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Which are stressors that affect the health of the family?
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The nurse is aware that which problem may occur in a single-parent family at a greater level than in other types of families?
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Foundation ch.4 prep
| Question | Answer |
|---|---|
| Which are stressors that affect the health of the family? | Inadequate childcare services |
| The nurse is aware that which problem may occur in a single-parent family at a greater level than in other types of families? | Increased financial concerns |
| In an effort to develop a trusting nurse–client relationship, the nurse exhibits a caring attitude, ensures the client's privacy, and spends time with the client to promote therapeutic communication. | Love and belonging |
| A school nurse is providing orientation to a nurse hired to provide care at a new elementary school opening in the district. The orienting nurse would ask for additional clarification about which statement made by the newly hired nurse? | “I would like to engage our dyadic nuclear families in activities to strengthen their parent-child bonds.” |
| A nurse working with patients in a community is aware that which is a true statement related to environmental factors in that community? | Barriers to accessing health care within a community may include lack of transportation. |
| In conjunction with the client, the nurse has set the following client outcomes. Which client outcome reflects Maslow’s level of self-esteem needs? | The client will verbalize feelings of increased confidence in performing a finger-stick blood sugar. |
| The home health nurse is making an initial assessment visit to a family that consists of two parents and twin 3-year-old boys. During the interview, the nurse is most concerned if the client makes which statement? | The father states, "I don't discuss money matters with my wife because I don't want her to worry." |
| psychiatric unit is interviewing the family of a 16-year-old client admitted for depression and threatened suicide. What assessment information is most essential for the nurse in determining the affective and coping function of the family? | Family patterns of communication |
| A nurse is implementing interventions that focus on protecting a client from physical and emotional harm. Which category of needs is the nurse addressing? | Safety and security |
| Which statement is true regarding Friedman's theory of family-centered nursing care? | The role of the family is essential in every level of nursing practice. |
| The community environment affects the well-being of the individual and the family. Which is the health responsibility of the family? | Maintain a healthy lifestyle |
| The nurse is conducting a family assessment of a traditional family. Which assessment data cue describes the socioeconomic status of the family? | The father is an engineer and the mother is an elementary school teacher. |
| The nurse is assessing the family structure of the client. The family household comprises two parents, three children, and one grandparent. The nurse recognizes that this is a(n): | extended family. |
| The nurse is explaining the expected developmental tasks of a typical family with adolescents. Which of the following would be incorrect for the nurse to include? | Adjustment to retirement |
| During the patient assessment, the client shares that the family attends church nearly every Sunday. Which function of the family does this represent? | Socialization |
| A nurse is caring for a client newly diagnosed with diabetes mellitus and developing a holistic plan of care. For this plan of care to be successful, it must what? | Address the disease but also incorporate the mind, body, and spirit. |
| The nurse asks what is happening, and is told, "We are Jewish, and the family is 'Sitting Shiva'." This family is fulfilling which family function? | affective and coping functions |
| A nurse is working at a community clinic that serves mostly families with young children. What would be a priority intervention for clients in this developmental stage? | Setting up parenting classes |
| What are examples of meeting physiologic needs according to Maslow’s hierarchy of needs? | A nurse administers pain medication to a postoperative client. A home care practitioner requests quiet so that a client can sleep. |
| A community is defined as a social group that may or may not share common geographic boundaries yet interact because of | Common interests |
| The nurse is assessing how the client's religion may affect the client's health care needs. Which question by the nurse is the best way to consider the client's religious practices in the plan of care? | "What can we do to help you meet any religious needs you may have?" |
| Which client requires priority intervention by a nurse providing care on a medical-surgical unit? | A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min |
| A nurse is developing a plan of care for a client to meet the client's self-actualization needs. The nurse would focus on which area as most important? | Emphasizing the client's strengths |
| The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual? | Sociocultural dimension |
| The nurse recognizes that the community affects the ability of individuals to meet basic human needs. Which example is not a characteristic of a healthy community? | The number of assaults increased 2% over the last year. |
| The nursing student asks the instructor to explain what a community is. Which statement by the instructor would be inappropriate? | “Communities have few effects on the health of the individuals that live there.” |
| A community-based nurse acts as a case manager for a small town about 60 miles from a major healthcare center. What is the most important factor of community-based nursing for this nurse to be knowledgeable about? | Community resources available to clients |
| What is an example of a community risk factor? | Children are kept inside on a sunny day due to a lack of recreational opportunities. |
| A client says, “I live in a small community on the northwest side of the city.” Why does the nurse consider it significant that the client reports living in a community rather than a neighborhood? | Community indicates people who share similar characteristics |
| the family's beliefs regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family? | Socialization |
| The nurse performs an assessment of the client and the family to have a better understanding of client and family needs. Which is an individual need? | Safety |
| “I don’t get too much rest because I am in nursing school and work full time to support myself and my kids.” The nurse classifies this statement as an issue at which level of Maslow’s basic needs? | Physiologic |
| Which action by the nurse demonstrates the nurse’s efforts to meet the client’s self-actualization needs? | The nurse arranges for the client’s clergy to visit after visiting hours. |
| What is an example of a community risk factor? | Children are kept inside on a sunny day due to a lack of recreational opportunities. |
| A nurse is implementing interventions that focus on protecting a client from physical and emotional harm. Which category of needs is the nurse addressing? | Safety and security |
| Which theorist supports the developmental framework of family assessment? | Duvall |
| The nurse is implementing care for several clients. Which client is the nurse helping to reach the highest level of Maslow’s hierarchy of basic human needs? | The nurse provides privacy for the client and family during times of prayer. |
| A nurse is caring for an adolescent who lost a leg in a motor vehicle accident. Which human need would the nurse most likely need to address? | Self-esteem needs |
| "I've heard people talk about community health nursing and community-based nursing. Is there a difference?" Which response by the nurse manager would be appropriate? | "Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population." |
| A family assessment of a father, mother, and four children has suggested the presence of several risk factors. Which aspect of the family's structure and function would be considered a psychosocial risk factor? | The parents have a tumultuous relationship, with frequent separations in the past. |
| A young couple who have been married less than a year are having difficulty with adjusting to parenting. What is a contributing factor to this level of maladjustment? | Limited time in learning to be a marital partner |
| The client tells the nurse that the client is apprehensive about the operation and asks the nurse to read a passage from the Koran to help prepare the client for surgery. Which action by the nurse is the most appropriate? | Read the Koran passage to the client. |
| a report that describes the client's abdominal wound dressing as having a moderate amount of yellowish and bloody drainage on it and a very foul smell. In planning for a dressing change, it is most important for the nurse to perform which action? | Wash the nurse's hands before and after the dressing change. |
| assess a 3-year-old child with a fractured femur, a hematoma on the back of the head, and multiple 1-cm round scabs and blisters on the upper back. The parents state that their child sustained the injuries by falling out of a high chair. Nurse should do? | Report the suspected child abuse to Child Protective Services. |
| A nurse is conducting a presentation for a local community group about families and current family structures. When describing a cohabiting family, which information would the nurse include? Select all that apply. | The members live together for a variety of reasons. Members may include unmarried retired individuals. |
| A nurse is assessing a family for possible risk factors that may be contributing to the family's altered health status. When assessing for environmental risk factors, which questions would the nurse ask? Select all that apply. | "Is there anything going on at work that is causing you stress?" "Are you financially able to keep your home safe for your children?" |
| The family consists of a father, mother, a 13-year-old son, a 14-year-old son from a previous marriage, and a 16-year-old daughter. Which statement by the parents would lead the nurse to suspect a potential risk factor for altered health with this family? | "Our 16-year-old just seems to butt heads with us at every turn." |
| The nursing student asks the instructor to explain what a community is. Which statement by the instructor would be inappropriate? | “Communities have few effects on the health of the individuals that live there.” |
| The nurse notices that the client is shivering and takes the client's temperature. The nurse notes an oral temperature of 97.8°F (36.6°C). The client also reports being "chilly." Which nursing action is most appropriate? | Offer the client an extra blanket. |
| A 44-year-old client is being treated for dehydration in an acute care hospital. The nurse determines that the rehydration treatment is working by assessing which values? | Urine output of 1500 mL in 24 hours |
| According to Maslow’s hierarchy of human needs, which example would be the highest priority for a client after physiologic needs have been met? | Grab bars are installed in a client bathroom to facilitate safe showering. Explanation: |
| A nurse is assessing a family and identifying where the family is in the family life cycle. During this assessment, the nurse applies Duvall's theory. Which theory forms the basis for Duvall's theory? | Erikson's theory of psychosocial development |
| A nurse is developing a plan of care for a client to meet the client's self-actualization needs. The nurse would focus on which area as most important? | Emphasizing the client's strengths |
| A family that consists of two homosexual parents and three children living in the same house is an example of which type of family? | Nuclear |
| Which intervention performed by the nurse is most appropriate for assisting a client in meeting safety and security needs based on Maslow’s hierarchy of needs? | Providing the mother the phone number for the poison control center |
| The nurse enters the client's room in the acute care unit immediately after the client experiences a generalized tonic-clonic type seizure in bed. What is the first action the nurse should take? | Position the client in a side-lying position. |
| Assessment data includes BP 150/88 mm Hg, HR 100/bpm, RR 22/min with a pain scale of 8 out of 1-10. The abdominal dressing in clean, dry, and intact. The client’s orders indicate ambulation today. Which is the priority nursing action? | Medicate the client for pain. |
| A nurse is working as part of a group to address factors within the community affecting the health of the families in that community. Which area would the nurse identify as playing a role in contributing to altered health status? | Limited number of institutions providing health care Small number of recreational opportunities for adults and children Overlapping of industrial zones with residential zones |
| A visit to a 56-year-old client who receives home chemotherapy as part of a treatment regimen for breast cancer, as well as to the client's 58-year-old spouse. The nurse should recognize that this family is likely to be engaged in which development task? | Maintaining ties with older and younger generations |
| A nurse is caring for a 78-year-old client who has been hospitalized following a stroke. Which nursing action has the highest priority for this client? | Measuring the client’s intake and output during recovery |
Created by:
briannagrace