NUR205 PrepU Chapter 4: Health of the Individual, Family, and Community
Limited time in learning to be a marital partner
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?
Urine output of 1500 ml in 24 hours
A 44-year-old female client is being treated for dehydration in an acute care hospital. The nurse determines that the rehydration treatment is working by assessing which of the following values?
Common interests
A community is defined as a social group that may or may not share common geographic boundaries yet interact because of
Self-esteem needs
A nurse is caring for an adolescent who lost a leg in a motor vehicle accident. Which human need would the nurse most likely need to address?
output
An 83-year-old client has had a stroke and has right hemiparesis. He has an inability to garden and is being cared for by his family. The family states he seems depressed and has no current interests. Based on the family's information, it would be appropriate for the family to allow the client to assist in planning an herb garden in the home. This is an example of
A psychosocial risk factor
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?
Atrial fibrillation (AFIB)
An irregular, often rapid heart rate that commonly causes poor blood flow.
Diaphoretic
Characterized by profuse sweating.
Socialization
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?
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.
Place the following nursing interventions in order of priority according to Maslow's hierarchy of basic needs.
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
femur
human bone in the thigh, off hip.
mastectomy
surgical removal of a breast
hemiparesis
weakness on one side of the body, often result of a stroke.
angiogram
x ray photo of blood vessels
Family patterns of communication
The nurse in the adolescent in-patient psychiatric unit is interviewing the family of a 16-year-old client admitted for depression and threatened suicide. What assessment information is most essential for the nurse in determining the affective and coping function of the family?
Sociocultural dimension
The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual?
Offer the client an extra blanket.
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?
Adjustment to retirement
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?
Coping with loss of energy and privacy
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?
client admitted with pneumonia, who is restless and diaphoretic with an oxygen saturation of 90%
The nurse receives a client assignment. Which client should the nurse see first?
ABCs, see pt with respiratory issues first.
client admitted with pneumonia, who is restless and diaphoretic with an oxygen saturation of 90%
Safety and security
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 client makes a rattling noise when she breathes through her mouth.
The nurse receives an 8-year-old girl in the pediatric unit following a tonsillectomy. Which assessment finding requires immediate intervention by the nurse?
Family structures may change over time.
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?
The parents have a tumultuous relationship with frequent separations in the past.
A 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?
"What can we do to help you meet any religious needs you may have?"
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?
Increased financial concerns
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?
Education programs Communication facilities Transportation services Recreation programs
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.
Report the suspected child abuse to Child Protective Services.
Report the suspected child abuse to Child Protective Services.
Socialization
During the patient assessment, the client shares that the family attends church nearly every Sunday. Which function of the family does this represent?
According to Archer, what are the three general types of communities?
Emotional, structural, and functional
"Family members are equally involved in planning and implementation of care."
TRUE
Determine the level and intensity of client care needed according to physical and psychosocial factors.
The charge nurse is assigning client care for the upcoming shift. Which is the priority evaluation when performing this task?
The father states, "I don't discuss money matters with my wife because I don't want her to worry."
The home health nurse is making an initial assessment visit to a family that consists of two parents and twin 3-year-old boys. During the interview, the nurse is most concerned if the client makes which statement?
a postsurgical client who is feeling dizzy with a heart rate of 45/bpm
Which client requires priority intervention when providing care on a medical-surgical unit?
Duvall
Which of the following theorists supports the developmental framework of family assessment?
Address the disease but also incorporate the mind, body, and spirit.
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?
Active participation by individuals and families in health promotion is integral to this framework of patient care.
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?
Setting up parenting classes
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?
A nursing student's parents are both physicians. The nursing instructor may feel the student has
Been socialized in healthcare
knowledge about the value of the food pyramid understanding food preferences of clients from the Jewish community information on the client's financial status related to meal provisions ability of the client to prepare food at home
Patient care dealing with nutrition and metabolism should include which factors? Select all that apply.
Nuclear
A family that consists of two homosexual parents and three children living in the same house is an example of which type of family?
Read the Koran passage to the client.
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?
Wash her hands before and after the dressing change.
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?
Safety and security needs
The nurse provides the mother of a toddler with the phone number for the Poison Control Centre. Which level of Maslow's hierarchy of needs is the nurse addressing?