Giddens Concepts 3e| MCH Mod 4-6 Exam 2 Rev: Giddens - Sexuality, Family Dynamics, Interpersonal Violence| Complete Adaptive Quizzing_ Latest Answered 2025/26.

Giddens Concepts 3e| MCH Mod 4-6 Exam 2 Rev: Giddens - Sexuality, Family Dynamics, Interpersonal Violence| Complete Adaptive Quizzing_ Latest Answered 2025/26. Exit Performance MCH Mod 4-6 Exam 2 Rev: Giddens - Sexuality, Family Dynamics, Interpersonal Violence (graded for accuracy) Due Jul 17, 2025 by 11:59 pm Final Score 94% 47 out of 50 questions answered correctly Completed on Jul 14, 2025 8:17 pm Incorrect (3)Report content error The parents of a 12-year-old child are informed that the child is in the terminal stages of osteosarcoma. The nurse explains to the parents about the care that must be provided for the child. Which characteristic of the parents indicates that they are in denial? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Rationale The initial diagnosis of a terminal illness in a child is met with shock or denial. Parents experience this reaction, and it can last for days, weeks, or months. If the parents ask questions about the child's treatment or prognosis, this indicates that they have accepted the diagnosis. Parents in denial may want the child to be admitted for more medical treatment. They may feel the terminal diagnosis is wrong and refuse to believe the test results. Insisting that nobody is telling them the truth is also an indicator of denial. People in denial may act pleased to receive a terminal diagnosis. p. 805 Refusing to believe the results of the tests Being pleased to receive the medical diagnosis Insisting that nobody is telling the truth Asking questions about treatment or prognosis Wanting to admit the child for more treatmentReport content error The nurse is caring for a 9-year-old child who is hospitalized for pneumonia. The child has three siblings at home. Which factor can add to the stress of siblings? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Rationale The ability of siblings to cope with stress can vary according to a variety of factors, including whether the hospitalized sibling is progressively ill, whether the siblings of the hospitalized patient are being cared for outside of their own home, whether the siblings have a close emotional relationship with the hospitalize child, and the ages and developmental levels of the siblings. p. 800 Fearing getting the illness Having a sibling who is progressively ill Being cared for outside their own home Having emotional closeness to the hospitalized patient Having a sibling or siblings who are younger than 10 years oldReport content error Which intervention would the nurse plan during a visit from a 17-year-old adolescent who informs the nurse that he or she is sexually active with multiple sexual partners? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Rationale Surveys indicate that more than 41% of teenagers have experienced sexual activity; therefore, the nurse would instruct the adolescent about pregnancy prevention and different methods of contraception. Because the patient reports being sexually active with multiple partners, the nurse would expect to screen for STIs and test for HIV. The nurse would also instruct the patient about the risk and prevention of STIs. p. 171 Educate about pregnancy prevention. Provide information regarding contraception. Test for human immunodeficiency virus (HIV). Screen for sexually transmitted infections (STIs). Educate on prevention of sexually transmitted STIs. Correct (47)Report content error A child has been diagnosed with a chronic and debilitating illness with a poor prognosis. The child has an older sibling who has begun acting out in school. In coordination with the parents, which nursing interventions would be appropriate for the sibling? Select all that apply. One, some, or all responses may be correct. Rationale Siblings of chronically ill children have their own needs, which sometimes are not met when care is focused on the ill child. Anger should be recognized as legitimate. It is important that the child be able to express negative emotions in coping with the new family dynamic. Teachers should be made aware of the situation so they can appropriately assist the child. Asking for the older child’s help and opinions can empower him or her and be therapeutic. Although the ill child’s needs may be more pressing, it is important not to ignore the sibling. Although the nurse may recommend a therapist, he or she would not insist on one. Test-Taking Tip: Make certain that the answer you select is reasonable and Legitimizing reasonable anger Insisting that the child see a therapist Inviting the child to offer solutions for problems Ensuring that the ill child’s care takes precedence Informing the child’s teachers about the situationobtainable under ordinary circumstances and that the action can be carried out in the given situation. p. 816, 820 Report content error A family who normally is resilient and functions well is extremely stressed by an exacerbation of their child's chronic condition. Which action would the nurse take immediately in caring for this family? Rationale In times of extreme stress, resilient families may slip into less-effective coping patterns. The association between parental stress and adverse sequelae for ill children is well-documented. The first step the nurse would take would be to offer the family encouragement and support; offering encouragement and support is often all that is needed to help the family resume behaviors that foster resiliency, despite the ongoing stressors. Explaining why the setback occurred would not help the family regain resiliency. A spiritual counselor may help the situation if the family requests it; however, there is no evidence that this is a spiritual crisis for the family. Going out for dinner would not help the family regain resiliency. Explaining why this setback occurred Offering encouragement and support Asking if the family would like to see a spiritual counselor Persuading the family to take a break and go out for dinnerp. 804 Report content error Which behavior among youth in the United States contributes to increased mortality, morbidity, and social problems? Select all that apply. One, some, or all responses may be correct. Rationale The Youth Risk Behavior Surveillance System conducts a national survey of students in grades 9 to 12 every 2 years in odd years. The Centers for Disease Control and Prevention (CDC) (2016) has identified the following health behaviors among youth in the United States that contribute to increased mortality, morbidity, and social problems: (1) behaviors that contribute to unintentional injuries and violence; (2) tobacco use; (3) alcohol and other drug use; (4) sexual behaviors related to unintended pregnancy and sexually transmitted infections (STIs), including HIV infection; (5) unhealthy dietary behaviors; and (6) physical inactivity. The CDC has not identified caffeine consumption as a health behavior among youth in the United States that contribute to increased mortality, morbidity, and social problems. Alcohol use Tobacco use Caffeine use Sexual activity Physical activityp. 10 Report content error The nurse is explaining the menstrual cycle to a group of adolescent females. Which structure would the nurse explain is responsible for the menstrual flow? Rationale The functional layer of the endometrium is shed during each menstrual period. The basal layer of the endometrium regenerates the functional layer after each menstrual period and after childbirth. The circular fibers of the myometrium prevent the reflex of menstrual blood and tissue into the fallopian tubes. The longitudinal fibers of the myometrium expel the fetus toward the pelvic outlet during childbirth. p. 193 Report content error Basal layer of the endometrium Circular fibers of the myometrium Functional layer of the endometrium Longitudinal fibers of the myometriumWhich reason would the nurse consider as a cause for a male adolescent’s voice to change pitch while talking? Rationale Hypertrophy of the laryngeal mucosa and enlargement of the larynx causes the male adolescent patient’s voice to deepen; however, before reaching the lower-pitched voice at maturity, many experience cracking or squeaking of the voice when speaking. The changing of the pitch would not indicate an undiagnosed ear infection, the presence of a laryngeal tumor, or inflammation of the tonsils and adenoids. p. 191 Report content error Which statement by the patient is an example of emotional abuse? Select all that apply. One, some, or all responses may be correct. Undiagnosed ear infection Presence of a laryngeal tumor Hypertrophy of the laryngeal mucosa Inflammation of the tonsils and adenoids "My partner does not allow me to work." "My husband does not want me using birth control." "My partner yells at me if I cannot keep the kids quiet."Rationale A partner who yells at the patient to keep the kids quiet and takes the car keys away from her when drinking is committing emotional abuse. A partner who restricts the patient’s use of birth control is committing physical abuse. Not allowing the patient to work and only providing funds to buy groceries are examples of economic abuse. Test-Taking Tip: Being emotionally prepared for an exam is key to your success. Proper use of resources over an extended period of time ensures your understanding and increases your confidence about your nursing knowledge. Your lifelong dream of becoming a nurse is now within your reach! You are excited, yet anxious. This feeling is normal. A little anxiety can be good because it increases awareness of reality; but excessive anxiety has the opposite effect, acting as a barrier and keeping you from reaching your goal. Your attitude about yourself and your goals will help keep you focused, adding to your strength and inner conviction to achieve success. p. 523 Report content error "My partner gives me an allowance only to buy groceries." "My partner takes my car keys away from me when he drinks."After reviewing the electronic health record, which initial question would the nurse ask the patient? Chart/Exhibit 1 Rationale The patient’s safety is the nurse’s priority. Asking the patient if she feels safe at home is an important assessment question and would provide the nurse with information necessary to determine additional resources the "Do you have a safety plan?" "Do you feel safe at home?" "How did you get those bruises?" "Are you still being experiencing abuse?"patient may need. The nurse would assess the patient for intimate partner violence before asking about a safety plan. The nurse would establish a therapeutic relationship by beginning with routine screening questions before asking the patient how she got the bruises on her arm. Many women are ashamed of the abuse; therefore it is important for the nurse to communicate in a way that will build a trusting relationship. Directly asking the patient if she is still being abused would be nontherapeutic communication; a question asked this way may inhibit the patient from disclosing the abuse. p. 526 Report content error A patient tells the nurse that having her neighbor care for her children is helping her cope with chemotherapy. Based on the patient's statement, which family coping strategy is being used? Select all that apply. One, some, or all responses may be correct. Rationale Social support Internal coping External coping Family group reliance Joint problem solvingSocial support strategies are external coping strategies in that they occur outside of the family unit. A neighbor is an example of social support, which reflects support derived from a person or people. Internal coping reflects strategies that engage immediate family members. Family group reliance refers to relying on the family versus external support. Joint problem solving is a type of cognitive strategy for coping with stress. p. 37 Report content error Which perpetrator behavior would the nurse include when discussing the honeymoon phase of the cycle of violence? Select all that apply. One, some, or all responses may be correct. Rationale Remorse and possibly insistence on intercourse occur during the honeymoon phase. During the tension-building phase, an abusive partner will exhibit hostile behavior, and there may be an increase in alcohol consumption. During a battering incident, there is an explosion of violence. Remorse Hostile behavior Explosion of violence Insistence on intercourse Increased consumption of alcoholp. 523 Report content errorWhich activity would the nurse undertake with a family to complete a genetic evaluation? Select all that apply. One, some, or all responses may be correct. Rationale Activities to obtain a thorough genetic history include completing a thorough prenatal and perinatal medical history, conducting a physical assessment of any family members with a birth defect (as needed), reviewing images of family members who are deceased or unavailable to assess for signs of birth defects, and constructing a genogram. The nurse would obtain a medical history of other family members from all firstdegree relatives, but not necessarily blood samples for genetic analysis. p. 183 Report content error Completing a thorough prenatal and perinatal medical history Obtaining blood samples for genetic analysis for all first-degree relatives if possible Conducting a physical assessment of any family members with a birth defect Reviewing images of family members, particularly those who are deceased or unavailable Constructing a genogram to identify relationships among family members and relevant medical historyWhich statement reflects the nurse’s understanding of violence against women who have a substance abuse problem? Rationale A patient is not responsible for her partner’s behavior. The partner who is out of control is making his or her own decision. Violence occurs in families from all socioeconomic backgrounds. The majority of serious assaults are male against female. p. 524 Report content error Which action would the nurse take to help prevent the physical abuse of a patient? Select all that apply. One, some, or all responses may be correct. Spouses can just become out of control. The patient is not responsible for the spouse’s behavior. Substance abusers of low socioeconomic backgrounds are primarily victims of abuse. Most interpersonal violence is a result of the couple abusing each other. Self-reflecting Empowering the patientRationale Self-reflection on personal beliefs would help the nurse determine whether the patient accepts the attitude that blames the victim. Empowering the patient makes it clear that the woman owns her own body and allows her to decide how she will be treated. Becoming familiar with patient resources enables the nurse to provide comprehensive information about the resources available to the patient. Because the patient’s partner may be able to determine recently used Internet sites, the nurse would instruct the patient to avoid accessing Internet resources for help. Conducting a physical examination in a manner that allows a patient to have control creates a safe environment for the patient. Test-Taking Tip: Be alert for details about what you are being asked to do. In this question type, you are asked to select all options that apply to a given situation or patient. All options likely relate to the situation, but only some of the options may relate directly to the situation. p. 525 Report content error Becoming familiar with patient resources Instructing the patient to avoid accessing Internet resources for help Conducting a physical examination in a manner that allows the patient controlWhich advice would the nurse provide to an expectant mother considering travel to an area with active Zika virus transmission? Rationale Because of the severe defects that can be caused by the Zika virus, the nurse would encourage the patient to avoid traveling to the area. There are no vaccines for Zika prevention. Antimalarials reduce the risk for mosquito-borne transmission of malaria. Although mosquito sprays and netting can reduce risk, it is best to avoid transmission of the virus to the fetus by avoiding travel to areas where Zika virus is a risk. p. 182 Report content error Which clinical assessment finding would the nurse expect for a patient suspected of being a victim of intimate partner violence (IPV)? Ask the health care provider about a possible vaccine before travel. Obtain a prescription for antimalarials to reduce risk. Avoid travel to the region until after the infant is delivered. Ensure the use of mosquito sprays and netting while there. Labile affect OvernutritionRationale Abdominal pain is a clinical finding associated with IPV. The pain may occur as a result of gastrointestinal irritation or physical violence. Patients who are victims of IPV may have a flat affect, not a labile affect. A flat affect is a means for individuals to cope by mentally withdrawing from a situation to protect themselves from the horror and humiliation they are experiencing. Anorexia rather than overnutrition may be a cue indicating that IPV is occurring. pp. 523-524 Report content error Which factor would the nurse include in an information session with parents concerning the difficulties in establishing the teratogenic potential of an agent? Select all that apply. One, some, or all responses may be correct. Chronic diarrhea Abdominal pain Timing of exposure Variations in placental transfer of agents Varying susceptibility of organ systems Varying susceptibility of fetuses to exposures Ability to control exposures to ensure a consistent doseRationale Agents may be harmful at one stage of prenatal development but not another. Agents vary in their ability to cross the placenta. Agents can affect one or more than one organ system, and they may affect organ systems at different stages of prenatal development. Fetuses may vary in their individual susceptibility to agents. Because the impact of agents is determined after the outcome, the dose is not controlled and generally not consistent across cases. p. 181 Report content error Which technique is an effective means of discipline for a 2- year-old child? Select all that apply. One, some, or all responses may be correct. Rationale A 2-year-old child can be given a time out. The rule of thumb is 1 minute for each year of age. Redirection is a simple technique that distracts the child with an alternative activity or object, and it is the most effective means of discipline for a 2-year-old child. Providing natural consequences Giving the child a time-out Reasoning Redirecting Allowing natural consequences to occur Using behavior modificationhelps children learn the direct result of their misbehavior and is an appropriate technique for toddlers through adolescents. Behavior modification is a method of discipline that rewards positive behavior and ignores negative behavior; this technique is appropriate for a 2-year-old child. Children at 2 years of age do not have the cognitive ability to reason. Test-Taking Tip: Be alert for details about what you are being asked to do. In this question type, you are asked to select all options that apply to a given situation or patient. All options likely relate to the situation, but only some of the options may relate directly to the situation. p. 43 Report content error A parent states to the nurse, "On school nights, I expect my children to be in bed by a certain time, even though they like to try and talk me out of it." Based on the statement, which child characteristic would the nurse associate with the style of parenting? Rationale A parent who states that he or she has rules such as a particular bedtime on school nights and permits discussion by allowing the children time to Honest Creative Assertive Dependablerespond when trying to talk the parent out of the normal routine has an authoritative parenting style. This style of parenting is often associated with children who are assertive, independent, inquisitive, and interactive. The quality of honesty is associated with an authoritarian parent who demonstrates affection. A positive quality for a child of a permissive parent is creativity. Dependability is associated with an authoritarian parent who demonstrates affection. p. 41 Report content error The nurse is providing education to parents of a child with cryptorchidism. Which statement by the parent indicates effective learning? Rationale The statement indicating understanding of cryptorchidism is, "When my child is an adolescent, I will teach him to perform regular self-testicular examinations." This statement indicates the parent is assuming responsibility to guide the child when he is an adolescent to perform "My child will not need to see a fertility specialist." "I will schedule surgery for my child once he reaches 1 year of age." "My child needs to have an orchiectomy before he is 6 months of age." "When my child is an adolescent, I will teach him to perform regular self-testicular examinations."regular self-examinations as risks for developing testicular cancer are higher. Parents may also guide their child to seek fertility testing when and if appropriate. Surgery for cryptorchidism before 12 months of age can reduce the risk for adverse consequences (altered fertility and malignancy). Initially, the infant with cryptorchidism is managed by observation because of spontaneous descent of the testes during the first 6 months of life. p. 1018 Report content error After noticing an increase in sexually transmitted infections (STIs) in the community among adolescents between 15 and 18 years of age, which information would the nurse include when educating a group of adolescents regarding these statistics? Select all that apply. One, some, or all responses may be correct. Rationale The incidence of STIs in adolescents has increased as a result of misbeliefs about their transmission. The nurse would encourage abstinence, as this is the only way STIs are not transmitted. Peer pressure is a large factor in Pregnancy Abstinence Peer pressure Oral sex and STIs Barrier contraceptionbeing sexually active, so the nurse would discuss the ramifications of being sexually irresponsible. This would include the information that oral sex can lead to STIs and information about the use of barrier contraception to prevent STI transmission. Although unintended pregnancy may also result from unprotected sex, it is not directly related to the increase in STIs among this population of students. p. 171 Report content error Which parental statement would prompt the nurse to assess for evidence of abuse in a pediatric patient with a developmental disability? Rationale Families of children with developmental delays often feel isolated from supportive services. Because of this, the parent may have a sense of helplessness and lack of control, which can lead to the potential for abusive behaviors. Positive statements by the parent would not indicate "I think my child is doing much better than the last time we had an appointment." "No one knows how frustrating it is to have to deal with my child’s health problems." "It makes me sad that my child may not have a normal life, but we do the best we can." "My child’s care is the most important thing to me despite people asking how I am coping."the risk for abuse. Feeling sad or stating the child’s care is the most important to the parent would not indicate a risk for abuse. p. 1348 Report content error The nurse is preparing to evaluate a 17-year-old patient who is pregnant. The nurse's initial focus would be on which characteristic? Rationale The adolescent who becomes pregnant is unlikely to obtain a high level of education, which is a risk factor for poverty and homelessness. Violence occurs in families in any socioeconomic situation or educational level. Homelessness may result from a low level of education; therefore, the nurse would initially be most concerned about the patient's ability to continue her education. Substance abuse can occur in any family structure or age, so all patients are screened for substance abuse. p. 36 Violence Education Homelessness Substance abuseReport content error Which information would the nurse include in a presentation to parents living in an inner-city area about signs of possible gang involvement? Select all that apply. One, some, or all responses may be correct. Rationale Signs of gang activity would include signs of drug and alcohol abuse, such as smelling like alcohol. Failing classes or skipping classes at school is another indication of gang activity. Possessing expensive items such as stereos, jewelry, or cars can be related to drug money. An adolescent who is involved in gangs would have a new group of friends and not hang out with longtime friends. Clothing may feature certain colors or a "street name," but are not necessarily name brand. Test-Taking Tip: Read the question carefully before looking at the answers: (1) Determine what the question is really asking, and look for key words; (2) read each answer thoroughly, and see if it completely covers the material the question asks; and (3) narrow the choices by immediately eliminating answers you know are incorrect. p. 162 Smelling like alcohol Failing classes at school Possessing expensive items Hanging with lifelong friends Wearing name brand clothesReport content error Which intervention would the nurse include when developing a program to prevent school violence? Select all that apply. One, some, or all responses may be correct. Rationale Any school antiviolence campaign would benefit from the presence of oncampus counselors available to talk with students about issues that are bothering them. Many origins of school violence begin with bullying; therefore, the nurse would initiate an antibullying campaign. The nurse would also develop a student reporting system so that students can contact a teacher, the nurse, or an administrator if they hear rumors about possible violence. Metal detectors at entrances to the school building would deter a student from bringing a weapon on school premises. The school would not suspend all students with criminal records, as these may include vehicular-related offenses, which have no relation to violence. Test-Taking Tip: Identify option components as correct or incorrect. This may help you identify a wrong answer. Providing on-campus counselors Initiating an antibullying campaign Developing a student reporting system Installing metal detectors at entrances Suspending students with a criminal recordP. 169 Report content errorWhich action would the nurse take for a single parent who is exhibiting signs of fatigue, anxiety, and stress while caring for a child with a chronic illness? Rationale Single parents of children with chronic illness are at greater risk for social isolation because social support may not be inherent in the family structure. Referring the parent to a support group would provide a source of social support for the parent and allow the parent to interact with other parents who are experiencing the same problems. Stress-reduction strategies would not improve social isolation. Getting at least 8 hours of sleep each night may not be possible with the child’s medical needs, and this would not help correct the social isolation of the parent. Although a physical examination for the parent might be helpful, this is not the priority intervention. p. 804 Report content error Exploring stress-reduction strategies with the parent Instructing the parent to get at least 8 hours of sleep each night Referring the parent to a support group for single parents with chronically ill children Making an appointment for the parent to see a healthcare provider for a physical examinationThe nurse is explaining the events that occur during the secretory phase of the endometrial cycle to a group of patients attending a prenatal class. Which hormone causes the endometrium to secrete substances that nourish a fertilized ovum in the uterus? Rationale Progesterone from the corpus luteum causes the endometrium to secrete substances that nourish a fertilized ovum during the secretory phase of the endometrial cycle. Estrogen, luteinizing hormone, and follicle-stimulating hormone do not secrete substances to nourish a fertilized ovum. p. 197 Report content error The nurse is teaching a group of adolescents about the female reproductive cycle. Which event would the nurse identify as the first day of the cycle? Estrogen Progesterone Luteinizing hormone Follicle-stimulating hormone Day of ovulation Last day of the menstrual periodRationale The first day of the menstrual period is counted as the first day of the cycle. Ovulation marks the beginning of the luteal phase. The last day of the menstrual cycle has no particular significance. The cervical mucus becomes thin just before ovulation and is not considered the first day of the cycle. p. 195 Report content error The parents concerned about their 15-year-old's change in behavior report that the child stays in the bedroom all the time and has no friends, and the parents have found drugs in the house. Which question would be most important to ask the patient? Rationale First day of the menstrual period Day when the cervical mucus becomes thin "Have you ever thought of hurting yourself?" "How are your grades and classes at school?" "What activities do you do in your spare time?" "Do you ever feel like you cannot handle stress?"The adolescent is exhibiting signs of depression and self-isolation. Safety is most important. Therefore, the nurse would ask the patient if there is any intent to self-harm. Once the nurse has determined the patient to be safe, the nurse can ask other questions about grades, activities, and stress management. pp. 163-164 Report content error The parent of a young child states, "I expect my child to do what I ask of him or her because I am the parent, and I make the rules. I do not have time to coddle a disobedient child." Which child behavior would the nurse associate with this parenting style? Rationale A parental statement expressing an expectation of obedience and the perception that a child who does not follow the rules is considered disobedient reflects an authoritative parenting style, for which affection may likely be withheld. This type of parenting can result in the child exhibiting antisocial behavior. Defiant, aggressive, and disrespectful behaviors are associated with a permissive parenting style in which role reversal has occurred. Defiant Antisocial Aggressive DisrespectfulTest-Taking Tip: The most reliable way to ensure that you select the correct response to a multiple-choice question is to recall it. Depend on your learning and memory to furnish the answer to the question. To do this, read the stem, and then stop! Do not look at the response options yet. Try to recall what you know and, based on this, what you would give as the answer. After you have taken a few seconds to do this, then look at all of the choices and select the one that most nearly matches the answer you recalled. It is important that you consider all the choices and not just choose the first option that seems to fit the answer you recall. Remember the distractors. The second choice may look okay, but the fourth choice may be worded in a way that makes it a slightly better choice. If you do not weigh all the choices, you are not maximizing your chances of correctly answering each question. p. 41 Report content error Which information found in the electronic health record regarding family history of a patient pregnant with her first child would increase the risk that her child may be born with a specific open neural tube defect? Select all that apply. One, some, or all responses may be correct. One first cousin has Down syndrome. Maternal intake of folic acid was inadequate. One close relative has a severe form of the defect. Three male relatives have a mild form of the defect.Rationale Inadequate maternal folic acid intake is thought to play a role in open neural tube defects. Open neural tube defects are multifactorial disorders; the risk is increased if a close relative has a severe form of the defect, if several relatives have the same defect, or if they are in the same geographic location because environment plays a role in development of these defects. Down syndrome is a chromosomal abnormality and is not related to the risk for multifactorial birth defects. Test-Taking Tip: Be alert for details. Details provided in the stem of the item, such as behavioral changes or clinical changes (or both) within a certain time period, can provide a clue to the most appropriate response or, in some cases, responses. p. 180-181 Report content error A patient tells the nurse that she and her children are upset about having to move because her partner’s employer is being transferred to another area of the country. Which initial question would the nurse ask to gain a baseline assessment of how the family would respond to this situational crisis? The patient lives in the same geographic region as other family members with the defect. "What specifically about this event do you feel most stressed about?"Rationale Family functional patterns that existed before a crisis are likely the best indicator of how the family would respond to the current situation; therefore, the nurse would initially ask the patient what strategies the family has used to cope with previous stressful events. Asking the patient what specifically she is most stressed about would not assess the patient’s ability to cope. Inquiring about the children's ability to adapt to the level of stress they are experiencing would not provide a baseline assessment for how the family as a unit will respond to this situational crisis. A baseline assessment of a response to a previous event is most helpful before recommending coping strategies. Test-Taking Tip: You have at least a 25% chance of selecting the correct response in multiple-choice items with four options. If you are uncertain about a question, eliminate the choices that you believe are wrong and then call on your knowledge, skills, and abilities to choose from the remaining responses. p. 36 Report content error "What strategies have you and your family used to cope with previous stressful events?" "How well do you think your children will be able to cope with the level of stress they are experiencing?" "How prepared are you to implement some recommended coping strategies?"Which finding would cause the nurse the most concern for the risk for violence when screening adolescents? Rationale Many gangs participate in violent activity, including armed robbery, rape, and murder. Therefore, the nurse would be most concerned about the 16- year-old patient who is involved in a gang. Other risk factors for violence include single-parent families, poor academic performance, and lower socioeconomic status, but these would be of lesser concern. p. 161 Report content error Which information would the nurse provide to a patient concerning possible outcomes secondary to newly diagnosed oligohydramnios? Select all that apply. One, some, or all responses may be correct. 16-year-old patient involved in a gang 16-year-old patient of divorced parents 15-year-old patient who has poor grades 15-year-old patient of lower socioeconomic status Clubfoot Hydrocephaly Neural tube defectsRationale Oligohydramnios is a mechanical disruption caused by an abnormally small volume of amniotic fluid, which can cause clubfoot or impaired fetal lung development. The causes of hydrocephaly are not well understood. Neural tube defects are generally a multifactorial defect. Intrauterine limb amputation can occur as a result of fibrous amniotic bands. p. 183 Report content error Which action by the patient who is at high risk for otherdirected violence indicates that the patient has met the goals from the plan of care? Rationale When an adolescent reports dropping out of a gang, this is a positive action that veers away from associating with violent peers. Harassing older Intrauterine limb amputation Impaired fetal lung development Dropped out of a gang Harassed older adult neighbors Gave up on finishing school Was arrested for drug possessionadult neighbors, giving up on finishing school, and being arrested for drug possession are all factors that contribute to adolescent violence. p. 161 Report content error Which spousal statement would prompt the nurse to pursue further assessment? Rationale The disagreement about when homework should be done is a statement that reflects discord between the couple and would be explored further, as this can disrupt family functioning. The statement regarding struggling to get the kids to go to bed on time reflects a joint effort that demonstrates a lack of discord between the parents. One parent agreeing to stay home with ill children because of the other parent's lack of paid sick time reflects a relationship with flexible roles to meet the family's needs. Seeking to live in a safer neighborhood for the family is not an unhealthy characteristic that would require further assessment. p. 35 "My wife and I struggle to get the kids to go to bed on time." "My husband and I disagree about when our children should do their homework." "My wife does not have much paid sick time, so I will have to stay home with the kids if they are ill." "My husband is not happy with the crime in our neighborhood, so we are looking for another community to live in."Report content error The nurse is preparing to discuss effective discipline with an authoritarian parent. Which statement would the nurse include to promote the positive socialization and self-esteem of the parent’s child? Select all that apply. One, some, or all responses may be correct. Rationale Authoritarian parents expect obedience without explaining the reasons behind their rules, and give and take is discouraged. Authoritarian parents who show affection decrease the risk for their child becoming rebellious or antisocial. Affection includes attending to the child's needs promptly, maintaining a loving relationship with the child, setting aside time every day for one-on-one attention, and using positive reinforcement to promote desired behaviors. Because the authoritarian parent expects obedience, providing structure and consistency for young children is not a recommendation the nurse would include when discussing promotion of positive socialization and self-esteem of the child. p. 41 "Attend to your child's needs promptly." "Maintain a loving relationship with your child." "Set aside time every day for one-on-one attention." "Provide structure and consistency for young children." "Use positive reinforcement to promote desired behaviors."Report content error Which question would the nurse ask if parents of a healthy 16-year-old female patient asks the nurse if their daughter will get any taller? Rationale Girls usually stop growing 2 to 2½ years after menarche, or the start of their first period; therefore, the nurse would ask when the patient had her first menstrual cycle. Asking the parents’ heights would give an estimate of possible growth, but would not indicate when growing will cease. Growth hormones are used to treat growth disorders and can affect overall height, but this patient is healthy and there is no indication that she has taken growth hormones. Nutrition does promote healthy lifestyles and growth, but it is not an indication of overall height. p. 157 Report content error "When was her first period?" "How tall are the two of you?" "Has she taken growth hormones?" "Does she eat a well-balanced diet?"The nurse is assessing communication within a family of two parents and a 10-year-old child. Which question would the nurse ask to determine child-rearing practices? Rationale The nurse would determine child-rearing practices by asking who the primary caregiver is within the family. Decision-making practices would be determined by asking if decisions are made individually or as a group. Family support would be determined by asking which people provide this support. Health and illness practices would be assessed by asking if family members receive routine health care. Test-Taking Tip: Make certain that the answer you select is reasonable and obtainable under ordinary circumstances and that the action can be carried out in the given situation. p. 50 Report content error "Are decisions made by one or both parents?" "Who is considered the primary caregiver?" "Which individual(s) are the source of family support?" "Do you visit healthcare providers on a regular basis?"Which combination of parenting style and child temperament would the nurse correlate with the most risk for conflict? Rationale An authoritarian parent expects obedience without explaining the reason behind the rules. Because children with a difficult temperament are highly active, irritable, moody, and irregular in their habits, this combination of parenting style and child temperament is at risk for the most conflict. A permissive parenting style is reflected by little or no rules or control of behavior and inconsistent discipline. Children with an easy temperament are even-tempered, predictable, regular in their habits, and react positively to new stimuli; they are unlikely to experience conflict in a home with permissive parents, and both are easy-going. Difficult children are highly active, irritable, moody, and irregular in their habits and benefit from limit setting and consistent discipline and affection; therefore a permissive parent, who is less likely to set limits and discipline, is unlikely to encounter conflict with a difficult child. Authoritative parents show respect for the opinions of all of their children by allowing them to be different; the parents have rules but allow for negotiation and compromise. Although children who are slow to warm up can be inactive, moody, and moderately irregular in their habits, the authoritative style of parenting is a good fit because of tolerance for the child’s difference in temperament. p. 41 Permissive style and easy temperament Permissive style and difficult temperament Authoritarian style and difficult temperament Authoritative style and slow to warm up temperamentReport content error A 16-year-old female patient tells the school nurse that she has not started to menstruate yet. Onset of secondary sexual characteristics occurred about 4 years ago. What would be the nurse’s most appropriate action? Rationale This patient meets the criteria for primary amenorrhea and would be evaluated. Menstruation usually begins approximately 2 years after the beginning of secondary sexual characteristics. Although pregnancy is a possibility, the nurse would not assume it until performing further assessment. There is no indication that the patient is exercising excessively. Test-Taking Tip: Make certain that the answer you select is reasonable and obtainable under ordinary circumstances and that the action can be carried out in the given situation. p. 155 Report content error Explaining that this is not unusual Referring the patient for an evaluation Assuming that the patient is pregnant Suggesting that the patient stop exercising until menarche occursWhile assessing adolescents in the classroom setting, which student would the nurse identify as a high risk for violence toward others? Chart/Exhibit 1 Rationale The nurse would identify Student B as the individual at highest risk for other-directed violence because the child spends time alone playing video games and is being bullied at school. Student A lives in a rural area and works on a farm at home. Student C does well in school and works at a part-time job. Student D is successful in school and participates in school sports. These three students are at low risk for initiating violence. Test-Taking Tip: Sometimes the reading of a question in the middle or Student A Student B Student C Student Dtoward the end of an exam may trigger your mind with the answer or provide an important clue to an earlier question. p. 168 Report content error The nurse is caring for a patient in labor who is uncooperative and will not follow instructions given by the nurse. The patient believes that birth is a normal process that requires minimal intervention from the healthcare team. Which action by the nurse would indicate cultural relativism? Rationale The patient in labor is unwilling to accept the nurse’s instructions because of her cultural beliefs about the birth process. The nurse would exhibit cultural relativism by understanding that the patient’s behavior is unintentional and is based on her cultural belief system. Cultural relativism reaffirms the patient’s cultural uniqueness. Cultural relativism does not mean that the nurse blindly accepts the patient’s belief; however, it involves an understanding of the value of different cultures. Ethnocentrism is the view that one’s own belief is the best and may involve an attempt to impose one’s belief on others. Labeling the patient’s behavior as inappropriate is an example of ethnocentrism, which is the Accepting the patient’s belief Imposing the nurse’s own belief as the best Labeling the patient’s behavior as inappropriate Understanding the patient’s cultural uniquenessopposite of cultural relativism. Test-Taking Tip: Identify option components as correct or incorrect. This may help you identify a wrong answer. p. 37 Report content error A sexually active adolescent asks the school nurse about prevention of sexually transmitted infections (STIs). What would the nurse recommend? Rationale Condoms provide a barrier to the organisms that cause STIs. Prophylactic antibiotics are not recommended; they are only effective against bacteria, not viruses. Only condoms create a physical barrier that prevents contact with the organisms, not the withdrawal method or any other type of contraception method. Test-Taking Tip: Do not select answers that contain exceptions to the general rule, controversial material, or degrading responses. p. 172 Condom use Prophylactic antibiotics Any type of contraception method Withdrawal method of contraceptionReport content error Which family would the nurse associate with the term sandwich generation? Rationale The term sandwich generation refers to caregivers who are caring for two generations. The blended family with four children and an ill parent living in their home is an example of a sandwich generation because the parents are caring for their children and an aging parent. An older married couple caring for grandchildren while both parents work; a married couple with a double income, a child with special needs, and a new baby; and a full-time working single parent of a young child and an adolescent entering college are not considered a sandwich generation. p. 35 An older couple caring for their grandchildren while both parents work A blended family with four children and an ill parent living in their home A married couple with a double income, a child with special needs, and a new baby A full-time working single parent of a young child and an adolescent entering collegeReport content error Girls experience an increase in weight and fat deposition during puberty. What do nursing considerations related to these changes include? Rationale A certain amount of fat is increased along with lean body mass to fill the characteristic contours of the child's gender. A healthy balance must be achieved between expected healthy weight gain and obesity. Suggesting dietary measures to control weight would not be given unless weight gain is excessive; eating disorders can develop in this group. Some fat deposition is essential for normal hormone regulation. Menarche is delayed in girls with body fat content that is too low. Increased weight gain may not be modified by increased exercise if it is a normal body change. p. 165 Report content error Encouraging a low-fat diet to prevent fat deposition Giving reassurance that these changes are normal Suggesting dietary measures to control weight gain Recommending increased exercise to control weight gainWhich aspect of cognitive development would the nurse keep in mind when planning a presentation about sex education for a group of 17-year-old students? Select all that apply. One, some, or all responses may be correct. Rationale Adolescents who are 17 years of age have a higher thinking ability than younger adolescents, including the ability to think at an abstract level. Older teenagers can logically reason through a problem and understand that there can be consequences from poor choices. This includes understanding that unprotected sex can lead to sexually transmitted infections and pregnancy. Older teenagers have improved impulse control. Language is developed by adolescence and does not impact cognitive development. p. 158 Report content error Poor impulse control Abstract thinking level Use of logical reasoning Ability to foresee consequences Incomplete language developmentAccording to Tanner’s Stages of Adolescent Development, which finding would the nurse expect if the patient is at stage 3? Select all that apply. One, some, or all responses may be correct. Rationale A female patient has reached stage 3 of Tanner’s Stages of Adolescent Development when the breasts and areolas are enlarged and there is darker, coarser hair that begins to curl and is present over the pubis. Menarche usually occurs in stage 5, after ovulation takes place. The female triangle begins in stage 4 and is complete in stage 5. The nipples project from the breasts in stage 5. pp. 156-157 Report content error Menarche has occurred. The female triangle is present. The breasts and areolas are enlarged. The nipples project from the breasts. There is darker, coarser hair over the pubis.3 topics covered Family Dynamics Giddens Concepts 3e Proficient You The nurse is obtaining information from a 16-year-old female patient who reports missing her menstrual cycle. Which setting would be most effective to facilitate communication with the patient? Rationale The nurse would schedule the interview in the examination room in private and not in the conference room with her parents, in the hospital room with a roommate, or at the nurses' station while obtaining laboratory results. This is a private conversation and would be performed without others around. p. 48 Examination room in private Conference room with parents Hospital room with a roommate Nurses' station while obtaining laboratory results Novice Intermediate Proficient Questions answered 109Sexuality Giddens Concepts 3e Proficient You Interpersonal Violence Giddens Concepts 3e Proficient You Quiz me on this topic Quiz me on this topic Quiz me on this topic Novice Intermediate Proficient Questions answered 140 Novice Intermediate Proficient Questions answered 67