Chapter 4, Health of the Individual, Family, and Community

What is the major effect of a health crisis on family structure? A) Adaptation to stress B) Change in roles of family members C) Respect for family values D) Loss of individual identities

B) Change in roles of family members

Which of the following individuals would the nurse assess as being most at risk for altered family health? A) An unmarried adolescent with a newborn B) A newly married couple who ask about birth control C) A middle-aged man and woman with no children D) An older adult, living in an assisted-living community

A) An unmarried adolescent with a newborn

What is one method by which a nurse can be a role model to promote health in the community? A) Demonstrating a healthy lifestyle B) Becoming a member of a family C) Meeting own basic needs D) Exhibiting self-actualization

A) Demonstrating a healthy lifestyle

During the course of assessing the family structure and behaviors of a pediatric patient's family, the nurse has identified a number of highly significant risk factors. Which of the following actions should the nurse prioritize when addressing these risk factors? A) Engage in appropriate health promotion activities. B) Validate the family's unique way of being. C) Enlist the help of community and social support. D) Introduce the family to another family that possesses fewer risk factors.

A) Engage in appropriate health promotion activities.

The nurse is planning interventions to promote the health of a family struggling with loss of energy and privacy for the parents. In which family stage is the family? A) Family with young children B) Family with adolescents and young adults C) Family with middle-aged adults D) Family with older adults

A) Family with young children

A nurse assigned to a client's care schedules a family assessment of the client. Which of the following should the nurse use for basic family assessment? A) Interview B) Physical assessment C) Survey D) Poll

A) Interview

The nurse who is caring for a child admitted after an automobile accident recognizes the importance of including the child's family in the plan of care. Inclusion of the family meets which of Maslow's basic human needs? A) Love and belonging B) Physiologic C) Self-esteem D) Self-actualization

A) Love and belonging

An unmarried couple in a committed relationship live together with their adopted twin boys. Which of the following best describes this type of family? A) Nuclear family B) Extended family C) Blended family D) Adoptive family

A) Nuclear family

Which of the following statements accurately describes how Maslow's theory can be applied to nursing practice? A) Nurses can apply this theory to the nursing process. B) Nurses can identify met needs as health care needs. C) Nurses cannot use the theory on infants or children. D) Nurses use the theory for ill, as opposed to healthy, patients.

A) Nurses can apply this theory to the nursing process.

The nursing student is assessing a community in regard to safety and security. Which of the following would be inappropriate for the nursing student to include under this basic need category? A) Parks and swimming pools B) Police and fire departments C) Sanitation facilities D) Housing and zoning codes

A) Parks and swimming pools

A nurse caring for a client in a long-term health care facility measures his intake and output and weighs him to assess water balance. These actions help to meet which of Maslow's hierarchy of needs? A) Physiologic B) Safety and security C) Love and belonging D) Self-actualization

A) Physiologic

According to Maslow's basic human needs hierarchy, which needs are the most basic? A) Physiologic B) Safety and security C) Love and belonging D) Self-esteem

A) Physiologic

The community health nurse is creating a plan of care for a client with Parkinson's disease. The client's spouse has provided care to the client for the past five years and the client's care needs are increasing. What is an appropriate nursing diagnosis for the client and family? A) Risk for Caregiver Role Strain. B) Health Seeking Behaviors. C) Parental Role Conflict. D) Readiness for Enhanced Family Processes.

A) Risk for Caregiver Role Strain.

Based on a community assessment, the nurse has set the following outcomes. Which outcome reflects Maslow's level of safety and security needs? A) The community will establish an effective wastewater disposal system by January 22. B) The community will demonstrate pride by posting a welcome sign and flowers at the edge of town by April 8. C) The community will open a senior citizens center by March 9. D) The community will identify a walking path through the community by February 2.

A) The community will establish an effective wastewater disposal system by January 22.

Five functions have been identified as being essential to the growth of individuals and families. One of these functions is education and support. How is support manifested in the context of coping with crisis and illness situations? A) Making clear distinctions between the generations B) Actions that tell family members they are cared about and loved C) The promotion of exercise in the lifestyle D) Transmitting culture and acceptable behaviors

B) Actions that tell family members they are cared about and loved

Which of the following is an example of a community factor that may affect health? A) Rural setting B) Air and water quality C) Number of residents D) Educational level

B) Air and water quality

A boy age 2 years arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. Which of the following would be the priority nursing intervention? A) Giving him his favorite stuffed animal to hold B) Assessing respirations and administering oxygen C) Raising the side rails and restraining his arms D) Asking his mother what are his favorite foods

B) Assessing respirations and administering oxygen

Which of the following statements accurately describes a characteristic of a community? A) Communities do not exist in rural areas. B) Communities are formed by the characteristics of people and other factors. C) Communities are not limited by geographic boundaries. D) Communities have little or no effect of the health of residents.

B) Communities are formed by the characteristics of people and other factors.

The nurse conducting a community emergency preparedness education class includes which of the following as an example of a natural disaster? A) Toxic spill B) Earthquake C) War D) Terrorist event

B) Earthquake

Which of the following groups involves all parts of a person's life and is concerned with meeting basic human needs to promote health? A) Peers B) Family C) Community D) Health care providers

B) Family

A couple recently married. Both the husband and the wife have previously been married and had two children. What name is given to this type of family? A) Extended family B) Nuclear family C) Blended family D) Cohabiting family

C) Blended family

Which of the following is a tenant of Maslow's basic human needs hierarchy? A) A need that is unmet prompts a person to seek a higher level of wellness. B) A person feels ambivalence when a need is successfully met. C) Certain needs are more basic than others and must be met first. D) People have many needs and should strive to meet them simultaneously.

C) Certain needs are more basic than others and must be met first.

Which of the following factors may be a barrier to health care services for those living in rural areas? A) Inadequate health care insurance B) Lack of knowledge about needed care C) Living long distances from services D) Decreased interest in health promotion

C) Living long distances from services

A nurse provides health promotion and accident prevention programs for a family with adolescents and young adults. Which of the following is a task of a family at this stage? A) Establish a mutually satisfying marriage. B) Adjust to cost of family life. C) Maintain supportive home base. D) Maintain ties with younger and older generations.

C) Maintain supportive home base.

A man 75 years of age is being discharged to his home following a fall in his kitchen that resulted in a fractured pelvis. The home health nurse makes a home assessment that will be used to design interventions to meet which priority need? A) Sleep and rest B) Support from family members C) Protection from potential harm D) Feeling a sense of accomplishment

C) Protection from potential harm

What is the purpose of the affective and coping function of the family? A) Providing a safe environment for growth and development B) Ensuring financial assistance for family members C) Providing emotional comfort and identity D) Transmitting values, attitudes, and beliefs

C) Providing emotional comfort and identity

A nurse caring for a female client in isolation with tuberculosis is aware that the client's love and belonging needs may not be properly met. Which of the following nursing actions would help to meet these needs? A) Respecting the patient's values and beliefs B) Focusing on the client's strengths rather than problems C) Using hand hygiene and sterile technique to prevent infection D) Encouraging family to visit and help in the care of the client

D) Encouraging family to visit and help in the care of the client

When providing nursing care to a client, the nurse provides family-centered nursing care. What is one rationale for this nursing action? A) The nurse does not want the client to feel lonely. B) The client will be more compliant with medical instructions. C) The family will be more willing to listen to instructions. D) Illness in one family member affects all family members.

D) Illness in one family member affects all family members

When a family visits the counseling clinic for the first time, which of following activities will the nurse complete as part of the initial family assessment? A) Discuss the roles of the parents. B) Outline the basic needs of the family. C) Resolve all family conflicts. D) Interview the family members.

D) Interview the family members

What action by a nurse will help a client meet self-esteem needs? A) Verbally negate the client's negative self-perceptions B) Freely give compliments to increase positive self-regard C) Independently establish goals to improve self-esteem D) Respect the client's values and belief systems

D) Respect the client's values and belief systems

An woman 80 years of age states, "I have successfully raised my family and had a good life." This statement illustrates meeting which basic human need? A) Safety and security B) Love and belonging C) Self-esteem D) Self-actualization

D) Self-actualization

A mother teaches her son to respect his elders. This is an example of which of the following family functions? A) Physical B) Economic C) Affective and coping D) Socialization

D) Socialization

Which of the following definitions best describes community-based nursing? A) A focus on populations within the community B) A focus on older adults living in nursing homes C) Care provided in the client's home for chronic illnesses D) care centered on individual and family health care needs

D) care centered on individual and family health care needs

The nursing student asks the nurse about the difference between family-centered nursing and client-centered nursing. Which of the following would be inappropriate for the nurse to include when responding to the student? A) The family is composed of interdependent members who affect one another. B) The health of the family can be improved through health promotion activities. C) A strong relationship exists between the family and the health status of its members. D) Illness of one family member infrequently occurs in other members.

Illness of one family member infrequently occurs in other members