Chapter 2: Family, Social, Cultural, and Religious Influences on Child Health Promotion - Nurselytic

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Wong's Essentials of Pediatric Nursing 11th Edition Test Bank

Chapter 2 : Family, Social, Cultural, and Religious Influences on Child Health Promotion Questions

Question 1 of 5

Which is an accurate description of homosexual (or gay-lesbian) families?

Correct Answer: D

Rationale: Although gay or lesbian families may be different from heterosexual families, the environment can be as healthy as any other. Lacking a nurturing environment and stability is reflective on the parents and family, not the type of family. There is little evidence to support that children become homosexual like their parents.

Question 2 of 5

The nurse is teaching a group of new nursing graduates about identifiable qualities of strong families that help them function effectively. Which quality should be included in the teaching?

Correct Answer: B

Rationale: A clear set of family rules, values, and beliefs that establish expectations about acceptable and desired behavior is one of the qualities of strong families that help them function effectively. Strong families have a sense of congruence among family members regarding the value and importance of assigning time and energy to meet needs. Varied coping strategies are used by strong families. The sense of commitment is toward the growth and well-being of individual family members, as well as the family unit.

Question 3 of 5

When assessing a family, the nurse determines that the parents exert little or no control over THEIR children. This style of parenting is called which?

Correct Answer: A

Rationale: Permissive parents avoid imposing their own standards of conduct and allow their children to regulate their own activity as much as possible. The parents exert little or no control over their childrens actions. Dictatorial or authoritarian parents attempt to control their childrens behavior and attitudes through unquestioned mandates. They establish rules and regulations or standards of conduct that they expect to be followed rigidly and unquestioningly. Democratic parents combine permissive and dictatorial styles. They direct their childrens behavior and attitudes by emphasizing the reasons for rules and negatively reinforcing deviations. They respect their childrens individual natures.

Question 4 of 5

When discussing discipline with the mother of a 4-year-old child, which should the nurse include?

Correct Answer: A

Rationale: For effective discipline, parents must be consistent and must follow through with agreed-on actions. Withdrawal of love and approval is never appropriate or effective. The 4-year-old child will test limits and may misbehave. Children of this age do not respond to verbal reasoning. Realistic goals should be set for this age group. Discipline is necessary to reinforce these goals. Discipline strategies should be appropriate to the childs age and temperament and the severity of the misbehavior. Following rules rigidly and unquestioningly is beyond the developmental capabilities of a 4-year-old child.

Question 5 of 5

Which is a consequence of the physical punishment of children, such as spanking?

Correct Answer: D

Rationale: Through the use of physical punishment, children learn what they should not do. When parents are not around, it is more likely that children will misbehave because they have not learned to behave well for their own sake but rather out of fear of punishment. Spanking can cause severe physical and psychologic injury and interfere with effective parentchild interaction. The use of corporal punishment may interfere with the childs development of moral reasoning. Children do become accustomed to spanking, requiring more severe corporal punishment each time.

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