prepU ch2 Family-Centered Community-Based Care

A nurse is meeting with a group of nurses who have transitioned from working in an acute care facility to working in the community. When talking with the nurses about their experiences, which statements would the nurse likely hear? Select all that apply.

"Sometimes, the time we have available to address issues is limited." "Often, I have to make decisions on my own and trust myself." "It's important to have great assessment skills when you're in this setting."

A nurse is visiting the home of a mother and her newborn. The woman's family members are present when the nurse arrives. What is the nurse's best approach to the situation?

Assess the family members' interactions with the newborn and one another.

The nurse is preparing a prenatal seminar for young mothers. Which type of information should the nurse gather to ensure success of the program?

Approximate education level of the participants

A 40-year-old pregnant client tells her nurse that she would like to give birth in a birthing center because she wants several friends and family members to be there and will have more freedom at the center. What would be the most important factor for the nurse to point out when discussing this option with the client?

Birthing centers do not always have pediatricians on staff if the newborn has special needs.

A nursing instructor is teaching the class about community-based nursing. The instructor determines the session is successful when the students correctly choose which activity as an example of tertiary prevention?

Ensuring the client attends physical therapy after orthopedic surgery

The nursing instructor is teaching a session on the increase of health care costs associated with the advancement of modern technology. The instructor determines the session is successful when the students correctly choose which focus of community-based health care that has been implemented to combat the increased cost?

Preventing disease and its sequelae

A homeless client diagnosed with human papillomavirus (HPV) is seen in the maternity clinic requesting a pregnancy test. Which nursing action would be the best example of the secondary level of prevention?

Suggest she have a Papanicolaou test.

An oncology nurse is preparing a plan of care for a young father newly diagnosed with lung cancer. What action would be the nurse's priority?

Teach the family how to navigate the health care system.

A nurse is developing a plan of care for a client of Muslim faith. Which action demonstrates an understanding of providing culturally competent care?

The client is asked if there are any meal preferences to be included in the care plan.

The nurse is caring for several clients in the prenatal clinic. Which action by the nurse demonstrates cultural competency?

The nurse asks each client about dietary restrictions and preferences during the postpartum period.

The obstetrical nurse notes that a Muslim client has not been eating any of the meals supplied to her. Which actions performed by the nurse best demonstrate cultural competence?

The nurse becomes familiar with the Muslim client's meal practices.

The emergency nurse is providing care for a pregnant woman admitted with a broken femur, blackened eye, and multiple contusions. She admits her partner is abusive. Which activity would be considered at the tertiary level of prevention?

The nurse contacts the crisis social worker for assistance.

The nurse is providing care to a client who comes to the clinic for a follow-up visit. Which skill would be most important for the nurse to use when communicating with the client?

active listening

The nurse is concluding her initial visit with a client at 28 weeks' gestation on bedrest for premature rupture of membranes. What information should the nurse consider when determining the timing of the next home visit?

amount of supervision and health education needed by the client

A nurse is working as a part of a group in determining the health services needed for the people in the area. A review of which aspect would be most helpful for the group in making the determinations?

epidemiology

The nursing instructor is teaching a class on labor and birth. She lists the advantages of a home birth and then lists which disadvantages of home births? Select all that apply.

limited availability of pain medication danger to mother if emergency arises danger to baby if emergency arises

A woman comes to the community clinic for a visit. During the visit, the client tells the nurse that she is thinking about using some complementary and alternative measures to deal with illness. Which suggestions by the nurse would be appropriate? Select all that apply.

"Just remember that if it says 'natural,' it doesn't always mean it is safe." "If you use any other therapies, be sure to tell any health care providers about them." "Even if you use these therapies, make sure that you get medical care if you become sick."

A couple is trying to decide where they want to have their baby: at home, a birthing center, or the hospital. Which statement would indicate to the nurse that the couple needs more information to decide?

"My mom had me at home, so I can have this baby at home as well."

The family has decided to have a home birth with a midwife. Which statement indicates to the nurse that the family has considered all options?

"Our midwife works with a local primary care provider and hospital in case there are any complications or concerns."

Which factor is most critical to effective home care?

commitment to home care from family and other essential people

The nurse is asked to present an educational event to the local Junior League. While planning for the event, what is most important for the nurse to do?

Know the needs of the audience.

The nurse is caring for several families in the prenatal obstetrics office setting. Which is most important for the nurse?

Understanding and accepting the various types of family units, such as lesbian, gay and transgender

A nurse is addressing a group of women on the issue of women's health during their reproductive years. Which reason does the nurse provide regarding the need for comprehensive, community-centered care to women during this time period?

Women's health care needs change with their reproductive goals.

A nurse is making a home visit to a postpartum client. Which action would be inappropriate for the nurse to perform when making the visit?

conducting a well-baby visit to start the child's immunizations

During a prenatal visit, a client tells the nurse, "I just started some herbal remedies and haven't told my doctor yet." Which action by the nurse would be most appropriate?

encouraging the client to let the primary care provider know

The experienced nurse has seen many changes in health care throughout the last few decades. One such change has been to move from acute care settings out into the community with an emphasis on which areas? Select all that apply.

health promotion illness prevention

A nurse is providing care to a client who has undergone a mastectomy. The nurse provides the woman with information about where to obtain a breast prosthesis. This is an example of which type of community-based nursing intervention?

health system referral

A nurse is working at a community women's health clinic. The nurse is involved in primary prevention activities. Which activity would the nurse be performing?

immunizations

The nursing student demonstrates an understanding of what is included in postpartum home visits when the student identifies which actions? Select all that apply.

monitoring the physical and emotional well-being of the family members identifying potential or developing complications for the mother and newborn bridging the gap between discharge and ambulatory follow-up for mothers and their newborns

A nurse is presenting a program for a group of nurses new to providing home care to women and their families. After presenting the information, the nurse determines that additional discussion is needed when the group identifies which action as a nursing responsibility in the home?

prescribing needed medications

A nurse is providing home care to a pregnant woman who is on bed rest. The woman has two other children. During her assessment, the nurse asks the woman how she occupies her time. What is the best rationale for asking this question?

to ensure that the woman is not engaging in activities that would disrupt her rest