Fundamentals CH 4 PrepU
Children are kept inside the home on a sunny summer day because of lack of recreational opportunities.
A home health care nurse who works in a low- income community assesses the risk factors for patients being serviced. What is an example of a community risk factor?
Affective and coping functions
A home health nurse is visiting the Goldstein family after the recent death of their matriarch. She 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. She asks Mr. Goldstein's cousin what is happening, and he says, "We are Jewish, and the family is 'Sitting Shiva' for my aunt." This family is fulfilling which family function?
A homeless family
A nurse has the Petty Family as a client, who consists of a wife, husband, and their 4-year-old daughter. The husband has been unemployed for 8 months, and they lost their apartment. The family has been staying in neighborhood shelters and, on occasion, with the husband's father for a night or two. When evaluating this family, the nurse identifies this family as which type?
Self-esteem needs
A nurse is caring for an adolescent who lost a leg in a motor vehicle accident. Which human need would the nurse most likely need to address?
"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 his family members. The client asks the nurse why the family members are also included in the teaching. What should the nurse's response be?
Setting up parenting classes
A nurse is working at a community clinic that serves mostly families with young children. What would be a priority intervention for patients in this developmental stage?
Emotional, structural, and functional
According to Archer, what are the three general types of communities?
A psychosocial risk factor
An adolescent confides in the school nurse that she is arguing daily with her mother, and she often wonders if her mother loves her. The school nurse recognizes that the student faces which of the following risk factors for altered family health?
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 she observes the mother cooking dinner, the father watching television with a child on his lap, and the grandmother in a rocking chair reading the Bible. The nurse recognizes this family structure as which of the following?
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 her 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?
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?
4.0 (acidic)
The pH of the stomach
Community health care structure
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 of the following factors is the primary influence on this aspect of the family's health?
Well-funded school systems and inadequate childcare services.
Which are stressors that affect the health of the family?
a postsurgical client who is feeling dizzy with a heart rate of 45/bpm
Which client requires priority intervention when providing care on a medical-surgical unit?
The role of the family is essential in every level of nursing practice.
Which of the following statements is true regarding Friedman's theory of family-centered nursing care?
Community resources available to patients.
You are the community-based nurse who acts as case-manager for a small town about 60 miles from a major health care centre. What is the most important factor of community-based nursing for you be knowledgeable about?
Address the disease but also incorporate the mind, body, and spirit.
You are the nurse caring for a patient newly diagnosed with diabetes and you are developing a holistic plan of care. You know that for this plan of care to be successful it must what?
