Ch 2 maternity

A community health nurse is actively involved in various community projects. The nurse is providing a secondary prevention activity by organizing which event?

Skin cancer fair

The nurse is assessing a family in which the parents are going through a divorce. There are three siblings in the family: a 4-year-old girl, a 10-year-old boy, and a 15-year-old girl. Which of the following is an important framework for the nurse to use when assessing the response of each child to the divorce?

Developmental stages

A pregnant home care client calls the nurse and states that her husband just told her that he wants a divorce because he cannot deal with the stress of her being at home all the time. Which nursing diagnosis would the nurse assess for this client?

Disabled family coping related to the need for home care

Which of the following may occur in the blended type of family at a greater level than other types of families?

Disagreement about childrearing practices

The family functions as the oldest and most basic social unit in society. What is the primary purpose of the family?

Ensure survival

A mother has come to meet with local school officials regarding admission of her child with spina bifida. The child requires catheterizations several times a day and the mother is requesting information on admission of the child for school and what accommodations can be made for the child's health care needs. What is the best response to the mother?

"Your child may be mainstreamed into a regular classroom and assisted with catheterizations by the school nurse."

The case manager is looking over the inpatient census on her floor to determine which client would be the best candidate for discharge with home health care follow-up. Which client would the case manager recommend to the physician for discharge?

10-year-old boy with an infected laceration on his leg who has been treated with IV antibiotics for 3 days.

Suppose a patient has several large dogs that you are concerned have fleas. Where would you plan to sit to interview the patient during a home visit?

A kitchen chair

The nurse is visiting a family with a toddler and school-age child. Which teaching should the nurse provide to the parents that would be appropriate for both children?

Actions to ensure safety

The nurse recommends a medical home for a patient with juvenile diabetes. The nurse determines that the medical home has been established when which of the following occurs?

Care is coordinated by a designated physician in a health partnership with the family

A school-age child, a member of a family with a mother, father, and toddler, is hospitalized. The father is employed outside of the home, and the mother stays at home with the other child. The mother is challenged with supporting both children at this time. What should the nurse suggest to the mother?

Ask extended family members to help out during this time.

Advocacy for the client is an important aspect of community-based nursing. What is one way a nurse can advocate for a child client?

Assisting the family to apply for Medicaid or other forms of health care reimbursement

The nurse is caring for a 4-year-old boy with Ewing sarcoma who is scheduled for a computed axial tomography (CAT) scan tomorrow. Which is the best example of therapeutic communication?

Describing what it is like to get a CAT scan using words he understands

A 40-year-old pregnant client tells her nurse that she would like to give birth in a birthing center because she wants several friends and family members to be there and will have more freedom at the center. What would be the most important factor for the nurse to point out when discussing this option with the client?

Birthing centers do not always have pediatricians on staff if the newborn has special needs.

The nurse is working with a same-sex couple, both of whom have children from previous relationships. Although the couple have no plans of marrying, they view their relationship as monogamous and long-term. Which family structure would apply to this family? Select all that apply.

Blended family Cohabitation family Gay or lesbian family

A 13-year-old client who is newly diagnosed with type 1 diabetes is being discharged home with home care follow-up. What is the most appropriate goal for the nurse to select related to the nursing diagnosis of Health-Seeking Behaviors related to Skills Needed to Continue Home Care?

Client will self-administer insulin injections using appropriate technique.

The nurse is visiting a family new to a community. The mother has a disability and the adolescent child is being treated for anorexia. What will the nurse do first when assessing this family?

Construct an ecomap.

A 4-year-old adopted child has begun to ask questions about when she was born. Which suggestions by the clinic nurse would be considered the most appropriate answer for this child related to her birth? Select all that apply.

Explain to the child that she grew inside another woman, but after the birth she was given to her adoptive mom and dad to raise. Avoid criticizing the biological parents but reinforce how much the adoptive mom and dad love them.

A married couple has 3-year-old twins. They own a dog. The father's mother lives with them. The father is a professor; the mother has resigned from her position as a legal secretary to be the children's primary caregiver. Which type of family does this represent?

Extended

The functions of the family are important in preserving our society with its beliefs, norms, and values. There are five major functions of the family unit; what is one of them?

Giving and teaching emotional support

A high-school nurse has noticed a trend in the reading ability of the freshman class. This high school is located in a poor, urban area where there is a high proportion of single mothers raising their children with minimal financial support. Young children many times do not have adult supervision with homework. The local school nurses discuss issues within the school area. Which suggestion by a high school nurse would be a realistic solution to the problem described in this scenario?

Organize a group of local high school students to begin a reading program in the grade school to increase interest in reading.

The biggest benefit of health care provided in the home is:

Inclusion of the entire family in health care planning and provision

A family of a mother, father, and a 6-year-old boy was recently enlarged to include a new baby sister. What type of family does this represent?

Nuclear

A home care nurse is planning care for a 29-week gestation client pregnant with triplets on bed rest to reduce the chance for preterm labor. Which tasks can the nurse delegate to the home care assistant? Select all that apply.

Prepare lunch for the client. Assist the client with a bed bath.

During a family assessment, it is identified that the mother is unemployed but stays at home to prepare meals, monitor medication doses, and comfort the children with emotional issues. The father works outside of the home and pays the bills. Which terms should the nurse use to document the role of the father in this family? Select all that apply.

Provider Financial manager

Parents caring for an ill child at home state that at first it was difficult but now they have adjusted to the situation. Which would be the most appropriate nursing diagnosis for this family?

Readiness for enhanced coping related to home care

18s A 24-year-old woman is the mother of an 8-month-old baby. The woman's father lives nearby in a nursing home. Which type of family does this represent?

Single parent

After teaching students about different family structures, the instructor determines that the session was successful when the students identify which of the following as comprising a blended family. Select all that apply.

Step children Birth children Birth parent Non-birth parent

Which observation indicates to the nurse that a family is not functioning in a healthy way?

The father does not share his concerns so his wife will not worry about them.

The home care nurse visited a newly assigned primagravida client with preeclampsia. When conducting the assessment and teaching, the client continued to cry and state she was in disbelief this was happening to her. When should the nurse schedule the second visit with the client?

The next day; the client is not coping well.

A family is getting divorced and is asking about what is best for the children. How should the nurse approach this question?

The nurse should encourage the father to be involved in the care of the children.

A gay couple is considering adopting a newborn and they want to know the long-term outcomes for children in gay families. What is the best response by the nurse?

Their psychological health is similar to children of heterosexual parents.

One type of medicine a patient on home care receives could be given with any of the following schedules. Which of the following would be most effective in helping compliance?

Three times a day at 10 am, 2 pm, and 10 pm

Children in foster care have a disproportionately higher incidence of pediatric acute and chronic conditions.

True

The nurse caring for children in the community setting knows that the number of grandparents raising grandchildren is on the rise.

True

The nurse is explaining to a school-age child the need to soak the hands twice a day to help with an infection. Which teaching should the nurse provide that would be appropriate for the client's cognitive level?

Would you like to sit in the chair or stay in bed to soak your hand?"

A school nurse visiting with a 10-year-old child asks what they do as a family on weekends. The child responds, "Our dad just doesn't want outside people stopping by to visit, so we mainly stay to ourselves." The nurse finds this statement a little odd and makes a mental note to start observing the children in this family for possible signs of what potential problem?

abusive or dysfunctional family trying to hide their family abuse from outsiders

During assessment for a child with cystic fibrosis who is new to the practice, the nurse notes that the father keeps asking about costs and if there is a "cheaper" way of providing the care that the child needs without compromising health. For example, insteading of buying prepackaged normal saline for breathing treatments, he asks if they can boil water (and containers with lids) and add the salt to the water in proper portions. When documenting this assessment, the nurse would identify the father as playing which role in the family based on the aforementioned questions?

allocation of resources

Home care is most successful when:

each member of the family can share the household tasks of the patient

A nursing instructor is conducting a refresher course for a group of nurses on documenting client care and education in the medical record and the purposes that it serves. The nursing instructor determines that the group needs additional teaching when they identify which as a reason for documentation?

permits others access to allow refusal of medical insurance coverage

A nurse working in the community is involved in providing primary prevention. Which intervention would be most appropriate to implement?

teaching parents of toddlers about ways to prevent poisoning