Ch.4 Health of the Individual, Family, and Community Prep U

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

Which is an appropriate nursing intervention for the family with older adults?

Screening for drug-to-drug interactions.

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?

Socialization

A couple with adolescent children is most likely to focus on which of the following developmental tasks?

Strengthening marital relationships

A nurse is providing family-centered care to patients in a community health care clinic. Which statements about the family unit are accurate? (Select all that apply.)

The family is a buffer between the needs of individual members and society. Duvall (1977) identified critical family developmental tasks and stages in the family life cycle. The nuclear family is composed of two parents and their children.

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 care.

Which are stressors that affect the health of the family?

Well-funded school systems and inadequate childcare services

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."

To best enhance the quality of life for senior citizens, which of the following should a community sponsor?

A Senior Center

Nursing, as a profession, has long held the belief that providing nursing care to an individual patient means providing nursing care to the entire family. What does this mean when put into a holistic framework of patient care?

Active participation by individuals and families in health promotion is integral to this framework of patient care.

The core of the community is

Demographics

A nurse in a wellness center is presenting a class on integrating holistic therapies with traditional health care. The nurse talks about the trend in health care to treat each client in a manner that reconnects their total being. Which of the following would best be considered a holistic approach to health?

Physical, emotional, and spiritual well-being

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

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

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 community environment affects the well-being of the individual and the family. Which of the following is the health responsibility of the family?

Maintain a healthy lifestyle

A home healthcare nurse is performing a home visit to a 58-year-old man and his 56-year-old wife who receives home chemotherapy as part of her treatment regimen for breast cancer. The nurse will recognize that this family is likely to be engaged in which of the following development tasks?

Maintaining ties with older and younger generations

The nurse is assessing the data of Mr. Santiago, a 66-year-old man whose wife was recently diagnosed with early-onset Alzheimer's disease at the age of 59. He states that he feels unsure about being his wife's sole caregiver "because she always took care of me and used to nag me about not doing enough to help her around the house." The nurse concludes that Mr. Santiago is at risk for caregiver strain if she identifies which the following factors? Select all that apply.

Past history of poor relationship between caregiver and care receiver Inexperience with giving care to others Caregiver as the spouse

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?A couple with adolescent children is most likely to focus on which of the following developmental tasks?

Community resources available to patients.

Which of the following theorists supports the developmental framework of family assessment?

Duvall

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?

Engage in appropriate health promotion activities.

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?

Interview the family members.

Based on a community assessment, the nurse has set the following outcomes. Which outcome reflects Maslow's level of safety and security needs?

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

An adolescent confides in the school nurse that she is arguing daily with her mother, and she often wonders if her mother loves her. The school nurse recognizes that the student faces which of the following risk factors for altered family health?

A psychosocial risk factor

The nurse is assessing the community and discovers that 30% of all children enrolled in the public school system lack up-to-date immunizations. Which nursing diagnosis is most appropriate for the nurse to formulate?

Risk for Infection

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

A nurse is caring for a client diagnosed with pancreatitis. Which of the following is a priority need for nursing management?

Acute pain in the abdomen

You are the nurse caring for a patient newly diagnosed with diabetes and you are developing a holistic plan of care. You know that for this plan of care to be successful it must what?

Address the disease but also incorporate the mind, body, and spirit.

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

Been socialized in healthcare

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 of the following factors is the primary influence on this aspect of the family's health?

Community health care structure

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?

Family with young children

A client who was admitted to a drug treatment centre 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 is assessing the communication style of the client. Communication is an example of which dimension of the individual?

Sociocultural dimension

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.

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.

The nursing student asks the instructor to explain what a community is. Which statement by the instructor would be inappropriate?

"Communities have few effects on the health of the individuals that live there."

A family that consists of two homosexual parents and three children living in the same house is an example of which type of family?

Nuclear

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

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?

Parks and swimming pools

The nurse is creating a nursing care plan for a patient who has numerous needs in the various dimensions of his life. As a result, the nurse is faced with the challenge of prioritizing certain needs over others. Place the following levels of needs in the correct ascending order (starting with most basic as 1).

Physiologic needs Safety and security needs Love and belonging needs Self-esteem needs Self-actualization needs

What is the focus of community based nursing?

Promoting and maintaining the health of individuals and families.

A nurse who is using DuVall's conceptual framework to assess a family with two parents and three children must first determine the

Age of the oldest child

A nurse working with patients in a community is aware that which of the following is a true statement related to environmental factors in that community?

Barriers to accessing health care within a community may include lack of transportation.

The nurse is planning interventions to promote the health of a family with young children. Which family task does the nurse need to consider when planning interventions?

Coping with loss of energy and privacy

The nurse has developed a strong therapeutic partnership with a 44-year-old electrician who suffered severe burns while working on an industrial site. Which of the nurse's following actions most directly addresses the patient's self-actualization needs?

Discussing the patient's strengths and dialoguing with him about his body image

Based on the nursing assessment, the nurse formulates the following nursing diagnoses for the client. Which nursing diagnosis reflects Maslow's level of self-esteem needs?

Disturbed Body Image related to inability to cope with left leg amputation

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

The nurse recognizes the importance of including patients' families in assessment, care, decision-making, education, and discharge planning. When determining who constitutes a patient's family, which of the following criteria should the nurse prioritize?

Emotional Bonding

A nursing student is using the McGill Model of Nursing (MMN) in the care of a family. The student should set what goal during initial interactions with the family?

Identify the family's strengths.

A 26-year-old member of the armed forces was severely injured while serving overseas and now lives with the effects of a spinal cord injury. The man's wife is now forced to get a job in order to provide care for both him and their young son, since the man was the family's sole wage earner. In addition, the family realizes that they may have to move into the basement of the wife's parents in order to survive financially. The family is at greatest risk of which of the following nursing diagnoses?

Interrupted Family Process

A single mother of two boys is diagnosed with breast cancer. The mother is receiving chemotherapy and radiation treatments following a right mastectomy six weeks ago. She has yet to return to work and just recently applied for food stamps after depleting most of her savings. Which nursing diagnosis is most appropriate for the nurse to formulate?

Interrupted Family Processes related to inability to cope with financial burden of treatments for mother

A young couple who have been married less than a year are having difficulty with adjusting to parenting. What is a contributing factor to this level of maladjustment?

Limited time in learning to be a marital partner

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?

Love and belonging

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?

Risk for Caregiver Role Strain.

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

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

Safety and Security

The home health nurse is assisting a patient and their family in planning the patients' return to work after an extensive illness. Which level of Maslow's Hierarchy of basic needs does the patient's need for self-fulfillment fit on?

Self-Actualization

During the nursing assessment, the client shares that the family attends church nearly every Sunday. Which function of the family does this represent?

Socialization

The nurse is implementing care for several clients. Which of the following clients is the nurse helping to reach the highest level of Maslow's hierarchy of basic human needs?

The nurse provides privacy for the client and family during times of prayer.

Family assessment of a father, mother, and four children has suggested the presence of several risk factors. Which of the following aspects of the family's structure and function would be considered a psychosocial risk factor?

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

Systems theory suggests that the community has responsibilities toward the family, but the family is also responsible for community health. Which of the following is a role of healthcare workers in a community?

Volunteering in community activities