Chapter 4 Foundations
Shivering
Sweating or _____________________ are two examples of homeostatic mechanisms that help maintain body temperature within a narrow and safe temperature range.
True
T/F- A family can be defined as any group of people who live together and depend on one another for physical, emotional, and financial support.
True
T/F-A traditional family with two parents and their children is known as a nuclear family.
False
T/F-According to Maslow's hierarchy of basic needs, self-esteem is considered the highest basic need (Level 5).
True
T/F-Nursing care provided within a community must be culturally competent and family centered.
The father states, "I don't discuss money matters with my wife because I don't want her to worry."
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?
Extended family
The home health nurse is making an initial visit to a client's home. During the visit the nurse observes the mother cooking dinner, the father watching television with a child on the lap, and the grandmother in a rocking chair reading the Bible. The nurse recognizes this family structure as which of the following?
Children are kept inside on a sunny day due to a lack of recreational opportunities.
What is an example of a community risk factor?
The nurse arranges for the client's clergy to visit after visiting hours.
Which action by the nurse demonstrates the nurse's efforts to meet the client's self-actualization needs?
Inadequate childcare services
Which are stressors that affect the health of the family?
Self-actualization needs
Which basic needs area of Maslow's hierarchy of human needs is met when the nurse arranges for the client's clergy to visit after visiting hours?
The role of the family is essential in every level of nursing practice.
Which statement is true regarding Friedman's theory of family-centered nursing care?
environmental
Work or social pressures that cause stress are __________________ risk factors for altered family health.
limit the family visits to once daily
A client is experiencing a stress response each time the family visits the room. What nursing intervention is most appropriate?
"Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population."
A new graduate nurse asks a nurse manager working at the community health center, "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?
"Our 16-year-old just seems to butt heads with us at every turn."
A nurse is assessing a family with adolescents. 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?
Emphasizing the client's strengths
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?
Safety and security
A nurse is implementing interventions that focus on protecting a client from physical and emotional harm. Which category of needs is the nurse addressing?
"Family members are equally involved in planning and implementation of care."
A nurse is planning education on self-administration of insulin to the client and the client's family members. The client asks the nurse why the family members are also included in the teaching. What should the nurse's response be?
A psychosocial risk factor
An adolescent confides in the school nurse that the adolescent is arguing daily with her mother and often wonders whether her mother loves her. The school nurse recognizes that the student faces which of the following risk factors for altered family health?
Psychosocial
As human beings, our behaviors, our feelings, and our values all relate to our physiologic and _________________ needs.
Family members
In caring for a client, the nurse recognizes which as the primary educational and support structure for an individual?
The client will verbalize feelings of increased confidence in performing a finger-stick blood sugar.
In conjunction with the client, the nurse has set the following client outcomes. Which client outcome reflects Maslow's level of self-esteem needs?
contact a translator
A Spanish-speaking client is admitted to the emergency department with a urinary tract infection and is experiencing a stress response from hospitalization. What is the priority nursing intervention?
"What can we do to help you meet any religious needs you may have?"
The nurse is admitting a 38-year-old client to the oncology unit whose religious background is different from the nurse's own. 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?
Adjustment to retirement
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?
Holistic
The nurse is practicing _______________________ nursing when individualized, health-oriented care considers how all human dimensions affecting the patient's basic human needs are met.
sit with the client and ask them about their feelings
A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea
Common interests
A community is defined as a social group that may or may not share common geographic boundaries yet interact because of
Community resources available to clients
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?
The parents have a tumultuous relationship, with frequent separations in the past.
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?
Self-esteem needs
A nurse is caring for an adolescent who has just lost a leg in a motor vehicle accident. Which human need would the nurse most likely need to address?
Address the disease but also incorporate the mind, body, and spirit.
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?
A post-surgical client who is feeling dizzy and has a heart rate of 45 beats/min
Which client requires priority intervention by a nurse providing care on a medical-surgical unit?
Socialization
Through the process of ____________________, the family functions by teaching; transmitting beliefs, values, and attitudes; and modeling effective coping mechanisms.
Community healthcare structure
The community offers physician offices, a county health department, a community hospital, an assisted living facility, two nursing homes, and hospice. The nurse recognizes that these agencies represent which type of community factor?
False
T/F- Community-based nurses are employed in hospital emergency departments, home health care, school nursing, and occupational nursing.
Safety and security
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?
Family patterns of communication
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?
Increased financial concerns
The nurse is assessing a family parented by a 60-year-old grandmother and three school-age grandchildren. The nurse is aware that which problem may occur in a single-parent family at a greater level than in other types of families?
Sociocultural dimension
The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual?
Maintain a healthy lifestyle
The community environment affects the well-being of the individual and the family. Which is the health responsibility of the family?
Socializations
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?
