Individual and Family

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

Sociocultural dimension

The nurse is implementing care for several clients. Which of the following clients 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 who provides privacy for the client and family during times of prayer is helping the client to reach self-actualization, the highest level on the hierarchy. The most basic level in the hierarchy, physiologic need of physical activity, would be addressed when the nurse teaches the son how to perform passive range of motion. By teaching the daughter how to do the client's finger-stick blood sugar, the nurse is meeting the client's physical safety needs. The nurse facilitates the love and belonging needs of the client when allowing family to sit quietly at bedside after visiting hours

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?

Self esteem needs- adoleescents need self esteem help

The nurse enters the client's room in the acute care unit immediately after he 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 postition. The need for oxygen is the most essential of all physiological needs. Aspiration is a risk for the client after a seizure because of lethargy and increased oral secretions.

A home healthcare nurse is performing a home visit to a 58-year-old man and his 56-year-old wife who receives home chemotherapy as part of her treatment regimen for breast cancer. The nurse will recognize that this family is likely to be engaged in which of the following development tasks?

Maintaining ties with older and younger generations explanation: This couple is likely to have children who are middle-aged adults, in which case the task of maintaining ties with older and younger generations is important. The couple is less likely to be retired or moving from their home and it would be presumptuous to assume the loss of a spouse.

Which are stressors that affect the health of the family?

Well funded school systems and inadequate childcare services.

Place the following nursing interventions in order of priority according to Maslow's hierarchy of basic needs.

-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.

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?

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

A nurse who is using DuVall's conceptual framework to assess a family with two parents and three children must first determine the

Age of the oldest child Explanation: DuVall's framework, essentially based on the individual life cycle, demonstrated that families move through a series of eight developmental stages. These stages are based on the developmental stage of the oldest child in the family, and they address marriage, childbearing, preschool years, school years, adolescent years, young adulthood, middle-aged parents whose children have left home, and aging parents

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

Sociocultural Dimension

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?

The father states, "I don't discuss money matters with my wife because I don't want her to worry." Explanation: Effective and healthy families exhibit open communication among its members. Protecting the spouse from worry by not discussing money matters stifles communication and jeopardizes the family's affective and coping functions

The nursing instructor is discussing holistic health care with her nursing students. The instructor talks about the different factors the nurse must consider when creating a holistic plan of care. What are these factors? (Mark all that apply.)

• The patient's developmental life stage • The patient's emotional context • The patient's physiologic health condition

Priority nursing interventions are geared to meeting the physiologic needs of patients. What are examples of physiologic needs according to Maslow's hierarchy of needs? (Select all that apply.)

• A nurse administers pain medication to a postoperative patient. • A home care practitioner requests a quiet environment so her elderly patient can get some rest.

The nurse is reviewing the medical records of the Clifford Family who has experienced varying life crises. The nurse identifies which of the following as health risk factors? Select all that apply.

• Grandma Opal Clifford dies at the age of 98. • Shirley Clifford is pregnant at the age of 15. • Mr. Clifford is exposed to asbestos at work.

The nurse is assessing the data of Mr. Santiago, a 66-year-old man whose wife was recently diagnosed with early-onset Alzheimer's disease at the age of 59. He states that he feels unsure about being his wife's sole caregiver "because she always took care of me and used to nag me about not doing enough to help her around the house." The nurse concludes that Mr. Santiago is at risk for caregiver strain if she identifies which the following factors? Select all that apply.

• Past history of poor relationship between caregiver and care receiver • Inexperience with giving care to others • Caregiver as the spouse

A nurse is providing family-centered care to patients in a community health care clinic. Which statements about the family unit are accurate? (Select all that apply.)

• The family is a buffer between the needs of individual members and society. • Duvall (1977) identified critical family developmental tasks and stages in the family life cycle. • The nuclear family is composed of two parents and their children.

An 85-year-old man is being transferred from his house to a nursing home by his wife. What is the FIRST action the nurse should take to help reduce the stress of relocation on the client?

Assess the cleints usual lifestyle and daily activities

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

Common interests


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