Maternal-Child Nursing McKinney Ch
3: The Childbearing and Child-Rearing
Family Test Bank Assignment
Questions with Verified Solutions
2025\2026 Graded to Pass.
1. The nurse teaches parents that the formula used to guide time-out as a disciplinary method is
a. 1 minute per each year of the child's age.
b. to relate the length of the time-out to the severity of the behavior.
c. never to use time-out for a child younger than 4 years.
d. to follow the time-out with a treat. - Answer ANS: A
It is important to structure time-out in a time frame that allows the child to understand why he
or she has been removed from the environment. The current guideline is 1 minute per age in
years. Relating time to a behavior is subjective and is inappropriate when the child is very
young. Time-out can be used with the toddler. Negative behavior should not be reinforced with
a positive action.
2. The nurse observes that when an 8-year-old enters the playroom, the child often causes
disruption by taking toys from other children. The nurse's best approach for this behavior is to
a. ban the child from the playroom until the child learns to control behavior.
b. explain to the children in the playroom that this child is very ill and should be
allowed to have the toys.
c. approach the child in his or her room and ask, "Would you like it if the other
children took your toys from you?"
d. approach the child in his room and state, "I am concerned that you are taking the
other children's toys. It upsets them and me." - Answer ANS: D
By the nurse's using "I" rather than the "you" message, the child can focus on the behavior. The
child and the nurse can begin to explore why the behavior occurs. Banning the child from the
playroom will not solve the problem. The problem is his behavior, not the place where he
exhibits it. Illness is not a reason for a child to be undisciplined. When the child recovers, the
parents will have to deal with a child who is undisciplined and unruly. Children should not be
made to feel guilty and to have their self-esteem attacked.
3. Families who deal effectively with stress exhibit which behavior pattern?
, d. Feel guilty when stress exists - Answer ANS: C
Healthy families recognize that some stress is normal in all families. Healthy families focus on
family strengths rather than on the problems and know that stress is temporary and may be
positive. If families are dealing effectively with stress, then weakening of the family unit should
not occur. Because some stress is normal in all families, feeling guilty is not reasonable. Guilt
only immobilizes the family and does not lead to resolution of the stress.
4. Which family will most likely have the most difficulty coping with a seriously ill child?
a. A single-parent mother who has the support of her parents and siblings
b. Parents who have just moved to the area and have not yet found health care
providers
c. The family of a child who has had multiple hospitalizations related to asthma and
has adequate relationships with the nursing staff
d. A family in which there is a young child and four older married children who live
in the area - Answer ANS: B
Parents in a new environment will have increased stress related to their lack of a support
system. They have no previous experiences in the setting from which to draw confidence.
Not only does this family not have friends or relatives to help them, they must find a provider
when their child is seriously ill. Although only one parent is available, she has the support of her
extended family, which will assist her in adjusting to the crisis. Because this family has had
positive experiences in the past, family members can draw from those experiences and feel
confident about the setting. This family has an extensive support system that will assist the
parents in adjusting to the crisis.
5. A nurse determines that a child consistently displays predictable behavior and is regular in
performing daily habits. Which temperament is the child displaying?
a. Easy
b. Slow-to-warm-up
c. Difficult
d. Shy - Answer ANS: A
Children with an easy temperament are even tempered, predictable, and regular in their habits.
They react positively to new stimuli. The slow-to-warm-up temperament type prefers to be
inactive and moody. A high activity level and adapting slowly to new stimuli are characteristics
of a difficult temperament. Shyness is a personality type and not a characteristic of
temperament.
3: The Childbearing and Child-Rearing
Family Test Bank Assignment
Questions with Verified Solutions
2025\2026 Graded to Pass.
1. The nurse teaches parents that the formula used to guide time-out as a disciplinary method is
a. 1 minute per each year of the child's age.
b. to relate the length of the time-out to the severity of the behavior.
c. never to use time-out for a child younger than 4 years.
d. to follow the time-out with a treat. - Answer ANS: A
It is important to structure time-out in a time frame that allows the child to understand why he
or she has been removed from the environment. The current guideline is 1 minute per age in
years. Relating time to a behavior is subjective and is inappropriate when the child is very
young. Time-out can be used with the toddler. Negative behavior should not be reinforced with
a positive action.
2. The nurse observes that when an 8-year-old enters the playroom, the child often causes
disruption by taking toys from other children. The nurse's best approach for this behavior is to
a. ban the child from the playroom until the child learns to control behavior.
b. explain to the children in the playroom that this child is very ill and should be
allowed to have the toys.
c. approach the child in his or her room and ask, "Would you like it if the other
children took your toys from you?"
d. approach the child in his room and state, "I am concerned that you are taking the
other children's toys. It upsets them and me." - Answer ANS: D
By the nurse's using "I" rather than the "you" message, the child can focus on the behavior. The
child and the nurse can begin to explore why the behavior occurs. Banning the child from the
playroom will not solve the problem. The problem is his behavior, not the place where he
exhibits it. Illness is not a reason for a child to be undisciplined. When the child recovers, the
parents will have to deal with a child who is undisciplined and unruly. Children should not be
made to feel guilty and to have their self-esteem attacked.
3. Families who deal effectively with stress exhibit which behavior pattern?
, d. Feel guilty when stress exists - Answer ANS: C
Healthy families recognize that some stress is normal in all families. Healthy families focus on
family strengths rather than on the problems and know that stress is temporary and may be
positive. If families are dealing effectively with stress, then weakening of the family unit should
not occur. Because some stress is normal in all families, feeling guilty is not reasonable. Guilt
only immobilizes the family and does not lead to resolution of the stress.
4. Which family will most likely have the most difficulty coping with a seriously ill child?
a. A single-parent mother who has the support of her parents and siblings
b. Parents who have just moved to the area and have not yet found health care
providers
c. The family of a child who has had multiple hospitalizations related to asthma and
has adequate relationships with the nursing staff
d. A family in which there is a young child and four older married children who live
in the area - Answer ANS: B
Parents in a new environment will have increased stress related to their lack of a support
system. They have no previous experiences in the setting from which to draw confidence.
Not only does this family not have friends or relatives to help them, they must find a provider
when their child is seriously ill. Although only one parent is available, she has the support of her
extended family, which will assist her in adjusting to the crisis. Because this family has had
positive experiences in the past, family members can draw from those experiences and feel
confident about the setting. This family has an extensive support system that will assist the
parents in adjusting to the crisis.
5. A nurse determines that a child consistently displays predictable behavior and is regular in
performing daily habits. Which temperament is the child displaying?
a. Easy
b. Slow-to-warm-up
c. Difficult
d. Shy - Answer ANS: A
Children with an easy temperament are even tempered, predictable, and regular in their habits.
They react positively to new stimuli. The slow-to-warm-up temperament type prefers to be
inactive and moody. A high activity level and adapting slowly to new stimuli are characteristics
of a difficult temperament. Shyness is a personality type and not a characteristic of
temperament.
