(skills/fundamentals) Lippincott Ch 4: Health of the Individual, Family, and Community

c, e, f (Humans are not born with a fully developed sense of self-actualization, and self-actualization needs are not met specifically by depending on others for help. Loneliness and isolation are not always the result of unmet self-actualization needs.)

A nurse caring for patients in a long-term care facility uses available resources to help patients achieve Maslow's highest level of needs: self-actualization needs. Which statements accurately describe these needs? 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.

a (In contrast to community health nursing, which focuses on populations within a community, community-based nursing is centered on individual and family health care needs. Community-based nurses may help families in crisis and work in health care facilities, but these are not the focus of community-based nursing.)

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

a, d

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?

b (Maslow's hierarchy of basic human needs is useful for establishing priorities of care.)

A nurse uses Maslow's hierarchy of basic human needs to direct care for patients on an intensive care unit. For which nursing activities is this approach most useful? a) Making accurate nursing diagnoses b) Establishing priorities of care c) Communicating concerns more concisely d) Integrating science into nursing care

d (Although all the responses may be true, the best definition is a group of people who live together and depend on each other for physical, emotional, or financial support.)

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

c (A healthy community does not usually meet all the needs of its residents, but should be able to help with health issues)

A visiting nurse working in a new community performs a community assessment. What assessment finding is indicative of a healthy community? a) It meets all the needs of its inhabitants b) It has mixed residential and industrial areas c) It offers access to health care services d) It consists of modern housing and condominiums

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 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 (By carrying out careful hand hygiene and using sterile technique, nurses provide safety from infection.)

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, d (Preventing falls helps meet safety and security needs; providing art supplies may help meet self-actualization needs; facilitating visits from loved ones helps meet self-esteem needs; and referring a patient to a support group helps meet love and belonging needs.)

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.

family

any group of people who live together and depend on one another for physical, emotional, or financial support

nuclear family

family unit, family of marriage, parenthood, or procreation, and their immediate children

self actualization needs

highest level on the hierarchy of needs, which include the need for individuals to reach their full potential through development of their unique capabilities

physiologic needs

need for oxygen, food, water, temperature, elimination, sexuality, activity, and rest; these needs have the highest priority and are essential for survival

self esteem needs

need to feel good about oneself and to believe others hold one in high regard

extended family

nuclear family and other related people

safety and security needs

person's need to be protected from actual or potential harm and to have freedom from fear

basic human needs

something essential to the health and survival of humans; common to all people

community

specific population or group of people living in the same geographic area under similar regulations and having common values, interests, and needs

blended families

two single-parent families joined together to form a new family unit

love and belonging needs

understanding and acceptance of others in giving and receiving love