A 10-year-old child cares for siblings while the parents work because the family cannot afford a
babysitter. This child says, "My father doesn't like me. He calls me stupid all the time." The
mother says the father is easily frustrated and has trouble disciplining the children. The
community health nurse should consider which resources to stabilize the home situation?
Select all that apply.
a. Parental sessions to teach childrearing practices
b. Anger management counseling for the father
c. Continuing home visits to provide support
d. Safety plan for the wife and children
e. Placement of the children in foster care -- Correct Answer --ABC
,A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, "No!"
when given direction. The nurse's counseling with the parent should be based on the premise that
the child is engaged in which of Erikson's psychosocial crises?
a. Trust versus Mistrust
b. Initiative versus Guilt
c. Industry versus Inferiority
d. Autonomy versus Shame and Doubt -- Correct Answer --D
A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, "No!"
when given directions. Using Freud's stages of psychosexual development, a nurse would assess
the child's behavior is based on which stage?
a. Oral
b. Anal
c. Phallic
d. Genital -- Correct Answer --B
A 26-month-old child displays negative behaviors. The parent says, "My child refuses toilet
training and shouts, 'No!' when given direction. What do you think is wrong?" Select the nurse's
best reply.
a. "This is normal for your child's age. The child is striving for independence."
b. "The child needs firmer control. Punish the child for disobedience and say, 'No.'"
c. "There may be developmental problems. Most children are toilet trained by age 2 years."
,d. "Some undesirable attitudes are developing. A child psychologist can help you develop a
remedial plan." -- Correct Answer --A
A 4-year-old child grabs toys from siblings, saying, "I want that toy now!" The siblings cry, and
the child's parent becomes upset with the behavior. Using the Freudian theory, a nurse can
interpret the child's behavior as a product of impulses originating in the:
a. id.
b. ego.
c. superego.
d. preconscious. -- Correct Answer --A
A 40-year-old adult living with parents states, "I'm happy but I don't socialize much. My work is
routine. When new things come up, my boss explains them a few times to make sure I
understand. At home, my parents make decisions for me, and I go along with them." A nurse
should identify interventions to improve this patient's:
a. self-concept.
b. overall happiness.
c. appraisal of reality.
d. control over behavior. -- Correct Answer --A
A basic level registered nurse works with patients in a community setting. Which groups should
this nurse expect to lead? Select all that apply.
a. Symptom management
, b. Medication education
c. Family therapy
d. Psychotherapy
e. Self-care -- Correct Answer --A B E
A bill introduced in Congress would reduce funding for the care of people with mental illnesses.
A group of nurses write letters to their elected representatives in opposition to the legislation.
Which role have the nurses fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice -- Correct Answer --A
A child is placed in a foster home after being removed from parental contact because of abuse.
The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the
nurse how to help the child. What should the nurse recommend? Select all that apply.
a.
Use a calm manner and low voice.
b.
Maintain simplicity in the environment.