Family centered community based care Prep U for exam 1
A nurse is providing care to a postpartum woman, her partner, and their neonate and is assessing their preparedness for discharge. Which question(s) would be appropriate for the nurse to ask? Select all that apply.
"How comfortable are you with feeding your neonate?" "Can you tell me who will be at home to help you out." "Tell me how you plan to get rest once you are at home."
The case manager is looking over the inpatient census on the floor to determine which client would be the best candidate for discharge with home health care follow-up. Which client would the case manager recommend to the practitioner for discharge?
10-year-old boy with an infected laceration on his leg who has been treated with IV antibiotics for 3 days.
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 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.
The nurse is performing a health assessment of a school-age child. Based on the child's developmental level, on which problem would the nurse focus more attention?
accidents and injuries
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
After teaching a pregnant woman about using complementary and alternative medicine (CAM) therapies, the nurse determines that the teaching was successful based on which client statement?
"I need to talk with my provider before I try using any therapy."
A nurse is uncomfortable caring for a pregnant client who is married to her female life partner. The best advice another nurse can give her would include which statement?
"Spend some time self-reflecting why this family difference might be bothering you."
A pregnant woman arrives in the L & D unit following premature rupture of membranes along with her spouse, who insists on being present and demands only female nurses assess his wife. When obtaining history and assessment data, the spouse provides all the answers. What is the best approach for the nurse to handle this situation?
Act as an advocate for the woman who has a male-dominant partner.
The nurse is beginning an assessment with a pregnant client from a non-English-speaking culture. The interpreter is having difficulty understanding what the client is trying to say and the client is becoming frustrated. Which nursing diagnosis would be most appropriate for this situation?
Altered verbal communication
Which action should a nurse perform to avoid disrupting family routine when visiting to provide home care?
Avoid coming during mealtimes.
The school nurse notes that a 10-year-old child has not had the required immunizations to attend classes. During discussion, the child states that his father lost his job and health insurance. What is the best action by the nurse?
Contact the parents to inform them of the situation and community resources that can be utilized to obtain immunizations.
A nurse is teaching a new mother about self-care measures. Which action would the nurse do as the final step in this process?
Document the teaching and effectiveness.
An Islamic woman is in active labor and informs the nurse that she is fasting during the day since it is Ramadan. What would the nurse assess for in this woman related to her cultural ritual?
Respect this woman's faith, but also assess for dehydration and hypoglycemia.
A laboring client, 2 cm dilated and 50% effaced, is screaming in pain. The nurse caring for this client recognizes this woman's response to pain should be documented using which label?
low pain threshold
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.
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.
The nurse is caring for a child and family who just moved out of a dangerous neighborhood. Which approach is appropriate to the family stress theory?
assessing the child's coping abilities
A 14-year-old tells the nurse that he feels like he can never live up to his parents' standards and that they won't even discuss their rules. What parenting style do this child's parents most likely practice?
authoritarian
