which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events

ATI RN

Nursing Care of Children Final ATI

1. Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?

A. Interactional theory
B. Family stress theory
C. Erikson's psychosocial theory
D. Developmental systems theory

Correct answer: B

Rationale: Family stress theory explains how families respond to stress and identifies factors that help families adapt to and manage stressful events effectively.

2. What statement best describes Hirschsprung disease?

A. The colon has an aganglionic segment.
B. It results in frequent evacuation of solids, liquid, and gas.
C. The neonate passes excessive amounts of meconium.
D. It results in excessive peristaltic movements within the gastrointestinal tract.

Correct answer: A

Rationale: Hirschsprung disease is characterized by the absence of ganglion cells in a segment of the colon, leading to a lack of peristalsis and obstruction. The other options do not accurately describe this condition.

3. The nurse is preparing to admit a 7-year-old child with Crohn disease. What clinical manifestations should the nurse expect to observe?

A. Pain is common.
B. Weight loss is severe.
C. All are correct.
D. Diarrhea is moderate to severe.

Correct answer: C

Rationale: The correct answer is C because Crohn's disease commonly presents with pain, severe weight loss, and moderate to severe diarrhea in affected individuals. Therefore, all the manifestations listed are typically observed in patients with Crohn's disease. Choice A alone is not sufficient as weight loss and diarrhea are also prominent symptoms. Choice B is incorrect as it only mentions weight loss, omitting other common manifestations. Choice D is also incorrect as it does not cover the full range of expected clinical signs in Crohn's disease.

4. The LPN is assessing for fontanels on the head of a 6-month-old. Which fontanel is expected to still be present?

A. Posterior
B. Anterior
C. Sphenoid
D. Lambdoid

Correct answer: B

Rationale: The correct answer is B: Anterior. The anterior fontanel usually remains open until about 12-18 months of age, while the posterior fontanel closes by 2-3 months. Choices A, C, and D are incorrect as the posterior fontanel closes by 2-3 months of age, and the sphenoid and lambdoid fontanels are not typically assessed in routine infant head examinations.