,
,Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x
Con tinuum
1 x1
MULTIPLE CHOICE x 1
1. A nurse is working with a patient who is newly married and pregnant and says she
x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x1 x1
is distressed because she and her husband seem to be so different, and they
x1 x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
argue over x 1
petty issues. What action by the nurse using group theory would be best?
x 1 x 1 x 1 x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
A. Ask the patient if she can remember why she and her husband fell in love.
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
B. Caution her that this level of disagreement will cause stress to the unborn ba
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
by.
C. Offer the patient a referral to a community counseling center
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
for co uples‘ therapy. x1 x1 x 1
D. Reassure her that this is normal and help her brainstorm w x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
ays to work cooperatively. x 1 x1 x 1
ANS: D x 1
Feedback
A. Asking about their early relationship does not give the patient information
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x
1that will help the present situation.
x1 x 1 x 1 x 1 x 1
B. Warning the patient about the negative effects of stress on her unborn b
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 *x 1 x 1 x 1
aby so unds judgmental and threatening.
x 1 x1 x 1 x 1 x 1
C. A referral for counseling might be needed at a future date.
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
D. According to group theory, groups evolve through the distinct stages of
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x
1form ing, storming, norming, performing, and adjourning. Storming often
x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x
1occurs w hen a group that has recently formed notices differences in m
x 1 x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
embers, leading to chaos or confusion. This couple is in this stage. At
x 1 x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
this point, the nurse‘s best action is to reassure the patient and help h
x 1 x 1 x 1 *x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
er brainstorm ways of worki ng together cooperatively, which might incl
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
ude forming rules or procedures t hat both parties
x 1 x 1 x 1 x 1 x 1 x1 x 1 x 1
agree to follow. x 1 x 1
2. A student observes as an adult brother and sister lash out at the nurse caring for their
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
hospitalized parent. The parent lives at home but is dependent on the children
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x
for care and is obviously neglected. The nurse has informed the children that social wor
1 x 1 x 1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
k will be involved in their parent‘s case. How does the nurse explain this interacti
1 x1 x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
on?
A. ―Don‘t worry; they will calm down eventually.‖ x1 x1 x1 x1 x1 x1
B. ―Families often get emotional in these situations.‖ x1 x1 x1 x1 x1 x1
C. ―They are focusing attention on me, not the problem.‖ x1 x1 x 1 x 1 x 1 x 1 x 1 x1
D. ―This family is obviously highly dysfunctional.‖ x1 x1 x1 x1 x1
ANS: C x 1
Feedback
A. Reassuring the student that they will calm down is neither helpful nor
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
accurat e as the family members may choose to continue to lash out.
x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
B. Families often do get emotional, but again, this information is not helpf
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
ul.
, C. This behavior is known as triangulation and occurs when a dyad diverts
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
attenti on away from their problems and chooses instead to focus on a th
x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
ird party, in this case
x 1 x 1 x1 x 1
the nurse.
x 1
D. This family is dysfunctional, but that does not go far enough to explain
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
the situation.
x1
,Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x
Con tinuum
1 x1
MULTIPLE CHOICE x 1
1. A nurse is working with a patient who is newly married and pregnant and says she
x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x1 x1
is distressed because she and her husband seem to be so different, and they
x1 x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
argue over x 1
petty issues. What action by the nurse using group theory would be best?
x 1 x 1 x 1 x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
A. Ask the patient if she can remember why she and her husband fell in love.
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
B. Caution her that this level of disagreement will cause stress to the unborn ba
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
by.
C. Offer the patient a referral to a community counseling center
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
for co uples‘ therapy. x1 x1 x 1
D. Reassure her that this is normal and help her brainstorm w x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
ays to work cooperatively. x 1 x1 x 1
ANS: D x 1
Feedback
A. Asking about their early relationship does not give the patient information
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x
1that will help the present situation.
x1 x 1 x 1 x 1 x 1
B. Warning the patient about the negative effects of stress on her unborn b
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 *x 1 x 1 x 1
aby so unds judgmental and threatening.
x 1 x1 x 1 x 1 x 1
C. A referral for counseling might be needed at a future date.
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
D. According to group theory, groups evolve through the distinct stages of
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x
1form ing, storming, norming, performing, and adjourning. Storming often
x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x
1occurs w hen a group that has recently formed notices differences in m
x 1 x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
embers, leading to chaos or confusion. This couple is in this stage. At
x 1 x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
this point, the nurse‘s best action is to reassure the patient and help h
x 1 x 1 x 1 *x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
er brainstorm ways of worki ng together cooperatively, which might incl
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
ude forming rules or procedures t hat both parties
x 1 x 1 x 1 x 1 x 1 x1 x 1 x 1
agree to follow. x 1 x 1
2. A student observes as an adult brother and sister lash out at the nurse caring for their
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
hospitalized parent. The parent lives at home but is dependent on the children
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x
for care and is obviously neglected. The nurse has informed the children that social wor
1 x 1 x 1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
k will be involved in their parent‘s case. How does the nurse explain this interacti
1 x1 x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
on?
A. ―Don‘t worry; they will calm down eventually.‖ x1 x1 x1 x1 x1 x1
B. ―Families often get emotional in these situations.‖ x1 x1 x1 x1 x1 x1
C. ―They are focusing attention on me, not the problem.‖ x1 x1 x 1 x 1 x 1 x 1 x 1 x1
D. ―This family is obviously highly dysfunctional.‖ x1 x1 x1 x1 x1
ANS: C x 1
Feedback
A. Reassuring the student that they will calm down is neither helpful nor
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
accurat e as the family members may choose to continue to lash out.
x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
B. Families often do get emotional, but again, this information is not helpf
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
ul.
, C. This behavior is known as triangulation and occurs when a dyad diverts
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
attenti on away from their problems and chooses instead to focus on a th
x1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
ird party, in this case
x 1 x 1 x1 x 1
the nurse.
x 1
D. This family is dysfunctional, but that does not go far enough to explain
x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x 1
the situation.
x1
