Chapter 4

A nurse is working as part of a group to address factors within the community affecting the health of the families in that community. Which area would the nurse identify as playing a role in contributing to altered health status? Select all that apply. Limited number of institutions providing health care Absence of air pollution Overlapping of industrial zones with residential zones Small number of recreational opportunities for adults and children Low incidence of violent crimes in the community

Limited number of institutions providing health care Small number of recreational opportunities for adults and children Overlapping of industrial zones with residential zones

A nurse is providing care to a client who is feeling lonely and isolated. In an effort to develop a trusting nurse-client relationship, the nurse exhibits a caring attitude, ensures the client's privacy, and spends time with the client to promote therapeutic communication. The nurse is meeting which category of client needs? Physiologic Safety and security Love and belonging Self-esteem

Love and belonging

Which statement is true regarding Friedman's theory of family-centered nursing care? Illness of one family member strengthens the roles of the sick member in the family structure. The family is composed of independent members who live and function individually. The role of the family is essential in every level of nursing practice. The focus on health should be directed at improving the health of the sickest member of the family.

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

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

extended family.

Question 8 of 10 A comprehensive definition of family is that it is a social group with members who share common values, interact over time, and occupy specific positions. participate in religious rituals. evolve psychologically over time. maintain order and safety.

occupy specific positions.

A nurse is providing care to a client who is feeling lonely and isolated. In an effort to develop a trusting nurse-client relationship, the nurse exhibits a caring attitude, ensures the client's privacy, and spends time with the client to promote therapeutic communication. The nurse is meeting which category of client needs? Love and belonging Safety and security Physiologic Self-esteem

Love and belonging

A client comes to the health center for a follow-up visit. Assessment reveals that the client is experiencing problems ambulating and moving about due to degenerative joint disease; in addition, the client is feeling isolated due to the limitations in mobility. The client also reports feeling anxious about the future related to the mobility issues and being unable to fulfill the role as the major provider. Which need would the nurse identify as the priority? Feelings of isolation Anxiety about the future Mobility Role change

Mobility

A nurse in the emergency department assesses a 3-year-old child with a fractured femur, a hematoma on the back of the head, and multiple 1-cm round scabs and blisters on the upper back. The parents state that their child sustained the injuries by falling out of a high chair. What is the best action for the nurse to take? Ask the physician to question the parents about the suspected child abuse. Refer the child and the family to social services for follow-up. Document the suspected child abuse in the child's health care record. Report the suspected child abuse to Child Protective Services.

Report the suspected child abuse to Child Protective Services.

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

Safety

A nurse is implementing interventions that focus on protecting a client from physical and emotional harm. Which category of needs is the nurse addressing? Safety and security Love and belonging Self-esteem Physiologic

Safety and security

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

Sociocultural dimension

A nurse is assessing a family and identifying where the family is in the family life cycle. During this assessment, the nurse applies Duvall's theory. Which theory forms the basis for Duvall's theory? Kohlberg's theory of moral development Freud's psychoanalytic theory Erikson's theory of psychosocial development Piaget's theory of cognitive development

Erikson's theory of psychosocial development

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

The father is an engineer and the mother is an elementary school teacher.

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea? explain that the physical symptoms are all in their head sit with the client and ask them about their feelings Immediately administer an antiemetic. contact the primary care provider

sit with the client and ask them about their feelings

The epidemiology nurse finds a lower occurrence of influenza cases in a section of a large metropolitan city. Further research reveals higher influenza immunization rates in that section of the city. The nurse determines which probable cause for this occurrence? There are fewer tobacco users in this section of town. Immunizations are given at no cost in the area. Persons living in the area are better educated. Immunization has become a community norm.

Immunization has become a community norm.

Which are stressors that affect the health of the family? Many job opportunities with adequate income Public transportation present throughout the community Inadequate childcare services Family members who live in the same geographic location

Inadequate childcare services

The nurse is assessing a family parented by a 60-year-old grandmother and 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?

Increased financial concerns

A nurse is conducting a community health assessment for high risk families. What risk factors should the nurse identify? Select all that apply. Family adheres to a strict vegetarian diet. Family does not have health insurance. Nearest acute care facility is 45 minutes away. Home is located in an area with gang violence. New sibling was introduced two months ago.

New sibling was introduced two months ago. Family does not have health insurance. Home is located in an area with gang violence. Nearest acute care facility is 45 minutes away.

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? Safety and security needs Self-actualization needs Physiologic needs Loving and belonging needs

Self-actualization needs

A client says, "I live in a small community on the northwest side of the city." Why does the nurse consider it significant that the client reports living in a community rather than a neighborhood? Communities are defined by geography. Neighborhoods are, by definition, smaller units within a community. Neighborhoods meet basic human needs, where communities do not. Community indicates people who share similar characteristics.

Community indicates people who share similar characteristics.

A nurse is assessing a family with adolescents. The family consists of a father, mother, a 13-year-old son, a 14-year-old son from a previous marriage, and a 16-year-old daughter. Which statement by the parents would lead the nurse to suspect a potential risk factor for altered health with this family? "All of us have faced problems along the way but we've worked them out." "Our 16-year-old just seems to butt heads with us at every turn." "We've encouraged our kids to talk to us about sex and sexually transmitted infections." "We've taught our kids to be assertive when appropriate."

"Our 16-year-old just seems to butt heads with us at every turn."

The nurse is aware that basic client needs must be met before a client can focus on higher ones. According to Maslow's hierarchy of human needs, which example would be the highest priority for a client after physiologic needs have been met? Grab bars are installed in a client bathroom to facilitate safe showering. A nurse identifies strengths in a client who is scheduled for a mastectomy. A client enrolls in art class after recovering from major surgery. A nurse arranges for a teenage client to have visits from school friends.

Grab bars are installed in a client bathroom to facilitate safe showering.

Which client requires priority intervention by a nurse providing care on a medical-surgical unit? A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min An older adult client who is yelling and angry with family members A client with a blood pressure of 98/40 mm Hg who needs to ambulate to the bathroom A newly admitted client who is upset due to a new cancer diagnosis

A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min

During the nurse's admission interview the client says, "I don't get too much rest because I am in nursing school and work full time to support myself and my kids." The nurse classifies this statement as an issue at which level of Maslow's basic needs?

Physiologic

What is the focus of community-based nursing? Family health Community health Promoting and maintaining the health of individuals and families Maintaining and improving the health of the community

Promoting and maintaining the health of individuals and families

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? Family patterns of communication Employment history of the parents Environmental hazards in the home Responsibilities of the adolescent

Family patterns of communication

A home health nurse is visiting a family after the recent death of their matriarch. The nurse 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. The nurse asks what is happening, and is told, "We are Jewish, and the family is 'Sitting Shiva'." This family is fulfilling which family function? affective and coping functions economical function physical function socialization function

affective and coping function

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? Maintain a supportive home environment Strengthen the marital relationship Adjustment to retirement Maintain open communication

Adjustment to retirement

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 type of factor is the primary influence on this aspect of the family's health? Economic factors Family risk factors Community health care structure Lifestyle influences

Community health care structure

A nurse is working with a single-parent family. When planning the care for this family, which need should the nurse anticipate as being a priority concern? Financial concerns Health promotion Excessive support systems Child health issues

Financial concerns

A nurse at a local homeless shelter is evaluating a new arrival at 10 pm, a client wearing disheveled clothes. The client reports looking for a place to sleep due to being exhausted. The client further reports living under a bridge since losing a job 6 months ago and being hungry. The nurse should perform which actions to address the client's physiological needs? Select all that apply. Assign the client a daily task of cleaning up the kitchen. Show the client to a room so the client can sleep. Send the client to a job training seminar. Arrange for the client to go to Alcoholics Anonymous. Offer the client a sandwich because the cafeteria is closed. Show the client to the showers and provide clean clothes.

Offer the client a sandwich because the cafeteria is closed. Show the client to a room so the client can sleep.

A nurse is working at a community clinic that serves mostly families with young children. What would be a priority intervention for clients in this developmental stage? Providing alcohol and drug information Screening for congenital defects Setting up parenting classes Providing sex education

Setting up parenting classes

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

Socialization

An adolescent confides in the school nurse that the adolescent is arguing daily with her mother and often wonders whether her mother loves her. The school nurse recognizes that the student faces which of the following risk factors for altered family health? A biologic risk factor A lifestyle risk factor A psychosocial risk factor A developmental risk factor

A psychosocial risk factor

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea? contact the primary care provider explain that the physical symptoms are all in their head sit with the client and ask them about their feelings Immediately administer an antiemetic.

sit with the client and ask them about their feelings

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea? contact the primary care provider sit with the client and ask them about their feelings Immediately administer an antiemetic. explain that the physical symptoms are all in their head

sit with the client and ask them about their feelings

A nursing student's parents are both physicians. The nursing instructor may feel the student has Difficulty in changing her attitudes Been educated in healthcare Been socialized in healthcare Defined her future

Been socialized in healthcare

Place the following nursing interventions in order of priority according to Maslow's hierarchy of basic needs. 1 The nurse teaches the client about foods high in fiber. 2 The nurse teaches the client's daughter how to safely administer the client's insulin. 3 The nurse assists the client in making a phone call to the client's daughter. 4 The nurse positions the bed of the Muslim client who is bedfast toward Mecca.

The nurse teaches the client about foods high in fiber. The nurse teaches the client's daughter how to safely 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.

A family assessment of a father, mother, and four children has suggested the presence of several risk factors. Which aspect of the family's structure and function would be considered a psychosocial risk factor? The mother has a history of heavy alcohol use. The parents have a tumultuous relationship, with frequent separations in the past. The family lives in a small apartment in a poor neighborhood with high crime rates. The family's electricity has been cut off at various times due to nonpayment.

The parents have a tumultuous relationship, with frequent separations in the past.

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?

Safety and security

A nurse is caring for an adolescent who has just lost a leg in a motor vehicle accident. Which human need would the nurse most likely need to address? Love and belonging needs Self-actualization needs Safety and security needs Self-esteem needs

Self-esteem needs

A new graduate nurse asks a nurse manager working at the community health center, "I've heard people talk about community health nursing and community-based nursing. Is there a difference?" Which response by the nurse manager would be appropriate? "Community health nursing focuses primarily on providing care to people in their homes and living in a specific community." "Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population." "There really isn't any difference between the two at all. Both terms are used to denote health care for all groups of people." "Community health nursing emphasizes the need to address the cultural differences among the individuals and families in the community while community-based nursing does not."

Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population."