Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
28 Cards in this Set
- Front
- Back
|
What is a dysfunctional family?
|
1. Unable to provide physically & emotionally for needs of members
2. Risk factors override strengths |
|
|
What are the risk factors of a dysfunctional family?
|
1. Inadequate communication
2. Isolation 3. Poor fit 4. Closed family system 5. + family history 6. Parent age 7. Poverty |
|
|
What are the characteristics of a dysfunctional family?
|
1. Chaos
2. No plans 3. Substance abuse 4. Meals are turmoil 5. Unrealistic expectations of child 6. Lack of self confidence 7. Isolation 8. Distrust 9. Domination 10. Lack of family support 11. Lack of resources 12. Poor communication |
|
|
What is the definition of child abuse?
|
Definition varies by state, legal words
|
|
|
What is child abuse?
|
1. Occurs to person <18 years of age
2. Injury inflicted by other than accidental means |
|
|
What are the characteristics of a child who is abused?
|
1. Uncared for
2. Poor growth 3. Cigarette burns 4. Old bruises on abdomen 5. Withdrawn |
|
|
What is the assessment of child abuse?
|
1. Mismatch between history given and nature of injuires
2. Suspicious parental behaviors 3. Physical Abuse/Neglect 4. Self-care deficits 5. Inappropriate response to painful stimuli 6. Injuries that are often covered by clothing 7. SBS (brain bleed from acceleration - decel) 8. FTT – nonorganic |
|
|
What are the characteristics of physical abuse/neglect?
|
1. Listless
2. Does not respond to voices/eye contact 3. No emotion with parents |
|
|
What are the characteristics of self-care deficits?
|
1. Poor growth/feeding difficulties
2. Developmental deficits |
|
|
What types of injuries require further investigation?
|
1. Burns (demarcated area; symmetric)
2. Bruises (resemble man-made object, hand) 3. Fractures (spiral, age) 4. Multiple fractures, various stages of healing 5. Bruise coloration(s) are important to document |
|
|
What are the signs and symptoms of SBS?
|
1. Retinal hemorrhage
2. Subdural hemorrhage 3. Minimal or absent signs of external trauma 4. High index of suspicion (infant) 5. ICP signs and symptoms |
|
|
What are the characteristics of FTT?
|
1. Poverty
2. Poor bonding 3. Weight <5% 4. Developmental delay 5. Muscle wasting 6. Affect (avoidance) |
|
|
What is important to remember regarding sexual abuse?
|
Victim pressured into secrecy by perpetrator
|
|
|
What are the signs and symptoms of sexual abuse?
|
1. Genital laceration/bruises
2. STDs/pregnancy 3. Pain in genitalia 4. Enlarged orifice 5. Odors 6. UTIs 7. Unusual interest in genitalia 8. Advanced knowledge of adult sexual behavior 9. Early seductive behavior 10. Sleep disturbances 11. Excessive bathing 12. Change in school performance 13. Depression |
|
|
Who should report child abuse?
|
Everyone
|
|
|
Who should report be given to?
|
1. Child care custodians
2. Health practitioners 3. Child protection personnel 4. Print processors within 36 hours |
|
|
What is important to remember regarding child abuse?
|
1. Incidents have: knowledge or suspicion of
2. Immunity from law, who reports |
|
|
What information is provided regarding child abuse?
|
1. Name of child
2. Present location 3. Nature of injury 4. Why suspicious |
|
|
What are the available family resources for child abuse?
|
1. Foster care/adoption
2. Alcohol/drug abuse treatment 3. CPS 4. Youth crisis line 5. Multi-disciplinary team 6. Counseling services 7. AFDC, WIC |
|
|
What is the general nursing care for an abused child?
|
1. Assessment and Identification
2. Treat injuries 3. Accurate, complete documentation 4. CPS referral 5. Safe environment for child 6. Ascertain safe placement 7. Address emotional needs 8. Family resources |
|
|
A common characteristic of those who sexually abuse children is which of the following?
A. Pressure victim into secrecy B. Are usually unemployed and unmarried C. Are unknown to victims and victims' families D. Have many victims that are each abused only once |
A. Pressure victim into secrecy
|
|
|
Which of the following is descriptive of a child who is abused by the parent(s)?
A. Is healthier than the nonabused siblings B. Belongs to a low socioeconomic population C. Unintentionally contributes to the abusing situation D. Abuses siblings in the same way as child is abused by the parent(s) |
C. Unintentionally contributes to the abusing situation
|
|
|
Which of the following would be an example of secondary prevention?
A. Immunizations B. Promoting the use of car seats C. Rehabilitation for a head injury D. Mental health counseling for a family death |
D. Mental health counseling for a family death
|
|
|
The cost of a nursing intervention is analyzed for the number of hospital days avoided for patients. This project would be called a:
A. Screening effort B. Primary prevention plan C. Cost-effectiveness analysis D. Community nursing process |
C. Cost-effectiveness analysis
|
|
|
An important role of the nurse in ambulatory settings and schools is the identification of communicable diseases for treatment and the prevention of spread. An important component is the recognition of which of the following aspects of the disease?
A. Source B. Causative agent C. Prodromal stage D. Constitutional symptoms |
C. Prodromal stage
|
|
|
Home care is being considered for a young child who is ventilator dependent. Which of the following factors is most important in deciding whether home care is appropriate?
A. Level of education of parents B. Preparation and ability of family C. Presence of two parents in the home D. Family's ability to assume all health care costs |
B. Preparation and ability of family
|
|
|
For case management to be the most effective, who is the most appropriate case manager?
A. One nurse B. A panel of experts C. The insurance company D. A multidisciplinary team |
A. One nurse
|
|
|
The home health nurse is planning care for a 3-year-old boy who has Down syndrome and is on continuous oxygen. He recently began walking around furniture. He is spoon-fed by his parents and eats some finger foods. Which of the following is the most appropriate goal to promote normal development?
A. Encourage mobility. B. Encourage parent’s assistance in self-care. C. Promote oral-motor development. D. Provide opportunities for socialization. |
A. Encourage mobility.
|
