Chapter 4 Fundamentals of Nursing

An adolescent confides in the school nurse that the adolescent is arguing daily with her mother and often wonders whether her mother loves her. The school nurse recognizes that the student faces which of the following risk factors for altered family health? -A developmental risk factor -A biologic risk factor -A psychosocial risk factor -A lifestyle risk factor

A psychosocial risk factor

A nurse is caring for a client newly diagnosed with diabetes mellitus and developing a holistic plan of care. For this plan of care to be successful, it must what? -Take into account the cost of care. -Connect families, friends, and the environment. -Provide a connection between medicine and nursing. -Address the disease but also incorporate the mind, body, and spirit.

Address the disease but also incorporate the mind, body, and spirit.

The nurse is explaining the expected developmental tasks of a typical family with adolescents. Which of the following would be incorrect for the nurse to include? -Strengthen the marital relationship -Maintain a supportive home environment -Maintain open communication -Adjustment to retirement

Adjustment to retirement

A home health nurse is visiting a family after the recent death of their matriarch. The nurse observes that the family is dressed in black, all of the mirrors are covered, and that the immediate family is sitting on square wooden boxes instead of chairs. The nurse asks what is happening, and is told, "We are Jewish, and the family is 'Sitting Shiva'." This family is fulfilling which family function? -physical function -affective and coping functions -economical function -socialization function

Affective and coping functions

The nurse in the adolescent in-patient psychiatric unit is interviewing the family of a 16-year-old client admitted for depression and threatened suicide. What assessment information is most essential for the nurse in determining the affective and coping function of the family? -Family patterns of communication -Responsibilities of the adolescent -Environmental hazards in the home -Employment history of the parents

Family patterns of communication

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? -A nurse arranges for a teenage client to have visits from school friends. -A nurse identifies strengths in a client who is scheduled for a mastectomy. -A client enrolls in art class after recovering from major surgery. -Grab bars are installed in a client bathroom to facilitate safe showering.

Grab bars are installed in a client bathroom to facilitate safe showering

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? -Self-actualization -Safety and security -Self-esteem -Love and belonging

Safety and Security

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? -Safety and security needs -Self-esteem needs -Love and belonging needs -Self-actualization needs

Self-esteem needs

Which client requires priority intervention by a nurse providing care on a medical-surgical unit? -A newly admitted client who is upset due to a new cancer diagnosis -A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min -An older adult client who is yelling and angry with family members -A client with a blood pressure of 98/40 mm Hg who needs to ambulate to the bathroom

A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min

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? -"Do you have any dietary restrictions that we should know about?" -"What can we do to help you meet any religious needs you may have?" -"Will your religion allow us to give you blood if you need it?" -"I am a Christian and believe in Jesus. What does your religion believe?"

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

A nurse is providing care to a client who is feeling lonely and isolated. In an effort to develop a trusting nurse-client relationship, the nurse exhibits a caring attitude, ensures the client's privacy, and spends time with the client to promote therapeutic communication. The nurse is meeting which category of client needs? -Self-esteem -Love and belonging -Physiologic -Safety and security

Love and belonging

Parents raising two school-aged children incorporate their religious beliefs into the family's daily life. The family's beliefs regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family? -Socialization -Affective and coping -Reproductive -Physical

Socialization