Pediatric and Family Nursing
Midterm Exam
Course Introduction
Pediatric and Family Nursing is designed to provide students with comprehensive knowledge and skills in caring for children and their families across the health-illness continuum. The course emphasizes a family-centered approach, addressing the unique physiological, psychological, and developmental needs of infants, children, and adolescents within the context of the family unit. Students will explore principles of growth and development, health promotion, disease prevention, and nursing interventions for common pediatric conditions. Additionally, the course covers the impact of family dynamics, culture, and environment on child health, aiming to prepare students for effective communication, advocacy, and collaboration with families in both acute and community healthcare settings.
Recommended Textbook
Family Health Care Nursing Theory Practice and Research 6th Edition by Kaakinen
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17 Chapters
200 Verified Questions
200 Flashcards
Source URL: https://quizplus.com/study-set/244
Page 2
Chapter 1: Family Health Care Nursing: An Introduction
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/3833
Sample Questions
Q1) During a home visit the nurse teaches the client and family about actions to reduce the spread of infection between the family members. Which role is the nurse implementing?
A) Counselor
B) Care deliverer
C) Health teacher
D) Family advocate
Answer: C
Q2) The adult daughter of an older client is expected to be at the client's bedside yet personal family responsibilities are not being completed. Which family interactional process is the daughter experiencing?
A) Role strain
B) Role conflict
C) Role ambiguity
D) Role expectations
Answer: B
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Chapter 2: Theoretical Foundations for the Nursing of Families
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/3834
Sample Questions
Q1) The nurse reviews a theory for applicability to a family health situation. On which part of the theory should the nurse focus in order to understand the expected relationship between the theory's concepts?
A) System
B) Hypothesis
C) Propositions
D) Conceptual model
Answer: B
Q2) The nurse uses the bioecological system theory to assess a family. On which system should the nurse focus to determine the impact of the mother's change in employment?
A) Mesosystem
B) Exosystem
C) Microsystem
D) Macrosystem
Answer: B
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Chapter 3: Family Demography: Continuity and Change in
North American Families
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3835
Sample Questions
Q1) Immigration rates increased after the Immigration and Naturalization Act was amended in 1965. Which observation demonstrates the greatest impact of this act to the practicing nurse?
A) There will be fewer clients from outside of the United States.
B) Chinese interpreters will be needed most often.
C) A large number of clients will be considered undocumented immigrants.
D) Refugees will have access to health care through resettlement programs.
Answer: D
Q2) When considering nursing care of families today, how will changing demographics affect the nurse's approach to care?
A) Adult children will provide primary care for aging parents.
B) Fathers are not involved with the health care of their children.
C) More fathers are awarded the custody of children after a divorce.
D) More children live in nontraditional families, which negatively affects their well-being
Answer: D
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5
Chapter
Health
Available Study Resources on Quizplus for this Chatper 11 Verified Questions 11 Flashcards
Source URL: https://quizplus.com/quiz/3836
Sample Questions
Q1) The nurse notes that a large number of clients in the community health clinic have type 2 diabetes mellitus. What should the nurse consider as reasons for the number of people with this chronic illness? Selectall that apply.
A) Lower income
B) Unhealthy diet
C) Lack of exercise
D) Use of public transportation
E) Inability to pay for medications
Q2) The nurse learns that a client with a chronic health problem has not been taking medication as prescribed. Which social issue should the nurse consider as a potential reason for this client's nonadherence to treatment?
A) Racism
B) Isolation
C) Health literacy
D) Social exclusion
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6
Chapter 5: Family Nursing Assessment and Intervention
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/3837
Sample Questions
Q1) The nurse refers to the Family Reasoning Web when caring for a family. What is the purpose of this tool?
A) Diagrams family members across three generations
B) Diagrams relationship within and external to the immediate family
C) Provides comprehensive data about family structure, development, and function
D) Organizes data into family categories
Q2) The nurse plans to use a family genogram during a family assessment. What assessment information does this tool provide?
A) Tension between family members
B) Multigenerational patterns and health conditions
C) Communication patterns among family members
D) Relationships between family members and the community
Q3) The nurse begins to assess a family. What best describes the family story?
A) The analysis of outcomes
B) The gathering of data from a variety of sources to see the whole picture of the family experience
C) The process of establishing intervention plans
D) The clustering of data into meaningful groups, identifying pertinent relationships between variables
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Page 7
Chapter 6: Family Health Promotion
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3838
Sample Questions
Q1) Which factor(s) should the nurse identify as influencing the promotion of a family's health? Select all that apply.
A) Being a role model
B) Teaching self-care behavior
C) Supporting family member during illness
D) Focusing primarily on younger family members
E) Providing care for members across the life course
Q2) The nurse reviews assessment data before creating a family plan of care. Which definition of family health promotion should the nurse keep in mind when selecting interventions for this family?
A) Having resources to pay for medical bills
B) Living in a location where health resources are readily available
C) Planning for retirement and achieving a quality and dignified death
D) Improving or maintaining the physical, social, emotional, and spiritual well-being of the family
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8
Chapter 7: Nursing Care of LGBTQ Families
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/3839
Sample Questions
Q1) The nurse prepares to assess an adolescent's sexual history. On which questions should the nurse focus when completing this assessment? Select all that apply.
A) Priority
B) Partners
C) Practices
D) Protection
E) Pregnancy prevention
Q2) A school nurse working at a middle school recognizes that several students identify as LGBTQ. Which of the following should the school nurse keep in mind when assessing these students?
A) Later onset of puberty
B) Greater popularity among student peers
C) Earlier sexual activity
D) Greater risk of teen pregnancy
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Chapter 8: Genomics and Family Nursing Across the Life
Span
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/3840
Sample Questions
Q1) The nurse learns that a disease is present in more than one generation of a family. What does this suggest to the nurse?
A) A genetic disease is present.
B) The family may have either a biologically or environmentally based genetic disease or a combination of both.
C) The family should be assessed for environmental risk factors.
D) The family does not have a genetic disease.
Q2) After giving birth to a newborn with a genetic disorder, the new mother asks when identification of genetic disorders can occur. How should the nurse respond? Select all that apply.
A) After birth
B) Before conception
C) Before receiving medication
D) During an acute or chronic illness
E) After experiencing a medication reaction
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Chapter 9: Families Living With Chronic Illness
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3841
Sample Questions
Q1) The nurse notes that a family with a child newly diagnosed with a chronic illness has no experience with the disease. Therefore, required routines and family life are disorganized. Which need is this family experiencing?
A) Reeducation
B) Redefinition
C) Remediation
D) Realignment
Q2) According to Knafl and colleagues' theory of normalization, families including a child with a chronic illness must perform which action to adopt a "normalcy lens"?
A) Actively deny aspects of the illness that are unpleasant or burdensome
B) Focus attention equally on "normal" siblings and the child with the chronic illness
C) Recognize the ongoing processes of actively adapting to the child's evolving physical, emotional, and social needs and establishing new family routines
D) Advocate for the child to ensure that he or she is mainstreamed because it provides the best hope for the child's development
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Chapter 10: Families in Palliative and End-of-Life Care
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3842
Sample Questions
Q1) The nurse suspects that a client receiving palliative care is nearing end-of-life. What did the nurse assess to make this clinical determination? Select all that apply.
A) Sleeping more often
B) Refusing to eat
C) Inability to swallow
D) Asking to talk with a pastor
E) Talking with a deceased spouse
Q2) The staff development trainer is preparing an educational program for nurses who provide palliative care. Which suggestion should the trainer make to encourage a trusting relationship between the nurse and family? Select all that apply.
A) Maintain a nonjudgmental approach when providing care
B) Listen to the family's experience with illness and suffering
C) Acknowledge the strengths of the individual family members
D) Encourage the family to take a break and permit the nurse to provide care
E) Demonstrate compassion by showing an understanding of the family's suffering
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Chapter 11: Trauma and Family Nursing
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3843
Sample Questions
Q1) A client with PTSD arrives for a follow-up clinic appointment. Which intervention should the nurse confirm that the client is continuing to follow? Select all that apply.
A) Drinks 2 to 3 liters of fluid per day
B) Measures blood pressure every week
C) Adheres to an 1800 calorie/day eating plan
D) Attends cognitive-behavioral therapy sessions
E) Takes selective serotonin reuptake inhibitor (SSRI) as prescribed
Q2) The nurse suspects that an adult client experienced domestic violence as a child. Which observations caused the nurse to come to this conclusion? Select all that apply.
A) Several arrests for armed robbery
B) Meets with friends once a week to play poker
C) Red-flagged for suicide precautions when incarcerated
D) Repeatedly admitted to a rehabilitation facility for heroin use
E) Worked for a company for 2 years and then sought new employment
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Chapter 12: Family Nursing With Childbearing Families
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/3844
Sample Questions
Q1) The nurse plans care for a postpartum client arriving for a wellness visit. What should the nurse tell the client about postpartum depression?
A) Most mothers recognize the symptoms.
B) Most mothers are reluctant to ask for professional help.
C) Most fathers and mothers become depressed after the birth of a child.
D) Most health care providers confuse postpartum depression with anxiety.
Q2) The female partner of a family is upset because the spouse will not talk about the inability to conceive. Which response should the nurse make to this client?
A) "Talking about the problem can increase your spouse's anxiety about it."
B) "Men deny the amount of emotional distress they experience."
C) "Most men do not share their feelings."
D) "Men only want to talk to other men and won't do that unless they know someone else has the same problem."
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14
Chapter 13: Family Child Health Nursing
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3845
Sample Questions
Q1) The nurse prepares an educational seminar about families for a community health fair. What should the nurse explain as the overall major function or task of parents? Select all that apply.
A) To help children learn to read
B) To provide food, shelter, and clothing
C) To socialize children into schools and the community
D) To encourage children to leave the home after college
E) To assist children in developing spiritual beliefs to guide daily tasks
Q2) The nurse learns that the parents of a family are rarely at home and are not involved in the children's activities or interests. Which type of parenting style is represented by this family?
A) Permissive
B) Uninvolved
C) Authoritative
D) Authoritarian
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Chapter 14: Family Nursing in Acute Care Adult Settings
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/3846
Sample Questions
Q1) A client is recently admitted to a medical-surgical care area. Which action should the nurse take to help reduce the family's stress? Select all that apply.
A) Clarify information
B) Facilitate family conference
C) Provide time for the family to visit
D) Recognize the uniqueness of the family
E) Identify one person to provide information
Q2) The nurse cares for a client with a life-threatening illness. Which need should the nurse address with this client's family? Select all that apply.
A) Providing visiting hours
B) Giving reassurance
C) Offering realistic hope
D) Conveying honest answers
E) Assessing the level of anxiety
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16
Chapter 15: Family Health in Mid- and Later Life
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3847
Sample Questions
Q1) What age group should the nurse identify as the fastest growing group of older adults in the United States?
A) 55 to 65 years
B) 65 to 75 years
C) 75 to 85 years
D) Older than 85 years
Q2) The nurse learns that a grandparent will be the guardian of a grandchild. Which relationship is the strongest predictor of the grandparent-grandchild relationship?
A) Father and child
B) Mother and father
C) Father and grandparent
D) Mother and grandparent
Q3) The nurse notes that a large number of older clients are living longer. What could be the reason for this?
A) Decreased birth rates
B) Increased family care of older adults by family members
C) Improved social and community support systems
D) Overhospitalization and prescription drug use
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Chapter 16: Family Mental Health Nursing
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3848
Sample Questions
Q1) Which approach describes a growing trend in the care of individuals with a mental health condition?
A) Use of family members as caregivers
B) Implementation of wraparound services in all communities
C) Practice of multigenerational assessments in all settings
D) Decreased use of psychotropic medications in the treatment
Q2) The nurse provides care to a client with dementia. How should the nurse communicate with this client when assisting with mealtime?
A) "Let me help you, honey."
B) "How can I help you, Mrs. Smith?"
C) "Oh my! You made a messy!"
D) "Let me feed you so you don't dirty your clothes."
Q3) A client is diagnosed with depression. For which comorbid condition should the nurse assess this client?
A) Social phobia
B) Panic disorder
C) Bulimia nervosa
D) Post-traumatic stress disorder
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Chapter 17: Families and Community and Public Health Nursing
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3849
Sample Questions
Q1) The public health nurse reviews the latest reports on the health issues for a particular community. Which areas should the nurse provide the most attention? Select all that apply.
A) Elder abuse
B) Homelessness
C) Environmental toxins
D) Chronic pain management
E) Opioid addiction and overdose
Q2) The nurse prepares to assess a community in order to identify population health needs. Which approach should the nurse use during this assessment? Select all that apply.
A) Identify populations at risk
B) Meet key community leaders
C) Observe the target population
D) Evaluate the living environment
E) Collect data on the target population
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