Fundamentals Ch 4 Health of the individual, family, and community

A visiting nurse performs a community assessment in an area of the city in which the nurse will be working. What is one element of a healthy community? a. Meets all the needs of its inhabitants b. Has mixed residential and industrial areas c. Offers access to health care services d. Has modern housing and condominiums

c. Offers access to health care services

family risk: Families in a city ghetto area fear walking to school/work because of gang activity on the street

environmental

family risk: a family vacationing in Mexico becomes ill after drinking the local water

environmental

Relatives such as aunts, uncles, and grandparents are part of what is know as the _______ family.

extended

family risk: A teacher reports to a teenage boy's parents that drugs have been found in his locker

lifestyle

family risk: a 13-year-old in her first trimester of pregnancy tells you she didn't think she could become pregnant the first time she had sex

lifestyle

The most important of all basic human needs is ____

oxygen

According to Maslow's hierarchy of needs, physical activity and rest are considered to be _____ needs

physiologic

family risk: A recently divorced single parent of a 2 year old must return to work but cannot afford adequate childcare

psychosocial

family risk: Two families are forced to live together in cramped conditions to make ends meet

psychosocial

family risk: an older adult living with her son's family cannot tolerate what she feels is inadequate discipline of her grandchildren

psychosocial

Place the following list of human needs in order from highest-level needs to lower-level needs according to Maslow's hierarchy: a. a nurse includes family members in the care of a patient b. a nurse places a no smoking sign on the door of a patient with oxygen c. a nurse provides nutrition through an NG tube d. a nurse prepares a room for a clerical visit requested by a patient e. a nurse helps a patient focus on her strengths following a diagnosis of breast cancer

EDABC

Which of the following theorists identified the stages of the family life cycle and critical family developmental tasks? a. Duvall b. Erickson c. Maslow d. Johnson

a. Duvall

A nurse is practicing community-based nursing in a mobile health clinic. What would be the central focus of this nurse's care? a. Individual and family health care needs b. Populations within the community c. Local health care facilities d. Families in crisis

a. Individual and family health care needs

A nurse performs an assessment of a family consisting of a single mother, a grandmother, and two children. Which interview questions directed to the single mother could the nurse use to assess the affective and coping family function? Select all that apply. a. Who is the person you depend on for emotional support? b. Who is the breadwinner in your family? c. Do you plan on having any more children? d. Who keeps your family together in times of stress? e. What family traditions do you pass on to your children? f. Do you live in an environment that you consider safe?

a. Who is the person you depend on for emotional support? d. Who keeps your family together in times of stress?

The function of the family that helps a family member meet his or her basic needs by providing emotional support and helping establish and maintain identity in times of stress is ______.

affective and coping

The nurse is prioritizing nursing care for a patient in a long-term care facility. Which examples of nursing interventions help meet physiologic needs? Select all that apply. a. Preventing falls in the facility b. Changing a patient's oxygen tank c. Providing materials for a patient who likes to draw d. Helping a patient eat his dinner e. Facilitating a visit from a spouse f. Referring a patient to a cancer support group.

b. Changing a patient's oxygen tank d. Helping a patient eat his dinner

A nurse is providing care based on Maslow's hierarchy of basic human needs. For which nursing activities is this approach useful? a. Making accurate nursing diagnoses b. Establishing priorities of care c. Communicating concerns more concisely d. Integrating science into nursing care

b. Establishing priorities of care

The nurse caring for families in a free health care clinic identifies psychosocial risk factors for altered family health. Which example describes one of these risk factors? a. The family does not have dental care insurance or resources to pay for it. b. Both parents work and leave a 12-year old child to care for his younger brother. c. Both parents and their children are considerably overweight. d. The youngest member of the family has cerebral palsy and needs assistance from community services.

b. Inadequate childcare resources is a psychosocial risk factor. Not having access to dental care and obese family members are lifestyle risk factors. Having a family member with birth defects is a biologic risk factor.

The nurse caring for patients postoperatively uses careful hand hygiene and sterile techniques when handling patients. Which of Maslow's basic human needs is being met by this nurse? a. Physiologic b. Safety and security c. Self-esteem d. Love and belonging

b. Safety and security

Which of the following statements about the family unit are accurate? a. according to friedman (2003), the members of a group home would not be considered a family b. the family is a buffer between the needs of individual members and society c. the family should not be concerned with meeting the needs of societ d. Duvall (1977) identified the critical family developmental tasks and stages of a family life cycle e. the nuclear family is composed of two parents and their children f. a blended family exists when parents adopt a child from another culture

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

family risk: A child with severe birth defects is born into a family

biological

The nurse caring for patients in a long-term care facility knows that the highest level on Maslow's hierarchy of needs is self-actualization needs. Which statements accurately describe the achievement of self-actualization? Select all that apply. a. Humans are born with a fully developed sense of self-actualization. b. Self-actualization needs are met by depending on others for help. c. The self-actualization process continues throughout life. d. Loneliness and isolation occur when self-actualization needs are unmet. e. A person achieves self-actualization by focusing on problems outside self. f. Self-actualization needs may be met by creatively solving problems.

c. The self-actualization process continues throughout life. e. A person achieves self-actualization by focusing on problems outside self. f. Self-actualization needs may be met by creatively solving problems.

Which of the following would be considered a community risk factor? a. a woman finds out that she is genetically inclined to develop crippling arthritis b. an 80-year-old man is at risk for falls in his home due to clutter in the hallways c. children of a low-income family are kept inside the home on a sunny day because of lack of recreational activities d. a child is born with a severe mental retardation

c. children of a low-income family are kept inside the home on a sunny day because of lack of recreational activities

The number and availability of healthcare institutions and services would be considered a(n) ____ risk factor.

community

A nurse works with families in crisis at a community mental health care facility. What is the best broad definition of a family? a. A father, a mother, and children b. A group whose members are biologically related c. A unit that includes aunts, uncles, and cousins d. A group of people who live together and depend on each other for support

d. A group of people who live together and depend on each other for support

A change in body image, such as the loss of a body part, may affect which of the following type of human needs? a. Love and belonging needs b. Safety and security needs c. Self-actualization needs d. Self-esteem needs

d. Self-esteem needs

Shuba and Raul are a couple in their late seventies. According to Duvall, which developmental task is appropriate for this older adult family? a. Maintain a supportive home base b. Strengthen marital relationships c. Cope with loss of energy and privacy d. Adjust to retirement

d. The developmental tasks of the family with older adults are to adjust to retirement and possibly to adjust to the loss of a spouse and loss of independent living. Maintaining a supportive home base and strengthening marital relationships are tasks of the family with adolescents and young adults. Coping with loss of energy and privacy is a task of the family with children.

Which of the following needs has the highest priority? a. to be loved by someone b. the need to be the best nurse you can possible be c. the need to live in a safe environment d. the need for a balanced intake and output of fluids

d. the need for a balanced intake and output of fluids

family risk: a mother returns home from the hospital with a premature baby for whom she must provide care

developmental