Fundamentals Nursing Prep U Chapter 4 Health of the Individual, Family, and Community

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?

Safety

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?

Self-esteem needs

The community health nurse working at the local church is developing a program to address the issue of diabetic management. The nurse recognizes what church activity could adversely affect the health of the diabetic parishioners?

Serving doughnuts, fruit juice, and coffee after church services on Sunday

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?

The family is comprised of two parents, three children, and one grandparent.

Which of the following statements is true regarding Friedman's theory of family-centered nursing care?

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

The nurse is admitting a 38-year-old male client to the oncology unit whose religious background is different from her own. The nurse is assessing how the client's religion may affect his health care needs. Which question by the nurse is the best way to consider the client's religious practices in the plan of care?

"What can we do to help you meet any religious needs you may have?"

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?

A homeless family

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

Common interests

The charge nurse is assigning client care for the upcoming shift. Which is the priority evaluation when performing this task?

Determine the level and intensity of client care needed according to physical and psychosocial factors.

A nurse is planning a seminar for the local community. Which topics are examples of health promotion discussions? (Select all that apply.)

• examples of heart-healthy diet • information on increasing activity and exercise

In the implementation of effective client care, the nurse should

Assess the family dynamics and community

A community has a lead smelting factory that is contaminating the air. According to Higgs and Gustafson, the community health nurse must

Assist in the protection of members

Which basic needs area of Maslow's hierarchy of human needs is met when the nurse arranges for the client's clergy to visit after visiting hours?

Self-actualization needs

Which nursing diagnosis is the priority according to Maslow's hierarchy of basic needs?

Constipation related to decreased mobility

According to Archer, what are the three general types of communities?

Emotional, structural, and functional

As the nurse caring for a 25-year-old patient who has recently been diagnosed with testicular cancer, you know that this patient's illness will impact every aspect of his life. What developmental tasks might you expect to be affected?

Marrying and starting a family

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?

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

A nursing student's parents are both physicians. The nursing instructor may feel the student has

Been socialized in healthcare

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?

Extended family

The nurse provides the mother of a toddler with the phone number for the Poison Control Centre. Which level of Maslow's hierarchy of needs is the nurse addressing?

Safety and security needs

A community of interest is

The strictly interest group

A 44-year-old female client is being treated for dehydration in an acute care hospital. The nurse determines that the rehydration treatment is working by assessing which of the following values?

Urine output of 1500 ml in 24 hours

The nurse receives a client assignment. Which client should the nurse see first?

client admitted with pneumonia, who is restless and diaphoretic with an oxygen saturation of 90%

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 nursing instructor is discussing holistic health care with her nursing students. The instructor talks about the different factors the nurse must consider when creating a holistic plan of care. What are these factors? (Mark all that apply.)

• The patient's developmental life stage • The patient's emotional context • The patient's physiologic health condition

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

Sociocultural dimension

The nurse is teaching a group of nursing students about how health of community members is affected. Which community characteristics affect the health of individuals? Select all that apply.

• Education programs • Communication facilities • Transportation services • Recreation programs

You are the community-based nurse who acts as case-manager for a small town about 60 miles from a major health care center. What is the most important factor of community-based nursing for you be knowledgeable about?

Community resources available to patients.

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 reviewing the health care records of several families from the Health care clinic. Which family does the nurse identify as being at risk for factors affecting their health? Select all that apply.

• Family is vegan • Family uses herbal medicine • Family fasts for religious purposes • Family receives public assistance • Family is headed by a single mother

The nurse is reviewing the health care records of the Clifford Family who has experienced varying life crises. The nurse identifies which of the following as health risk factors? Select all that apply.

• Grandma Opal Clifford dies at the age of 98. • Shirley Clifford is pregnant at the age of 15. • Mr. Clifford is exposed to asbestos at work.

Once physiologic needs are met, nurses can concentrate on meeting self-actualization needs of patients. What are examples of self- actualization needs according to Maslow's hierarchy of needs? (Select all that apply.)

• A nurse attains a master's degree in nursing by going to school in the evening. • A student nurse takes a course in communication to improve her ability to relate to patients. • A nurse subscribes to several nursing journals to stay abreast of developments in the profession.

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

A client who was admitted to a drug treatment center 3 days ago is boasting to the other residents that he used drugs for 2 years, and that his former employer never suspected that he was using drugs. Which action, if taken by the nurse, would be most appropriate for this client?

Have the client assume responsibility for the cleanliness of the dayroom.

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.

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

Physiologic

The nurse is assessing the family structure of the client. The family household is comprised of two parents, three children, and one grandparent. The nurse recognizes that this is a(n):

Extended family

A community health nurse is providing care to several farming families in a rural community. Which of the following would be most important for the nurse to integrate into the plans of care for these families?

Family structures may change over time.

The nurse recognizes that many factors place the family at increased risk for altered health. Which items represent lifestyle risk factors for altered family health? Select all that apply.

• Ingestion of high fat foods • Smoking by parents • Inadequate dental hygiene

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 daughter how to 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.