Health Assessment Ch 4

community

specific population or group of people living in the same geographic area under similar regulations and having common values, interests, and needs; shared characteristics; environment affects ability of individual to meet basic human needs

Love and Belonging Needs

understanding and acceptance of others in both giving and receiving love, and feeling of belonging to groups

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?

Increased financial concerns

5 Levels of Needs

Level 1: physiologic needs Level 2: safety and security needs Level 3: love and belonging needs Level 4: Self esteem needs Level 5: self actualization needs

A nurse is working at a community clinic that serves mostly families with young children. What would be a priority intervention for patients in this developmental stage?

Measuring the patient's I&O during recovery

Safety and Security Needs

Physical- protected from potential or actual harm (nurses- hand hygiene and sterile techniques, administering medications properly, moving and ambulating patients) Emotional- trusting others and being free of fear, anxiety, and apprehension

Family functions

Physically- safe, comfortable environment for growth, development, and rest Economically- provides financial aid to family members and helps meet society's needs Reproductive- have and raise children Affective and Coping- provide emotional comfort and establish identity and maintain it in times of stress Socialization- family teaches and transmits beliefs, values, attitudes, and coping mechanisms

What is the focus of community based nursing?

Promoting and maintaining the health of individuals and families.

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

Sociocultural Dimension

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.

Tasks of coupe and family with young children

establish satisfying marriage, adjust to children, adjust to cost of family life, cope with loss of energy and privacy

Lifestyle risk factors for altered family health

lack of knowledge about sexual and marital roles, alterations in nutrition, chemical dependency, inadequate dental care and hygiene, unsafe and unstimulating home environment

Environmental risk factors for altered family health

lack of knowledge or finances to provide safe and clean living conditions, work or social pressures that cause stress, air water and food pollution

Tasks of family with adolescents and young adults

maintain open communication, support moral and ethical family values, balance freedom with responsibility, strengthen marital relationship

Self-Esteem Needs

need for a person to feel good about oneself, to feel pride and sense of accomplishment and to believe that others also respect and appreciate them; facilitates confidence and independence; role change (due to illness), change in body image affect self esteem

Basic human needs

needs are common to all people; meeting these needs essential for health and survival of all people

Community factors affecting health

number and availability of health care institutions and services, housing codes, police and fire departments, nutritional services, waste disposal services, air and water pollution, food sanitation, health education services, recreational opportunities, violent crimes and drug use

Physiologic Needs

oxygen (most essential), water, food, elimination, temperature, sexuality, physical activity, and rest; highest priority

Tasks of family with middle-aged adults

prepare for retirement

The nurse is admitting a 38-year-old male client to the oncology unit whose religious background is different from her own. The nurse is assessing how the client's religion may affect his health care needs. Which question by the nurse is the best way to consider the client's religious practices in the plan of care?

"What can we do to help you meet any religious needs you may have?"

Developmental risk factors for altered family health

families who have babies with no support system, older people (living alone or on fixed income), unmarried adolescent mothers

Friedman and family-centered nursing care

family is composed of interdependent members who affect one another, role of the family is essential in every level of nursing care, level of health of the family and in turn each of its members can be significantly improved through health promotion activities, and illness of one family member may suggest the possibility of same problem in another family member

Maslow

hierarchy to show certain needs are more basic than others; must reach a minimal level to attend to another

Self-Actualization Needs

highest level; need for individuals to reach their full potential through development of their unique capabilities; continues through life; acceptance of self and others, focus of interest on problems outside oneself, ability to be objective, creativity as a guideline for solving problems; focuses on strengths and possibilities of person

Duvall

identified critical family developmental tasks and stages in a family life cycle

Psychosocial risk factors for altered family health

inadequate childcare resources, inadequate income to provide safe housing food clothing and healthcare, conflict between family members

Tasks of family with older adults

adjust to retirement, adjust to loss of spouse

Biologic risk factors for altered family health

birth defects, mental retardation, genetic predisposition for certain diseases

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

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: Through socialization, the family teaches; transmits beliefs, values, attitudes, and coping mechanisms; provides feedback; and guides problem solving. Incorporating religious beliefs, values, and attitudes is an example of socialization