,
,
,
, Rationale: Environmental and psychosocial factors are now an identified area of
concern in children. They include academic differences, complex psychiatric
disorders, self-harm and harm to others, use of firearmsa,b i rhb.ocosmt/itleistty at school,
substance use disorder, HIV/AIDS, and adverse effects of the media. Respiratory
illness and inherited diseases are health problems, and poor sanitation is an
environmental factor.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 13
12. When integrating the principles of family-centered c aa bri reb,.c otmh/ete s nt urse
would include which concept?
A. Parents want nurses to make decisions about their child's treatment.
B. Families are unable to make informed choices.
C. People have taken increased responsibility for their own health.
D. Families require little information to make appropriate decisions.
Answer: C
Rationale: Due to the influence of managed care, the focus on prevention, better
education, and technological advances, people have taken increased responsibility
for their own health. Parents now want information abouatbi rtbh.c eo mir/ t ecs h
t ild's illness, to
participate in making decisions about treatment, and to accompany their children to
all health care situations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 15
13. The nurse is caring for a 2-week-old girl with a
metaab bio
r bl.cic
o md/t eisstorder. Which activity would deviate from the
characteristics of family-centered care?
A. Softening unpleasant information or prognoses
B. Evaluating and changing the nursing plan of care
C. Collaborating with the child and family as equals
D. Showing respect for the family's beliefs and wishes
Answer: A
Rationale: Family-centered care requires that the nurse provide open and honest
information to the child and family. It is inappropriate to soften unpleasant
information or prognoses. Evaluating and changing the nabuirrbs.cionmg/t e ps t lan of care to fit