Chapter 2
1. A young couple are asking the nurse for suggestions on the best way to help
their newborn develop properly. Which is the best response by the nurse?
A. Provide nutritional supplements.
B. Start reading to the child on first birthday.
C. Minimize distractions in the nursery.
D. Provide a variety of brightly colored toys.
Answer: D
Rationale: Children, from an early age, need stimulation and interaction to develop
the five senses optimally. Many parents buy brightly colored toys to facilitate
stimulation. You should encourage proper nutrition through diet rather than
supplementation. Reading should begin immediately, not on first birthday.
Question format: Multiple Choice
Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 19
2. Which situation may occur in immediate families at a greater level than in some
other types of families?
A. financial difficulties
B. problems with allocation of resources
C. formation of a poor parent–child relationship
D. lack of support people in a crisis
Answer: D
Rationale: People in an immediate family may all be so involved in a crisis that
there is no objective support person. Financial difficulties, resource allocation
problems, and poor relationships may be formed in any family situation.
Question format: Multiple Choice
Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Reference: p. 21-22
3. Which of the following may be a strength of the single-parent type of family?
A. financial security
B. readily available support in a crisis
C. development of a special parent-child relationship
D. child wishing for no other siblings
, Answer: C
Rationale: Because there is no competition for time from a spouse, single-parent
families can promote special parent-child relationships. Financial security, support
in a crisis, and the desire for no siblings can occur in any family situation.
Question format: Multiple Choice
Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 21-22
4. The nurse is preparing to teach a drug education class at a local elementary
school. The nurse is focused on providing which type of care to the community?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Preventive care
Answer: A
Rationale: Primary prevention is promotion of healthy activities and includes
education concerning safety, diet, rest, exercise, and disease prevention.
Secondary prevention focuses on health screening activities that aid in early
diagnosis and encourage prompt treatment. Tertiary prevention focuses on
rehabilitation and instruction on ways to prevent further injury or illness.
"Preventive care" is not considered a specific category but is a general function that
encompasses all three levels.
Question format: Multiple Choice
Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 23
5. The primary health care provider has recommended a client consult a nutritionist
for specialized care. The nurse, by providing a list of referrals to the client, is
providing which service?
A. Client advocacy
B. Community-based nursing
C. Primary care
D. Secondary prevention
Answer: A
Rationale: Client advocacy is speaking or acting on behalf of clients to help them
gain greater independence and to make the health care delivery system more
1. A young couple are asking the nurse for suggestions on the best way to help
their newborn develop properly. Which is the best response by the nurse?
A. Provide nutritional supplements.
B. Start reading to the child on first birthday.
C. Minimize distractions in the nursery.
D. Provide a variety of brightly colored toys.
Answer: D
Rationale: Children, from an early age, need stimulation and interaction to develop
the five senses optimally. Many parents buy brightly colored toys to facilitate
stimulation. You should encourage proper nutrition through diet rather than
supplementation. Reading should begin immediately, not on first birthday.
Question format: Multiple Choice
Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 19
2. Which situation may occur in immediate families at a greater level than in some
other types of families?
A. financial difficulties
B. problems with allocation of resources
C. formation of a poor parent–child relationship
D. lack of support people in a crisis
Answer: D
Rationale: People in an immediate family may all be so involved in a crisis that
there is no objective support person. Financial difficulties, resource allocation
problems, and poor relationships may be formed in any family situation.
Question format: Multiple Choice
Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Reference: p. 21-22
3. Which of the following may be a strength of the single-parent type of family?
A. financial security
B. readily available support in a crisis
C. development of a special parent-child relationship
D. child wishing for no other siblings
, Answer: C
Rationale: Because there is no competition for time from a spouse, single-parent
families can promote special parent-child relationships. Financial security, support
in a crisis, and the desire for no siblings can occur in any family situation.
Question format: Multiple Choice
Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 21-22
4. The nurse is preparing to teach a drug education class at a local elementary
school. The nurse is focused on providing which type of care to the community?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Preventive care
Answer: A
Rationale: Primary prevention is promotion of healthy activities and includes
education concerning safety, diet, rest, exercise, and disease prevention.
Secondary prevention focuses on health screening activities that aid in early
diagnosis and encourage prompt treatment. Tertiary prevention focuses on
rehabilitation and instruction on ways to prevent further injury or illness.
"Preventive care" is not considered a specific category but is a general function that
encompasses all three levels.
Question format: Multiple Choice
Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 23
5. The primary health care provider has recommended a client consult a nutritionist
for specialized care. The nurse, by providing a list of referrals to the client, is
providing which service?
A. Client advocacy
B. Community-based nursing
C. Primary care
D. Secondary prevention
Answer: A
Rationale: Client advocacy is speaking or acting on behalf of clients to help them
gain greater independence and to make the health care delivery system more
