Chapter 4
According to Archer, what are the three general types of communities? A. Financial, protective, and valued B. Healthy, cultural , and independent C. Emotional, structural, and functional D. Connected, casual, and formal
Emotional, structural, and functional
The nurse enters the client's room in the acute care unit immediately after he experiences a generalized tonic-clonic type seizure in bed. What is the first action the nurse should take? A. Reorient the client to person, place, and time. B. Notify the physician. C. Position the client in a side-lying position. D. Document the type of seizure in the client's health record
Position the client in a side-lying position.
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? A. Families are caretakers even when the patient is not acutely ill. B. It is necessary for the nurse, patient and the patient's family to integrate the physical and emotional environment of the patient. C. Active participation by individuals and families in health promotion is integral to this framework of patient care. D. This model is congruent with the philosophy of traditional patriarchal medicine.
Active participation by individuals and families in health promotion is integral to this framework of patient care.
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? A. Adjustment to retirement B. open communication C. Strengthen the marital relationship D. Maintain a supportive home environment
Adjustment to retirement
A new storefront health outreach centre has been proposed for a community. The community health nurse can demonstrate the standards of community health by performing what action? A. Considering demographic trends in the community and in Canada as a whole B. Collaborating with hospital nurses who provide care in the community C. Involving occupational therapists, physiotherapists, and other health disciplines in the planning stage D. Ensuring that community residents have fair and equitable access to the facility
Ensuring that community residents have fair and equitable access to the facility
A community health nurse is providing care to several farming families in a rural community. Which of the following would be most important for the nurse to integrate into the plans of care for these families? A. The traditional nuclear family structure is the current norm. B. Family structures may change over time. C. All family types have similar problems regardless of their structure. D. The extended family structure has fewer issues that impact family functions.
Family structures may change over time.
Understand the interactions between the members of the family. Teach the family to build on their current health status. Elicit the family's input into planning their care. Demonstrate healthy patterns of interactions. A. Helping the patient to provide regular status updates to his parents and siblings B. Encouraging the patient to reflect on the support and hope that he receives from his family C. Helping to facilitate the patient's parents coming to stay with the patient D. Encouraging the patient to be honest with his parents about his fear and anxiety
Helping to facilitate the patient's parents coming to stay with the patient
The nurse is assessing a family parented by a 60-year-old grandmother and her 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? A. Lack of knowledge about child safety B. Increased financial concerns C. Child abuse and neglect D. Conflict between family members
Increased financial concerns
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? A. Limited time in learning to be a marital partner B. Economic difficulties associated with parenting C. Involvement from significant others D. Stress of education, job, and parenting
Limited time in learning to be a marital partner
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? A. Safety B. Education C. Socialization D. Political
Safety
The community health nurse working at the local church is developing a program to address the issue of diabetic management. The nurse recognizes what church activity could adversely affect the health of the diabetic parishioners? A. Serving doughnuts, fruit juice, and coffee after church services on Sunday B. Eating at the pot luck dinner for the returning veterans C. Staffing a daycare center for the working mothers of the church D. Volunteering to construct a new playground for the children
Serving doughnuts, fruit juice, and coffee after church services on Sunday
The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual? A. Physical dimension B. Environmental dimension C. Sociocultural dimension D.Emotional dimension
Sociocultural dimension
A couple with adolescent children is most likely to focus on which of the following developmental tasks? A. Strengthening marital relationships B. Establishing a mutually satisfying marriage C. Adjusting to retirement D. Coping with loss of energy and privacy
Strengthening marital relationships
The nurse receives an 8-year-old girl in the pediatric unit following a tonsillectomy. Which assessment finding requires immediate intervention by the nurse? A. The client makes a rattling noise when she breathes through her mouth. B. The client is sleepy from the anesthesia, but arouses to her name. C. The client tells the nurse that her throat hurts. D. The client cries to the nurse that she wants to go home.
The client makes a rattling noise when she breathes through her mouth.
An elderly woman has been admitted to the hospital for the treatment of an acute illness and has received only one visitor in the several days since admission. The student nurse asks the patient about her relationship to this individual and the patient states, "In reality, she's my best friend but I consider her to be my family, even though I have a daughter somewhere." What foundational belief of family nursing should most influence the student's interactions with the patient? A. The student should choose interventions that facilitate reconnection with estranged family members. B. The patient can define who is and who is not part of her family. C. Many individuals exist without a family and adopt substitutes as needed. D. Family is more important to individuals who have large numbers of people in their families.
The patient can define who is and who is not part of her family.
A nursing student is collaborating with an experienced nurse to assess a family using the Calgary Family Assessment Model (CFAM). What will be the primary goal when using the model? A. Understand the interactions between the members of the family. B. Teach the family to build on their current health status. C. Elicit the family's input into planning their care. D. Demonstrate healthy patterns of interactions.
Understand the interactions between the members of the family.
The nurse on the elective surgery floor receives a report that describes the client's abdominal wound dressing as having a moderate amount of yellowish and bloody drainage on it and a very foul smell. In planning for a dressing change, it is most important for the nurse to perform which action? A. Change the abdominal dressing more frequently. B.Apply extra gauze dressings to the wound to absorb the drainage. C. Wash her hands before and after the dressing change. D. Use sterile gloves to change the abdominal dressing.
Wash her hands before and after the dressing change.
Once physiologic needs are met, nurses can concentrate on meeting self-actualization needs of patients. What are examples of self- actualization needs according to Maslow's hierarchy of needs? (Select all that apply.) A. A nurse attains a master's degree in nursing by going to school in the evening. B. A nurse refers a patient's spouse to an Al- Anon group meeting. C. A student nurse takes a course in communication to improve her ability to relate to patients. D. A nurse raises the side rails on the bed of a patient at risk for falls. E .A nurse administers insulin to a diabetic patient. F. A nurse subscribes to several nursing journals to stay abreast of developments in the profession.
A nurse attains a master's degree in nursing by going to school in the evening. A student nurse takes a course in communication to improve her ability to relate to patients. A nurse subscribes to several nursing journals to stay abreast of developments in the profession.
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? A. Barriers to accessing health care within a community may include lack of transportation. B. The quality of air and water are relatively consistent when comparing urban and rural environments. C. Environmental factors focus on the harmful effects on an individual's health. D. Lack of health insurance is a negative environmental factor affecting one's access to health care.
Barriers to accessing health care within a community may include lack of transportation.
A nursing student's parents are both physicians. The nursing instructor may feel the student has A. Been educated in healthcare B. Been socialized in healthcare C. Difficulty in changing her attitudes D. Defined her future
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? A. Community health care structure B. Economic factors C. Family risk factors D. Lifestyle influences
Community health care structure
A nurse is caring for a 78-year-old male patient who has been hospitalized following a stroke. Which nursing action has the highest priority for this patient? A. Ensuring that the patient has family and friends visit him B. Helping the patient to fill out an advanced directives form C. Finding a safe environment for the patient upon discharge D. Measuring the patient's I&O during recovery
Measuring the patient's I&O during recovery
A family that consists of two homosexual parents and three children living in the same house is an example of which type of family? A. Nuclear B. Extended C. Blended D. Single-parent
Nuclear
Which of the following theorists supports the developmental framework of family assessment? A. Minuchin B. Duvall C. Satir D. Bowen
Duvall
A nursing student is completing a clinical placement in a hospital setting and is aware of the need to generate positive rapport with a newly admitted patient and his family. Which of the following actions should the nurse perform in order to achieve this goal? Select all that apply. A. Introduce herself to the family by name when first meeting them. B. Reassure the patient that his illness will be successfully treated by the care team. C. Identify herself as a "student nurse" when entering the patient's room. D. Briefly teach the family about the importance of honest communication. E. Knock before entering the patient's room.
Introduce herself to the family by name when first meeting them. Identify herself as a "student nurse" when entering the patient's room. Knock before entering the patient's room.
The nurse assesses a client who is postoperative day 1 following a total abdominal hysterectomy. Assessment data includes BP 150/88 mm Hg, HR 100/bpm, RR 22/min with a pain scale of 8 out of 1-10. The abdominal dressing in clean, dry, and intact. The client's orders indicate ambulation today. Which is the priority nursing action? A. Notify the healthcare provider of the client's condition. B. Assist the client out of bed to walk in the hall. C. Medicate the client for pain. D. Remove the abdominal dressing and assess the incision.
Medicate the client for pain.
The nurse is caring for an 85-year-old, female client hospitalized for dehydration. The nurse notices that the patient is shivering and takes the client's temperature. She notes an oral temperature of 97.8°:F (36.6°:C). The client also says that she is "chilly." What action, if taken by the nurse, is most appropriate? A. Notify the physician. B. Offer the client an extra blanket. C.Increase the client's oral fluid intake. D. Assess the client's respiratory rate.
Offer the client an extra blanket.
During a family assessment, a teenage girl alludes to the fact that her grandfather used to touch her in a sexual manner. What is the nurse's primary responsibility when learning this information? A. Elicit more detail to corroborate the girl's claims. B. Make arrangements to protect the girl's future safety. C. Promptly report the allegations to authorities. D. Confirm the girl's statement with other family members.
Promptly report the allegations to authorities.
Which intervention performed by the nurse is most appropriate for assisting a client in meeting safety and security needs based on Maslow's Hierarchy of Needs? A. Cutting up food and opening drink containers for the client. B. Providing the mother the phone number for the Poison Control Center C. Seeking input from the client regarding their preferences for a snack. D. Assisting the client to validate their feelings regarding treatment options.
Providing the mother the phone number for the Poison Control Center
The nurse is taking care of a female client who is scheduled for a mastectomy. The client tells the nurse that she is apprehensive about the operation and asks the nurse to read a passage from the Koran to help her prepare herself for surgery. Which action by the nurse is the most appropriate? A. Read the Koran passage to the client. B. Gently inform the client that nurses cannot practice religion with clients. C. Ask the client if she would like to call a minister to pray with her. D. Ask if someone else on staff is the same religion as the client.
Read the Koran passage to the client.