Chapter 4 practice questions

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?

"Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population."

Place the following examples of interventions to meet human needs in order from the most basic, high-priority needs to the lower-priority needs based on Maslow's hierarchy. Use all options.

A nurse provides nutrition for a client through a feeding tube. A nurse places a No Smoking sign on the door of a client who is receiving oxygen. A nurse includes family members in the care of a client. A nurse helps a client focus on the client's strengths following a diagnosis of breast cancer. A nurse prepares a room for a clerical visit requested by a client.

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 risk factors for altered family health?

A psychosocial risk factor

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

Common interests

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 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?

Increased financial concerns

Which items represent lifestyle risk factors for altered family health? Select all that apply.

Ingestion of high-fat foods Smoking by the parents Inadequate dental hygiene

A nurse is caring for a family consisting of three middle-aged adults. Which examples describe developmental tasks of this type of family structure? Select all that apply.

The family must maintain ties with younger and older generations. The family must prepare for retirement.

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 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."

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

sit with the client and ask them about their feelings

A nurse is assessing a client with stress-related problems. Which factor influences responses to stressors?

social support

A nurse at a local homeless shelter is evaluating a new arrival at 10 pm, a client wearing disheveled clothes. The client reports looking for a place to sleep due to being exhausted. The client further reports living under a bridge since losing a job 6 months ago and being hungry. The nurse should perform which actions to address the client's physiological needs? Select all that apply.

Offer the client a sandwich because the cafeteria is closed. Show the client to a room so the client can sleep.

The wife of a comatose client wishes to wash the client's hair. Washing the client's hair meets which basic human need?

Physiologic

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

Sociocultural dimension

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 is explaining the expected developmental tasks of a typical family with adolescents. Which would be incorrect for the nurse to include?

Adjustment to retirement

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

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

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.

Place the following nursing interventions in order of priority according to Maslow's hierarchy of basic needs.

The nurse teaches the client about foods high in fiber. The nurse teaches the client's daughter how to safely administer the client's insulin. The nurse assists the client in making a phone call to the client's daughter. The nurse positions the bed of the Muslim client who is bedfast toward Mecca.