Fundamentals of Nursing Chapter 4: Health of the Individual, Family, and Community
Which client requires priority intervention by a nurse providing care on a medical-surgical unit?
A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min
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?
Address the disease but also incorporate the mind, body, and spirit.
The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual?
Sociocultural dimension
A nurse is developing a plan of care for a client to meet the client's self-actualization needs. The nurse would focus on which area as most important?
Emphasizing the client's strengths
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
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 nurse has the Petty Family as a client, who consists of a wife, husband, and their 4-year-old daughter. The husband has been unemployed for 8 months, and they lost their apartment. The family has been staying in neighborhood shelters and, on occasion, with the husband's father for a night or two. When evaluating this family, the nurse identifies this family as which type?
A homeless family
A client will be hospitalized for at least three weeks following a serious automobile accident. How can the nurse best support this client's love and belonging needs during this hospitalization?
Allow a family member to stay at the bedside as much as possible. Be caring in the provision and planning of care.
The charge nurse is assigning client care for the upcoming shift. Which is the priority evaluation when performing this task?
Determine the level and intensity of client care needed according to physical and psychosocial factors.
A nurse is caring for an adolescent who has just lost a leg in a motor vehicle accident. Which human need would the nurse most likely need to address?
Self-esteem needs
A nurse is assessing a family with adolescents. The family consists of a father, mother, a 13-year-old son, a 14-year-old son from a previous marriage, and a 16-year-old daughter. Which statement by the parents would lead the nurse to suspect a potential risk factor for altered health with this family?
"Our 16-year-old just seems to butt heads with us at every turn."
A client says, "I live in a small community on the northwest side of the city." Why does the nurse consider it significant that the client reports living in a community rather than a neighborhood?
Community indicates people who share similar characteristics.
A community-based nurse acts as a case manager for a small town about 60 miles from a major healthcare center. What is the most important factor of community-based nursing for this nurse to be knowledgeable about?
Community resources available to clients
In conjunction with the client, the nurse has set the following client outcomes. Which client outcome reflects Maslow's level of self-esteem needs?
The client will verbalize feelings of increased confidence in performing a finger-stick blood sugar.
What is an example of a community risk factor?
Children are kept inside on a sunny day due to a lack of recreational opportunities.
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.
