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NUR 232 Chapter 27 (Family, Social, Cultural, & Religious influences on a child) Questions With Complete Solutions

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NUR 232 Chapter 27 (Family, Social, Cultural, & Religious influences on a child) Questions With Complete Solutions

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NUR 232 Chapter 27 (Family, Social, Cultural, & Religious
influences on a child) Questions With Complete Solutions

A 10-year-old child of divorced parents frequently complains of
stomachaches. The nurse learns that the child also has frequent
temper tantrums, has declining grades in school, and seems to be
intent on punishing his father. Which signs and symptoms in the
child might be attributed to be the effect of parental divorce?
Select all that apply.
1. Stomachache
2. Hearing voices
3. Temper tantrums
4. Declining school grades
5. Desire to punish the father Correct Answers 1,3,4,5
Signs and symptoms in children due to parental divorce depend
on their age and growth. At age 10 years, the child can develop
somatic symptoms such as stomachaches and headaches;
behavioral problems such as temper tantrums; declining grades
in school; feelings of wanting to punish one or both of the
parents; as well as lying, stealing, and loneliness. Hearing voices
is a hallucination and is not related to the effects of parental
divorce

A 6-year-old child is brought to the hospital with a fever. The
family tells the nurse that they also take advice from a folk
healer. What would be the most appropriate nursing
intervention?
1. The nurse should ask the family to continue only the
traditional medicine.
2. The nurse should respect the family's choice and continue
with the medical care.

,3. The nurse should ask the family to stop seeing the folk healer
because it can be harmful.
4. The nurse should withhold medications because the family is
already following one form of treatment. Correct Answers 2.
The nurse should respect the family's choice and continue with
the medical care.
Many families follow traditional practices and consult folk
healers. The nurse should respect the family's culture to provide
culturally competent care. The nurse should respect the family's
decision and be neutral in approach. The nurse should not judge
the family. As long as the practices are not harmful to the child,
the nurse should not ask the family to avoid traditional
medicine. Traditional medicine alone may not be sufficient for
treatment. The nurse should not withhold the medications
because doing so may hamper the child's treatment.

A camp nurse is assessing a group of children attending summer
camp. Based on the nurse's knowledge of special parenting
situations, which group of children is at risk for a sense of
belonging?
1. Children adopted as infants
2. Children recently placed in foster care
3. Children whose parents recently divorced
4. Children who recently gained a stepparent Correct Answers
2. Children recently placed in foster care
Children placed in foster care are at greater risk to have
problems perceiving a sense of belonging. Children adopted at
birth have fewer problems with acceptance when parents follow
preadoption counseling about disclosure. Children of divorced
parents often fear abandonment. Children who gain a stepparent
are at risk for having trust problems with the new parent.

, A community health nurse works closely with a foster care
home. What are the concerns of the nurse in allocating a child to
foster care? Select all that apply.
1. Potential foster parents need 27 hours of training.
2. Foster parents should meet all the standards of law.
3. A child entering into foster care needs 12 hours of training.
4. The nurse should take measures to improve the health of
parents.
5.Foster parents should meet health standards as per the
guidelines. Correct Answers 1, 3, 5
Parents need 27 hours of training before entering into the
contract of fostering a child. Each state has standards that the
foster parent has to meet for fostering a child. Each state also
has health standards set, which the parents are supposed to
maintain. The child entering into foster care does not require any
training; instead parents require 12 hours of continuous
education per year. Foster children are at risk of acute and
chronic diseases; hence,the nurse should take measures to
improve the health of foster children as opposed to the parents.

A couple has a 3-year-old child whom they adopted at 6 months
old. What advice is most appropriate for the nurse to give the
couple about explaining the child's adoption to him?
1. "It's better if the child doesn't know about the adoption."
2. "The child can be informed, but at an age when he can
understand."
3. "You are legally required to inform the child about the
adoption at some point."
4. "The child can be told, but it's best to wait until he is old
enough to start school."

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