Which option would the nurse discuss with a single parent of a 2 year old child who is concerned about caring for the child while managing a work schedule quizlet?
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Explain to the child that she grew inside another woman, but after the birth she was given to her adoptive mom and dad to raise. Show
At least by 4 years, children are old enough to fully understand the story of their adoption: they grew inside the body of another woman who, because she could not care for them after they were born, gave them to the adopting parents to raise and love. It is important for parents not to criticize a birth mother as part of the explanation because children need to know, for their own self-esteem, that their birth parents were good people and they were capable of being loved by them, but things just did not work out that way. At age 4, children do not understand HIV status, not being able to provide for the needs of an infant, or prison terms. 4. Considering it as a sign of respect from the mother to the nurse, the nurse continues with the tasks. In Vietnamese culture, avoiding eye contact and not asking questions are signs of respect. The nurse should consider the mother's behavior as a sign of respect and continue with the tasks. Maintaining eye contact is considered disrespectful and this can hinder the communication. The signs and symptoms of postpartum psychosis include extreme mood swings, hallucinations, and irritability. As these signs are absent in the mother, the nurse does not have to refer her to a psychiatrist. The signs and symptoms of postpartum depression include low mood, sadness, anxiety, and irritability, which are absent in the mother. Therefore, the nurse need not provide counseling for depression. Sets with similar termsWhat are the unique features of a primary social group as part of social and cultural roles? Select all that apply. 1, 2, 5 Primary and secondary are the two types of social groups. The primary group includes family and peer, and is characterized by intimate and face-to-face contacts. The features of primary social group are intimacy, mutual support, and constraint of individual members' behavior. Professional association and less concern for members' behavior are features of a secondary social group. STUDY TIP: Avoid planning other activities that will add stress to your life between now and the time you take the licensure examination. Enough will happen spontaneously; do not plan to add to it. A patient with two children is going through a divorce and does not understand what the term split custody means. What is the most appropriate answer? 3 Split custody means that custody of one child is given to the mother and custody of the other child is given to the father. This arrangement ensures that both parents have a child, but it separates the siblings. Custody of the children is not given to the grandparents, it is not determined by who has the larger salary, nor is it given solely to the father with visitation privileges given to the mother. A camp nurse is assessing a group of children attending summer camp. Based on the nurse's knowledge of special parenting situations, which group of children is at risk for a sense of belonging? 2 Children placed in foster care are at greater risk to have problems perceiving a sense of belonging. Children adopted at birth have fewer problems with acceptance when parents follow preadoption counseling about disclosure. Children of divorced parents often fear abandonment. Children who gain a stepparent are at risk for having trust problems with the new parent. The nurse should expect to possibly incorporate which religious and cultural practices into the plan of care when caring for a 35-year-old Jewish mother who just gave birth to a healthy baby boy? Select all that apply. 3, 5 Family, friends, and rabbi should be allowed to visit. Individuals of the Jewish faith generally are prohibited from eating pork or shellfish. Ritual circumcision of male infants is custom on the eighth day and performed by a mohel. Asking males to remove shawls or yarmulkes is inconsistent with acceptance of religious values.
Parents who are divorcing are worried about how the divorce will affect their child. Which symptom indicates unhealthy coping in the child? 3 The most common manifestation of distress in children is loss of appetite. The child is emotionally distressed by the parents' separation, and this stress can be manifested by a loss of appetite. Body aches, increased sleep, and rash over the body are physical symptoms that are very rarely seen in emotional distress. These symptoms may be caused by a viral infection. A parent tells a 13-year-old child that he is adopted. What could happen as a result of telling the child at this age? 3 The earlier the child knows of his adoption status, the better. Generally, older children display anger and sadness. This can often be manifested as depression. The child may feel abandoned, but a feeling of sympathy is rare. Similarly, happiness and excitement are not what a child feels after learning about being adopted. A couple who is going through a divorce asks the nurse how to disclose this news to their 4-year-old child. What would be the nurse's best response? 1 The parents should set aside time and explain the separation to their child. They should answer the child's questions and give the child time to absorb the information. The parents should not hide the information from the child because it can damage trust between the parents and the child. It is healthier when the child finds this out from parents rather than somebody else, whether it is the grandparents or a psychiatrist. A single working parent says that caring for a child and managing work is becoming difficult. The nurse determines that the patient is exhausted by these responsibilities. Which is the most
appropriate service that would benefit the patient? 4 Respite child care is a service available to help parents to relieve exhaustion and avoid burnout. Therefore, the patient should seek respite child care services. Hospitals are for patients who need medical attention. It would not be appropriate to change jobs because the stress of working would still be there. Adoption services are inappropriate in this situation. A 14-year-old boy learns about his adoption from his relatives and wants to know his identity. He appears angry, embarrassed, and anxious. What should the nurse advise his parents to help resolve the conflict? 4 Adoptive parents should inform the boy about the availability of a birth certificate. Open and honest communication between the boy and the parents is essential for the welfare of the adopted child. Legally, adoptive parents are not permitted to obtain the birth certificate. Parents should understand the need of the child to search for his identity and extend encouragement and support. Test-Taking Tip: Identify option components as correct or incorrect. This may help you identify a wrong answer Children are taught the values of their culture through observation and feedback on their own behavior. A nurse teaching a class on cultural awareness-competence should be aware of which factor(s) that may be culturally determined? Select all that apply. 1, 3, 4 Social roles are influenced by culture. Cultures that value individual resourcefulness/competition of status is acceptable. Determination of status is culturally determined and varies according to each culture. Racial variation refers to transmissible traits. Culture is composed of beliefs, values, practices, and social relationships that are learned. Cultural development may be limited by geography. The geographic boundaries are not culturally determined. The nurse is caring for a traditional Chinese patient. The patient avoids direct eye contact with the nurse. What should the nurse conclude from this behavior? 2 Many traditional Chinese people avoid direct eye contact as a sign of respect. It may be normal for this patient. The nurse cannot conclude that the patient has major depression or low self-esteem just from this behavior. Other assessment data are needed. There is also no evidence that this patient needs a psychiatric referral because he or she does not make eye contact. Test-Taking Tip: Pace yourself during the testing period and work as accurately as possible. Do not be pressured into finishing early. Do not rush! Students who achieve higher scores on examinations are typically those who use their time judiciously. On assessing a large family, the nurse finds one of the adolescents is less peer-oriented, lacks autonomous inner controls, and does not tend to participate democratically in family interactions or depend on parents for advice. Which behavior of
the adolescent will the nurse think to be uncharacteristic of an adolescent belonging to a large family? 1 Peer orientation is typically seen in adolescents from large families. Democratic participation, developed autonomous inner controls, and depending on parents for advice are not normal behavioral patterns seen in adolescents from large families. What instructions should the nurse give to parents who have adopted a child? Select all that apply. 1, 3, 5 Discussing adoption with the adopted child requires utmost care. The parents should always be honest with their children. This strengthens the relationship between the parents and the adopted child. Revealing information early leads to less chance of misunderstanding and better continuance of relationship. Adoption information causes concern and anxiety in children but should not be avoided. Information about the adoption has to be revealed before any third party reveals it. Adoption information should not be withheld; the child has the right to know about the parents. The nurse is caring for a 7-year-old child. The child wears an amulet because the family believes that it will protect the child from the evil eye. For a diagnostic procedure, the nurse has to take this amulet off. What should the nurse do? 3 The nurse should try to avoid hurting the family's feelings. If the amulet is an obstacle to medical care, the nurse should explain that to the family and obtain their permission to remove the amulet for the procedure. The nurse should replace it as soon as the procedure is over. Continuing the procedure without taking off the amulet may interfere with the procedure or hurt the child. The nurse should not cancel the procedure because it is essential for the child's care. The nurse should not ask the family to remove the amulet permanently because it does not impede all medical care; affects only this procedure. The nurse is caring for a Mexican patient with severe febrile seizures. As a part of the care, the nurse removes the child's clothing and provides a bath while maintaining privacy. The nurse also takes off an amulet and necklace worn by the child. Later in the day, the child's parents refuse to speak to the nurse. What is the likely cause for their behavior? 3 Many religions believe in supernatural causes and cures of diseases. Many Mexican people wear amulets and necklaces, which they believe ward off evil and protect a person from evil eye and diseases. The nurse took off the amulet and necklace without speaking to the parents or asking their permission. This is the most likely cause of the parents' displeasure. The parents brought the child to the hospital, which suggests they have no objection to modern medicine or nursing care. A family presents to the emergency room with a child with enuresis. They tell the nurse that they have tried their traditional cure of burning to alleviate the problem. What can
the nurse expect as a physical sign of this practice? 3 Many communities follow the practice of burning. As the name suggests, small burns are made on the child's body in an attempt to cure disorders such as enuresis and temper tantrums. The nurse is most likely to find blisters on the child's body. Reddened blotches, rashes, and welt-like lesions may be signs of an allergic reaction. How should the nurse obtain cultural knowledge? 2 Cultural competence has five components. Cultural knowledge is formal and informal education about various cultures and cultural practices. It does not involve interacting with people from different cultures -- this is a cultural encounter. It also does not involve cultural appreciation by the nurse; this is cultural awareness. It does not consist of knowledge of nursing interventions. A female patient tells the nurse, "I am well educated and
would like to start working full-time like my husband." How should the nurse respond? Select all that apply. 1, 4, 5 Work overload is a common source of stress in a dual-earner family as both partners need to share the household chores. Social activities are significantly curtailed as most time is devoted in meeting the responsibilities of the household. Time demands and scheduling are major problems for all individuals who work. Dual income provides more economic stability rather than making them happy. It is usually an indirect stress to the child. What are the ways the
nurse may help a family meet its needs based on family strength and functioning styles? Select all that apply. 1, 2, 5 Providing individualized support, strengthening the family resources, and building on qualities that makes the family work better are the ways a nurse may help the family to meet its demands. Efforts should be made to share work in groups rather than delineating work. Families actually cope and respond to stressful events, which has to be identified and appreciated. The nurse is assessing a 14-year-old child who has recently discovered he or she is adopted. What may be a sign that the child is not
handling this information well? 2 Teenagers do not always verbalize their feelings, so one sign may be a decline in school grades. The child's temper and social behaviors may also be altered. Nausea and vomiting may be a sign of a viral infection. Increased thirst and polyuria are signs diabetes mellitus. Disturbances in elimination are common in infants after stress; however, they are uncommon in adolescence. Test-Taking Tip: The computerized NCLEX exam is an individualized testing experience in which the computer chooses your next question based on the ability and competency you have demonstrated on previous questions. The minimum number of questions will be 75 and the maximum 265. You must answer each question before the computer will present the next question, and you cannot go back to any previously answered questions. Remember that you do not have to answer all of the questions correctly to pass. The nurse is caring for a Buddhist patient. The nurse finds that the patient has not touched the food tray. The food tray holds chicken, bread, soup, and fruits. What is the most appropriate action by the nurse? 3 Many Buddhists are strictly vegetarian. This may explain why the patient does not touch the meal tray. The nurse should ask the patient what his or her dietary preferences are and provide what the patient wants. However, the nurse should not provide food choices that go against any dietary restrictions placed by the health care provider. It is inappropriate to start an IV line because IV fluids do not provide nutrition. The nurse should not force the patient to eat or ignore the patient. During the assessment of a 5-year-old child whose parents are from Southeast Asia, the nurse notices small burn injuries on the skin. The nurse learns that the child has a history of temper tantrums. Which is the immediate nursing action? 4 Communication is important to avoid wrong diagnosis and interpretations. The nurse should ask the parents about the burn injuries to understand their cultural and religious practices. If the child exhibits temper tantrums, some Southeast Asian cultural groups follow the practice of causing burn injuries on the skin for treatment. These burn injuries are not considered to be abusive by this cultural group even though the dominant culture and legal system may consider this to be child abuse. Therefore, there is no need to call the police or report child abuse. The nurse can inform the health care provider after discussing with the parents. Which statement describes a reconstituted family? 3 Reconstituted families are families made up of stepfathers or stepmothers with or without their respective children. Children staying with another family with legal guardianship are in foster care. Children staying with their grandparents are in kinship care. Families where both parents work are called dual-earner families. The nurse is caring for a dying boy whose religion is Islam (Muslim/Moslem). An important nursing consideration related to his impending death and religion is that: 2 Islam has specific rituals for bathing and wrapping the body in cloth before it is to be moved. The nurse should contact someone from the person's mosque to assist. Family may be present. No baptism is performed at this time. Test-Taking Tip: Attempt to select the answer that is most complete and includes the other answers within it. For example, a stem might read, "A child's intelligence is influenced by:" and three options might be genetic inheritance, environmental factors, and past experiences. The fourth option might be multiple factors, which is a more inclusive choice and therefore the correct answer. Before transporting a 16-year-old American Indian female for a magnetic resonance imaging (MRI) scan, the nurse notices the girl is wearing a decorated amulet necklace. The nurse's next best action is to: 3 The nurse should first ask the patient the purpose of wearing the necklace. The amulet may be worn as a religious ritual or simply as an accessory. After assessing why the necklace is worn, the nurse can explain the reason for having to remove the necklace for the procedure. The first step is to assess. Placing tape around the neck is not an appropriate action and could be unsafe. The necklace should be left with family members if possible or in a locked cabinet, rather than at the nurse's station. Test-Taking Tip: Many times the correct answer is the longest alternative given, but do not count on it. NCLEX item writers (those who write the questions) are also aware of this and attempt to avoid offering you such "helpful hints." After giving a bed bath and cleaning the feet of a 2-year-old boy, an intravenous line is inserted into a small area by shaving the scalp. His Jewish parents are upset with this procedure. What could be the most probable reason behind the parents' discontent? 3 In Jewish culture, first haircut is done for boys at age 3 years. This is called the "upsherenish ceremony." Therefore, the nurse should have gotten consent from the parents before shaving the scalp of the boy. Intravenous infusions and scalp vein insertion are allowed in the Jewish culture. Touching the head after touching the foot is considered disrespectful in the Vietnamese culture. The nurse is assessing a traditional Hindu woman. What should the nurse ask in order to learn about the patient's health traditions? 2 Many cultures have health practices and traditions different from those of the Western world. The nurse can ask questions about their health and illness beliefs. These include all the health practices, medicines, and food of the patient's culture. This can help the nurse and patient develop mutually acceptable goals. Asking a patient whether he or she had an advance directive is important but will not provide information about cultural health practices. How often the patient prays is not related to cultural health practices. The nurse should ask questions about when the symptoms developed, but this does not relate to cultural health practices. The community health nurse is performing an assessment of an adolescent. Which group does the nurse ask the adolescent about when assessing the primary social group? 1 There are two types of social groups, primary and secondary. The primary group consists of peers and family who have a direct contact with and influence on the person. Secondary groups are indirectly related to the person. The examples include social organizations such as the church group, and professional groups such as office colleagues and professional seniors. Test-Taking Tip: Read carefully and answer the question asked; pay attention to specific details in the question. The parents of a teenaged child tell the nurse they are worried that their child is hanging out with the wrong type of friends. What can the nurse advise the parents to do to help the adolescent make better choices? Select all that apply. 1, 3, 4 In order to be an effective parent, the family should convey four external assets to the child so that the child can learn to make the correct choices. The parents should provide support, care, and love at home and in the community. It is also important to establish clear and concise boundaries and expectations both at home and in the community. It is also important for parents to discuss good decision-making strategies with their children to empower them to make correct choices. The adolescent is not displaying any behaviors that warrant an inpatient psychiatric admission, nor does she need to be grounded. How should the nurse respond to a 53-year-old woman who appears anxious and distressed who wants to have children and approaches the
nurse for counseling? 1 A 53-year-old woman is likely to have attained menopause and may be able to have children only through adoption. Therefore, the nurse should refer the woman to a local adoption agency. Prenatal classes are recommended for women who are of childbearing age. Explaining the woman's inability to have children after menopause might not solve the problem. The woman likely will have attained menopause and would be unable to produce ovum, so surrogacy is not possible. Test-Taking Tip: Look for options that are similar in nature. If all are correct, either the question is poor or all options are incorrect; the latter of which is more likely. Example: If the answer you are seeking is directed to a specific treatment and all but one option deal with signs and symptoms, you would be correct in choosing the treatment-specific option. What behavior does the nurse suggest a parent will notice in her 2 year old child after the death of a family member?What behavior does the nurse suggest a parent will notice in her 2-year-old child after the death of a family member? The child exhibits changes in sleeping patterns. Identify factors associated with an increased incidence of abuse within a family. Select all that apply.
Which food is an appropriate recommendation when teaching the mother of a 2 month old infant?Iron-fortified cereals, pureed meats, and pureed fruits/vegetables are all appropriate foods to introduce. The first food introduced should be a single-ingredient food that is served in a small portion for 2 to 7 days (3).
Which parenting style would the nurse document in a family where the parents have little to no control over the children quizlet?When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is known as? Permissive.
Which counting method is recommended when assessing the heart rate of a year old?Taking a Child's Pulse
Gently place your fingers on one side of the windpipe: Gently press two fingers (don't use your thumb) on the spot until you feel a beat. When you feel the pulse, count the beats for 15 seconds. Multiply the number of beats you counted by 4 to get the beats per minute.
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