LPN to RN Transition - Chapter 4
A new graduate nurse asks a nurse manager working at the community health center, "I've heard people talk about community health nursing and community-based nursing. Is there a difference?" Which response by the nurse manager would be appropriate?
"Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population." page 76
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?
"What can we do to help you meet any religious needs you may have?" page 69
A community is defined as a social group that may or may not share common geographic boundaries yet interact because of
Common interests page 74
The parents of a blended family have a baby boy age six months who is due for immunizations. The clinic closest to their home has recently closed, and they feel intimidated by the prospect of going to the large, university hospital near their home. Which type of factor is the primary influence on this aspect of the family's health?
Community health care structure page 75
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?
Grab bars are installed in a client bathroom to facilitate safe showering. Page 69
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?
Grab bars are installed in a client bathroom to facilitate safe showering. page 69
The epidemiology nurse finds a lower occurrence of influenza cases in a section of a large metropolitan city. Further research reveals higher influenza immunization rates in that section of the city. The nurse determines which probable cause for this occurrence?
Immunization has become a community norm. Page 76
The nurse is assessing a family parented by a 60-year-old grandmother and three school-age grandchildren. The nurse is aware that which problem may occur in a single-parent family at a greater level than in other types of families?
Increased financial concerns page 72
basic human needs
can be met or unmet in a variety of ways
Maslow's Hierarchy
physiological, safety & security, love/belonging - lower level needs self-esteem, self-actualization - higher level needs
A nurse is working as part of a group to address factors within the community affecting the health of the families in that community. Which area would the nurse identify as playing a role in contributing to altered health status?
Limited number of institutions providing health care Small number of recreational opportunities for adults and children Overlapping of industrial zones with residential zones page 74
The community environment affects the well-being of the individual and the family. Which is the health responsibility of the family?
Maintain a healthy lifestyle page 74-75
A client comes to the health center for a follow-up visit. Assessment reveals that the client is experiencing problems ambulating and moving about due to degenerative joint disease; in addition, the client is feeling isolated due to the limitations in mobility. The client also reports feeling anxious about the future related to the mobility issues and being unable to fulfill the role as the major provider. Which need would the nurse identify as the priority?
Mobility page 66
A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea?
sit with the client and ask them about their feelings page 70
The nurse is caring for an 85-year-old client hospitalized for dehydration. The nurse notices that the client is shivering and takes the client's temperature. The nurse notes an oral temperature of 97.8°F (36.6°C). The client also reports being "chilly." Which nursing action is most appropriate?
Offer the client an extra blanket. page 68
During the nurse's admission interview the client says, "I don't get too much rest because I am in nursing school and work full time to support myself and my kids." The nurse classifies this statement as an issue at which level of Maslow's basic needs?
Physiologic page 68
The nurse performs an assessment of the client and the family to have a better understanding of client and family needs. Which is an individual need?
Safety Page 66
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?
Safety and security Page 66
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 page 69
During the patient assessment, the client shares that the family attends church nearly every Sunday. Which function of the family does this represent?
Socialization page 72
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 page 76
Which theorist supports the developmental framework of family assessment?
Duvall page 72
A nurse is working with a single-parent family. When planning the care for this family, which need should the nurse anticipate as being a priority concern?
Financial concerns page 72
Which are stressors that affect the health of the family?
Inadequate childcare services page 74
The nurse enters the client's room in the acute care unit immediately after the client experiences a generalized tonic-clonic type seizure in bed. What is the first action the nurse should take?
Position the client in a side-lying position. page 68
A nurse in the emergency department assesses a 3-year-old child with a fractured femur, a hematoma on the back of the head, and multiple 1-cm round scabs and blisters on the upper back. The parents state that their child sustained the injuries by falling out of a high chair. What is the best action for the nurse to take?
Report the suspected child abuse to Child Protective Services. page 73
A young couple who have been married less than a year are having difficulty with adjusting to parenting. What is a contributing factor to this level of maladjustment?
Limited time in learning to be a marital partner page 72
What are examples of meeting physiologic needs according to Maslow's hierarchy of needs?
A nurse administers pain medication to a postoperative client. A home care practitioner requests quiet so that a client can sleep. page 68
A nursing student's parents are both physicians. The nursing instructor may feel the student has
Been socialized in healthcare Page 72
A nurse is assessing a family and identifying where the family is in the family life cycle. During this assessment, the nurse applies Duvall's theory. Which theory forms the basis for Duvall's theory?
Erikson's theory of psychosocial development page 72
The home health nurse is making an initial visit to a client's home. During the visit the nurse observes the mother cooking dinner, the father watching television with a child on the lap, and the grandmother in a rocking chair reading the Bible. The nurse recognizes this family structure as which of the following?
Extended family page 71
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?
Adjustment to retirement page 73
A nurse is evaluating a child for new onset of bedwetting. Which nursing action is the priority?
Collect a urine sample for the prescribed urinalysis (UA). page 68
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. page 74
The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual?
Sociocultural dimension page 71
A nurse is caring for a family consisting of three middle-aged adults. Which examples describe developmental tasks of this type of family structure?
The family must maintain ties with younger and older generations. The family must prepare for retirement. page 72
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. page 73
A nurse is developing a plan of care for a client to meet the client's safety and security needs. Which intervention would the nurse include?
Using aseptic technique when providing wound care Teaching the client about what to expect with upcoming surgery Administering prescribed medication at the required time Page 69
The nurse on the elective surgery floor receives a report that describes the client's abdominal wound dressing as having a moderate amount of yellowish and bloody drainage on it and a very foul smell. In planning for a dressing change, it is most important for the nurse to perform which action?
Wash the nurse's hands before and after the dressing change. page 69
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." page 73
A family that consists of two homosexual parents and three children living in the same house is an example of which type of family?
Nuclear page 71
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. page 72
The mother of three young children makes the following statements to the nurse working in community health. Drag and drop each statement in the order of priority from Maslow's basic priorities to Maslow's more complex priorities. Use all options.
1. Sometimes we run out of food the day before I get paid." 2. "There have been two murders in our neighborhood in the last year." 3. "My teenage son is so quiet. He works and goes to school all the time and doesn't have time for friends." 4. "I keep my kids' clothes clean, but we don't have money for the latest styles." 5. "I try to get along with our neighbors, but they are from a strange culture with weird ideas." page 70