Coursepoint Ch 4: Health of the Individual, Family and Community

The nurse is taking care of a client who is scheduled for a mastectomy. The client tells the nurse that the client is apprehensive about the operation and asks the nurse to read a passage from the Koran to help prepare the client 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 whether it would be okay to call a minister to pray with client. D) Attempt to find someone on staff who is the same religion as the client.

A) Read the Koran passage to the client.

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

B) Been socialized in healthcare

In conjunction with the client, the nurse has set the following client outcomes. Which client outcome reflects Maslow's level of self-esteem needs? A) The client will identify the signs and symptoms of hypoglycemia by January 22. B) The client will verbalize feelings of increased confidence in performing a finger-stick blood sugar. C) The client will identify two people that can be called to assist with transportation to the physician's office by March 9. D) The client will ambulate 20 feet using a walker by May 2.

B) The client will verbalize feelings of increased confidence in performing a finger-stick blood sugar.

The home health nurse is making an initial visit to a client's home. During the visit the nurse observes the mother cooking dinner, the father watching television with a child on the lap, and the grandmother in a rocking chair reading the Bible. The nurse recognizes this family structure as which of the following? A) Blended family B) Single-parent family C) Extended family D) Nuclear family

C) Extended family

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? A) Take into account the cost of care. B) Connect families, friends, and the environment. C) Provide a connection between medicine and nursing. D) Address the disease but also incorporate the mind, body, and spirit.

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

The wife of a comatose client wishes to wash the client's hair. Washing the client's hair meets which basic human need? A) Love B) Self-actualization C) Esteem D) Physiologic

D) Physiologic

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? A) "Our 16-year-old just seems to butt heads with us at every turn." B) "We've taught our kids to be assertive when appropriate." C) "All of us have faced problems along the way but we've worked them out." D) "We've encouraged our kids to talk to us about sex and sexually transmitted infections."

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

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

B) Safety and security

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? A) Physiologic B) Safety and security C) Love and belonging D) Self-esteem

C) Love and belonging

A nurse in the emergency department assesses a 3-year-old child with a fractured femur, a hematoma on the back of the head, and multiple 1-cm round scabs and blisters on the upper back. The parents state that their child sustained the injuries by falling out of a high chair. What is the best action for the nurse to take? A) Document the suspected child abuse in the child's health care record. B) Report the suspected child abuse to Child Protective Services. C) Refer the child and the family to social services for follow-up. D) Ask the physician to question the parents about the suspected child abuse.

B) Report the suspected child abuse to Child Protective Services.

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

C) Sociocultural dimension

A home health nurse is visiting a family after the recent death of their matriarch. The nurse observes that the family is dressed in black, all of the mirrors are covered, and that the immediate family is sitting on square wooden boxes instead of chairs. The nurse asks what is happening, and is told, "We are Jewish, and the family is 'Sitting Shiva'." This family is fulfilling which family function? A) economical function B) physical function C) affective and coping functions D) socialization function

C) affective and coping functions

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? A) Love and belonging needs B) Safety and security needs C) Self-actualization needs D) Self-esteem needs

D) Self-esteem needs

blended family

two single-parent families joined together to form a new family unit

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? A) Setting up parenting classes B) Providing alcohol and drug information C) Screening for congenital defects D) Providing sex education

A) Setting up parenting classes

A nurse is developing a plan of care for a client to meet the client's safety and security needs. Which intervention would the nurse include? Select all that apply. Using aseptic technique when providing wound care Teaching the client about what to expect with upcoming surgery Checking the client's vital signs every 4 hours Administering prescribed medication at the required time Making a referral for a client to a cancer support group

-Using aseptic technique when providing wound care -Teaching the client about what to expect with upcoming surgery -Administering prescribed medication at the required time

family

any group of people who live together and depend on one another for physical, emotional, or financial support

nuclear family

family unit, family of marriage, parenthood, or procreation, and their immediate children

extended family

nuclear family and other related people

A new graduate nurse asks a nurse manager working at the community health center, "I've heard people talk about community health nursing and community-based nursing. Is there a difference?" Which response by the nurse manager would be appropriate? A) "Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population." B) "There really isn't any difference between the two at all. Both terms are used to denote health care for all groups of people." C) "Community health nursing focuses primarily on providing care to people in their homes and living in a specific community." D) "Community health nursing emphasizes the need to address the cultural differences among the individuals and families in the community while community-based nursing does not."

A) "Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population."

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? A) Emphasizing the client's strengths B) Addressing the client's problems C) Reducing fear D) Promoting socialization

A) Emphasizing the client's strengths

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

A) Limited time in learning to be a marital partner

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) A psychosocial risk factor B) A lifestyle risk factor C) A developmental risk factor D) A biologic risk factor

A) A psychosocial risk factor

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? A) Physiologic B) Safety and security C) Love and belonging D) Self-esteem

A) Physiologic

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? A) Safety and security B) Self-esteem C) Love and belonging D) Self-actualization

A) Safety and security

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? A) Socialization B) Physical C) Reproductive D) Affective and coping

A) 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? A) The parents have a tumultuous relationship, with frequent separations in the past. B) The mother has a history of heavy alcohol use. C) The family lives in a small apartment in a poor neighborhood with high crime rates. D) The family's electricity has been cut off at various times due to nonpayment.

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

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? A) Neighborhoods are, by definition, smaller units within a community. B) Community indicates people who share similar characteristics. C) Communities are defined by geography. D) Neighborhoods meet basic human needs, where communities do not.

B) Community indicates people who share similar characteristics.

A community-based nurse acts as a case manager for a small town about 60 miles from a major healthcare center. What is the most important factor of community-based nursing for this nurse to be knowledgeable about? A) Eligibility requirements for services B) Community resources available to clients C) Transportation costs to the healthcare center D) Possible charges for any services provided

B) Community resources available to clients

The nurse is caring for an 85-year-old client hospitalized for dehydration. The nurse notices that the client is shivering and takes the client's temperature. The nurse notes an oral temperature of 97.8°F (36.6°C). The client also reports being "chilly." Which nursing action 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.

B) Offer the client an extra blanket.

The 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) A client enrolls in art class after recovering from major surgery. B) A nurse arranges for a teenage client to have visits from school friends. C) Grab bars are installed in a client bathroom to facilitate safe showering. D) A nurse identifies strengths in a client who is scheduled for a mastectomy.

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

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? 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

C) Position the client in a side-lying position.