NUR418 / NUR 418 EXAM 3
Nursing Care of the Childbearing Family at
Concordia, St. Paul
Actual Questions and Answers
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100% Guarantee Pass.
Expert Verified Explanation
Multiple choice (single best answer)
Select All That Apply (SATA)
Fill-in-the-blank
Case Studies/Scenario-Based Questions
,A nurse is interviewing a mother of two children, ages 5 and 14. They were in a hotel fire a
year ago in which their father was killed. The mother is concerned because the younger
child has nightmares. The older child does not seem to have any problems. What action by
the nurse is the most appropriate?
-Ask the mother about physical injuries to the children.
-Determine if the mother sought counseling after the fire.
-Focus the appointment on the younger child only.
-Inquire if the older child avoids hotels, even on television.
ANSWER
Inquire if the older child avoids hotels, even on television.
Although the mother expresses concern about only the younger child, the nurse should also
inquire about the health of the older child to provide holistic care to this family.
A child diagnosed with depression is given the nursing diagnosis of situational low self-
esteem. Which statement by the child indicates that a short-term goal has been met?
-“I have to sleep a lot when I feel sad, sometimes until noon!”
-“I wish I didn’t make so many mistakes in my homework.”
-“My mom makes me special cookies when I am feeling sad.”
-“When I was feeling bad, I remembered my great science project.”
ANSWER
“When I was feeling bad, I remembered my great science project.”
One important goal for the child with situational low self-esteem is to have the child engage
in positive self-talk. Remembering a great project is a good way to highlight the child’s
abilities in their own mind.
,The pediatric nurse is assessing a child who complains of a stomachache. This is the child’s
fourth visit to the clinic for the same problem, and there has not been a diagnosis yet. What
action by the nurse is best?
-Ask about the child’s functioning and development.
-Instruct the mother not to keep the child home from school.
-Obtain a thorough family history from the mother.
-Perform an abdominal exam and document findings.
ANSWER
Ask about the child’s functioning and development
Children with anxiety often present with somatic complaints that do not have a physical
cause.
A nurse is educating the parents of a child diagnosed with major depression prescribed a
selective serotonin reuptake inhibitor (SSRI). The parents do not want to fill the prescription
because they have heard SSRIs increase the risk of suicide in children. Which statement by
the nurse is most appropriate?
-“I will convey your concerns to your health-care provider.”
-“If you don’t want your child to take the medication, don’t fill it.”
-“SSRIs have been used for many years to treat depression.”
-“This information is controversial, so watch your child carefully.”
ANSWER
“This information is controversial, so watch your child carefully.”
Requesting medication for the family does not help the family learn coping strategies.
A nurse is assessing children for reactive attachment disorder (RAD). Which child would the
nurse identify as being at highest risk for this disorder?
, -Adopted from a foreign orphanage
-Given care by extended family
-Placed in daycare at 3months
-Unmarried, cohabiting parents
ANSWER
Adopted from a foreign orphanage
Children with RAD have not experienced consistent and nurturing parenting. They have
often endured abuse, neglect, and abandonment. A child adopted from an orphanage would
have the highest risk of RAD.
An advanced practice nurse is working with a child diagnosed with oppositional defiant
disorder. What action by the nurse is most appropriate?
-Assess the child's performance at school.
-Facilitate genetic testing for the entire family.
-Screen the child for other psychosocial problems.
-Warn the parents not to leave siblings alone with the child.
ANSWER
Screen the child for other psychosocial problems.
Children with both oppositional defiant disorder and conduct disorder often have other
psychological comorbidities. The nurse should screen the child for other problems.
A father brings his child to the clinic with complaints that the child jumps around, gestures
continuously with the hands, and makes grunting noises. He wants to know if the child has
attention deficit-hyperactivity disorder (ADHD). What response by the nurse is the most
appropriate?
-"Does your child have risks for obsessive-compulsive disorder?"
-"I don't think so; that sounds more like a tic disorder."
-"Possibly; those are some classic symptoms of ADHD."
-"Yes, that sounds like ADHD to me."
Nursing Care of the Childbearing Family at
Concordia, St. Paul
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Expert Verified Explanation
Multiple choice (single best answer)
Select All That Apply (SATA)
Fill-in-the-blank
Case Studies/Scenario-Based Questions
,A nurse is interviewing a mother of two children, ages 5 and 14. They were in a hotel fire a
year ago in which their father was killed. The mother is concerned because the younger
child has nightmares. The older child does not seem to have any problems. What action by
the nurse is the most appropriate?
-Ask the mother about physical injuries to the children.
-Determine if the mother sought counseling after the fire.
-Focus the appointment on the younger child only.
-Inquire if the older child avoids hotels, even on television.
ANSWER
Inquire if the older child avoids hotels, even on television.
Although the mother expresses concern about only the younger child, the nurse should also
inquire about the health of the older child to provide holistic care to this family.
A child diagnosed with depression is given the nursing diagnosis of situational low self-
esteem. Which statement by the child indicates that a short-term goal has been met?
-“I have to sleep a lot when I feel sad, sometimes until noon!”
-“I wish I didn’t make so many mistakes in my homework.”
-“My mom makes me special cookies when I am feeling sad.”
-“When I was feeling bad, I remembered my great science project.”
ANSWER
“When I was feeling bad, I remembered my great science project.”
One important goal for the child with situational low self-esteem is to have the child engage
in positive self-talk. Remembering a great project is a good way to highlight the child’s
abilities in their own mind.
,The pediatric nurse is assessing a child who complains of a stomachache. This is the child’s
fourth visit to the clinic for the same problem, and there has not been a diagnosis yet. What
action by the nurse is best?
-Ask about the child’s functioning and development.
-Instruct the mother not to keep the child home from school.
-Obtain a thorough family history from the mother.
-Perform an abdominal exam and document findings.
ANSWER
Ask about the child’s functioning and development
Children with anxiety often present with somatic complaints that do not have a physical
cause.
A nurse is educating the parents of a child diagnosed with major depression prescribed a
selective serotonin reuptake inhibitor (SSRI). The parents do not want to fill the prescription
because they have heard SSRIs increase the risk of suicide in children. Which statement by
the nurse is most appropriate?
-“I will convey your concerns to your health-care provider.”
-“If you don’t want your child to take the medication, don’t fill it.”
-“SSRIs have been used for many years to treat depression.”
-“This information is controversial, so watch your child carefully.”
ANSWER
“This information is controversial, so watch your child carefully.”
Requesting medication for the family does not help the family learn coping strategies.
A nurse is assessing children for reactive attachment disorder (RAD). Which child would the
nurse identify as being at highest risk for this disorder?
, -Adopted from a foreign orphanage
-Given care by extended family
-Placed in daycare at 3months
-Unmarried, cohabiting parents
ANSWER
Adopted from a foreign orphanage
Children with RAD have not experienced consistent and nurturing parenting. They have
often endured abuse, neglect, and abandonment. A child adopted from an orphanage would
have the highest risk of RAD.
An advanced practice nurse is working with a child diagnosed with oppositional defiant
disorder. What action by the nurse is most appropriate?
-Assess the child's performance at school.
-Facilitate genetic testing for the entire family.
-Screen the child for other psychosocial problems.
-Warn the parents not to leave siblings alone with the child.
ANSWER
Screen the child for other psychosocial problems.
Children with both oppositional defiant disorder and conduct disorder often have other
psychological comorbidities. The nurse should screen the child for other problems.
A father brings his child to the clinic with complaints that the child jumps around, gestures
continuously with the hands, and makes grunting noises. He wants to know if the child has
attention deficit-hyperactivity disorder (ADHD). What response by the nurse is the most
appropriate?
-"Does your child have risks for obsessive-compulsive disorder?"
-"I don't think so; that sounds more like a tic disorder."
-"Possibly; those are some classic symptoms of ADHD."
-"Yes, that sounds like ADHD to me."
