Fundamentals CH4 Mod1

List Maslow's Hierarchy of Needs in order.

1. Physiological Needs 2. Safety Needs 3. Belongingness Needs 4. Esteem Needs 5. Self-Actualizing Needs

which nursing diagnosis is the priority according to maslows hierarchy of basic needs? A) constipation related to decreased mobility B) anxiety related to inability to cope with pending prognosis C) impair social interaction related to disturbed body image D) risk for falls related to unsteady gait following stroke

A) constipation related to decreased mobility

In caring for a patient, the nurse recognizes which of the following as the primary educational and support structure for an individual? A) peers B) family members C) teachers and coaches D clergy

B) family members

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? A) A lifestyle risk factor B) A biological risk factor C) A developmental risk factor D) A psychosocial risk factor

D) A psychosocial risk factor

The parents of a blended family have a baby boy age 6 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 familys health? A) lifestyle influences B) economic factors C) family risk factors D) community health care structure

D) community health care structure

What theorist supports the developmental framework of family assessment?

Duvall

The home health nurse is making an initial visit to a clients 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 and what?

Extended family

The nurse assists a postoperative client with ambulation. The nurse recognizes that assisting the client when performing this skill meets which of maslows basic human needs?

Safety and security

The nurse provides the mother of a toddler with the phone number for the poison control centre. What level of maslows hierarchy of needs is the nurse addressing?

Safety and security needs

Parents raising two school aged children incorporate their religious beliefs into the familys daily life. The familys beliefs regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family?

Socialization

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?

community healthcare structure

A young couple who have been married less than a year are having difficulty with adjusting to parenting. What is a contributing factor to this level of maladjustment?

limited time in learning to be a marital partner

The nurse is conducting a home assessment and suggests that the clients family remove scatter rugs from the home and increase the lighting. Which basic human need is being addressed by the nurses suggestions?

safety and security

During the patient assessment, the client shares that the family attends church nearly every sunday. Which function of the family does this represent?

socialization

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

sociocultural dimension

A nurse working with patients in a community is aware that which of the following is a true statement related to environmental factors in that community? A) The quality of air and water are relatively consistent when comparing urban and rural environments B) Lack of health insurance is a negative environmental factor affecting ones access to health care C) Barriers to accessing health care within a community may include lack of transportation D) Environmental factors focus on the harmful effects on an individuals health

C) Barriers to accessing health care within a community may include lack of transportation

The community environment affects the well being of the individual and the family. Which of the following is the health responsibility of the family? A) Provide recreational services B) Facilitate health care services C) Maintain a healthy lifestyle D) Provide educational facilities

C) Maintain a healthy lifestyle

The nurse performs an assessment of the client and the family to have a better understanding of client and family needs. Which of the following is an individual need? A) Political B) Education C) Safety D) Socialization

C) Safety

A nurse is caring for a client diagnosed with pancreatitis. Which of the following is a priority for nursing management? A) depression due to recurrent symptoms B) lack of self confidence C) acute pain in the abdomen D) inability to take care of family

C) acute pain in the abdomen

The nurse receives an 8 year old girl in the pediatric unit following a tonsillectomy. Which assessment finding requires immediate intervention by the nurse? A) the client makes a rattling noise when she breathes through her mouth B) the client is sleepy from the anesthesia, but arouses to her name C) the client tells the nurse that her throat hurts D) the client cries to the nurse that she wants to go home

A) the client makes a rattling noise when she breathes through her mouth

The nursing student asks the instructor to explain what a community is. Which statement by the instructor would be appropriate? A) a community is a group of individuals who live in the same geographic area B) a community provides resources and services that help to keep its members healthy C) communities have few effects on the health of the individuals that live there D) The members of a community share some characteristic in common, such as cultural values

C) communities have few effects on the health of the individuals that live there

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 nurses response be? A) family members are at risk of developing diabetes mellitus in future B) family members are a point of contact and are able to check on your progress C) family members are equally involved in planning and implementation of care D) family members can take you to the hospital if any emergency occurs

C) family members are equally involved in planning and implementation of care

The nurse is implementing care for several clients. Which of the following clients is the nurse helping to reach the highest level of maslows hierarchy of basic human needs? A) the nurse allows family to sit quietly at the clients bedside after visiting hours B) the nurse teaches the daughter how to do a finger stick blood sugar for her mother C) the nurse provides privacy for the client and family during times of prayer D) the nurse teaches the son how to perform passive range of motion with his father

C) the nurse provides privacy for the client and family during times of prayer

A nurse in a wellness centre is presenting a class on integrating holistic therapies with traditional health care. The nurse talks about the trend in health care to treat each client in a manner that reconnects their total being. Which of the following would best be considered a holistic approach to health? A) emotional and sexual contact B) financial success and post secondary education C) healthy work environment D) physical, emotional, and spiritual well being

D) physical, emotional, and spiritual well being

The nurse is assessing the family structure of the client and determines it is an extended family. Which of the following represent an extended family? A) the family consists of two parents and their children B) A man and a woman who are not married to one another form the family C) A divorced man with a daughter and a divorced woman with a son marry one another to form a family D) the family is comprised of two parents, three children, and one grandparent

D) the family is comprised of two parents, three children, and one grandparent

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

D) the father is an engineer and the mother is an elementary school teacher