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Impact of Adoption on Children and Adults

Helping Your Foster Child Transition to Your Adopted Child

1. Which of the following is a way that adoptive parents and siblings can deal with the feelings about birth families that may arise and, together, help the adopted child or youth integrate and feel secure?

A. Acknowledge that adoption is important but that relationships are more important.

B. Encourage open discussion about any ongoing contract among birth family members.

C. Create regular activities, events, or anniversaries to celebrate the adoption.

D. All of the above.


2. All of the following are changes in status that will affect the child and should be discussed, depending on the child’s developmental level, except for:

A. Maturation differences

B. Legal differences

C. Financial differences

D. Parenting differences


3. Because a lifebook may contain personal and painful information about the child or youth’s past, it is not intended to be shared outside of the family.

A. True

B. False


4. During the transition phase, it’s important for parents and others working with the child to use all of the following skills, except:

A. Validating the child’s life story.

B. Creating a safe space for the child.

C. Helping the child realize that they must keep moving forward since they cannot go back in time.

D. Acknowledging pain as part of the process.


5. Relationships and routines are key ways to fortify the child’s sense of status within the family and begin the process of transferring and forming attachment to the parents and family.

A. True

B. False


6. All of the following are relationship and routine suggestions, except for:

A. Work together to create a written list of family rules so that everyone feels ownership of the rules.

B. Consequences for breaking rules should be discussed.

C. There should be procedures for modifying rules.

D. There should not be rewards for following rules, as following rules should be an expectation of being part of the family.


Impact of Adoption on Adopted Persons

7. Which of the following statements is true with regard to loss and grief?

A. Adopted persons who feel secure in their adoption and have open adoptive family communication may be better able to manage their uncertainty and grief.

B. Adopted persons may have difficulty finding an outlet because their grief may not be recognized by others.

C. Feelings of loss and grief, as well as anger, anxiety, or fear, may especially occur during emotionally charged milestones, such as marriage, the birth of a child, or the death of a parent.

D. All of the above.


8. The adopted person having feelings of loss, anger, and sadness about the adoption illustrates which phase of the development of adult adoptive identity?

A. Emerging awareness

B. Drowning in awareness

C. Reemerging from awareness

D. All of the above


9. A number of studies have found that adopted persons are similar to nonadopted persons in most ways, including on measures of self-esteem and self-confidence.

A. True

B. False


10. Finding out later in life that they were adopted as infants puts adopted persons at risk of misdiagnoses or other medical issues due to their long-held assumption of a family medical history that they later find is incorrect.

A. True

B. False


11. Responses by adopted persons who find out their adoption status later in life may include all of the following, except:

A. Anger directed toward the adoptive parents.

B. Anger directed toward the birth parents.

C. Depression.

D. Issues with trust in other close relationships.


12. Most literature points to adopted adolescents and adults having similar rates with all of the following, compared to their nonadopted peers, except for:

A. Suicide ideation

B. Suicide attempts

C. Substance use disorders

D. Antisocial behaviors


13. Studies have shown that the main reason that adopted persons search for their birth parents is because of a negative relationship with their adoptive parents.

A. True

B. False


14. Many mental health practitioners report not having enough training in adoption-related issues, so it is important for adopted adults to find a counselor who has the requisite skills, knowledge, and outlook (e.g., the counselor does not assume all issues are related to adoption).

A. True

B. False


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