Fundamentals of Nursing Chapter 4 - Scenario

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea?

-sit with the client and ask them about their feelings

A new graduate nurse asks a nurse manager working at the community health center, "I've heard people talk about community health nursing and community-based nursing. Is there a difference?" Which response by the nurse manager would be appropriate?

- "Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population."

The nurse is admitting a 38-year-old client to the oncology unit whose religious background is different from the nurse's own. The nurse is assessing how the client's religion may affect the client's health care needs. Which question by the nurse is the best way to consider the client's religious practices in the plan of care?

- "What can we do to help you meet any religious needs you may have?"

A nurse is caring for an adolescent who has just lost a leg in a motor vehicle accident. Which human need would the nurse most likely need to address?

- Self-esteem needs

The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual?

- Sociocultural Dimension

A nurse who is using Duvall's conceptual framework to assess a family with two parents and three children must first determine the ?

- age of the oldest child

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 seems to butt heads with us at every turn "

Which are examples of meeting self-actualization needs according to Maslow's hierarchy of needs?

-A nurse attains a master's degree in nursing. -A nurse takes a course in communication to better relate to clients

The mother of three young children makes the following statements to the nurse working in community health. Drag and drop each statement in the order of priority from Maslow's basic priorities to Maslow's more complex priorities.

1.Sometimes we run out of food the day before I get paid." 2.There have been two murders in our neighborhood in the last year." 3.My teenage son is so quiet. He works and goes to school all the time and doesn't have time for friends." 4.I keep my kids' clothes clean, but we don't have money for the latest styles." 5.I try to get along with our neighbors, but they are from a strange culture with weird ideas."

The community environment affects the well-being of the individual and the family. Which is the health responsibility of the family?

Maintain a healthy lifestyle

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 the nurse's hands before and after the dressing change.