth, affection, resolve

Question 46

What are the goals of atraumatic care?

Accepted Answer

Promote a sense of control, Prevent/minimize bodily injury and pain, Prevent/minimize separation from the family

Question 47

Which are influencing factors of a pediatric pain assessment?

Accepted Answer

language, children may lie (from fear), ability to express pain, cause of the pain

Question 48

When communicating with school-aged children, which should the nurse NOT do?

Accepted Answer

interview separate from parent

Question 49

Nurses may be called on to assist families in finding financial resources or social supports.

Accepted Answer

True

Question 50

Unrelated individual or families live under one roof

Accepted Answer

Cohabitating family

N545 Unit 7

Questions 50

N545 Unit 7

Questions 50