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NUR 440 Final Exam with answers

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NUR 440 Final Exam with answers

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NUR 440 Final Exam with answers
Most |common |cause |of |mortality |in |all |age |groups |> |1 |y.o. |- |correct |answer |-MVA



2nd |most |common |cause |of |mortality |in |children |5-14 |y.o. |- |correct |answer |-Cancer



2nd |most |common |cause |of |mortality |in |children |> |14 |y.o. |- |correct |answer |-Suicide



Accounts |for |50% |of |morbidity |in |children |- |correct |answer |-Respiratory



Most |common |chronic |disease |among |children |- |correct |answer |-Asthma



"Do |no |harm" |- |correct |answer |-Atraumatic |care



What |are |the |4 |aspects |of |atraumatic |care? |- |correct |answer |-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.



Assent |is |more |of |an |ethical |rather |than |a |legal |requirement |in |pediatrics. |At |what |age |do |children |
have |the |right |to |assent? |- |correct |answer |-8 |years |old |(children |are |beginning |to |move |into |
concrete |thinking)



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. |- |correct |answer |-Systems |Family |Theory



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. |- |
correct |answer |-Family |Stress |Theory



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. |- |correct |answer |-Developmental |Family |Theory



Marker |for |the |Family |Developmental |Theory |- |correct |answer |-The |age |of |the |oldest |child



Married |couple |and |their |biological |children |(full |brothers |and |full |sisters) |- |correct |answer |-
Traditional |nuclear |family



Two |parents |(not |necessarily |married) |and |their |children |with |parent-child |ties |being |biological, |
step, |half, |foster, |or |adoptive. |- |correct |answer |-Nuclear |family



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. |- |correct |answer |-
Blended |(reconstituted) |family



What |family |system |can |move |to |a |nuclear |family |system |over |time? |- |correct |answer |-Blended |
(reconstituted) |family



What |are |the |keys |to |reducing |power |conflicts |and |stress |in |the |newly |formed |blended |family |
system? |- |correct |answer |-Negotiating |the |new |customs |and |cooperative |parenting |(open |
communication, |flexibility, |and |mutual |support |are |critical)



Multigenerational |family. |(Grandparents |may |be |the |primary |caregiver) |- |correct |answer |-Extended |
family



Result |of |divorce, |death, |desertion, |or |single-parenthood. |- |correct |answer |-Single-parent |family

,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. |- |correct |answer |-
Binuclear |family



Characteristics |(5) |common |to |small |families: |- |correct |answer |-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



Characteristics |(6) |common |to |large |families: |- |correct |answer |-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



How |to |inform |a |child |of |their |adoption |status: |- |correct |answer |-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).



How |to |discuss |divorce |with |children: |- |correct |answer |-Initial |disclosure |should |include |both |
parents |and |all |siblings, |followed |by |individual |discussions |with |each |child



In |order |to |develop |a |sense |of |self, |youth |need |to |receive |what |from |the |community? |- |correct |
answer |-External |and |internal |assets



Support, |empowerment, |boundaries, |and |constructive |use |of |time |- |correct |answer |-External |assets

, Commitment |to |learning, |values, |social |competency, |and |identity |- |correct |answer |-Internal |assets



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. |- |correct |answer |-Evil |eye



What |cultures |uses |the |concept |of |the |"evil |eye"? |- |correct |answer |-Mediterraneans |and |Latin |
Americans



Occurs |before |the |12th |week |of |gestation |resulting |in |abnormal |formation |of |body |parts |(ex. |cleft |
lip |and |palate) |- |correct |answer |-Malformation



Occurs |from |a |specific |cause |and |results |in |a |recognizable |pattern |(ex. |down |syndrome) |- |correct |
answer |-Syndrome



A |single |copy |of |a |mutant |allele |is |sufficient |for |a |disease |to |be |expressed |- |correct |answer |-
Autosomal |Dominant



A |copy |of |the |mutant |allele |is |needed |from |each |parent |in |order |for |the |disease |to |be |expressed |
(homozygous) |- |correct |answer |-Autosomal |Recessive



Males |have |a |50% |chance |of |being |affected |by |the |mother. |Females |are |always |carriers. |- |correct |
answer |-X |(sex)-Linked |Recessive



Both |males |and |females |are |equally |effected. |All |daughters |of |affected |men |will |be |affected |and |
have |a |50% |chance |of |passing |on |the |defective |allele. |- |correct |answer |-X |(sex)-Linked |Dominant



The |most |dramatic |time |of |physical, |motor, |cognitive, |emotional, |and |social |development |- |correct |
answer |-Infancy



At |what |age |do |children |generally |learn |lifelong |habits? |- |correct |answer |-3 |years |old

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