Unit 2

A home health nurse is admitting a 54-year-old man for services following a coronary artery bypass graft (CABG). As part of the initial visit the nurse completes a family assessment. What is the purpose of this nursing action? (select all that apply) a. Allows for health promotion and disease prevention appraisal b. Allows for inclusion of family members in decision-making c. Allows for data collection necessary for comparison to Healthy People 2020 d. Allows for development of patient-centered care

A,B

In response to the growing elderly population, community health nurses should do which of the following? (select all that apply) a. Work with the board of education to emphasize the importance of adequate physical activity for children and the importance of healthy meals. b. Work with local nursing schools to emphasize the importance of geriatric training in the curriculum. c. Work with the state and local departments of health to devise a plan to increase nursing home beds. d. Work with local health departments to increase recreational activities for elderly members of the community.

A,B,C,D Community leadership provides direction for health promotion and health protection. The change in age distribution indicates that people will be living longer and thus have more chronic illness issues. Services need to be made available for this population. Health promotion services need to be made available to the younger population as well to decrease their risk factors for future illnesses such as obesity and heart disease. Therefore, all responses are correct.

A nurse is conducting an environmental assessment as part of a family assessment. Which of the following would the nurse assess? (select all that apply) a. Garbage collection in the neighborhood b. Convenience stores in the neighborhood c. Safety of the home d. Climate of the home

A,B,C,D The family environment is made up of the home, neighborhood, and community. Thus, aspects of the community as well as aspects of the home environment need to be analyzed during this assessment.

Which individual is at risk for a dysfunction in elimination pattern? (select all that apply) a. 46-year-old mother of two b. 32-year-old African American man c. 15-year-old girl d. 72-year-old white woman

A,B,C,D When evaluating elimination patterns, nurses must consider age, developmental level, and cultural considerations. A 46-year-old mother of two is at risk for urinary stress incontinence because of the two vaginal births; an older adult is at risk for urinary control problems; African Americans often have a diet low in fiber, which can lead to constipation; and teenagers, especially girls, may have problems with body image, leading to abuse of laxatives. Thus, all persons listed are at risk for a dysfunction in elimination patterns.

A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns? (select all that apply) a. Health-perceptionhealth-management b. Cognitive-perceptual c. Elimination d. Values-beliefs

A,B,D A problem in one area serves as a clue to dysfunction in other areas. Cognitive patterns include the ability of the individual to understand and follow directions, retain information, make decisions, solve problems, and use language appropriately. As a result, this person may not understand how to give himself the insulin properly. The values-beliefs pattern describes values including the individuals spiritual values, beliefs, and goals. This person may not believe in the use of medications unless he is symptomatic. The health-perceptionhealth-management pattern involves the individuals health status and health practices used to reach the current level of health or wellness, with a focus on perceived health status and meaning of health to the individual. This person may not believe in health promotion and prevention. Thus, a person who fails to take his insulin on a regular basis may have a conflict in the health-perceptionhealth-management, cognitive-perceptual, and values-beliefs patterns.

Which of the following is a stage of change? (select all that apply) a. Reflection b. Action c. Maintenance d. Acceptance

B,C According to Pender, the five stages of change include precontemplation, contemplation, planning, action, and maintenance.

A nurse is providing care for a family in the community. Which of the following characteristics would the nurse assess to determine the health of the family? (select all that apply) a. Developmental stage of each family member b. Coping mechanisms of each family member c. Potential risk factors within the family d. Maintenance of trust within the family

B,C,D Coping mechanisms of each family member, potential risk factors within the family, and maintenance of trust within the family are all necessary characteristics for the nurse to assess when determining the health of a family. When assessing a family, the nurse will consider the developmental stage of the family before considering the developmental stage of each of the individual family members.

genogram vs. ecomap

Genogram: -family diagram -highlights membership and structure -three generations -identifies family health patterns Ecomap: -pictorial technique to document family organizational patterns -functional rather than structural approach to family assessment

Which scenario represents a dysfunctional pattern? a. Sexually active teenager who does not use condoms b. Salesman who sleeps only 5 hours a night c. Single mother of three children d. Woman with a small extended family

The teenager, although free of disease, is in need of health promotion and disease prevention strategies because her sexual behavior indicates a dysfunction in her sexuality-reproductive pattern that places her at risk for a sexually transmitted disease and pregnancy.

A client reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesnt want to move. What action should the nurse take next? a. Assess the clients and familys coping mechanisms in handling stress. b. Encourage the client to act excited about the move. c. Talk to the husband to get his perspective on the move. d. Tell her that all families must cope with new situations from time to time.

a. Assess the clients and familys coping mechanisms in handling stress.

In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple? a. Assist them to develop strategies that are congruent with their values. b. Allow each of them to defend his or her own values. c. Focus on outcomes that each wants to accomplish. d. Divert their attention to areas in which they are successful

a. Assist them to develop strategies that are congruent with their values.

Which functional health pattern provides information about problem-solving and decision-making within communities? a. Cognitive-perceptual pattern b. Self-perceptionself-concept pattern c. Coping-stress tolerance pattern d. Health-perceptionhealth-management pattern

a. Cognitive-perceptual pattern

A nurse who is new to the area wants to get a feel for the community she will be working with. Which of the following would be the best way for the nurse to start learning about the community? a. Driving around the neighborhood b. Going door to door asking people about the community c. Searching online to obtain population statistics d. Talking to the police captain at the local police department

a. Driving around the neighborhood

Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote? a. Health promotion activities b. Accident prevention activities c. Drug prevention activities d. Pregnancy prevention activities

a. Health promotion activities

A 27-year-old woman has not received a Pap test in years. This assessment finding identifies an alteration in which functional pattern? a. Health-perception health-management pattern b. Elimination pattern c. Activity-rest pattern d. Self-perception self-concept pattern

a. Health-perception health-management pattern

Which of the following would be described as a family structural component? a. Income earner of the house b. Socialization for the family c. Immunization of infants d. Launching of children

a. Income earner of the house Structural components of the family refer to family roles and relationships.

Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth. Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns? a. Self-perceptionself-concept pattern b. Role-relationships pattern c. Cognitive-perceptual pattern d. Sexuality-reproduction pattern

a. Self-perceptionself-concept pattern

A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take? a. Study information regarding the family from agency records and other sources. b. Make a contract with the family that states specific goals and objectives. c. Identify how the home visit will be financed. d. Understand the situation from the familys perspective.

a. Study information regarding the family from agency records and other sources.

A nurse is conducting a health promotion assessment for a family with a 9-month-old. Which of the following should be of most concern to the nurse? a. The age of the house in which the family lives b. Genetic diseases in the family c. Driving practices in the family d. Toilet training for the child

a. The age of the house in which the family lives A typical 9-month-old is beginning to crawl. Houses built before 1974 may contain lead-based paint, to which a crawling baby might have access. Lead causes neurological damage and anemia.

A nurse administers the T-ACE test to a pregnant woman. The womans responses result in a score of 3. This score indicates that the woman: a. requires interventions for problem drinking. b. lacks evidence of problem drinking. c. requires interventions for sexually transmitted disease risks. d. lacks evidence of sexually transmitted disease risks.

a. requires interventions for problem drinking. The T-ACE provides a sensitive measure of alcohol-intake pattern in pregnant women. A score of 2 or more indicates evidence of problem drinking. This client had a score of 3, which would require an intervention for problem drinking.

When assessing a clients activity-exercise pattern, which subjective finding has implications for nursing practice? a. A persons decreased muscle tone b. A persons amount of leisure time c. A persons decreased range of motion d. A persons use of a cane

b. A persons amount of leisure time Although all findings are important in assessing the activity-exercise pattern, the only subjective finding is the amount of leisure time that the person reports having. All others are objective findings and can be validated with a physical exam.

A nurse is assessing a community from both a developmental and risk perspective. Which of the following characteristics would be of most interest to the nurse? a. Gender b. Age c. Race d. Socioeconomic level

b. Age Community nurses use a developmental-age-correlated approach to identify health promotion and health protection activities. Age is an indication of development. Additionally, community nurses assess those risk factors in a community that can cause adverse health outcomes. Risk factors can vary from person to person but include age, gender, race, geographical location, and lack of health services. Age can thus be used to assess a community from both a developmental and a risk perspective.

A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person? a. Read in bed until he falls asleep. b. Avoid fluids after 7 PM. c. Exercise immediately before bedtime. d. Watch television in the recliner in the evening.

b. Avoid fluids after 7 PM.

A nurse is collecting data for a family assessment using Gordons functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain? a. Roles-relationship b. Cognitive-perceptual c. Health-perceptionhealth-management d. Self-perceptionself-concept

b. Cognitive-perceptual

Eriksons task of autonomy vs. shame and doubt occurs during which stage of development? a. Infancy b. Early childhood c. Late childhood d. Early adolescence

b. Early childhood

A home care nurse is planning an intervention with a family focusing on decreasing susceptibility. Which of the following nursing interventions would be most appropriate to implement? a. Education about building on current strengths of the family b. Education about hand hygiene c. Education about health care resources in the community d. Education about child safety seats

b. Education about hand hygiene Four types of nursing interventions appear in health-promotion and disease-prevention planning: increasing knowledge and skills; increasing strengths; decreasing exposure; and decreasing susceptibility. Decreasing susceptibility means educating families about prevention principles. Examples include education about hand hygiene and how diseases are spread from person to person and by other factors in the environment.

A nurse is assessing a communitys exposure to pollutants by examining contaminated soil, air, water, and food. Which functional health pattern is being assessed by the nurse? a. Nutritional-metabolic pattern b. Elimination pattern c. Health-perceptionhealth management pattern d. Values-beliefs pattern

b. Elimination pattern

Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns? a. Erikson b. Gordon c. Newman d. Nightingale

b. Gordon

Which of the following best describes a primary prevention method for colon cancer? a. Hemoccult testing b. High fiber diet c. Colonoscopy d. Laparoscopy

b. High fiber diet

A nurse has implemented a smoking cessation program for teenagers and is now evaluating the rate of teenage smoking in the community. Which of the following functions is being demonstrated by the nurse? a. Codependent function b. Independent function c. Interdependent function d. Dependent function

b. Independent function Evaluating nursing activities such as health promotion and health education is an independent function. In this case, the nurse is evaluating the nursing activity (smoking cessation program), and therefore it is an independent function.

A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs? a. Walk around the neighborhood. b. Interview members of the community. c. Obtain town morbidity and mortality rates. d. Go to the town hall to obtain the number of parks in the community

b. Interview members of the community. The nurse has generated a hypothesis (people lead sedentary lives because of a lack of safe areas). To explore this hypothesis, the nurse should follow it up with interviews and measurement data. In this situation, town statistics would not be sufficient to address the hypothesis. The nurse needs to interview members of the community to determine how they perceive it.

A young couple is deciding if they should get married and start a family. Which of Eriksons life stages are they experiencing? a. Identity vs. role confusion b. Intimacy vs. isolation c. Generativity vs. stagnation d. Ego integrity vs. despair

b. Intimacy vs. isolation

A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue? a. Ban smoking on parish property. b. Invite local experts to participate in a health fair at the parish. c. Find literature about smoking cessation. d. Hand out free nicotine-replacement systems

b. Invite local experts to participate in a health fair at the parish.

Which of the following demonstrates the nurse using subjective data to indicate a health concern in the health-perceptionhealth-management pattern? a. Examining high sexually transmitted disease rates recorded by the health department b. Listening to community members discuss the high smoking rate among teenagers c. Analyzing the high infant mortality rate reported by state hospitals d. Discussing the high rate of teenage motor vehicle crashes recorded by the local police department

b. Listening to community members discuss the high smoking rate among teenagers Subjective data is based on the perceptions of individuals in the community. Interviewing provides a way to learn how members perceive their communities and their perceptions of health. Therefore, the high smoking rates among teenagers reported by community members indicates subjective data. The others are forms of objective data.

Which cultural group defines illness as a price that is being paid for the past or the future? a. African b. Native American c. Arabian d. Asian

b. Native American

A client is experiencing an alteration in the health-perception health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person? a. Never sees a physician b. Only sees a physician if not feeling well c. Sees a physician for screenings only d. Sees a physician for follow-up care of a chronic disease

b. Only sees a physician if not feeling well

A community is considering banning smoking in all schools. Based on the communitys current stage of change, which action should the nurse take next? a. Provide the community with statistics regarding childhood smoking rates. b. Point out positive outcomes associated with banning smoking such as maintenance of lung function. c. Help the community develop a plan to implement the ban. d. Praise the members of the community for their actions.

b. Point out positive outcomes associated with banning smoking such as maintenance of lung function. A community that is considering implementing a smoking ban is in the contemplation stage of change. In this stage, interventions should be focused on discussing the risks of not changing and the benefits of changing. Maintaining the lung function of children is a benefit of the ban the community members are considering and thus an appropriate intervention for the nurse to utilize.

After assessing the community, the nurse concludes that the community is having difficulty meeting its nutritional-metabolic pattern. Which of the following findings would the nurse most likely have discovered during the assessment? a. Decreased availability of grocery stores b. Poor nutritional habits c. Lack of subsidized food programs d. Inadequate knowledge about proper nutrition

b. Poor nutritional habits The nutritional-metabolic pattern identifies data relevant to community eating habits. These habits are the result of decreased availability of grocery stores, lack of subsidized food programs, and inadequate knowledge. The habits are also influenced by a communitys culture. Therefore, the end results of health concerns in the nutritional-metabolic pattern of a community are poor nutritional habits.

A nurse is caring for a person with a potential dysfunction in the health-perceptionhealth-management pattern. Which of the following nursing interventions would most likely be performed? a. Arranging for home delivery of medication from the pharmacy b. Providing education regarding the dangers of smoking c. Instituting visiting nurse services for blood pressure checks d. Providing direct observed therapy for tuberculosis medications

b. Providing education regarding the dangers of smoking

A nurse is employed by a local health department. Which of the following would be one of her primary responsibilities? a. Providing appropriate treatment for the flu to an elderly man b. Providing education to the community about prevention of the flu c. Ensuring that the family members of the man with the flu get tested for the flu d. Ensuring that the family members of the man with the flu receive the flu vaccine

b. Providing education to the community about prevention of the flu The role of the community health nurse is to promote the health of the population. It is not limited to any particular individual or group of individuals. It is important that the nurse view the community structure as a population and consider existing health services. Therefore, the primary responsibility of this nurse is to the community she serves by providing education about flu prevention.

The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take? a. Weigh the person. b. Set a goal weight with the person. c. Ask the person what her favorite foods are. d. Develop a plan for weight loss.

b. Set a goal weight with the person. The individuals goals and the determined diagnosis provide the basis for planning. Before developing a plan, a goal must be set. Clarity of the goals and diagnosis is critical to the development of an effective plan. In this case, the diagnosis has already been established and thus assessment of this pattern has occurred (weight, favorite foods). The next step before developing a plan is to set a goal weight with the client.

A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital. Which of the following parts of a community is the nurse assessing? a. Structure of a community b. Subsystem of a community c. Supra system of a community d. Interaction of a community

b. Subsystem of a community Structural parts of a community form subsystems within a larger supra system. A substance abuse unit of a local VA hospital is a subsystem of a larger system (the VA hospital and family of hospitals). The structure of a community system or subsystem forms a formal or informal arrangement of parts. As a result, because interviewing is a form of assessment, the nurse in this example is assessing the subsystem (substance abuse unit of a local VA hospital) of a community (the VA hospital and family of hospitals).

Which of the following theories is an attempt to explain families as a set of interacting individuals with patterns of living that influence health decisions? a. Feminist theory b. Systems theory c. Developmental theory d. Resiliency theory

b. Systems theory

Which factor has the greatest implication for a community nurse when developing a health promotion program for church members? a. The majority of members live within a 3-mile radius. b. The majority of members are African American. c. The majority of members are high school graduates. d. The majority of members are employed.

b. The majority of members are African American. Demographic data provides the basis for analysis and a means to identify groups that may be at high risk for health concerns. Age, gender, race, geographical location, consumption pattern, or lack of health services may be considered risk factors because one or more may contribute to disease or death and place the population sharing them at risk. Such information also provides clues for the direction of health strategies. It is known that poverty rates among African Americans are rising, placing them at risk for health disparities. Additionally, African Americans are at high risk of developing Type 2 diabetes mellitus and hypertension. As a result, knowing that a majority of church members are African American has great implications for a community nurse when developing health promotion programs.

When assessing a persons nutritional-metabolic pattern, which objective finding would have implications for nursing intervention? a. The persons 24-hour diet diary b. The persons dentition c. The persons food preferences d. The persons financial status

b. The persons dentition

A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation? a. This child has most likely been abused. b. This child is one of multiple children closely spaced in age. c. This family suffers from low self-esteem. d. This family provides harsh punishment for their children.

b. This child is one of multiple children closely spaced in age.

The nurse is caring for a family who has 2-year-old twins. Which of the following health promotion advice would be included in the nurses plan of care for this couple? a. Wear bicycle helmets for safety. b. Use caution around the family swimming pool. c. Cross the street at using the crosswalks. d. Advocate for the day care to provide adequate socialization

b. Use caution around the family swimming pool.

Which scenario indicates a potentially dysfunctional pattern? a. Adult with frequent urination b. Woman who lost her job c. Elderly person with blurred vision d. Overweight adult with a sweet tooth

b. Woman who lost her job The woman who lost her job indicates a potential dysfunction pattern because the stress of losing her job places her at risk for ineffective coping. The other scenarios are not potentially dysfunctional; by definition, they are dysfunctional.

A nurse is using a genogram to represent a family. Which of the following statements is accurate? a. A genogram identifies the genetic disorders of the family. b. A genogram includes information about the past two generations. c. A genogram can be used to make connections about family health patterns. d. A genogram begins with a circle in the center of the page

c. A genogram can be used to make connections about family health patterns.

nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating? a. Visual acuity b. Pupil reactivity c. Ability to drive d. The red reflex

c. Ability to drive Functional focus refers to the individuals performance level. Nurses assess how particular visual patterns affect lifestyle. The ability to drive would affect a persons lifestyle and might require a change in how the person functions.

The nurse is working with a middle-age married couple whose son has just graduated from college. Which developmental tasks would the nurse expect to find in this family? a. Attending activities for their son b. Strengthening their marital relationship for future family stages c. Acting as a launching center for their son d. Responding to the prospect of changing careers

c. Acting as a launching center for their son

A nurse is using the technique of mapping while implementing the nursing process in the community setting. The nurse is engaging in which aspect of the nursing process? a. Collection b. Planning c. Analysis d. Implementation

c. Analysis Analysis refers to data categorization and pattern determination. The organization of data is used to determine patterns. Mapping is an organizational technique used in data analysis.

A nurse is making a final home visit with a family to evaluate the nursing care plan. Which of the following actions would the nurse most likely complete during this visit? a. Obtain vital signs from all members of the family. b. Ask the family members to state the goals that were previously developed. c. Collect data similar to that which was collected at the initial visit for comparison. d. Educate about the importance of using role relationships to create a healthy family.

c. Collect data similar to that which was collected at the initial visit for comparison The purpose of evaluation is to determine how the family has responded to the planned interventions and whether these interventions were successful. The familys baseline data are used as comparative criteria in evaluation; thus, it would be worthwhile to collect data similar to that collected at the initial visit to see if any changes have occurred. The nurse reassesses the situation and compares the new information with that on the original assessment to determine whether change has occurred.

Which of the following is the leading cause of death among women? a. Accidents b. Cancer c. Coronary artery disease d. Stroke

c. Coronary artery disease

A nurse is working with a community that is experiencing an alteration in its values-beliefs pattern. Which of the following is most likely to result because of a disturbance in this functional health pattern? a. Respiratory disorders b. Hearing loss c. Coronary artery disease d. Stress

c. Coronary artery disease The values-beliefs pattern identifies the community values and beliefs. Values underlie decisions regarding prevention programs. A lack of primary prevention methods (e.g., exercise and a healthy diet) can lead to coronary artery disease.

A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse? a. Highlight past successes b. Discuss the benefits of changing c. Develop strategies to prevent relapse d. Provide information

c. Develop strategies to prevent relapse

A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. Which action should the nurse take next? a. Develop a plan to address the high rates of alcohol-related motor vehicle accidents. b. Partner with high school nurses to educate students about the risks of drinking and driving. c. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving. d. Establish support groups for teenagers with alcohol abuse.

c. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving. In this case, once the nurse analyzes the alcohol-related motor vehicle accident rates, the next step is to diagnose the community. Therefore, the nurse would diagnose this community with ineffective health management patterns related to the high levels of drunk driving

A Hispanic mother tells the nurse that she has been using home remedies for her childs asthma. Which home remedy might this mother be using? a. Acupuncture b. Cupping c. Hot tea d. Massage

c. Hot tea In the Hispanic population, asthma is viewed as a cold disease (hot-cold imbalance) and thus is treated with warm therapies. Diet is often used to maintain equilibrium. Thus, warm tea added to the childs diet might be used to restore equilibrium between hot and cold in this child who has asthma.

A nurse who is using Gordons functional health patterns is planning to assess its roles-relationships pattern. Which of the following questions would be most appropriate for the nurse to ask? a. What is the familys philosophy of health? b. What does the family do to have fun? c. How are problems in the family resolved? d. Who decides when and how children go to sleep?

c. How are problems in the family resolved? How problems in the family are resolved relates to assessment of the roles-relationships pattern. The familys philosophy of health relates to the health perception-health management pattern. What the family does to have fun relates to the activity-exercise pattern. The decision concerning when and how children go to sleep relates to the sleep-rest pattern.

A community nurse develops a plan to address the problem of teenage pregnancies. Which of the following actions should the nurse take next? a. Determine the rate of teenage pregnancies. b. Evaluate the success of her plan. c. Provide educational programs at local schools regarding pregnancy prevention. d. Determine which factors related to teenage pregnancy require intervention.

c. Provide educational programs at local schools regarding pregnancy prevention.

A nurse is collecting data regarding the number of crosswalks within a community. Which perspective is being used to gather this data? a. Developmental perspective b. Functional perspective c. Risk-factor perspective d. Systems perspective

c. Risk-factor perspective One way to assess a community is from a risk-factor perspective. Risk factors associated with community diseases, illness, and death rates play a role in predicting the likelihood of adverse health conditions. Risk factors include a combination of demographic, psychological, physiological, or environmental characteristics. Select groups may be at risk based on shared risks. Knowing which risk factors are present assists community nurses in developing action plans for health promotion and disease prevention.

Which classification system fulfills needs that are exclusive to nursing? a. The International Classification of Nursing Practice (ICNP) b. The International Classification of Functioning, Disability, and Health (ICF) c. The International Nursing Diagnoses Classification (NANDA-I) d. The Nursing Diagnostic System (NDS)

c. The International Nursing Diagnoses Classification (NANDA-I)

A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools? a. The number of questions asked on the assessment tool b. The linkages of the assessment to Healthy People 2020 c. The amount of involvement that the family has in completing the tool d. The capability of the tool to assess goals and outcomes

c. The amount of involvement that the family has in completing the tool

The ecomap of a clients family has slashed lines drawn from the son to the family church. Based on this information, what conclusion can the nurse make? a. The son is deceased. b. The son is actively involved with the family church. c. The son has a stressful relationship with the church. d. The son has no relationship with the church.

c. The son has a stressful relationship with the church Slashed lines on an ecomap signify stressful relationships.

The study of a population is referred to as (a): a. community pattern. b. windshield survey. c. demography. d. community diagnosis.

c. demography.

Partnering with school-based clinics and local pediatric dentists so that children can have access to preventive dental care is an example of a(n): a. codependent function. b. independent function. c. interdependent function. d. dependent function.

c. interdependent function.

Healthy People 2020 objectives provide a framework for: a. assessment. b. diagnosis. c. prevention. d. treatment.

c. prevention.

Which of the following best describes the nurses role in health promotion and disease prevention? a. Educating about home safety measures b. Identifying areas for family improvement c. Implementing the nursing process using a systems perspective d. Acting as a role model for the family

d. Acting as a role model for the family

Which of the following best describes the primary goal of community nurses? a. Create charts/graphs of data collected. b. Create plans for community health promotion programs. c. Create evaluation tools for health promotion programs. d. Create a culture of health promotion/health protection with the community

d. Create a culture of health promotion/health protection with the community

A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individuals nursing plan of care? a. Decreased sense of hearing b. Decreased sense of smell c. Decreased sense of taste d. Decreased visual acuity

d. Decreased visual acuity Assessment parameters in the cognitive-perceptual pattern include hearing, vision, smell, and taste. A person with Type 1 diabetes mellitus requires insulin injections. A decrease in visual acuity will make it difficult for the individual to draw up his or her medication and therefore will influence the nurses plan of care.

A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing? a. Risk-factor b. Structural-functional c. Open systems d. Developmental

d. Developmental

A nurse is caring for a family with an adolescent child. Which of the following problems would the nurse anticipate that the family would report? a. Concerns about career decisions b. Concerns about exposure to environmental hazards c. Difficulty with parents finding fulfillment with raising the child d. Difficulty with open communication with the child

d. Difficulty with open communication with the child

A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed? a. Assessment b. Implementation c. Planning d. Evaluation

d. Evaluation The nursing process consists of assessment, diagnosis, planning, implementation, and evaluation. A person who has been diagnosed with a dysfunction has already been assessed. The process of analyzing changes experienced by a person after a plan has been implemented occurs in the evaluation phase. In this question, a weight will determine whether or not the person is moving toward her goals of weight loss

A man is telling a nurse that he feels that his health is a gift from God. This statement most closely coincides with beliefs of which cultural group? a. African b. Alaska Native c. Asian d. Hispanic

d. Hispanic

A nurse working with a Hispanic family is explaining the plan for managing a childs asthma to the childs mother, father, and grandmother. To whom should the nurse direct the education? a. Mother b. Father c. Grandmother d. Parents and grandmother

d. Parents and grandmother Culturally competent care is delivered with understanding of and sensitivity to cultural factors influencing health behaviors. Nurses provide culturally competent care when they identify and use cultural norms and values. In the Hispanic population, the male figure is usually the decision maker, and the family elders are highly respected. However, assumptions about cultural norms should not be made. As a result, the nurse should direct education to all three adults because they may all have an impact on the childs health care needs.

Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the persons function pattern by utilizing which area of focus? a. Age-developmental b. Functional c. Individual-environmental d. Pattern

d. Pattern

A nurse is providing follow-up care for a family who has recently had a baby. Which of the following topics should the nurse anticipate discussing with the family? a. Type 1 diabetes b. Fetal alcohol syndrome c. Communicable diseases d. SIDS

d. SIDS After the birth of the child, it is most likely that they do not need education about fetal alcohol syndrome, unless there were issues with alcohol use during the prenatal period. Discussion about communicable diseases and potentially Type 1 diabetes would be more common with families with school-aged children.

Which of the following health concerns should the nurse have as a priority when planning care for a community? a. The limited recreational areas identified through a windshield survey b. The high crime rate reported in the town records c. The absence of health clinics on the local bus route d. The lack of grocery stores within walking distance identified by the community

d. The lack of grocery stores within walking distance identified by the community As a community liaison, the nurse establishes priorities for programming and matches resources with needs determined by a community-needs assessment. The goal is to maintain the communitys vision. Nurses concerns should be based on the communitys concerns. Therefore, the lack of grocery stores identified by the community should take first priority.

During a health history, a person reports getting 5 hours of sleep a night. What does this information indicate to the nurse? a. The person is not receiving enough sleep. b. The person is receiving adequate sleep. c. The nurse must determine where the person sleeps. d. The nurse must ask additional questions.

d. The nurse must ask additional questions.

A nurse has developed a family nursing diagnosis. Which of the following best describes the purpose of this action? a. Describes the strengths of the family b. Allows for creation of goals for the family c. Promotes behavioral change among family members d. Validates health problems with the family

d. Validates health problems with the family

The process of dynamic change with adaptation in the systems parts, and how community systems and subsystems interact is known as: a. structure of a community. b. community health promotion. c. community diagnosis. d. function of a community.

d. function of a community.