quiz 9

A nurse is communicating the definition of a genogram to a client. Which of the following statements should the nurse make to define a genogram?

"A genogram contains all the information in a typical family tree, and also has details about family structure, timelines of major family events, conflicts, and documentation of family patterns"

A nurse is caring for a 2-year-old child who has been diagnosed with autism spectrum disorder (ASD). The parents ask the nurse what treatments are available to cure the disorder. Which of the following responses should the nurse make?

"Autism spectrum disorder is a chronic condition with no known cure at this time. However, early intervention offers the best chance to help your child achieve optimal functioning."

A clinic nurse is assessing a 6-year-old child during a well-child examination. The child's guardian asks the nurse how much longer the child will need to ride in a booster seat. Which of the following responses should the nurse make?

"Children should ride in the back seat with a belt-positioning booster until they are at least 4 feet 9 inches tall and are 8 to 12 years of age."

A nurse is educating a group of parents and guardians about promoting health body weight during childhood. Which of the following statements by a parent indicates that the teaching has been effective?

"Family activities such as trail walking and bike riding can help encourage my child to be active."

A nurse is assessing a 5-year-old child who reports tooth pain and has an elevated temperature. The nurse asks the child's guardian about the child's diet. Which of the following statements by the guardian indicates the child has an increased risk of dental caries?

"He snacks on gummy fruit snacks every day between meals when he gets hungry."

A nurse is reinforcing dietary teaching iwth a 45-year-old client whose sibling died from colon cancer. Which of the following statements by the client indicates an understanding of the teaching?

"I can eat broiled chicken breast and a cup of blueberries for dinner."

A school nurse is educating parents and students regarding effective strategies for reducing adolescent motor-vehicle crashes. Which of the following statements by a student indicates that the teaching has been effective?

"Many states have a zero-tolerance law for anyone under the age of 21 driving under the influence of drugs or alcohol."

A nurse at an urgent care clinic is discharging a child who was diagnosed with pediculosis. The child's guardian asks how their child could have developed this condition. Which of the following responses should the nurse make?

"Pediculosis is transmitted through direct hair-to-hair contact or indirect contact with the personal belongings of an infected person."

A public health nurse is educating nursing students about pediatric obesity in rural areas. Which of the following statements made by a nursing student indicates that the teaching has been effective?

"Rural areas have higher rates of pediatric obesity due to lack of healthy and nutritional food choices."

A nurse is caring for a 17-year-old adolescent who is being treated for depression. Which of the following statements by the adolescent should the nurse report to the provider immediately?

"Sometimes I think I should just drive my car off a cliff."

A nurse is educating a group of new parents and guardians about safe sleep practices for infants. Which of the following statements by a guardian indicates an understanding?

"There should not be any pillows or toys in the bed with my baby."

A nurse is reviewing Medicare Part B with a client. Which of the following statements by the client indicates understanding?

"This covers diagnostic testing and preventative treatment."

A public health nurse is conducting a home visit with new clients and completing a primary family assessment. Which of the following statements by a parent indicates the parent is experiencing caregiver role strain?

"We don't really have a routine; I feel sick and drained most of the time, so we can't keep up with a schedule."

A home health nurse is conducting a home visit for a client and their caregiver. Which of the following statements by the caregiver indicates stress? (select that apply.)

- "I've been depressed lately." - "I'm tired most of the day." - "I often blame myself for things." - "I've been keeping to myself lately."

A public health nurse wants to implement a local prevention program to help with mental health disorders among adolescents. Which of the following primary prevention strategies is effective in addressing mental health disorders in adolescents? (Select all that apply.)

- Adolescent programs for safe dating and healthy relationship skills - Programs to strengthen household financial security - Programs for early childhood home visitation

A nurse is caring for a child who was resuscitated following a near drowning in a home swimming pool. The child's parents ask what they can do to prevent another incident. Which of the following recommendations should the nurse make? (Select all that apply.)

- Avoid distracting activities like listening to music, using a cell phone, or reading books when supervising children who are near swimming pools or other bodies of water. - Gated isolation fences should separate any play area from the pool to keep children away from the water when not swimming. - All parents and caregivers should have certification in cardiopulmonary resuscitation (CPR).

A public health nurse is educating community leaders about the causes of adverse childhood experiences (ACEs). Which of the following should the nurse include as potential types of adverse childhood experiences?

- Child maltreatment - Intimate partner violence - A parent who is incarcerated - Divorce

A nurse is caring for an older adult client and is reviewing the health record. Which of the following findings should the nurse identify as a risk factor for chronic heart disease?

- Ethnicity: Black American- Smoker - 1 pack per day - BMI 30 - Lifestyle: Denies participating in aerobic activity

A nurse is reinforcing teaching with the family of a client who has a terminal illness. Which health care management options should the nurse include for discussion? (Select all that apply.)

- Hospice care in an acute care facility - Hospice care in the home - Hospice care in an inpatient hospice center - Hospice care arranged through the physician's office

A nurse is admitting a 60-year-old client who has a history of chronic hypertension and hypercholesterolemia. The client reports that they live alone in a rural area, have been unemployed for six months, and have not been taking their medications as prescribed. Which factors should the nurse identify as placing the client at high risk for health care disparities? (Select all that apply.)

- Male gender identity - Employment status- Medical history - Residence - Socioeconomic status

A public health nurse is working in a low-income neighborhood composed primarily of non-Hispanic Black families. The nurse is developing a teaching plan for parents about common pediatric health concerns. When compared to non-Hispanic Whites, for which of the following health concerns are low-income, non-Hispanic Black children at a greater risk? (Select all that apply.)

- Obesity - Asthma - Diabetes - Preterm birth - Child mortality

A nurse is admitting a client whose adult child provides full-time care for them. Which of the following tasks should the nurse anticipate the adult child provides for the client? (Select all that apply.)

- Preparing meals - Maintaining safety - Providing companionship - Bathing and dressing

A group of community health nursing students is preparing a presentation about lead toxicity in children. Which of the following characteristics of children should the students include as factors that increase a child's susceptibility to environmental lead exposure? (Select all that apply.)

- Young children frequently place objects in their mouths. - Children spend a greater amount of time close to the ground and soil. - Children have more years of life ahead of them than adults.

A nurse is educating a group of students about calculating body mass index (BMI) related to age when determining obesity in children. The nurse should include that obesity in children is defined as having a BMI for age that is greater than which of the following percentiles?

95th percentile

A nurse is reviewing discharge planning for several older adult clients. Which of the following clients should the nurse identify as most likely to require additional health care services?

A client who has severe arthritis and lives alone.

A nurse is caring for several clients in a community health clinic. Which of the following clients should the nurse identify as at risk for transmitting HIV?

A client who has unprotected intercourse

A nurse understands a family operates as a unit and that what impacts one family member can impact all members. Which of the following findings should the nurse identify as significant in relation to the family systems theory?

A family member in the household was recently diagnosed with cancer

A nurse is discussing care options with the family of an older adult client who is currently living with them. The family is concerned that the client will fall at home while they are at work. Which resource should the nurse recommend for the family?

Adult daycare

A nurse is caring for several clients who all have caregivers. Which of the following client should the nurse identify as most likely to have their caregiver experience caregiver stress?

An older adult client whose caregiver is their middle-aged adult child who works full time and has a school aged child

A nurse is caring for a 36-year-old client in a health clinic and notices that the client's genogram shows their mother had a history of breast cancer. Which of the following actions should the nurse take? Select all that apply

Ask the client if they smoke Discuss wit the client that they are at an increased risk for developing breast cancer Show the client a video of how to perform a breast self-examination

A nurse notices on a client's intake form that there is a history of heart disease in their family. Which of the following risk factors should the nurse identify this information as?

Biological

A public health nurse is educating community members about the incidence of child maltreatment in the area at a local health fair. Which of the following should the nurse include as the most commonly reported type of child maltreatment?

Child neglect

A nurse is educating a nursing student about the leading causes of death from unintentional injuries in toddlers. The nurse knows teaching has been effective when the student correctly identifies which of the following as the leading cause of death from unintentional injuries in toddlers?

Drowning

A nurse is caring for a client who has a terminal illness. Which of the following actions would be priority for the nurse?

Encourage the client to make their own decisions about their care.

A nurse is working with a family in which a few members have a chronic disease. Which of the following tools should the nurse use to gain insight into the strengths and vulnerabilities of a family who has chronic disease?

Family SCREEM

A nurse is working with a client who was recently diagnosed with type 1 diabetes mellitus. The nurse recommends that the client and their family attend diabetes education classes. Which of the following theories assist the nurse in determining whether the client and their family will be receptive to this recommendation?

Family life cycle theory

A nurse should understand that which of the following is an example of the socialization family function and structure?

Family members learning how to interact with other members of society

A nurse notices that the age and gender of each family member has been recorded in a client's chart. This information is a characteristic of which of the following?

Family structure

A nurse is completing a genogram on a client. Which of the following should the nurse expect to learn about the client from the genogram?

Family structures, major family events, conflicts, and family patterns

A nurse is collecting data on a 19-year-old client and notices that the client is sup-to-date on immunizations. Which of the following family functions does this meet?

Health promotion and self-care function

A public health nurse is discussing wellness initiatives to assist with wellness promotion by the Department of Health and Human Services with a newly hired nurse. Which of the information should the nurse discuss?

Healthy People 2030

A nurse is working with a family to develop a family care plan that has four steps. Identify the correct order of steps when creating a family care plan.

Identify the problem Plan interventions with goals and objectives Develop family-centered interventions Evaluate the progress toward outcome measures

A nurse is preparing to discuss palliative care with nurses caring for a minority population group. Which of the following information should the nurse include?

Minority groups are less likely to access palliative care services.

A nurse is caring for a client who is receiving inpatient hospice services and requests additional pain medication. Which of the following actions should the nurse take?

Obtain a prescription to administer more analgesics.

A public health nurse is working with a health coalition to address the high rates of preterm birth in their area. The coalition is discussing possible primary prevention techniques that could be implemented. Which of the following interventions is considered a primary prevention strategy to address preterm birth?

Public health campaigns that clearly show the public the risks to pregnant clients and the fetus from smoking during pregnancy

A family has set goals and action steps for meeting an identified problem. Which of the following steps should the nurse take? Select all that apply

Refer the family to community resources and agencies Develop a family-nurse contract Schedule the family's next visit

A public health nurse is educating nursing students about pediatric lead exposure. The teaching has been effective when the nursing students identify which of the following interventions as the most effective method of preventing children from environmental lead exposure?

Removal of lead from the environment before the child can be exposed

A nurse is discussing care options with the family of an older adult client who has dementia. The family states they will provide care for the client by using available family members. Which of the following family members should the nurse identify as most likely to be the client's full-time caregiver?

The client's daughter who who is of middle age and is currently employed

A nurse is planning care for a client who was admitted one week ago for alcohol misuse disorder. The nurse asks the client if they live alone or with family or friends. The nurse asks this question for which of the following purposes?

To identify the client's potential support systems

A nurse is reviewing a client' s health record. Which of the following findings should the nurse identify as a risk factor for breast cancer?

Use of hormonal therapy

A nurse is reviewing community partnerships to help identify resources for families in the community. Which of the following is an example of a community partnership the nurse should expect?

Working with elected officials

A nurse is providing discharge instructions to a family of a client who is postoperative from knee surgery. A family member informs the nurse that they are concerned that they will not be able to care for client because of employment. Which of the following responses should the nurse make?

You can use FMLA that is available through your job

A nurse is teaching about palliative care with a client who has recently developed Parkinson's disease. Which of the following statements by the client indicates understanding?

`"Palliative care services should begin at the beginning of my treatment."

A nurse is caring for a non-Hispanic Black client who is experiencing preterm labor. When assessing the client for pregnancy complications, the nurse recognizes that pregnant clients who are non-Hispanic Black have an increased risk for which of the following?

admission to the ICU

A community health nurse is working with adolescents living in a shelter for people without housing. The nurse should recognize that frequent moving leaves these adolescents at an increased risk for which of the following?

alcohol and drug use disorder

A nurse is conducting an assessment on a 7-year-old child. The guardian reports the child frequently displays trouble with organization, is easily distracted, has difficulty paying attention, and is overly active. The nurse should recognize that these symptoms are commonly associated with which of the following pediatric health problems?

attention deficit hyperactivity disorder (ADHD)

A nurse who works in a low socioeconomic status neighborhood where most families live below the poverty line finds that many of the children suffer from malnutrition. The nurse should identify that which of the following aspects of poverty increases a child's risk for malnutrition?

housing insecurity

A nurse is working with the state health department to ensure children in the community have health insurance. The nurse should recognize that the caregivers of children who do not have health insurance are more likely to do which of the following?

over-use emergency care services