Nurse Language

Priority Nursing interventions are geared to meeting the physiological needs of patients. What are examples of physiological needs according to Maslow's Hierarchy of needs? Select all that apply. A nurse washes her hands and puts on gloves before inserting a catheter into a patient. A nurse invites a patients estranged son to visit him. A nurse counsels an overweight teenager about proper nutrition. A nurse administers pain medication to a postoperative patient. A nurse attains a master's degree in nursing by going to school in the evening. A home care practitioner requests a quiet environment so her older adult patient can get some rest.

A nurse administers pain medication to a postoperative patient. A home care practitioner requests a quiet environment so her older adult patient can get some rest.

Which patient need has the highest priority? A patient who needs to ambulate to prevent DVT. A patient who is in isolation and feels lonely. A patient who recently lost her husband. An elderly patient who is at risk for falls.

A patient who needs to ambulate to prevent DVT.

Examples of qualities that individuals possess that indicate achievement of one's potential (Self Actualization)

Acceptance of self and others as they are. Focus of interest on problems outside of oneself. Ability to be objective. Feelings of happiness and affections for others. Respect for all people. Ability to discriminate between good and evil. Creativity as a guideline for solving problems and pursuing interest. Focusing on the person's strengths and possibilities rather than on the problems.

Which of the following family functions is met when the family provides emotional comfort to a child who is ill? Physical. Economic. Reproductive. Affective and coping. Socialization.

Affective and Coping

Family

Any group of people who live together and depend on one another for physical, emotional, and financial support.

A child with severe birth defects is born into a family. What type of risk factor would that be?

Biological

Biologic Risks

Birth defects. Mental retardation. Genetic predisposition to certain diseases including cardiovascular disease and cancer.

A home health care nurse who works in a low income community assess the risk factors for patients being serviced. What is an example of a community risk factor?

Children are kept inside the home on a sunny summer day because of lack of recreational opportunities.

Basic human needs

Common to all people; meeting these needs is essential for the health and survival of all people.

A mother returns home from the hospital with a premature baby for whom she must provide care. What type of risk factor would that be?

Developmental `

Families in a city ghetto area fear walking to school/ work because of gang activity on their street. What type of risk factor would that be?

Environmental

An example of a developmental risk factor is a family that has inadequate childcare for a preschool child when both parents are working. True or False?

False, This is an example of a Psychosocial Risk Factor.

Reproductive Family Function

Families have and raise children

Developmental Risk Factors

Families who have new babies, especially if support systems are unavailable. Older people, especially those living along or on a fixed income. Unmarried adolescent mothers who lack personal, economic, and educational resources.

In caring for a patient, the nurse recognizes which of the following as the primary educational and support structure for an individual? Family Members. Peers. Teachers and Coaches. Clergy.

Family Members

What nursing interventions are used to promote family Health?

Family planning clinics. Prenatal classes. Well child clinics. Dental health information. Parent support groups. Sex education. Mental health programs. Home Safety Information. Screening for chronic disease.

Are Love and Belonging lower or higher level needs?

Higher Level Needs

Psychosocial Risk Factors

Inadequate childcare resources. Inadequate income to provide safe housing, food, clothing, and health care. Conflict between family members

Extended family

Includes aunts, uncles, and grandparents

Lifestyle Risk Factors

Lack of knowledge about sexual and marital roles leading to teenage marriage and pregnancy, divorce, STI, child, spouse, or elder abuse. Alterations in nutrition. Chemical dependency. Inadequate dental care and hygiene. Unsafe or unstimulating (using electronics rather than face to face learning) home environment.

Environmental Risk Factors

Lack of knowledge or finances to provide safe and clean living conditions. Work or social pressures that cause stress. Air, water, or food pollution.

A teacher reports to a teenage boys parents that drugs have been found in his locker. What type of risk factor would that be?

Lifestyle

The nurse who is caring for a child admitted after an automobile accident recognizes the importance of including the child's family in the plan of care. Inclusion of the family meets which of Maslow's basic human needs?

Love and Belonging

Single parent family

May be separated, divorced, widowed, or never married

A nurse is caring for a 78 year old male patient who has bee hospitalized following a stroke. What nursing action has the highest priority for this patient?

Measuring the patients I & O during recovery.

Are Safety and Security needs strictly physical?

No, they are both physical and emotional.

What do physiologic needs include?

Oxygen, Water, Food and Elimination, Temperature, Sexuality, Physical Activity and Rest.

The wife of a comatose client wishes to wash the client's hair. Washing the client's hair meets which basic human need?

Physiologic

Maslow's Hierarchy of Needs from Bottom to Top include

Physiologic, Safety and Security, Love and Belonging, Self Esteem and Self Actualization.

Affective and Coping Family Function

Provide emotional comfort. Help family members establish their identity. Cope (maintain) in times of stress.

Economic Family Function

Provides financial aid

Physical Family Functions

Provides safe, comfortable environment necessary for growth and development, rest and recuperation.

A recently divorced single parent of a 2 year old must return to work but cannot afford adequate childcare. What type of risk factor would that be?

Psychosocial

What are ways a nurse can help a patient meet their Self Esteem needs?

Respecting values and beliefs. Encouraging patients to set attainable goals. Facilitate support from family.

A nurse who focuses attention on the strengths and abilities of patients rather than their problems is helping them to achieve which of Maslow's basic human needs?

Self Actualization

What is the highest need on Maslow's Hierarchy?

Self Actualization

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?

Self Esteem

A nurse is working at a community clinic that serves mostly families with young children. What would be a priority intervention for patients in this developmental stage?

Setting up parenting classes

Community

Specific population or group of people living in the same geographic area under similar regulations.

Socialization Family Function

Teaches and transmits beliefs, values, attitudes, and coping mechanisms. Provides feedback. Guides problem solving.

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 identify the S&S of hypoglycemia by January 22. The client will verbalize feelings of increased confidence in performing a finger stick blood sugar. The client will identify two people that can be called to assist with transportation to the physician's office by January 2. The client will ambulate 20 feet using a walker by March 23rd.

The client will verbalize feelings of increased confidence in performing a finger stick blood sugar.

Nuclear family

Traditional family; two parents and their children

A family can be defined as any group of people who live together and depend on one another for physical, emotional, and financial support. True or False?

True

The health care structure of a community has a direct effect on the health of the people living within it. True or False?

True

Blended family

Two parents and their unrelated children from previous relationships