Chapter 2 Prep U
When giving family-centered care, the nurse recognizes the need to view which concept as the constant?
family
As part of an education program for pregnant women and their partners, the nurse illustrates the various settings available for birth. The nurse determines that the program was successful when the group correctly chooses which statement about home births?
"Women giving birth at home have control over every part of labor."
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 first-time mother is at home on the third day after birth and has bleeding, painful nipples after breastfeeding. She calls the hospital to speak to her postpartum nurse. What is the best plan the nurse can implement for this client?
Arrange for a home visit from a lactation consultant.
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 client at 28 weeks' gestation is required to maintain bed rest for the duration of the pregnancy because she has placenta previa. What suggestions can the nurse make for the client to help her cope with the experience?
Encourage the client to learn a new skill while confined to bed.
Which statement is not an advantage of home care?
It can increase self-confidence because it allows sick people to rest while others take care of them.
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
A nurse has moved into a new community and will begin practicing at the local health department. Why is it important for this nurse to become familiar with the community where the nurse will work?
The health of a community influences the health of its individuals.
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 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 pregnant woman with premature ruptured membranes is trying to decide whether home care might be the best option for her. Which advantage should the nurse mention to the client that is most pertinent to her condition?
decreased exposure to infection
A nurse in the community is working on primary prevention of illness by:
teaching how to properly apply sunscreen.
A preterm newborn is to be discharged home on tube feedings. When preparing the teaching plan for the parents, the nurse would include which information?
the need to check with their insurance company about what equipment is covered
The nurse takes on many roles, especially in the community setting. One important role of the nurse in the community is educator. Client and family education allows for which actions? Select all that apply.
-allows for questions to be answered -allows families and clients to make informed decisions -ensures the presence of basic health care skills -promotes recognition of problem situations and their appropriate responses
The nurse is teaching students about the benefits of complementary and alternative medicine (CAM). What are examples of CAM? Select all that apply.
-aromatherapy -therapeutic touch -acupressure -guided imagery
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."
The nurse who works in the community understands the importance of becoming culturally competent. Which of the following are steps to gain cultural competence? Select all that apply.
-cultural self-awareness -cultural knowledge -cultural skills -cultural encounters
A pregnant woman reports she does not see the value in attending prepared childbirth classes because she plans to have an epidural to manage the discomfort from the contractions. What information should be included in responses by the nurse? Select all that apply.
-"There are many different topics included in prepared childbirth classes aside from pain management." -"Preparation for labor and birth can enhance your experience and coping abilities." -"You can learn tools to assist you in the labor process both before and after your epidural."
A nurse is teaching an 18-year-old client about circumcision care for her second baby. Which statement made by the nurse would be most appropriate to assess the client's learning ability?
-I notice you're having problems with reading the information. Will you tell me about this.
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 is important to have great assessment skills when you're in this setting.
A nurse is preparing to teach insulin administration to an adolescent newly diagnosed with diabetes. Which strategy(ies) will the nurse use to assist the adolescent's learning? Select all that apply.
-Teach the prioritized information. -Go slow and repeat information often. -Use plain nonmedical language to explain procedures.
The nurse reinforces to the client that prenatal care is associated with improved pregnancy outcomes. Which basic components of good prenatal care should the nurse describe for the client? Select all that apply.
-early and continuing risk assessment -health promotion -medical and psychosocial interventions -follow-up
A nurse working in the community is involved with secondary prevention. With which activities would the nurse be most likely involved? Select all that apply.
-fecal occult blood testing -blood pressure evaluations
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 mothers if emergency arises -danger to baby if emergency arises
The nurse who is working with women, children, and families knows the importance of using good communication, both verbal and nonverbal. Which actions are examples of nonverbal communication? Select all that apply.
-nodding -attending to others -active listening
The nurse is preparing to discuss birthing options with a 25-year-old female who is in a low-risk pregnancy with one older child. Which option will be best for the nurse to recommend for this client?
Any birthing setting
When discussing a health concern with a woman at the local community clinic, the nurse recognizes that the cornerstone of all disease management programs is:
client education
The nurse is caring for a newborn client and parents whose admission chart notes that they belong to and identify with an Old-Order Amish community. Which action should the nurse take while caring for the client?
Assess which forms of modern medicine are acceptable in the community
A community-based nurse has a different set of skills than those of counterparts who work in a hospital. Community-based nurses also face unique issues and challenges. What is one of the unique aspects of community-based nursing?
Autonomous action
Which information is true of home care as a whole?
It is increasing because new technology makes so many procedures available in the home.
The nursing instructor is teaching a session outlining the necessary skills of a community nurse. The instructor determines the session is successful when the students correctly choose which factor as the foundation of all nursing care?
Nursing process
The nurse is instructing a young woman who wants to get pregnant on the use of folic acid supplement three months before and three months after conception. This is an example of which level of prevention?
Primary
The nurse is caring for a pregnant woman and her family who are immigrants. Which intervention would be the priority for helping to achieve a successful outcome?
communicating using understandable terms.
A client with hypertension tells the nurse about wanting to use an herbal substance to lower blood pressure instead of taking the antihypertensive medication. The nurse should:
advise the client to speak with the health care provider about combining herbal substances with the prescribed medication.
An ill child will be cared for at home by the parents. What resources will be most advantageous for this family?
effective support people from the family or community to offer help
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 nurse understands that epidemiology plays a role in caring for and planning health services for clients in a community. The nurse knows that epidemiology refers to which definition?
the study of the causes, distribution, and control of disease in populations
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
