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An adolescent confides in the school nurse that she is arguing daily with her mother, and she often wonders if her mother loves her. The school nurse recognizes that the student faces which of the following risk factors for altered family health?

A psychosocial risk factor

A nurse is caring for a 78-year-old male patient who has been hospitalized following a stroke. Which nursing action has the highest priority for this patient?

Measuring the patient's I&O during recovery

Which of the following statements is true regarding Friedman's theory of family-centered nursing care?

The role of the family is essential in every level of nursing care

The nurse is assigned to take care of a client with rheumatoid arthritis. She notices that the client is wearing a copper bracelet. When she asks him about the bracelet, he says, "I believe that the bracelet will relieve the arthritis pain in my hands." Which action by the nurse is the most appropriate?

Respect the client's beliefs associated with the copper bracelet and allow him to wear it

A nurse who is using DuVall's conceptual framework to assess a family with two parents and three children must first determine the

Age of the oldest child

The nurse in the adolescent in-patient 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

The nurse reviews the data about various families in the local area. She notes that there is a religious compound located on the outskirts of town that consists of six adults and fifteen children under the age of 10, whom are all living together. They share everything and consider themselves married to one another. The five women in the compound call themselves "sister wives," and the lone male member is considered their leader and husband. The nurse identifies this family as which type?

Group marriage

A nurse is providing family-centered care to patients in a community health care clinic. Which statements about the family unit are accurate? (Select all that apply.)

The family is a buffer between the needs of individual members and society. • Duvall (1977) identified critical family developmental tasks and stages in the family life cycle. • The nuclear family is composed of two parents and their children.

Parents raising two school-aged children incorporate their religious beliefs into the family's daily life. 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

A nurse is planning education on self-administration of insulin to the client and his family members. The client asks the nurse why the family members are also included in the teaching. What should the nurse's response be?

"Family members are equally involved in planning and implementation of care.

Which of the following theorists supports the developmental framework of family assessment?

Duvall

The nurse is caring for an 85-year-old, female client hospitalized for dehydration. The nurse notices that the patient is shivering and takes the client's temperature. She notes an oral temperature of 97.8°:F (36.6°:C). The client also says that she is "chilly." What action, if taken by the nurse, is most appropriate?

Offer the client an extra blanket

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

The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual?

Sociocultural dimension

A community is defined as a social group that may or may not share common geographic boundaries yet interact because of

Common interests

The parents of a blended family have a baby boy age six months who is due for immunizations. The clinic closest to their home has recently closed, and they feel intimidated by the prospect of going to the large, university hospital near their home. Which of the following factors is the primary influence on this aspect of the family's health?

Community health care structure

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

The nurse assists a postoperative client with ambulation. The nurse recognizes that assisting the client when performing this skill meets which of Maslow's basic human needs?

Safety and security

The nurse receives an 8-year-old girl in the pediatric unit following a tonsillectomy. Which assessment finding requires immediate intervention by the nurse?

The client makes a rattling noise when she breathes through her mouth.

A 44-year-old female client is being treated for dehydration in an acute care hospital. The nurse determines that the rehydration treatment is working by assessing which of the following values?

Urine output of 1500 ml in 24 hours

A client who was admitted to a drug treatment center 3 days ago is boasting to the other residents that he used drugs for 2 years, and that his former employer never suspected that he was using drugs. Which action, if taken by the nurse, would be most appropriate for this client?

Have the client assume responsibility for the cleanliness of the dayroom

A nurse working in the cardiac intensive care unit is caring for a patient who just returned from a quadruple bypass surgery. The patient required the survey suddenly after presenting to the hospital with a myocardial infarction. The patient is sedated and on a mechanical ventilator. The patient's significant other arrives to visit the patient. The statement that best fosters communication between the visitor and the nurse is:

"Your loved one had a heart attack and needed to be taken to surgery. He is on a machine that is breathing for him and he is sleeping. Would you like me to take you in his room?"

The nurse is assessing the family structure of the client. The family household is comprised of two parents, three children, and one grandparent. The nurse recognizes that this is a(n):

Extended family

The nurse is teaching a group of nursing students about how health of community members is affected. Which community characteristics affect the health of individuals? Select all that apply.

• Education programs • Communication facilities • Transportation services • Recreation programs

The rural community health nurse is orienting families at the local church about the Affordable Care Act. She tells the audience, "Personal finances and health care insurance coverage have negatively affected Americans' access to healthcare in their communities." The nurse has based this remark on which of the following statements? Select all that apply.

• Private health insurance costs continue to escalate. • Many part-time jobs do not offer insurance benefits to their employees. • Many Americans without financial assistance have no access to health care screenings.