NUR 222: Parenting

What are the 4 types of parenting?

• authoritative

• authoritarian

• indulgent/permissive

• uninvolved/neglectful

What is the authoritarian parenting style? (4)

• highly demanding and directive, not responsive

• expect orders to be obeyed without question

• expect kids to accept judgement, values, and goals without questioning

• variable love + high limits

What are characteristics of children of authoritarian parents? (8)

unhappy, anxious, low in self-confidence, lacking initiative, dependent on others, lacking social skills + unselfish behaviors, coercive with others, defiant

What is the authoritative parenting style? (4)

• demanding and responsive

• disciplinary methods supportive rather than punitive

• more open to give + take with their children and make greater use of explanations

• democratic or balanced (high love and high limits)

What are characteristics of children of authoritative parents? (7)

happy, confident, curious, independent, likable, respectful of others, successful in school

What is the permissive/indulgent parenting style? (4)

• responsive, not demanding

• don’t require mature behavior

• avoid confrontation

• high love and low limits

What are characteristics of children of permissive/indulgent parenting style? (6)

selfish, unmotivated, dependent on others, demanding attention, disobedient, impulsive

What is the neglectful/uninvolved parenting style? (2)

• neither responsive or demanding

• rejecting/neglecting (low love + low limits)

What are characteristics of neglectful/uninvolved parents? (5)

disobedient, demanding, low self-control, low frustration tolerance, lacking long-term goals

What are positive parenting skills? (6)

• open communication

• problem-solving skills

• setting high expectations

• promoting self-efficacy

• limit-setting (boundaries)

• discipline

What is limit setting?

establishing rules or guidelines for behavior

What is discipline? (3)

• from disciplus (pupil) and means “to teach”

• set of rules governing conduct

• action taken to enforce rules after noncompliance

What are the purposes of discipline? (5)

Help children:

• test limits of control

• achieve in areas appropriate for their level

• channel undesirable feelings/action into constructive activity

• protect themselves from danger

• learn socially acceptable behavior

What are the 5 types of discipline?

• reasoning

• behavior modification

• consequences

• time-out

• corporal

What are natural consequences?

direct result of child’s behavior, only implemented if safe

ex. child leaving toy at daycare

What are logical consequences?

imposed by parent but fair and related

ex. child staying up late on phone past bedtime, phone taken away

What are unrelated consequences?

imposed by parent but unrelated to child’s actions

ex. taking away privilege (favorite toy bc didn’t clean room)

What are the characteristics of time-out? (4)

• 3 years + older

• 1 min per year of age

• discuss behavior when time up - if resume then back to time-out

• discipline must occur immediately at time of incident

What are characteristics of corporal punishment?

• hitting or spanking

• not recommended by American Academy of Pediatrics

What skills can the parent be taught to move toward authoritative parenting? (5)

• reasoning or problem solving

• behavior modification

• ignoring

• natural/logical consequences

• time-out

What is the purpose of ACT?

general guidance for changing behavior form unacceptable into acceptable

What does ACT stand for?

• Acknowledge feelings

• Communicate limits

• Target two choices

What are discipline choices for ages 1-2? (4)

• change direction

• avoid temptation

• remove form activity

• encouragement

What are discipline choices for ages 2-5? (3)

• time out (3+ only)

• natural + logical consequences

• ACT

• avoid temptation?

• remove from activity?

What are discipline choices for ages 5-12? (5)

• encouragement

• time out

• natural and logical consequences

• ACT

• give + take

What are discipline choices for ages 12-18? (5)

• encouragement

• natural + logical consequences

• ACT

• give + take

• handshake on it

A child is scolded for forgetting to put his toys away. For punishment, his mother takes his toys away for a week. This is an example of:

A. logical consequences

B. natural consequences

C. permissive parenting

D. neglectful parenting

A.

A child is drawing on the walls and using his scissors to cut his own hair. His mother is on her phone and ignoring his behavior. This is an example of ____ parenting.

A. neglectful

B. authoritarian

C. permissive

D. authoritative

A.

When the nurse is assessing the type of discipline used at the home, the parent of a 2-year old states she puts her child in time-out for 4 minutes when he exhibits moderate to severe negative behavior such as hitting or kicking. What is the nurse's best response?

A. When he hits, gently hit him on the behind with an open hand so he understands that hitting hurts other people.

B. He is slightly young to cognitively understand time out. Let's discuss some other discipline methods.

C. He should be in time out for 2 minutes instead of 4.

D. He is not quite old enough for time out. When he hits, tell him NO!

B.

Two parents are at odds about how to discipline. The mother likes natural consequences, while her partner prefers logical consequences. They want the nurse to weigh in on which approach is better. What is the nurse's best response?A. Natural consequences are the most effective in all situations.

B. Both natural and logical consequences can be effective. Choosing the correct one depends on the safety and time frame in which the consequence will occur.

C. Natural consequences work well for young children, and logical in older children.

D. Both are effective in any situation.

B

True or false: Child growth is typically slow & steady, with all parts of the body growing steadily throughout childhood and adolescence.

A. True

B. False

B. False

A child is classified as healthy weight, underweight, overweight, or obese by which growth parameter?

A. BMI

B. Weight for age

C. Weight percentile for age

D. BMI percentile

D.

According to Erikson’s theory, a 13-year-old girl with a preoccupation with appearance and image at school is in which stage of development?

A. Initiative vs Guilt

B. Identity vs Role Confusion

C. Industry vs Inferiority

D. Trust vs Mistrust

B.

A nursing instructor is observing her student nurses teaching a health promotion lesson in an elementary school setting. Which statement, if made by the nursing student to the school ager, shows the student needs further teaching on therapeutic communication with children?

A. Great job raising your hand, Max! High five! What is your answer?

B. She models raising her hand quietly to the class and calls on a student who is doing so.

C. "I love how Max is raising his hand quietly. Max, what do you think is the best answer?"

D. "If you stop fidgeting and raise your hand, I will call on you to answer a question"

D.

You are admitted a school age patient to your unit who needs to have an appendectomy. He is scared about 'what is going to happen to his body'. What is the best approach to teaching him about his upcoming surgery?

A. Use puppets to help him identify his emotions about the surgery

B. Use a model of the colon and inflamed appendix to show him where the surgeon will take out what is making his stomach hurt.

C. Tell him he will feel better after his appendix is taken out.

D. Encourage him to journal his feelings about his upcoming surgery

B.

Your 3 year old patient is scared to let you do your physical assessment on her. What is a good approach for nurse to take?

A. Tell me how you're feeling about being in the hospital.

B. I know it is hard, but you have to let me listen to your heart and lungs.

C. I'll come back to do your assessment later when you're not scared.

D. Oh! Your dolly told me she's not feeling well. Let me listen to her heart, and then yours, so I can make sure you're both healthy.

D.