Chapter 1,2,3 Key words Review.
A nursing student's parents are both physicians. The nursing instructor may feel the student has
Been socialized in healthcare
You are the community-based nurse who acts as case-manager for a small town about 60 miles from a major health care centre. What is the most important factor of community-based nursing for you be knowledgeable about?
Community resources available to patients.
Which of the following theorists supports the developmental framework of family assessment?
Duvall
A nurse is caring for a 78-year-old male client who has been hospitalized following a stroke. Which nursing action has the highest priority for this client?
Measuring the client's I&O during recovery
A client comes to the health center for a follow-up visit. Assessment reveals that the client is experiencing problems ambulating and moving about due to degenerative joint disease; in addition, the client is feeling isolated due to the limitations in mobility. The client also reports feeling anxious about the future related to the mobility issues and being unable to fulfill the role as the major provider. Which need would the nurse identify as the priority?
Mobility
A family that consists of two homosexual parents and three children living in the same house is an example of which type of family?
Nuclear
morbidity:
frequency that a disease occurs
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.
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?
Community indicates people who share similar characteristics.
The nurse is assessing the family structure of the client. The family household is comprised of two parents, three children, and one grandparent. The nurse recognizes that this is a(n):
Extended family.
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?
Grab bars are installed in a client bathroom to facilitate safe showering.
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
illness:
abnormal process in which any aspect of the person's functioning is altered (in comparison to the previous condition of health)
health promotion:
behavior of an individual motivated by a personal desire to increase well-being and health potential
An adolescent confides in the school nurse that she is arguing daily with her mother, and she often wonders if her mother loves her. The school nurse recognizes that the student faces which of the following risk factors for altered family health?
A psychosocial risk factor
The parents of a blended family have a baby boy 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 of the following factors is the primary influence on this aspect of the family's health?
Community health care structure
A nurse is working as part of a group to address factors within the community affecting the health of the families in that community. Which area would the nurse identify as playing a role in contributing to altered health status? Select all that apply.
Limited number of institutions providing health care Small number of recreational opportunities for adults and children Overlapping of industrial zones with residential zones
The nurse recognizes that the community affects the ability of individuals to meet basic human needs. Which example is not a characteristic of a healthy community?
The number of assaults increased 2% over the last year.
A family assessment of a father, mother, and four children has suggested the presence of several risk factors. Which of the following aspects of the family's structure and function would be considered a psychosocial risk factor?
The parents have a tumultuous relationship with frequent separations in the past.
health disparity:
a specific difference that is closely linked to social, economic, and/or environmental disadvantage
social determinants of health
conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes and risks
mortality:
number of deaths
A school nurse is providing orientation to a nurse hired to provide care at a new elementary school opening in the district. The orienting nurse would ask for additional clarification about which statement made by the newly hired nurse?
"I would like to engage our dyadic nuclear families in activities to strengthen their parent-child bonds."
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?
"Our 16-year-old just seems to butt heads with us at every turn."
A nurse in the emergency department assesses a 3-year-old child with a fractured femur, a hematoma on the back of his head, and multiple 1-cm round scabs and blisters on his upper back. The parents state that their child sustained the injuries by falling out of his high chair. What is the best action for the nurse to take?
Report the suspected child abuse to Child Protective Services.
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?
Safety and security
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
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?
Socialization
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 conducting a family assessment of a traditional family. Which assessment data cue describes the socioeconomic status of the family?
The father is an engineer and the mother is an elementary school teacher.
A 44-year-old female client is being treated for dehydration in an acute care hospital. The nurse determines that the rehydration treatment is working by assessing which of the following values?
Urine output of 1500 ml in 24 hours
The nurse on the elective surgery floor receives a report that describes the client's abdominal wound dressing as having a moderate amount of yellowish and bloody drainage on it and a very foul smell. In planning for a dressing change, it is most important for the nurse to perform which action?
Wash her hands before and after the dressing change.
Which are stressors that affect the health of the family?
Well-funded school systems and inadequate childcare services.
health equity:
attainment of the highest level of health for all people
The nurse is caring for an 85-year-old, female client hospitalized for dehydration. The nurse notices that the patient is shivering and takes the client's temperature. She notes an oral temperature of 97.8°:F (36.6°:C). The client also says that she is "chilly." What action, if taken by the nurse, is most appropriate?
Offer the client an extra blanket.
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?
Physiologic
vulnerable population:
disadvantaged subsegment of a community requiring utmost care, specific ancillary considerations, and augmented protection in research; includes those living in poverty, women, children, older adults, rural and inner-city residents, new immigrants, the homeless, mentally ill patients, and people with disabilities and special health care needs
holistic health care:
health care that takes into account the whole person interacting in the environment
chronic illness:
irreversible illness that causes permanent physical impairment and requires long-term health care
disease:
pathologic change in the structure or function of the body or mind
remission:
period in a chronic illness when the disease is present, but the person does not experience symptoms of the disease
exacerbation:
period in chronic illness when the symptoms of the disease reappear
acute illness:
rapidly occurring illness that runs its course, allowing a person to return to one's previous level of functioning
risk factor:
something that increases a person's chance for illness or injury
health:
state of optimal functioning or well-being
