Chapter 4 Nursing

Duvall

supports the developmental framework of family fucntion

self esteem issue

"I keep my kids' clothes clean, but we don't have money for the latest styles,"

self actualization issue

"I try to get along with our neighbors, but they are from a strange culture with weird ideas,"

love and belonging issue

"My adolescent son is so quiet. He works and goes to school all the time and doesn't have time for friends,"

issue of physiologic health

"Sometimes we run out of food the day before I get paid"

safety and security issue

"There have been two murders in our neighborhood in the last year,"

Which families should the nurse identify as being at risk for factors affecting their health?

-vegan -uses herbal meds -fasts for religious reasons -recieves oublic assistance -headed by a single mother

blended family

2 single parent families brought together to form a new fsmily

A nurse in the emergency department assesses a 3-year-old child with a fractured femur, a hematoma on the back of the head, and multiple 1-cm round scabs and blisters on the upper back. The parents state that their child sustained the injuries by falling out of a high chair. What is the best action for the nurse to take?

report the suspected child abuse to CPS -evidence suggest physical abuse -must be reported

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?

community health care structure -size, locayion, and services of health care offereings ina geographical area are components of communit health care structure

nuclear family

family unit, 2 parents and children

norepinephrine

heightensa rousal and increases energy

self actualizayion needs

highest level, need for individuals to reach their full potential through development of their unique capabilities

The epidemiology nurse finds a lower occurrence of influenza cases in a section of a large metropolitan city. Further research reveals higher influenza immunization rates in that section of the city. The nurse determines which probable cause for this occurrence?

immunizations have become a community norm -people tend to do what others in their community do

The nurse assesses a client who is postoperative day 1 following a total abdominal hysterectomy. Assessment data includes blood pressure (BP) 150/88 mm Hg, heart rate (HR) 100 beats/min, respiratory rate (RR) 22 breaths/min with a pain scale of 8 on a scale of 1 to 10. The abdominal dressing is clean, dry, and intact. The client's prescriptions indicate ambulation today. Which is the priority nursing action?

medicate client for pain as prescribed by health care provider -physical needs are a priority

self esteem needs

need to feel good aboutoneself adn to beleiv others hold one in high reguard

family structures

nuclear, blended, extebded, single parent, cohabitated, single adults

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?

place them ina. side lying position -basic need for air must be prioritized -always turn client who has had a seizure

safety and security need example

Providing the mother the phone number for the poison control center