Chapter 4- Family Health

An adolescent confides in the school nurse that the adolescent is arguing daily with her mother and often wonders whether 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 A lifestyle risk factor A developmental risk factor A biologic risk factor

A psychosocial risk factor

A nurse is caring for a client newly diagnosed with diabetes mellitus and developing a holistic plan of care. For this plan of care to be successful, it must what? Take into account the cost of care. Connect families, friends, and the environment. Provide a connection between medicine and nursing. Address the disease but also incorporate the mind, body, and spirit.

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

A client is admitted to the emergency department following a tornado in which multiple people were killed or injured. The nurse applies direct pressure to an open wound on the client's thigh while assuring the client that the weather has cleared. Which of Maslow's basic human needs is the nurse addressing with the actions? Select all that apply. 1. Physiologic 2. Safety and security 3.Love and belonging 4.Self-esteem 5.Self-actualization

1. Physiologic and 2. Safety and security

A nurse is developing a plan of care for a client to meet the client's self-actualization needs. The nurse would focus on which area as most important? Emphasizing the client's strengths Addressing the client's problems Reducing fear Promoting socialization

Emphasizing the client's strengths

A nurse is working with a single-parent family. When planning the care for this family, which need should the nurse anticipate as being a priority concern? Financial concerns Child health issues Health promotion Excessive support systems

Financial concerns

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea? Immediately administer an antiemetic. contact the primary care provider sit with the client and ask them about their feelings explain that the physical symptoms are all in their head

sit with the client and ask them about their feelings

The nurse performs an assessment of the client and the family to have a better understanding of client and family needs. Which is an individual need? Safety Education Socialization Political

Safety

A nurse is caring for an adolescent who has just lost a leg in a motor vehicle accident. Which human need would the nurse most likely need to address? Love and belonging needs Safety and security needs Self-actualization needs Self-esteem needs

Self-esteem needs

What is an example of a community risk factor? 1. client is genetically inclined to develop crippling arthritis. 2.An 80-year-old client is at risk for falls at home due to clutter in the hallways and stairways. 3. Children are kept inside on a sunny day due to a lack of recreational opportunities. 4. A child is born with a severe intellectual disability.

Children are kept inside on a sunny day due to a lack of recreational opportunities.

A nurse is assessing a family and identifying where the family is in the family life cycle. During this assessment, the nurse applies Duvall's theory. Which theory forms the basis for Duvall's theory? Erikson's theory of psychosocial development Freud's psychoanalytic theory Kohlberg's theory of moral development Piaget's theory of cognitive development

Erikson's theory of psychosocial development

Which theorist supports the developmental framework of family assessment? Minuchin Duvall Satir Bowen

Duvall

A community health nurse is providing care to several farming families in a rural community. Which concept would be most important for the nurse to integrate into the plans of care for these families? The traditional nuclear family structure is the current norm. Family structures may change over time. All family types have similar problems regardless of their structure. The extended family structure has fewer issues that impact family functions.

Family structures may change over time.

The epidemiology nurse finds a lower occurrence of influenza cases in a section of a large metropolitan city. Further research reveals higher influenza immunization rates in that section of the city. The nurse determines which probable cause for this occurrence? Immunizations are given at no cost in the area. Persons living in the area are better educated. Immunization has become a community norm. There are fewer tobacco users in this section of town.

Immunization has become a community norm.

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 Extended Blended Single-parent

Nuclear

What are examples of meeting physiologic needs according to Maslow's hierarchy of needs? (Select all that apply.) A nurse washes hands and puts on gloves before inserting a catheter in a client. A nurse invites a client's estranged son to visit the client. A nurse counsels an overweight teenager about proper nutrition. A nurse administers pain medication to a postoperative client. A nurse attains a master's degree in nursing. A home care practitioner requests quiet so that a client can sleep.

A nurse administers pain medication to a postoperative client. A home care practitioner requests quiet so that a client can sleep.

The nurse recognizes that the community affects the ability of individuals to meet basic human needs. Which example is not a characteristic of a healthy community? The number of assaults increased 2% over the last year. The quality of drinking water exceeds the state requirements. Volunteer opportunities for older adults increased the past two years. A new youth center provides after school programs for teens.

The number of assaults increased 2% over the last year.

A nurse is providing care to a client who is feeling lonely and isolated. In an effort to develop a trusting nurse-client relationship, the nurse exhibits a caring attitude, ensures the client's privacy, and spends time with the client to promote therapeutic communication. The nurse is meeting which category of client needs? Physiologic Safety and security Love and belonging Self-esteem

Love and belonging

The nurse is implementing care for several clients. Which client 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. The nurse teaches the son how to perform passive range of motion with the father. The nurse teaches the daughter how to do a finger-stick blood glucose level check for the mother. The nurse allows the family to sit quietly at the client's bedside after visiting hours.

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

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. The family celebrates Hanukkah and Passover with special meals. The family consults their rabbi and synagogue members during times of stress. The family members vacation together every year at a beach resort.

The father is an engineer and the mother is an elementary school teacher.

Which statement is true regarding Friedman's theory of family-centered nursing care? The role of the family is essential in every level of nursing practice. The family is composed of independent members who live and function individually. The focus on health should be directed at improving the health of the sickest member of the family. Illness of one family member strengthens the roles of the sick member in the family structure.

The role of the family is essential in every level of nursing practice.

Which client requires priority intervention by a nurse providing care on a medical-surgical unit? 1. A newly admitted client who is upset due to a new cancer diagnosis 2. An older adult client who is yelling and angry with family members 3. A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min 4. A client with a blood pressure of 98/40 mm Hg who needs to ambulate to the bathroo

3. A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min

Which community characteristics affect the health of individuals? Select all that apply. Communication facilities Recreation programs Education programs Genetic testing facilities Transportation services

Communication facilities Recreation programs Education programs Transportation services

Which action by the nurse demonstrates the nurse's efforts to meet the client's self-actualization needs? The nurse teaches the client's family members how to administer the client's tube feeding. The nurse facilitates a family meeting to elicit support for the client's return to home following a stroke. The nurse caring for a Native American/First Nations client arranges for the client's medicine man to perform a healing ceremony. The nurse arranges for the client's clergy to visit after visiting hours.

The nurse arranges for the client's clergy to visit after visiting hours.

The nurse assesses a client who is postoperative day 1 following a total abdominal hysterectomy. Assessment data includes blood pressure (BP) 150/88 mm Hg, heart rate (HR) 100 beats/min, respiratory rate (RR) 22 breaths/min with a pain scale of 8 on a scale of 1 to 10. The abdominal dressing is clean, dry, and intact. The client's prescriptions indicate ambulation today. Which is the priority nursing action? Notify the health care provider of the client's condition. Assist the client out of bed to walk in the hall. Medicate the client for pain as prescribed by the health care provider. Remove the abdominal dressing and assess the incision.

Medicate the client for pain as prescribed by the health care provider.

The nurse enters the client's room in the acute care unit immediately after the client experiences a generalized tonic-clonic type seizure in bed. What is the first action the nurse should take? Position the client in a side-lying position. Reorient the client to person, place, and time. Notify the physician. Document the type of seizure in the client's health record

Position the client in a side-lying position.

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? Cutting up food and opening drink containers for the client Providing the mother the phone number for the poison control center Seeking input from the client regarding preferences for a snack Assisting the client to validate feelings regarding treatment options

Providing the mother the phone number for the poison control center

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 Maintain open communication Strengthen the marital relationship Maintain a supportive home environment

Adjustment to retirement

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 type of factor is the primary influence on this aspect of the family's health? Community health care structure Economic factors Family risk factors Lifestyle influences

Community health care structure

A nurse is working with a single-parent family. When planning the care for this family, which need would the nurse anticipate as being a priority concern? Select all that apply. financial concerns health promotion shift in roles child health issues excessive support systems

financial concerns shift in roles

A nurse is assisting a neurologist, who is assessing the norepinephrine (noradrenaline) level of a client who is reporting stress. Which function does norepinephrine (noradrenaline) perform? stabilizes mood and regulates temperature promotes coordinated movement heightens arousal and increases energy transmits sensation of pain

heightens arousal and increases energy

A nurse is planning education on self-administration of insulin to the client and the client's 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 can take you to the hospital if any emergency occurs." "Family members are a point of contact and are able to check on your progress." "Family members are at risk of developing diabetes mellitus in the future." "Family members are equally involved in planning and implementation of care."

"Family members are equally involved in planning and implementation of care."

A nurse is working at a community clinic that serves mostly families with young children. What would be a priority intervention for clients in this developmental stage? Setting up parenting classes Providing alcohol and drug information Screening for congenital defects Providing sex education

Setting up parenting classes

During the patient assessment, the client shares that the family attends church nearly every Sunday. Which function of the family does this represent? Socialization Economic Reproductive Physical

Socialization

A family assessment of a father, mother, and four children has suggested the presence of several risk factors. Which aspect 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. The mother has a history of heavy alcohol use. The family lives in a small apartment in a poor neighborhood with high crime rates. The family's electricity has been cut off at various times due to nonpayment.

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

A nurse is implementing interventions that focus on protecting a client from physical and emotional harm. Which category of needs is the nurse addressing? Physiologic Safety and security Love and belonging Self-esteem

Safety and security

A client says, "I live in a small community on the northwest side of the city." Why does the nurse consider it significant that the client reports living in a community rather than a neighborhood? Neighborhoods are, by definition, smaller units within a community. Community indicates people who share similar characteristics. Communities are defined by geography. Neighborhoods meet basic human needs, where communities do not.

Community indicates people who share similar characteristics.

A nurse is working as part of a group to address factors within the community affecting the health of the families in that community. Which area would the nurse identify as playing a role in contributing to altered health status? Select all that apply. Limited number of institutions providing health care Small number of recreational opportunities for adults and children Low incidence of violent crimes in the community Overlapping of industrial zones with residential zones Absence of air pollution

Limited number of institutions providing health care Small number of recreational opportunities for adults and children Overlapping of industrial zones with residential zones

During the nurse's admission interview the client says, "I don't get too much rest because I am in nursing school and work full time to support myself and my kids." The nurse classifies this statement as an issue at which level of Maslow's basic needs? Physiologic Safety and security Love and belonging Self-esteem

Physiologic

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 Physical Reproductive Affective and coping

Socialization

The nurse receives an 8-year-old client in the pediatric unit following a tonsillectomy. Which assessment finding requires immediate intervention by the nurse? The client makes a rattling noise when breathing through the mouth. The client is sleepy from the anesthesia, but arouses when addressed by name. The client tells the nurse that the client's throat hurts. The client cries to the nurse that the client wants to go home.

The client makes a rattling noise when breathing through the mouth.

The nursing student asks the instructor to explain what a community is. Which statement by the instructor would be inappropriate? "A community is a group of individuals who live in the same geographic area." "A community provides resources and services that help to keep its members healthy." "The members of a community share some characteristic in common, such as cultural values." "Communities have few effects on the health of the individuals that live there."

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

A nurse is assessing a family with adolescents. The family consists of a father, mother, a 13-year-old son, a 14-year-old son from a previous marriage, and a 16-year-old daughter. Which statement by the parents would lead the nurse to suspect a potential risk factor for altered health with this family? "Our 16-year-old just seems to butt heads with us at every turn." "We've taught our kids to be assertive when appropriate." "All of us have faced problems along the way but we've worked them out." "We've encouraged our kids to talk to us about sex and sexually transmitted infections."

"Our 16-year-old just seems to butt heads with us at every turn."

A nurse is reviewing a journal article about basic human needs and how they can be applied as a framework for prioritizing nursing care. Place the interventions listed below in order of priority, based on client needs. Use all options. Ensuring adequate fluid intake Referring the client to a support group Providing education focusing on the client's strengths to maximize potential Encouraging the client to set attainable goals Encouraging the client's spiritual practices

Ensuring adequate fluid intake Encouraging the client's spiritual practices Referring the client to a support group Encouraging the client to set attainable goals Providing education focusing on the client's strengths to maximize potential

he nurse is aware that basic client needs must be met before a client can focus on higher ones. According to Maslow's hierarchy of human needs, which example would be the highest priority for a client after physiologic needs have been met? A client enrolls in art class after recovering from major surgery. A nurse arranges for a teenage client to have visits from school friends. Grab bars are installed in a client bathroom to facilitate safe showering. A nurse identifies strengths in a client who is scheduled for a mastectomy.

Grab bars are installed in a client bathroom to facilitate safe showering.