Chapter 4: Health of the Individual, Family, and Community

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 type of factor is the primary influence on this aspect of the family's health? Economic factors Family risk factors Community health care structure Lifestyle influences

Community health care structure

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 Possible charges for any services provided Eligibility requirements for services Transportation costs to the healthcare center

Community resources available to clients

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? Child abuse and neglect Lack of knowledge about child safety Conflict between family members Increased financial concerns

Increased financial concerns

During the nurse's admission interview the client says, "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 Self-esteem Safety and security Love and belonging

Physiologic

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? Providing alcohol and drug information Screening for congenital defects Setting up parenting classes Providing sex education

Setting up parenting classes

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

Sociocultural dimension

The nurse is conducting a family assessment of a traditional family. Which assessment data cue describes the socioeconomic status of the family? The family members vacation together every year at a beach resort. The family celebrates Hanukkah and Passover with special meals. The father is an engineer and the mother is an elementary school teacher. The family consults their rabbi and synagogue members during times of stress.

The father is an engineer and the mother is an elementary school teacher.

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? "Family members can take you to the hospital if any emergency occurs." "Family members are a point of contact and are able to check on your progress." "Family members are equally involved in planning and implementation of care." "Family members are at risk of developing diabetes mellitus in the future."

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

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? "Our 16-year-old just seems to butt heads with us at every turn." "We've taught our kids to be assertive when appropriate." "All of us have faced problems along the way but we've worked them out." "We've encouraged our kids to talk to us about sex and sexually transmitted infections."

"Our 16-year-old just seems to butt heads with us at every turn."

Which statement is true regarding Friedman's theory of family-centered nursing care? The focus on health should be directed at improving the health of the sickest member of the family. The role of the family is essential in every level of nursing practice. Illness of one family member strengthens the roles of the sick member in the family structure. The family is composed of independent members who live and function individually.

The role of the family is essential in every level of nursing practice.

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 asks the nurse, "Do you mind if my little boy sits on my lap during the interview?" The mother states, "We like to pay cash for the things we need." The mother states, "This house would be a mess if I didn't clean it every day." The father states, "I don't discuss money matters with my wife because I don't want her to worry."

The father states, "I don't discuss money matters with my wife because I don't want her to worry."

A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention? assess blood pressure every 4 hours discuss family history of hypertension conduct mental status assessment every 2 hours provide care transition at discharge for speech therapy

provide care transition at discharge for speech therapy

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 Strengthen the marital relationship Maintain a supportive home environment Maintain open communication

Adjustment to retirement

A home health nurse is visiting a family after the recent death of their matriarch. The nurse observes that the family is dressed in black, all of the mirrors are covered, and that the immediate family is sitting on square wooden boxes instead of chairs. 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? socialization function physical function economical function affective and coping functions

affective and coping functions

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. cohabiting family. blended family. traditional family

extended family.

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? Reducing fear Promoting socialization Addressing the client's problems Emphasizing the client's strengths

Emphasizing the client's strengths

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 Finding a safe environment for the client on discharge Ensuring that the client has family and friends visit Helping the client to fill out an advanced directive form

Measuring the client's intake and output during recovery

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? Take into account the cost of care. Connect families, friends, and the environment. Provide a connection between medicine and nursing. Address the disease but also incorporate the mind, body, and spirit.

Address the disease but also incorporate the mind, body, and spirit.