Prep U Chapter 4

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

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. Safety and security b. Physiologic c. Self-esteem d. Love and belonging

a. Safety and security

The nurse is explaining the expected developmental tasks of a typical family with adolescents. Which would be incorrect for the nurse to include? maintaining open communication maintaining a supportive home environment strengthening the marital relationship adjustment to retirement

adjustment to retirement

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? economical function socialization function physical function affective and coping functions

affective and coping functions

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. "There really isn't any difference between the two at all. Both terms are used to denote health care for all groups of people." b. "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." c. "Community health nursing focuses primarily on providing care to people in their homes and living in a specific community." d. "Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population."

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

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. Communities are defined by geography. c. Neighborhoods meet basic human needs, where communities do not. d. Community indicates people who share similar characteristics.

d. 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. Transportation costs to the healthcare center b. Possible charges for any services provided c. Eligibility requirements for services d. Community resources available to clients

d. Community resources available to clients

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? Self-actualization needs Self-esteem needs Love and belonging needs Safety and security needs

Self-esteem needs

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

A nurse is planning education on self-administration of insulin to 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 equally involved in planning and implementation of care." "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."

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? "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."

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

The nurse is admitting a 38-year-old client to the oncology unit whose religious background is different from the nurse's own. The nurse is assessing how the client's religion may affect the client's health care needs. Which question by the nurse is the best way to consider the client's religious practices in the plan of care? "Do you have any dietary restrictions that we should know about?" "I am a Christian and believe in Jesus. What does your religion believe?" "Will your religion allow us to give you blood if you need it?" "What can we do to help you meet any religious needs you may have?"

"What can we do to help you meet any religious needs you may have?"

An adolescent informs the nurse of a desire to learn about birth control. What response by the nurse would gather additional data? "I will contact the health care provider." "Are you sexually active?" "You should speak with your parents." "Would you like to tell me more?"

"Would you like to tell me more?"

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 risk factors for altered family health? A developmental risk factor A psychosocial risk factor A biologic risk factor A lifestyle 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.

The nurse is preparing to make a home visit to evaluate a 3-week-old infant. The nurse knows that the parents are a lesbian couple. When planning appropriate nursing interventions for this family, which must the nurse do first? Assess for any personal biases about this nontraditional family structure. Determine whether the couple is legally married in their state. Address the couple's usual fears about being new parents. Plan additional visits to observe the lesbian couple's parenting skills.

Assess for any personal biases about this nontraditional family structure.

A nursing student's parents are both health care providers. The nursing instructor may feel the student has Defined her future Been educated in healthcare Difficulty in changing her attitudes Been socialized in healthcare

Been socialized in healthcare

The parents of a blended family have a male infant 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? Family risk factors Community health care structure Economic factors Lifestyle influences

Community health care structure

nurse consider it significant that the client reports living in a community rather than a neighborhood? Communities are defined by geography. Community indicates people who share similar characteristics. Neighborhoods meet basic human needs, where communities do not. Neighborhoods are, by definition, smaller units within a community.

Community indicates people who share similar characteristics.

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

Duvall

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 Promoting socialization Reducing fear

Emphasizing the client's strengths

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? Freud's psychoanalytic theory Kohlberg's theory of moral development Piaget's theory of cognitive development Erikson's theory of psychosocial development

Erikson's theory of psychosocial development

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? Single-parent family Extended family Nuclear family Blended family

Extended family

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? Environmental hazards in the home Family patterns of communication Employment history of the parents Responsibilities of the adolescent

Family patterns of communication

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? Child health issues Financial concerns Health promotion Excessive support systems

Financial concerns

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

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

Which are stressors that affect the health of the family? Inadequate childcare services Family members who live in the same geographic location Public transportation present throughout the community Many job opportunities with adequate income

Inadequate childcare services

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? Involvement from significant others Stress of education, job, and parenting Economic difficulties associated with parenting Limited time in learning to be a marital partner

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? Limited time in learning to be a marital partner Involvement from significant others Stress of education, job, and parenting Economic difficulties associated with parenting

Limited time in learning to be a marital partner

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? Safety and security Love and belonging Self-esteem Physiologic

Love and belonging

A family that consists of two LGBTQ+ parents and three children living in the same house is an example of which type of family? Blended Extended Single-parent Nuclear

Nuclear

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? Increase the client's oral fluid intake. Notify the health care provider. Offer the client an extra blanket. Assess the client's respiratory rate.

Offer the client an extra blanket.

The nurse is conducting a family assessment. Which assessment data cue describes the socioeconomic status of the family? The family celebrates Hanukkah and Passover with special meals. The family members vacation together every year at a beach resort. The family consults their rabbi and synagogue members during times of stress. One parent is an engineer and the other parent is an elementary school teacher.

One parent is an engineer and the other parent is an elementary school teacher.

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? Reorient the client to person, place, and time. Position the client in a side-lying position. Notify the health care provider. 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 Assisting the client to validate feelings regarding treatment options Seeking input from the client regarding preferences for a snack

Providing the mother the phone number for the poison control center

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? Self-actualization Love and belonging Self-esteem Safety and security

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? Affective and coping Physical Socialization Reproductive

Socialization

A couple with adolescent children is most likely to focus on which developmental task? Strengthening the marital relationship Establishing a mutually satisfying marriage Coping with loss of energy and privacy Adjusting to retirement

Strengthening the marital relationship

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 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 mother has a history of heavy alcohol use. The parents have a tumultuous relationship, with frequent separations in the past.

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

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

sit with the client and ask them about their feelings