Exam 1: Ch 2, 3, 4, 6 Flashcards

1
Q

Culture

A

The pattern of assumptions, beliefs, and practices, encompassing other products of human work and thoughts specific to members of an intergenerational group, community, or population.

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2
Q

Child’s self concept

A

Evolves from ideas about his or her social roles.

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3
Q

Primary groups

A

Characterized by intimate contact, mutual support; and no pressure from community.

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4
Q

Secondary groups

A

Have limited, intermittent contact; little mutual support; and no pressure for conformity.

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5
Q

Does culture influence a child’s self esteem?

A

Yes!

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6
Q

Important subcultural influences in children include:

A

ethnicity, social class, occupation, schools, peers, biculture, and mass media.

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7
Q

Minority group population

A

is increasing I the US, whereas the percentage of the Caucasian population is decreasing.

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8
Q

What plays a major role in opportunities for health promotion and wellness?

A

Socioeconomic influences.

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9
Q

What greatly influences health promotion beliefs in families?

A

Religious practices.

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10
Q

What groups of children suffer from greater physical and mental health problems?

A

Those living in poverty, those who are homeless, or those who have migrant families.

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11
Q

Drug response, food sensitivity, disease resistance, physical characteristics, and disease states may demonstrate what?

A

Ethnic or cultural variations.

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12
Q

Cultural beliefs related to cause of illness and maintenance of health may focus on:

A

Natural forces, supernatural forces, or imbalance of forces.

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13
Q

No cultural group is homogeneous

A

Every racial and ethnic group contains great diversity.

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14
Q

The development of cultural competences is:

A

Continual and an important concept in the nursing process.

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15
Q

Family

A

There is no agreement about the definition of family. A family is what an individual considers it to be.

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16
Q

3 theories that have significant application to pediatric nursing are:

A
  1. Family systems theory
  2. family stress theory
  3. Developmental theory
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17
Q

Traditional family structure is

A

nuclear or extended

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18
Q

Do family size and position within the family structure have a strong impact on a child’s development?

A

Yes!

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19
Q

What are 2 essential areas of focus for parents?

A

Interpersonal skills and a basic understanding of childhood growth and development.

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20
Q

Parental control tends to be predominantly one of three types:

A

Authoritarian
Permissive
Authoritative

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21
Q

3 areas of special concern to adoptive families include:

A
  1. the initial attachment process
  2. the task of telling the children they are adopted
  3. identity formation during adolescence
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22
Q

Children and divorce:

A

Marital factors within the home significantly influence a child’s development. The impact of divorce on a child depends on the child’s age, the outcome, and the quality of the parent-child relationship and parental care following the divorce.

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23
Q

Single parenting and step-parenting

A

create adjustment difficulties and add stress to the already demanding parental role. Significant numbers of children will live in a single-parent or reconstituted family at some point.

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24
Q

Caring for children within a community requires

A

a multidisciplinary approach

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25
Q

Healthy communities provide children with:

A

High-quality medical care and a nurturing, safe place to live and grow.

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26
Q

Community health nursing focuses on:

A

Promoting and maintaining the health of individuals, families, and groups in the community setting.

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27
Q

Epidemiology

A

Is the science of population health applied to the detection of morbidity and mortality in a population.

28
Q

Community health programs are based on 3 levels of intervention:

A
  1. primary
  2. secondary
  3. tertiary
29
Q

What do economic evaluations provide?

A

Objective information to establish a program’s value to society.

30
Q

What does a community needs assessment involve?

A

Collection of subjective and objective information about the community.

31
Q

Community health diagnosis

A

Is similar to a nursing diagnosis, with an identified problem and a defined cause.

32
Q

What does program planning and implementation in a community require?

A

Collaboration between the nurse and community members who are in positions to promote change.

33
Q

Evaluation of effective community programs includes:

A

Consideration of the program’s structure, process, and outcomes.

34
Q

When eliciting a family health history, nurses should collect information about all family members within a minimum of:

A

3 generations

35
Q

To effectively establish a setting for communication a nurse must:

A

make an appropriate introduction and ensure privacy and confidentiality.

36
Q

When communicating with parents, nurses need to:

A

encourage parental involvement, listen carefully, use silence, and be empathetic.

37
Q

Communication with children must:

A

reflect their developmental stage.

38
Q

Nonverbal communication with children may take the form of:

A

writing, drawing, and play.

39
Q

The objectives of performing a health history are to:

A

identify pertinent information, determine the chief complaint, analyze the present illness, secure the patient’s health history, review biologic systems, and record a family medical history and child psychosocial and sexual history.

40
Q

Family assessment is:

A

the collection of data about family composition and relationships among its members. It also focuses on home and community environment, parents’ occupation and education, and cultural and religious traditions.

41
Q

The family function interview examines:

A

interaction and roles, power, decision making, problem solving, communication, and expression of feelings and individuality.

42
Q

Growth measurements during the physical examination focus on:

A

length or height, weight, skinfold thickness, and arm and head circumference. Assessment of growth is measured against standard growth charts to determine a child’s status in comparison with other children of the same age.

43
Q

What measurements constitute the physiologic approach to assessment?

A

Temperature, pulse, respiration, and BP

44
Q

The child’s general appearance is:

A

a cumulative, subjective impression of physical appearance, state of nutrition, behavior, personality, interactions with parents and nurse, posture, development, and speech.

45
Q

Head assessment

A

inspect for shape, symmetry, mobility, and muscle control.

46
Q

Ocular assessment

A

placement and alignment, inspection of external and internal structures, and vision testing.

47
Q

Ear assessment

A

placement and alignment, external and internal structures, and auditory testing.

48
Q

Lung assessment

A

examined by inspection, palpation, percussion, and auscultation.

49
Q

Heart

A

Auscultation is the most important procedure for examining the heart

50
Q

Abdominal assessment

A

follows an orderly sequence of inspection, auscultation, and palpation.

51
Q

Neurologic Assessment

A

Addresses behavior, motor, sensory, and cerebellar functions, reflexes, and cranial nerves.

52
Q

Race

A

genetics and biology transmitted by being passed down.

53
Q

Ethnicity

A

an affiliation of persons who share a unique cultural, social, and linguistic heritage.

54
Q

Socialization

A

process by which children acquire beliefs, values, and behaviors of a given society in order to function within that group.

55
Q

Types of socialization

A

Primary: intimate face to face contact
Secondary: extended family

56
Q

Subcultural influences include

A
Ethnocentrism
Ethnic stereotyping
Minority-group
Membership
Social Class
Schools
Peers cultures
Mass media
**The greatest subcultural influence among subculture influences is social class.**
57
Q

Socioeconomic Influences

A

Poverty (visible or invisible)
Homelessness
Migrant families

58
Q

Cultural Relativity

A

Any behavior must be judged in relation to the context of the culture in which is occurs.

59
Q

Family (Hanson & Boyd)

A

Family is two or more individuals who depend on one another for emotional, physical, and/or economical support. The members are self-defined.

60
Q

SBAR

A

Situation
Background (brief history)
Assessment
Recommendation

61
Q

Pediatric patient identifiers

A
  1. Address
  2. MRN
  3. SSN (very rare)
62
Q

Denver Developmental Screening Test (DDST)

A

Screen only
Means of objectively measuring developmental functioning
Not indicative of intelligence or IQ

63
Q

Pediatric physical exam: Top Priority

A

Pulse and respiratory rate

64
Q

Psychosexual Developmental Theory (Freud)

A
Oral = birth - 1yr
Anal = 1yr - 3yrs
Phallic = 3 yrs - 6 yrs
Latency = 6 yrs - 12 yrs
Genital = 12 yrs and older
65
Q

Psychosocial Developmental Theory (Erikson)

A
Trust vs mistrust ( birth to 1 year)
Autonomy vs shame and doubt
Initiative vs guilt
industry vs inferiority
identity vs role confusion
66
Q

Cognitive developmental theory (Piaget)

A
Assimilation and accommodation
Sensorimotor (birth - 2 years)
Preoperational (2-7 years)
Concrete operational ( 7-11 years)
Formal operational (11 years & up)
67
Q

Moral development (Kohlberg)

A

Predicts moral development but pays little attention to individual differences.
Preconventional: act morally due to punishment/consequences.
Conventional: logical. Own thoughts. Worry about happiness of others.
Postconventional : right vs wrong. Moral. Ethical.