ATI RN
Nursing Care of Children Final ATI
1. Parents of a hospitalized toddler ask the nurse, "What is meant by family-centered care?" The nurse should respond with which statement?
- A. Family-centered care reduces the effect of cultural diversity on the family
- B. Family-centered care encourages family dependence on the health care system
- C. Family-centered care recognizes that the family is the constant in a child’s life
- D. Family-centered care avoids expecting families to be part of the decision-making process
Correct answer: C
Rationale: Family-centered care emphasizes the importance of the family as the constant in a child's life, involving them in all aspects of care and decision-making.
2. The nurse is planning to counsel family members as a group to assess the family's group dynamics. Which theoretical family model is the nurse using as a framework?
- A. Feminist theory
- B. Family stress theory
- C. Family systems theory
- D. Developmental theory
Correct answer: C
Rationale: Family systems theory views the family as an interconnected system where changes in one member affect the entire family, making it ideal for assessing group dynamics.
3. The predominant characteristic of the intellectual development of a child aged 2 to 7 years is egocentricity. Which of the following best describes this concept?
- A. Selfishness
- B. Unable to see another’s point of view
- C. Able to put self in another’s place
- D. Prefers to play alone
Correct answer: B
Rationale: Egocentricity in children aged 2 to 7 years means they are unable to see things from another person's perspective. This characteristic is a normal part of their cognitive development during this stage. Choice A, 'Selfishness,' is not an accurate description as egocentricity is more about a limited ability to understand others' viewpoints rather than intentional selfishness. Choice C, 'Able to put self in another’s place,' is incorrect as egocentric children struggle to do this. Choice D, 'Prefers to play alone,' is not directly related to egocentricity but may be a behavior exhibited by some children for various reasons.
4. A foster parent is talking to the nurse about the health care needs for the child who has been placed in the parent's care. Which statement best describes the health care needs of foster children?
- A. Foster children always come from abusive households and are emotionally fragile.
- B. Foster children tend to have a higher than normal incidence of acute and chronic health problems.
- C. Foster children are usually born prematurely and require technologically advanced health care.
- D. Foster children will not stay in the home for an extended period, so health care needs are not as important as emotional fulfillment.
Correct answer: B
Rationale: Foster children often have higher rates of acute and chronic health problems due to a variety of factors, including previous neglect, trauma, and inconsistent healthcare access.
5. When a pre-school child says the sun shines to keep her warm, this is an example of:
- A. Animism
- B. Artificialism
- C. Egocentrism
- D. Centering
Correct answer: B
Rationale: The correct answer is B: Artificialism. Artificialism is the belief that natural phenomena are created by human beings for human purposes. In this scenario, the child attributes human-like intentions to the sun, assuming it shines specifically to keep her warm. Choice A, Animism, is the belief that natural objects and phenomena are alive and have feelings. Choice C, Egocentrism, refers to a child's difficulty in seeing things from another person's perspective. Choice D, Centering, involves focusing on only one aspect of a situation while ignoring other relevant aspects.
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