Chapter 4: Individual, Family, Community

Common interests

A community is defined as a social group that may or may not share common geographic boundaries yet interact because of

Children are kept inside the home on a sunny summer day because of lack of recreational opportunities

A home health care nurse who works in a low-income community assesses the risk factors for patients being serviced. What is an example of a community risk factor?

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?

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

Patient newly diagnosed with diabetes and you are developing a holistic plan of care

Family patterns of communication

The nurse in an 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?

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

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?

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

Client asks nurse why the family members are also included in the teaching. What should the nurse's response be?

Extended family

Home health nurses plans a visit to a client's home. The nurse notices the mom cooking dinner, the father watching television with child on his lap, and grandmother in a rocking chair. What type of family structure is this?

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?

Community resources available to patients

You are the community-based nurse who acts as case-manager for a small town about 60 miles from a major health care center. What is the most important factor of community-based nursing for you be knowledgeable about?