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

a. Children as young as 4 years old rarely need to be punished.

b. Parental control should be consistent.

c. Withdrawal of love and approval is effective at this age.

d. One should expect rules to be followed rigidly and unquestioningly.

12. Which is most characteristic of the physical punishment of children, such as spanking?

a. Psychological impact is usually minimal.

b. Children rarely become accustomed to spanking.

c. Children’s development of reasoning increases.

d. Misbehavior is likely to occur when parents are not present.

13. A 3-year-old girl was adopted immediately after birth. The parents have just asked the nurse how they should tell the child that she is adopted. Which guidelines concerning adoption should the nurse use in planning a response?

a. Telling the child is an important aspect of their parental responsibilities.

b. The best time to tell the child is between ages 7 and 10 years.

c. It is not necessary to tell the child who was adopted so young.

d. It is best to wait until the child asks about it.

14. A parent of a school-age child is going through a divorce. The parent tells the school nurse the child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as which implication?

a. Indication of maladjustment

b. Common reaction to divorce

c. Lack of adequate parenting

d. Unusual response that indicates need for referral

15. A mother brings 6-month-old Eric to the clinic for a well-baby checkup. She comments, “I want to go back to work, but I don’t want Eric to suffer because I’ll have less time with him.” The nurse’s most appropriate answer would be which statement?

a. “I’m sure he’ll be fine if you get a good babysitter.”

b. “You will need to stay home until Eric starts school.”

c. “You should go back to work so Eric will get used to being with others.”

d. “Let’s talk about the child-care options that will be best for Eric.”

MULTIPLE RESPONSE

1. Dunst, Trivette, and Deal identified the qualities of strong families that help them function effectively. Which qualities are included? (Select all that apply.)

a. Ability to stay connected without spending time together

b. Clear set of family values, rules, and beliefs

c. Adoption of one coping strategy that always promotes positive functioning in dealing with life events

d. Sense of commitment toward growth of individual family members as opposed to that of the family unit

e. Ability to engage in problem-solving activities

f. Sense of balance between the use of internal and external family resources

2. A nurse is conducting a teaching session on the use of time-out as a discipline measure to parents of toddlers. Which are correct strategies the nurse should include in the teaching session? (Select all that apply.)

a. Time-out as a discipline measure cannot be used when in a public place.

b. A rule for the length of time-out is 1 minute per year.

c. When the child misbehaves, one warning should be given.

d. The area for time-out can be in the family room where the child can see the television.

e. When the child is quiet for the specified time, he or she can leave the room.

3. Divorced parents of a preschool child are asking whether their child will display any feelings or behaviors related to the effect of the divorce. The nurse is correct when explaining that the parents should be prepared for which type of behaviors? (Select all that apply.)

a. Displaying fears of abandonment

b. Verbalizing that he or she “is the reason for the divorce”

c. Displaying fear regarding the future

d. Ability to disengage from the divorce proceedings

e. Engaging in fantasy to understand the divorce

COMPLETION

1. A nurse is admitting a child, in foster care, to the hospital. The nurse recognizes that foster parents care for the child _____ hours a day. (Record your answer as a whole number.)

2. A parent of a newborn is expressing concern about returning to work after taking time off under the Family and Medical Leave Act (FMLA). The nurse understands that the Act allows a new parent to take off from work for _____ weeks. (Record your answer as a whole number.)