Exam 2

Ask the client if they smoke, discuss with the client that they are at an increased risk for developing breast cancer, show client a video of how to perform a breast self-examination.

A nurse is caring for a 36-year-old client in a health clinic and notices that the client's genogram shows their mother had a history of breast cancer. WOTF actions should the nurse take?

A genogram contains all the info in a typical family tree, and also has details about family structure, timelines of major family events, conflicts and documentation of family patterns.

A nurse is communicating the definition of a genogram to a client. WOTF statements should the nurse make to define a genogram?

Housing insecurity

A nurse who works in a law socioeconomic status neighborhood where most families live below poverty line finds that many of the children suffer from malnutrition. Nurse should ID that WOTF aspects of poverty increases a child's risk for malnutrition?

Public health campaigns that clearly show the public the risks to pregnant clients and the fetus form smoking during pregnancy.

A public health nurse is working with health coalition to address the high rates of preterm birth in their area. The coalition is discussing possible primary prevention techniques that could be implemented. WOTF interventions is considered a primary prevention strategy to address preterm birth?

Child maltreatment, intimate partner violence, a parent who is incarcerated, divorce.

A public health nurse is educating community leaders about the causes of adverse childhood experiences (ACEs). WOTF should the nurse include as potential types of adverse childhood experiences?

Refer the family to community resources and agencies, develop a family-nurse contract, schedule the family's next visit.

A family has set goals and action steps for meeting an identified problem. WOTF steps should the nurse take?

Autism spectrum disorder is a chronic condition with no known cure at this time. However, early intervention offers the best chance to help your child achieve optimal functioning.

A nurse is caring for a 20year old child who has been diagnosed with autism spectrum disorder (ASD). The parents ask the nurse what treatments are available to cure this disorder. WOTF responses should the nurse make?

Family members learning how to interact with other members of society.

A nurse should understand that WOTF is an example of the socialization's family function and structure.

Sometimes I think I should drive my car off a cliff.

Nurse is caring for 17-year old adolescent who is being treated for depression. WOTF statements by adolescent should nurse report to provider immediately.

Children should ride in the back seat with a belt-positioning booster until they are at least 4 feet 9 inches tall and are 8 to 12 years of Age.

A clinic nurse assessing a 6-year-old child during a well-child examination. The child's guardian asks the nurse how much longer the child will need to ride in a booster seat. WOTF responses should the nurse make?

Genogram.

A nurse is reviewing a client's chart. WOTF tools would assist the nurse in identifying family relationships and patterns?

Working with elected officials

A nurse is reviewing community partnerships to help Id resources for families in the community. WOTF is an example of a community partnership the nurse should expect?

Alcohol and drug use disorder

A community health nurse is working with adolescent living in a shelter for people without housing. The nurse should recognize that frequent moving leaves these adolescents at an increased risk for WOTF?

he snacks on gummy fruit snacks everyday between meals when he gets hungry.

A nurse is assessing a 50year-old child who reports tooth pain and has an elevated temperature. The nurse asks the child's guardian about the child's diet. WOTF statements by the guardian indicates the child has an increased risk of dental caries?

Health promotion and self care function

A nurse is collecting data on a 19-year-old client and notices that the client is up-to-date on immunizations. WOTF family function does this meet?

Family SCREEM

A nurse is working with a family in which of few members have a chronic disease. WOTF tools should the nurse use to gain insight into the strengths and vulnerabilities of a family who has chronic disease?

Child neglect

A public health nurse is educating community members about the incidence of child maltreatment in the area at a local health fair. WOTF should the nurse include as the most commonly reported type of child maltreatment.

We don't really have a routine; I feel sick and drained most of the time, so we can't keep up with a schedule.

Public health nurse is conducting a home visit with new clients and completing a primary fam assessment. WOTF statements by a parent indicated parent is experiencing caregiver role strain?

Biological

A nurse notices on a client's intake from that there is a history of heart disease in their family. WOTF risk factors should the nurse id this info as?

Family activates such as trail waking, and bike riding can help encourage my child to be active.

A nurse is educating a group of parents and guardians about promoting healthy body weight during childhood, WOTF statements by a parent indicates that the teaching has been effective?

95th percentile

A nurse is educating a group of students about calculating body mass index (BMI) related to age when determining obesity in children. The nurse should include the obesity in children is defined as having a BMI for age that is greater than WOTF percentiles?

Drowning

A nurse is educating a nursing student about the leading cause of death from unintentional injuries toddlers. The nurse knows teaching has been effective when the student correctly identifies WOTF as the leading cause of death from unintentional injuries in toddlers?

family life cycle theory

A nurse is working with a client who was recently diagnosed with type 1 diabetes mellitus. The nurse recommends that the client and their family attend diabetes education classes. WOTF theories will assist the nurse in determining whether the client and their family will be receptive to this recommendation?

Id the problem, plan interventions with goals and objectives, develop family-centered interventions, evaluate the progress toward outcome measures.

A nurse is working with a family to develop a family care plan that has four steps. Id the correct order of steps when creating a family care plan.

Overuse emergency care services.

A nurse is working with the state health department to ensure children in the community have health insurance. The nurse should recognize that the caregivers of children who don't have health insurance ae more likely to do WOTF?

Family structure

A nurse notices that the age and gender of each family member has been recorded in a client's chart. This info is a characteristic of WOTF?

Obesity, Asthma, Diabetes, Preterm birth, child mortality

Public health nurse is working in a low-income neighborhood composed primarily of non-Hispanic Black families. Nurse is developing a teaching plan for parents about common pediatric health concerns. When compared to non-Hispanic whites. WOTF health concerns are low-income, non-Hispanic Black children at a greater risk?

Youn children frequently place objects in their mouth, children have more years of life ahead of them than adults.

A group of community health nursing students are preparing a presentation about lead toxicity in children. WOTF characteristics of children should students include as factors that increase child's susceptibility to environment lead exposure?

avoid distracting activities like listening to music, using a cell phone, or reading books when supervising children who are near swimming pools or other bodies of water, Gated isolation fences should separate any play area form the pool to keep children away from the eater when not swimming, all parents and caregivers should have certification in cardiopulmonary resuscitation (CPR)

A nurse is caring for a child who was resuscitated following a near drowning in a home swimming pool. The child's parents ask what they can do to prevent another incident. WOTF recommendations should the nurse make?

Admission to the ICU

A nurse is caring for a non-Hispanic Black client who is experiencing preterm labor. When assessing for pregnancy complications, the nurse recognizes that pregnant clients how are non-Hispanic Black have an increased risk for WOTF?

Family structures, major family events, conflicts with family patterns.

A nurse is completing a genogram on a client. WOTF should the nurse expect to learn about the client form the genogram?

attention-deficit/hyperactivity disorder (ADHD)

A nurse is conducting an assessment on a 7-year-old child. The guardian reports the child frequently displays with organization, is easily distracted, has difficulty paying attention, and is overly active. The nurse should recognize that these symptoms are commonly associated with WOTF pediatric health problems?

There should not be any pillows or toys in the bed with my baby.

A nurse is educating a group of new parents and guardians about safe sleep practices for infants. WOTF statements by a guardian indicates an understanding?

Rural areas have higher rates of pediatric obesity due to lack of healthy and nutritional food choices.

A public health nurse is educating nursing students about pediatric obesity in rural areas. WOTF statements made by a nursing student indicates that the teaching has been effective?

Many states have a zero-tolerance law for anyone under age 21 driving under influence of drugs or alcohol.

A school nurse is educating parents and students regarding effective strategies for reducing adolescent motor-vehicle crashes. WOTF statements by a student indicates that teaching has been effective?

A family member in the household was recently diagnosed with cancer.

A nurse understands a family operates as a unit and that what impacts one family member can impact all members. WOTF findings should the nurse id as significant in relation to the family systems theory?

Removal of lead from the environment before the child can be exposed

A public health nurse is educating nursing student about pediatric lead exposure. The teaching has been effective when the nursing student's id WOTF interventions as the most effective method of preventing children from environmental lead exposure?

Adolescent programs for safe dating and healthy relationships skills, programs to strengthen household financial security, programs for early childhood home visitation.

A public health nurse wants to implement a local prevention program to help with mental health disorders among adolescents. WOTF primary prevention strategies is effective in addressing mental health in adolescents?

Pediculosis is transmitted through direct hair-to-hair contact or indirect contact with personal belongings of infected person.

A nurse at an Urgent Care clinic is discharging a child who was diagnosed with Pediculosis. The child's guardian asks how their child could have developed this condition. WOTF responses should nurse make?