chapter 4 - Health of individual family and community

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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 who provides privacy for the client and family during times of prayer is helping the client to reach self-actualization, the highest level on the hierarchy. The most basic level in the hierarchy, physiologic need of physical activity, would be addressed when the nurse teaches the son how to perform passive range of motion. By teaching the daughter how to do the client's finger-stick blood sugar, the nurse is meeting the client's physical safety needs. The nurse facilitates the love and belonging needs of the client when allowing family to sit quietly at bedside after visiting hours.

The nurse is conducting a home assessment and suggests that the client's family remove scatter rugs from the home and increase the lighting. Which basic human need is being addressed by the nurse's suggestions?

a) Safety and securing

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?

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?

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

Communication is essential for interaction with others and is an example of the sociocultural dimension. Housing and community are examples of the environmental dimension. The emotional dimension includes fear, sadness, loneliness, and acceptance of self.

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

Duvall supports the developmental framework of family function. Minuchin, Satir, and Bowen are nurses whose family nursing theory is based on systems theory.

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 should be included in the client's care and allowed to assist with the client's adjustment to the diabetes medication regimen. The family member may assist the client during an emergency, but this is not appropriate. Making the family member the point of contact to check on the client would likewise not be appropriate because is devalues the client. Finally, the family members may be at risk at developing diabetes in the future, but this is not relevant to the current case.

In caring for a patient, the nurse recognizes which of the following as the primary educational and support structure for an individual?

The family is the primary educational and support structure for an individual. The family, as a social unit, provides the environment and relationships necessary for members to meet their basic human needs.


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