NUR235 Exam 1: Questions With In-Depth Solutions
A nurse is assisting a group of guardians of adolescents to develop skills that
will improve communication within the family. The nurse hears one guardian
state, "My son knows he better do what I say." Which of the following
parenting styles is the parent exhibiting?
A. Authoritarian
B. Permissive
C. Authoritative
D. Passive Right Ans - A. Authoritarian
Rationale:
A = This parent is exhibiting an authoritarian parenting style. The parent
controls the adolescent's behaviors and attitudes through unquestioned rules
and expectations.
B = This parent is not exhibiting a permissive parenting style. Using this style,
the parent exerts little or no control over the adolescent's behaviors, and
consults the adolescent when making decisions.
C = This parent is not exhibiting an authoritative parenting style. Using this
style, the parent directs the adolescent's behavior by setting rules and
explaining the reason for each rule setting.
D = This parent is not exhibiting a passive parenting style. Using this style, the
parent is uninvolved, indifferent, and emotionally removed.
A nurse manager on a pediatric unit is preparing an education program on
working with families for a group of newly hired nurses. Which of the
following should the nurse include when discussing the developmental
theory?
A. Describes that stress is inevitable
B. Emphasizes that change with one member affects the entire family
C. Provides guidance to assist families adapting to stress
D. Defines consistencies in how families change Right Ans - D. Defines
consistencies in how families change
Rationale:
A = The family stress theory describes that stress is inevitable.
B = The family systems theory emphasizes that change with one member
affects the entire family.
,C = The family stress theory provides guidance to assist families adapting to
stress.
D = Include that the developmental theory defines consistencies in how
families change.
A nurse is performing family assessment. Which of the following should the
nurse include? (Select all that apply.)
A. Medical history
B. Parents' education level
C. Child's physical growth
D. Support systems
E. Stressors Right Ans - A. Medical history
B. Parents' education level
D. Support systems
E. Stressors
Rationale:
A = Include a medical history on the parents, siblings, and grandparents when
performing a family assessment.
B = Include the family structure, which includes family members, family size,
roles/position within the family, and occupation and education of family
members, when performing a family assessment.
C = Include the child's physical growth when performing an individual
assessment on the child.
D = Include support systems to determine the availability of extended family,
work and peer relationships, and social systems and community resources to
assist the family in meeting needs when performing a family assessment.
E = Include stressors, both expected and unexpected, when performing a
family assessment.
Active Learning Scenario
A nurse is providing anticipatory guidance to the mother of a toddler. The
nurse learns that the household includes the mother, toddler, an older
brother, and a grandmother. Use the ATI Active Learning Template: Basic
Concept to complete this item.
Related Content:Describe the composition of this family.
Underlying Principles:Describe two methods the parent can use to positively
influence the child.
Describe two ways the parent cap promote acceptable behavior in the child.
,Nursing Interventions:Include two additional family assessments the nurse
should perform. Right Ans - Related Content:
-This is an extended family, which includes at least one parent, one or more
children, and other individuals who are either related or not related.
Underlying Principles:
-Positive parental influences
*Have good mental health.
*Maintain structure and routine in the household.
*Engage in activities with the child.
*Validate the child's feelings when communicating.
*Monitor for safety concerns with special consideration for the child's
developmental needs.
-Promoting acceptable behavior
*Validate the child's feelings, and offer sympathetic explanations.
*Provide role modeling and reinforcement for acceptable behavior.
*Set clear and realistic limits and expectations based on the child's
developmental level.
*Focus on the behavior when implementing discipline.
Nursing Interventions: Family assessments
-Medical history on parents, siblings, and grandparents.
-Family structure for roles/position within the family, as well as occupation
and education of family members.
-Developmental tasks a family works on as the child grows.
-Family characteristics (cultural, religious, and economic influences on
behavior, attitudes, and actions).
-Family stressors (expected [birth of a child] and unexpected [illness of a
child, divorce, disability or death of a family member] events that cause
stress).
-Availability of and family interactions with community resources.
-Family support systems (availability of extended family; work and peer
relationships; and social systems and community resources to assist the
family in meeting needs or adapting to a stressor).
A nurse is preparing to assess a preschooler. Which of the following actions
should the nurse take to prepare the child?
a) Allow the child to role-play using miniature equipment
b) Use medical terminology to describe what will happen
, c) Separate the child from the caregiver during the examination
d) Keep medical equipment visible to the child Right Ans - A. Allow the
child to role-play or manipulate actual or miniature equipment to reduce
anxiety and fear related to the examination.
Rationale:
B. Use neutral words and avoid overestimating the child's understanding of
words when describing what will happen.
C. Encourage parental presence during the examination.
D. Keep medical equipment out of sightunless showing or using it on the child.
A nurse is assessing a child's ears. Which of the following findings should the
nurse expect?
A. Light reflex is located at the 2 o'clock position.
B. Tympanic membrane is red in color.
C. Bony landmarks are not visible.
D. Cerumen is present bilaterally. Right Ans - D. The presence of cerumen
bilaterally is an expected finding.
Rationale:
A. The light reflex should be located around the 5 or 7 o'clock position.
B. The tympanic membrane should be a pearly pink, or gray color.
C. Bony landmarks should be visible.
A nurse is assessing a 6-month-old infant. Which of the following reflexes
should the infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic neck Right Ans - B. The plantar grasp is exhibited by infants from
birth to the age of 8 months.
Rationale:
A. The Moro reflex is exhibited by infants from birth to the age of 4 months.
C. The stepping reflex is exhibited by infants from birth to the age of 4 weeks.
D. The tonic neck reflex is exhibited by infant
A nurse is assisting a group of guardians of adolescents to develop skills that
will improve communication within the family. The nurse hears one guardian
state, "My son knows he better do what I say." Which of the following
parenting styles is the parent exhibiting?
A. Authoritarian
B. Permissive
C. Authoritative
D. Passive Right Ans - A. Authoritarian
Rationale:
A = This parent is exhibiting an authoritarian parenting style. The parent
controls the adolescent's behaviors and attitudes through unquestioned rules
and expectations.
B = This parent is not exhibiting a permissive parenting style. Using this style,
the parent exerts little or no control over the adolescent's behaviors, and
consults the adolescent when making decisions.
C = This parent is not exhibiting an authoritative parenting style. Using this
style, the parent directs the adolescent's behavior by setting rules and
explaining the reason for each rule setting.
D = This parent is not exhibiting a passive parenting style. Using this style, the
parent is uninvolved, indifferent, and emotionally removed.
A nurse manager on a pediatric unit is preparing an education program on
working with families for a group of newly hired nurses. Which of the
following should the nurse include when discussing the developmental
theory?
A. Describes that stress is inevitable
B. Emphasizes that change with one member affects the entire family
C. Provides guidance to assist families adapting to stress
D. Defines consistencies in how families change Right Ans - D. Defines
consistencies in how families change
Rationale:
A = The family stress theory describes that stress is inevitable.
B = The family systems theory emphasizes that change with one member
affects the entire family.
,C = The family stress theory provides guidance to assist families adapting to
stress.
D = Include that the developmental theory defines consistencies in how
families change.
A nurse is performing family assessment. Which of the following should the
nurse include? (Select all that apply.)
A. Medical history
B. Parents' education level
C. Child's physical growth
D. Support systems
E. Stressors Right Ans - A. Medical history
B. Parents' education level
D. Support systems
E. Stressors
Rationale:
A = Include a medical history on the parents, siblings, and grandparents when
performing a family assessment.
B = Include the family structure, which includes family members, family size,
roles/position within the family, and occupation and education of family
members, when performing a family assessment.
C = Include the child's physical growth when performing an individual
assessment on the child.
D = Include support systems to determine the availability of extended family,
work and peer relationships, and social systems and community resources to
assist the family in meeting needs when performing a family assessment.
E = Include stressors, both expected and unexpected, when performing a
family assessment.
Active Learning Scenario
A nurse is providing anticipatory guidance to the mother of a toddler. The
nurse learns that the household includes the mother, toddler, an older
brother, and a grandmother. Use the ATI Active Learning Template: Basic
Concept to complete this item.
Related Content:Describe the composition of this family.
Underlying Principles:Describe two methods the parent can use to positively
influence the child.
Describe two ways the parent cap promote acceptable behavior in the child.
,Nursing Interventions:Include two additional family assessments the nurse
should perform. Right Ans - Related Content:
-This is an extended family, which includes at least one parent, one or more
children, and other individuals who are either related or not related.
Underlying Principles:
-Positive parental influences
*Have good mental health.
*Maintain structure and routine in the household.
*Engage in activities with the child.
*Validate the child's feelings when communicating.
*Monitor for safety concerns with special consideration for the child's
developmental needs.
-Promoting acceptable behavior
*Validate the child's feelings, and offer sympathetic explanations.
*Provide role modeling and reinforcement for acceptable behavior.
*Set clear and realistic limits and expectations based on the child's
developmental level.
*Focus on the behavior when implementing discipline.
Nursing Interventions: Family assessments
-Medical history on parents, siblings, and grandparents.
-Family structure for roles/position within the family, as well as occupation
and education of family members.
-Developmental tasks a family works on as the child grows.
-Family characteristics (cultural, religious, and economic influences on
behavior, attitudes, and actions).
-Family stressors (expected [birth of a child] and unexpected [illness of a
child, divorce, disability or death of a family member] events that cause
stress).
-Availability of and family interactions with community resources.
-Family support systems (availability of extended family; work and peer
relationships; and social systems and community resources to assist the
family in meeting needs or adapting to a stressor).
A nurse is preparing to assess a preschooler. Which of the following actions
should the nurse take to prepare the child?
a) Allow the child to role-play using miniature equipment
b) Use medical terminology to describe what will happen
, c) Separate the child from the caregiver during the examination
d) Keep medical equipment visible to the child Right Ans - A. Allow the
child to role-play or manipulate actual or miniature equipment to reduce
anxiety and fear related to the examination.
Rationale:
B. Use neutral words and avoid overestimating the child's understanding of
words when describing what will happen.
C. Encourage parental presence during the examination.
D. Keep medical equipment out of sightunless showing or using it on the child.
A nurse is assessing a child's ears. Which of the following findings should the
nurse expect?
A. Light reflex is located at the 2 o'clock position.
B. Tympanic membrane is red in color.
C. Bony landmarks are not visible.
D. Cerumen is present bilaterally. Right Ans - D. The presence of cerumen
bilaterally is an expected finding.
Rationale:
A. The light reflex should be located around the 5 or 7 o'clock position.
B. The tympanic membrane should be a pearly pink, or gray color.
C. Bony landmarks should be visible.
A nurse is assessing a 6-month-old infant. Which of the following reflexes
should the infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic neck Right Ans - B. The plantar grasp is exhibited by infants from
birth to the age of 8 months.
Rationale:
A. The Moro reflex is exhibited by infants from birth to the age of 4 months.
C. The stepping reflex is exhibited by infants from birth to the age of 4 weeks.
D. The tonic neck reflex is exhibited by infant
