Intro to Nursing Concepts, PrepUs Ch 4
A nurse is assessing a family for possible risk factors that may be contributing to the family's altered health status. When assessing for environmental risk factors, which questions would the nurse ask? Select all that apply.
"Is there anything going on at work that is causing you stress?" "Are you financially able to keep your home safe for your children?"
A nursing student's parents are both physicians. The nursing instructor may feel the student has __________.
Been socialized in healthcare
Which is the basic unit of human society?
Family
A community health nurse is providing care to several farming families in a rural community. Which concept would be most important for the nurse to integrate into the plans of care for these families?
Family structure may change over time
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?
Nurse washes hands before and after dressing change.
Which basic needs area of Maslow's hierarchy of human needs is met when the nurse arranges for the client's clergy to visit after visiting hours?
Self-actualization needs
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
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 family assessment of a father, mother, and four children has suggested the presence of several risk factors. Which aspect 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.
Which statement is true regarding Friedman's theory of family-centered nursing care?
The role of the family is essential in every level of nursing practice.
A community is defined as a social group that may or may not share common geographic boundaries yet interact because of __________.
Common interests
A nurse is assessing a family and identifying where the family is in the family life cycle. During this assessment, the nurse applies Duvall's theory. Which theory forms the basis for Duvall's theory?
Erikson's theory of psychosocial development
Which intervention performed by the nurse is most appropriate for assisting a client in meeting safety and security needs based on Maslow's hierarchy of needs?
Providing the mother the phone number for the poison control center
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 Child Protective Services.
The nurse performs an assessment of the client and the family to have a better understanding of client and family needs. Which is an individual need?
Safety
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 working at a community clinic that serves mostly families with young children. What would be a priority intervention for clients in this developmental stage?
Setting up parenting classes
The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual?
Sociocultural dimension
The home health nurse is making an initial assessment visit to a family that consists of two parents and twin 3-year-old boys. During the interview, the nurse is most concerned if the client makes which statement?
The father states, "I don't discuss money matters with my wife because I don't want her to worry."
The nurse is assessing the family structure of the client. The family household comprises 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 nurse at a local homeless shelter is evaluating a new arrival at 10 pm, a client wearing disheveled clothes. The client reports looking for a place to sleep due to being exhausted. The client further reports living under a bridge since losing a job 6 months ago and being hungry. The nurse should perform which actions to address the client's physiological needs? Select all that apply.
Offer the client a sandwich because the cafeteria is closed. Show the client to a room so the client can sleep.
