Family Test 1

The nurse provides care to a client with dementia. How should the nurse communicate with this client when assisting with meal time?

"How can I help you, Mrs. Smith?"

The nurse prepares material to share during the community health fair. Which definition of community should the nurse keep in mind while preparing this material?

A group of people with similar characteristics

The spouse of a client with post traumatic stress disorder seeks medical attention for new symptoms. Which findings suggest to the nurse that the client's health problem is affecting a family member? Select all that apply.

Anger Flat affect Weight loss Poor muscle tone

A client with PTSD arrives for a follow up clinic appointment. Which intervention should the nurse confirm that the client is continuing to follow? Select all that apply.

Attends cognitive behavioral therapy sessions Takes selective serotonin reuptake inhibitors as prescribed

A client is diagnosed with depression. For which comorbid condition should the nurse assess this client?

Bulimia nervosa

A client is recently admitted to a medical surgical care area. Which action should the nurse take to help reduce the family stress? Select all that apply.

Clarify information Facilitate family conference Provide time for the family to visit Recognize the uniqueness of the family

What factor should be considered when determining hospital visiting policies? Select all that apply.

Client preference Family preference Nursing care needs Visitor health status

The nurse plans care for a client recovering from a gunshot wound received during a robbery of a convenience store. Which intervention will the nurse select to promote trauma-informed care for this client? Select all that apply.

Coach in calming skills Build positive social support Encourage connectedness between family members

A client is newly admitted to the intensive care unit for an acute illness. Which of the following family needs do the client's family require during this time? Select all that apply.

Comfort Proximity Assurance Information

The nurse learned that a client with a mental health condition has an eight-year-old child. Which action should the nurse take?

Complete a family-centered assessment of the child's needs

The nurse desires to change health policy in a local community. Which action should the nurse take? Select all that apply.

Contact elected officials to lobby against harmful policies Ensure resources are available for clients before discharge Join a professional organization that supports change in family policies Participate in community meetings where health policy is being challenged

For what reason why a nurse experiences role ambiguity when caring for a critically ill client and the family?

Deciding whether to eliminate the family's worries or provide emotional support

Which action should the nurse take to reduce health inequities within a community? Select all that apply.

Develop families' skills Improve access to resources Increase participation in family care processes

A client with a major depressive disorder is prescribed a serotonin reuptake inhibitor. What should the nurse instruct the family to do in order to prevent this client from developing serotonin syndrome?

Do not provide any herbal supplements

The nurse knows that a client has an advance directive stating that no cardiopulmonary resuscitation (CPR) should be performed if the heart stopped. Which type of prescription should the nurse expect to be placed on his client's medical record?

Do not resuscitate (DNR)

The nurse provides care in the women and children's shelter twice a week. What characteristic of the child should the nurse consider when providing care?

Educationally inferior to children living in a permanent home

The public health nurse reviews the latest reports on health issues for a particular community. Which area should the nurse provide the most attention? Select all that apply.

Elder abuse Homelessness Chronic pain management Opioid addiction and overdose

A client taking olanzapine for schizophrenia is diagnosed with metabolic syndrome. In order to reduce the hazards of this health problem, what should the nurse instruct the family? Select all that apply.

Encourage exercise Provide healthy foods Monitor blood pressure Take anti cholesterol medication as prescribed

The nurse reviews the Alma Ata Declaration on Primary Health before meeting a family new to the community. On what are the foundational principles for this health promotion framework-based? Select all that apply.

Equity Empowerment Access to health and health care

The nurse provides care to a client who is experiencing an acute illness. What information about family centered care should the nurse keep in mind when planning the client's care?

Families influence client recovery

What should the nurse consider when determining the degree of family involvement in discharge planning?

Family's education and information needs

Which emotion might a family experience when a family member is in the intensive care unit? Select all that apply.

Fear Sadness Helplessness

A family accompanies a client to the hospital for treatment of an acute illness. Which characteristic is likely to increase the degree of family stress? Select all that apply.

Feeling alone Being unsure of their role Feeling chaos and loss of control Neglecting personal health needs

The nurse cares for a client with a life-threatening illness. Which needs should the nurse address with this client's family? Select all that apply.

Giving reassurance Offering realistic hope Conveying honest answers Assessing the level of anxiety

The nurse prepares an educational seminar on family policy for a community health fair.Which areas should the nurse emphasize as affected by family policy? Select all that apply.

Health Housing Education Food and water

The nurse learns that a client with a chronic health problem has not been taking medication as prescribed. Which social issue should the nurse consider as a potential reason for this client's non-adherence to treatment?

Health literacy

The nurse suspects that an adult client experienced domestic violence as a child. Which observations caused the nurse to come to this conclusion? Select all that apply.

High obesity rate High infant mortality High use of opioids and other substances Decline in the general health

The nurse notes that a client who returned from war is having difficulty remembering recent events and is unable to perform simple self-care tasks. Which part of the client's physiology is responsible for these behaviors?

Hippocampus

A client is recovering from major depression. On which areas should the nurse focus on helping this client maintain a life in recovery? Select all that apply.

Home Health Purposed Community

What type of communication from nurses to families find as being the most helpful?

Honest

The nurse prepares to assess a community in order to identify population health needs. Which approach should the nurse use during this assessment? Select all that apply.

Identify populations at risk Meet key community leaders Observe the target population Collect data on the target population

What research information should the nurse manager used as evidence to increase the amount of family involvement in the care of a hospitalized client?

Improves outcomes

A child with attention deficit hyperactivity disorder is prescribed a stimulant. What about this medication should the nurse instruct the family? Select all that apply.

It can lead to slow bone growth A long-acting form is available Regular health checkups are required

The nurse notes that a large number of clients in the community health clinic have type 2 diabetes mellitus. What should the nurse consider as reasons for the number of people with this chronic illness? Select all that apply.

Lower income Unhealthy diet Lack of exercise Inability to pay for medications

During a home visit the nurse believes that a client receiving treatment for post traumatic stress disorder is improving. Which signs of resiliency did the nurse assess to make this clinical determination? Select all that apply.

Maintaining a positive attitude Asking for help when needed Expressing gratitude for help

The nurse works in a community health clinic that has lesbian, gay, bisexual, and transgender(LGBT) clients. Which policy-related stigma or barriers should the nurse be aware of whencaring for these clients? Select all that apply.

More likely to delay accessing health services Less likely to receive preventive screenings such as mammograms. Higher rates of prostitution and substance use among adolescents

A client seeks treatment for post traumatic stress disorder. Which category of symptoms should the nurse assess? Select all that apply.

Negative mood- Increased sensory sensitivity Avoiding talking about the trauma Intrusive thoughts about the trauma

Which of the following are considered advantages to the family being present during resuscitative efforts? Select all that apply.

Not disrupting client care Talking to the client and saying goodbye Providing spiritual support to the client Offering emotional comfort to the client

The nurse learns that a family is providing care to a client with bipolar disorder. What should the nurse do to support this family? Select all that apply.

Offer support Be noncritical Remain non judgemental Provide honest information

The nurse cares for a toddler recovering from injuries received by an abusive parent. Which findings indicate that this client is experiencing failure to develop healthy attachments? Select all that apply.

Poor appetite Ignoring toy No eye contact Withdrawing from touch

How should the nurse categorize a family who is willing to discuss withdrawal of treatment, has good communication with other family members, uses facts and family wishes to make decisions, and is able to identify a time and date to withdraw treatment?

Progressing

A spouse plans to provide care at home to a client with a mental health condition. Which common tasks should the nurse instruct the spouse to expect to perform when providing care? Select all that apply.

Providing companionship Offering emotional support Monitoring symptoms

An adolescent attends group therapy to help with unresolved feelings after being abused by an older relative. Which manifestations of this unresolved trauma should the nurse expect the adolescent to demonstrate? Select all that apply.

Rage Depression Eating disorders Fatigue from a sleep disorder

A level 1 trauma center is implementing trauma-informed care. Which principle of this type of care integrates knowledge about trauma into policies, procedures, and practices?

Responding

The family is concerned because a member with schizophrenia frequently has violent outbursts. What should the nurse suggest this family include in their crisis plan? Select all that apply.

Safe location Insurance information Suicide hotline telephone numbers List of providers and telephone numbers

The nurse is reassigned to assist with triaging victims of a train derailment in the emergency department. The next day the nurse returns to providing care in the intensive care unit and is assigned the victim. If this pattern continues, which health problem is the nurse prone to developing?

Secondary traumatization

The healthcare provider suggests that a family participate in psychoeducation. What should the nurse instruct the family to expect when participating in this type of instruction? Select all that apply.

Social support Family education Training in coping skills

A family is having difficulty with health promotion activities. Which barrier should the nurse realize is hindering this family success with behavior modification? Select all that apply.

Stress Lack of time Lack of money

The nurse compares the Ottawa Charter for Health Promotion with the Population Health Promotion Model. Which is a major difference between these two approaches to population care?

The Population Health Promotion Model focuses on issues that place a population at risk

The nurse learns that a child being seen in the community clinic has health coverage through the State Children's Health Insurance Program (CHIP). What does this coverage indicate to the nurse?

The child has no insurance and is not eligible for Medicaid.

The nurse provides care to people within an urban community. What needs to be established in order for interventions to be successful?

The nurse-client relationship

The nurse prepares health promotion activities for a family. Which statement best describes the nurse's purpose for planning activities for this family?

To improve or maintain the well-being of the family members

The nurse refers to the determinants of health before assessing a family newly relocated to a community. Which should the nurse identify as behavioral determinants of health? Select all that apply.

Tobacco use Substance abuse Physical activity

The nurse provides care to a culturally diverse community. Which outcome indicates that this care is culturally safe? Select all that apply.

Trust Empowerment Open communication

The nurse notes that the community health clinic has added a section for "family" on the assessment form. Which definition is most likely being used for "family"?

Two or more people living together related by birth, marriage, or adoption

Which approach describes a growing trend in the care of individuals with a mental health condition?

Use of family members as caregivers

Nurses can anticipate which family reaction as a family member is transferred from intensive care to the regular medical surgical care area? Select all that apply.

Vulnerability Ambivalence Abandonment Unimportance

The nurse suspects that members of a community are being subjected to subtle acts of institutional racism. What did the nurse assess to make this determination? Select all that apply.

Waited to be seen by the clinic physician after others who arrived later were seen Had the water and electricity turned off by the landlord of an apartment because the children Overlooked for a job in a fast food restaurant even though open positions were posted andother people in the community were hired after the individual applied

The nurse plans to visit family's within a community. On what should the nurse focus when meeting with these families to reduce the risk for health disparities? Select all that apply.

Ways to avoid injuries Actions to maintain health Strategies to manage chronic disease