NUR 440 – Final Exam Study Guide – [ODU] – Academic Year
[2025/2026] – Comprehensive Nursing Practice and Clinical Review
MVA - correct answer ✔✔ Most common cause of mortality in all age groups > 1 y.o.
Cancer - correct answer ✔✔ 2nd most common cause of mortality in children 5-14 y.o.
Suicide - correct answer ✔✔ 2nd most common cause of mortality in children > 14 y.o.
Respiratory - correct answer ✔✔ Accounts for 50% of morbidity in children
Asthma - correct answer ✔✔ Most common chronic disease among children
Atraumatic care - correct answer ✔✔ "Do no harm"
1. Eliminate psychological and physical distress.
2. Prevent or minimize the child's separation from their family.
3. Promote a sense of control.
4. Prevent or minimize bodily injury and pain. - correct answer ✔✔ What are the 4 aspects of
atraumatic care?
8 years old (children are beginning to move into concrete thinking) - correct answer ✔✔ Assent
is more of an ethical rather than a legal requirement in pediatrics. At what age do children have
the right to assent?
Systems Family Theory - correct answer ✔✔ The family is a system that continually interacts
with its members and its environment. Any change in one part of a family system affects all
other parts of the family as a whole. Too little or too much change leads to dysfunction.
,Family Stress Theory - correct answer ✔✔ How families react to predictable and unpredictable
stressors that it may encounter. These stressors may occur simultaneously and may overwhelm
the family putting the family's coping ability at risk for maladaptation. Resiliency allows the
family to perform better after a crisis.
Developmental Family Theory - correct answer ✔✔ Families develop and change over time in
similar and consistent ways. Each family has to go through set developmental stages with time
specific tasks at each stage to launch successful children.
The age of the oldest child - correct answer ✔✔ Marker for the Family Developmental Theory
Traditional nuclear family - correct answer ✔✔ Married couple and their biological children (full
brothers and full sisters)
Nuclear family - correct answer ✔✔ Two parents (not necessarily married) and their children
with parent-child ties being biological, step, half, foster, or adoptive.
Blended (reconstituted) family - correct answer ✔✔ Includes at least one stepparent,
stepsibling, or half-sibling. The stepparent is the spouse of a child's biological parent and exists
at the beginning of the new family formation.
Blended (reconstituted) family - correct answer ✔✔ What family system can move to a nuclear
family system over time?
Negotiating the new customs and cooperative parenting (open communication, flexibility, and
mutual support are critical) - correct answer ✔✔ What are the keys to reducing power conflicts
and stress in the newly formed blended family system?
,Extended family - correct answer ✔✔ Multigenerational family. (Grandparents may be the
primary caregiver)
Single-parent family - correct answer ✔✔ Result of divorce, death, desertion, or single-
parenthood.
Binuclear family - correct answer ✔✔ A family post-divorce with 2 separate households holding
joint custody and c-parenting over the children. Continuing the parenting role while terminating
the spousal unit.
1. Emphasis on individual development
2. Intensive parenting
3. Constant pressure to measure up to the family's expectations
4. Children's developmental and achievement are measured against other children in the
neighborhood/social class
5. Adolescents identify more strongly with the parents - correct answer ✔✔ Characteristics (5)
common to small families:
1. More easily able to adjust to a variety of changes and crises
2. Emphasis on the group rather than the individual
3. Cooperation is essential
4. Children turn to each other to get what they cannot get from their parents
5. Older siblings may administer discipline
6. Adolescents are more peer-oriented than family-oriented - correct answer ✔✔
Characteristics (6) common to large families:
Adoption should NEVER be kept a secret and the child should be told young so that the child
does not remember a time in which they did not know they were adopted (the time to tell will
arise naturally). - correct answer ✔✔ How to inform a child of their adoption status:
, Initial disclosure should include both parents and all siblings, followed by individual discussions
with each child - correct answer ✔✔ How to discuss divorce with children:
External and internal assets - correct answer ✔✔ In order to develop a sense of self, youth need
to receive what from the community?
External assets - correct answer ✔✔ Support, empowerment, boundaries, and constructive use
of time
Internal assets - correct answer ✔✔ Commitment to learning, values, social competency, and
identity
Evil eye - correct answer ✔✔ As long as an individual's strength and weakness remain in
balance, he or she is unlikely to become a victim. Infants and small children, because of
immature development of their internal strength-weakness states, are especially vulnerable.
Mediterraneans and Latin Americans - correct answer ✔✔ What cultures uses the concept of
the "evil eye"?
Malformation - correct answer ✔✔ Occurs before the 12th week of gestation resulting in
abnormal formation of body parts (ex. cleft lip and palate)
Syndrome - correct answer ✔✔ Occurs from a specific cause and results in a recognizable
pattern (ex. down syndrome)
Autosomal Dominant - correct answer ✔✔ A single copy of a mutant allele is sufficient for a
disease to be expressed
[2025/2026] – Comprehensive Nursing Practice and Clinical Review
MVA - correct answer ✔✔ Most common cause of mortality in all age groups > 1 y.o.
Cancer - correct answer ✔✔ 2nd most common cause of mortality in children 5-14 y.o.
Suicide - correct answer ✔✔ 2nd most common cause of mortality in children > 14 y.o.
Respiratory - correct answer ✔✔ Accounts for 50% of morbidity in children
Asthma - correct answer ✔✔ Most common chronic disease among children
Atraumatic care - correct answer ✔✔ "Do no harm"
1. Eliminate psychological and physical distress.
2. Prevent or minimize the child's separation from their family.
3. Promote a sense of control.
4. Prevent or minimize bodily injury and pain. - correct answer ✔✔ What are the 4 aspects of
atraumatic care?
8 years old (children are beginning to move into concrete thinking) - correct answer ✔✔ Assent
is more of an ethical rather than a legal requirement in pediatrics. At what age do children have
the right to assent?
Systems Family Theory - correct answer ✔✔ The family is a system that continually interacts
with its members and its environment. Any change in one part of a family system affects all
other parts of the family as a whole. Too little or too much change leads to dysfunction.
,Family Stress Theory - correct answer ✔✔ How families react to predictable and unpredictable
stressors that it may encounter. These stressors may occur simultaneously and may overwhelm
the family putting the family's coping ability at risk for maladaptation. Resiliency allows the
family to perform better after a crisis.
Developmental Family Theory - correct answer ✔✔ Families develop and change over time in
similar and consistent ways. Each family has to go through set developmental stages with time
specific tasks at each stage to launch successful children.
The age of the oldest child - correct answer ✔✔ Marker for the Family Developmental Theory
Traditional nuclear family - correct answer ✔✔ Married couple and their biological children (full
brothers and full sisters)
Nuclear family - correct answer ✔✔ Two parents (not necessarily married) and their children
with parent-child ties being biological, step, half, foster, or adoptive.
Blended (reconstituted) family - correct answer ✔✔ Includes at least one stepparent,
stepsibling, or half-sibling. The stepparent is the spouse of a child's biological parent and exists
at the beginning of the new family formation.
Blended (reconstituted) family - correct answer ✔✔ What family system can move to a nuclear
family system over time?
Negotiating the new customs and cooperative parenting (open communication, flexibility, and
mutual support are critical) - correct answer ✔✔ What are the keys to reducing power conflicts
and stress in the newly formed blended family system?
,Extended family - correct answer ✔✔ Multigenerational family. (Grandparents may be the
primary caregiver)
Single-parent family - correct answer ✔✔ Result of divorce, death, desertion, or single-
parenthood.
Binuclear family - correct answer ✔✔ A family post-divorce with 2 separate households holding
joint custody and c-parenting over the children. Continuing the parenting role while terminating
the spousal unit.
1. Emphasis on individual development
2. Intensive parenting
3. Constant pressure to measure up to the family's expectations
4. Children's developmental and achievement are measured against other children in the
neighborhood/social class
5. Adolescents identify more strongly with the parents - correct answer ✔✔ Characteristics (5)
common to small families:
1. More easily able to adjust to a variety of changes and crises
2. Emphasis on the group rather than the individual
3. Cooperation is essential
4. Children turn to each other to get what they cannot get from their parents
5. Older siblings may administer discipline
6. Adolescents are more peer-oriented than family-oriented - correct answer ✔✔
Characteristics (6) common to large families:
Adoption should NEVER be kept a secret and the child should be told young so that the child
does not remember a time in which they did not know they were adopted (the time to tell will
arise naturally). - correct answer ✔✔ How to inform a child of their adoption status:
, Initial disclosure should include both parents and all siblings, followed by individual discussions
with each child - correct answer ✔✔ How to discuss divorce with children:
External and internal assets - correct answer ✔✔ In order to develop a sense of self, youth need
to receive what from the community?
External assets - correct answer ✔✔ Support, empowerment, boundaries, and constructive use
of time
Internal assets - correct answer ✔✔ Commitment to learning, values, social competency, and
identity
Evil eye - correct answer ✔✔ As long as an individual's strength and weakness remain in
balance, he or she is unlikely to become a victim. Infants and small children, because of
immature development of their internal strength-weakness states, are especially vulnerable.
Mediterraneans and Latin Americans - correct answer ✔✔ What cultures uses the concept of
the "evil eye"?
Malformation - correct answer ✔✔ Occurs before the 12th week of gestation resulting in
abnormal formation of body parts (ex. cleft lip and palate)
Syndrome - correct answer ✔✔ Occurs from a specific cause and results in a recognizable
pattern (ex. down syndrome)
Autosomal Dominant - correct answer ✔✔ A single copy of a mutant allele is sufficient for a
disease to be expressed
