Nursing 101 - Ch. 4 - Health of the Individual, Family, and Community

Relatives such as aunts, uncles, and grandparents are part of what is known as the ? family

extended

The most essential of all basic human needs is ?

oxygen

According to Maslow's hierarchy of basic human needs, physical activity and rest are considered to be ? needs.

physiologic

A child with severe birth defects is born into a family. What is the risk factor category?

Biologic

A couple learns that their infant has sickle cell anemia. What is the risk factor category?

Biologic

A woman whose mother dies of breast cancer finds a lump in her breast during her monthly breast examination. What is the risk factor category?

Biologic

A 3-month-old infant fails to thrive because of malnutrition. What is the risk factor category?

Developmental

A family vacationing in Mexico becomes ill after drinking the local water. What is the risk factor category?

Developmental

A mother returns home from the hospital with a premature baby for whom she must provide care. What is the risk factor category?

Developmental

Families in a city ghetto area fear walking to school/work because of gang activity on their street. What is the risk factor category?

Environmental

A 13-year-old in her first trimester if pregnancy tells you she didn't think she could become pregnant that first time she had sexual relations. What is the risk factor category?

Lifestyle

A teacher reports to a teenage boy's parents that drugs have been found in his locker. What is the risk factor category?

Lifestyle

A 5-year-old girl accuses her uncle of touching her inappropriately. What is the risk factor category?

Psychosocial

A recently divorced single parent of a 2-year-old must return to work but cannot afford adequate childcare. What is the risk factor category?

Psychosocial

An older adult living with her son's family cannot tolerate what she feels is inadequate discipline of her grandchildren. What is the risk factor category?

Psychosocial

Two families are forced to live together in cramped conditions to make ends meet. What is the risk factor category?

Psychosocial

A nurse uses Maslow's hierarchy of basin human needs to direct care for patients on an intensive care unit. For which nursing activities is this approach most useful? a) Making accurate nursing diagnosis b) Establishing priorities of care c) Communicating concerns more concisely d) Integrating science for nursing care

b) Establishing priorities of care

The nurse caring for patients postoperatively uses careful hand hygiene and sterile techniques when handling patients. Which of Maslow's basic human needs is being met by the nurse? a) Physiologic b) Safety and security c) Self-esteem d) Love and belonging

b) Safety and security

Once physiologic needs are met, nurses can concentrate on meeting self-actualization needs of patients. What are examples of self-actualization needs according to Maslow's hierarchy of needs? Select all that apply. a) A nurse attains a master's degree in nursing by going to school in the evening. b) A nurse refers a patient's spouse to an Al-Anon group meeting. c) A student nurse takes a course in communication to improve her ability to relate to patients. d) A nurse raises the side rails on the bed of a patient at risk for falls. e) A nurse administers insulin to a patient with diabetes. f) A nurse subscribes to several nursing journals to stay abreast of developments in the profession.

a) A nurse attains a master's degree in nursing by going to school in the evening. c) A student nurse takes a course in communication to improve her ability to relate to patients. f) A nurse subscribes to several nursing journals to stay abreast of developments in the profession.

A nurse is practicing community-based nursing in a mobile health clinic. What typically is the central focus of this type of nursing care? a) Individual and family health care needs b) Populations within the community c) Local health care facilities d) Families in crisis

a) Individual and family health care needs

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? a) Setting up parenting classes b) Providing alcohol and drug information c) Screening for congenital defects d) Providing sex education

a) Setting up parenting classes

A nurse performs an assessment of a family consisting of a single mother, a grandmother, and two children. Which interview questions directed to the single mother could the nurse use to assess the affective and coping family function? Select all that apply. a) Who is the person you depend on for emotional support? b) Who is the breadwinner in your family? c) Do you plan on having any more children? d) Who keeps your family together in times of stress? e) What family traditions do you pass on to your children? f) Do you live in an environment that you consider safe?

a) Who is the person you depend on for emotional support? d) Who keeps your family together in times of stress?

The function of the family that helps a family member meet his or her basic needs by providing emotional comfort and helping to establish and maintain an identity in times of stress is ?

affective and coping

The nurse caring for families in a free health care clinic identifies psychosocial risk factors for altered family health. Which example describes one of these risk factors? a) The family does not have dental care insurance or resources to pay for it. b) Both parents work and leave a 12-year-old child to care for his younger brother. c) Both parents and their children are considerably overweight. d) The youngest member of the family has cerebral palsy and needs assistance from community services.

b) Both parents work and leave a 12-year-old child to care for his younger brother.

The nurse is prioritizing nursing care for a patient in a long-term care facility. Which examples of nursing interventions help meet physiologic needs? Select all that apply. a) Preventing falls in the facility b) Changing a patient's oxygen tank c) Providing materials for a patient who likes to draw d) Helping a patient eat his dinner e) Facilitating a visit from a spouse f) Referring a patient to a cancer support group

b) Changing a patient's oxygen tank d) Helping a patient eat his dinner

A nurse is providing family-centered care to patients in a community health care clinic. Which statements about the family unit are accurate? Select all that apply. a) According to Friedman, Bowden, and Jones (2003), the members of a group home would not be considered a family. b) The family is a buffer between the needs of individual members and society. c) The family should not be concerned with meeting the needs of society. d) Duvall (1985) identified critical family developmental tasks and stages in the family life cycle. e) The nuclear family is composed of two parents and their children. f) A blended family exists when parents adopt a child from another culture.

b) The family is a buffer between the needs of individual members and society. d) Duvall (1985) identified critical family developmental tasks and stages in the family life cycle. e) The nuclear family is composed of two parents and their children.

A nurse is caring for a family consisting of three middle-aged adults. Which examples describe developmental tasks of this type of family structure? Select all that apply. a) The family must adjust to the cost of family life. b) The family must maintain ties with younger and older generations. c) The family must prepare for retirement. d) The family must adjust to loss of spouse. e) The family must support moral and ethical family values. f) The family must cope with loss of energy and privacy.

b) The family must maintain ties with younger and older generations. c) The family must prepare for retirement.

A nurse is prioritizing care for patients in a hospital setting. Place the following examples of interventions to meet human needs in order from highest-level needs to lower-level needs based on Maslow's hierarchy: a) A nurse includes family members in the care of a patient. b) A nurse places a No Smoking sign on the door of a patient who is receiving oxygen. c) A nurse provides nutrition for a patient through a feeding tube. d) A nurse prepares a room for a clerical visit requested by a patient. e) A nurse helps a patient focus on her strengths following a diagnosis of breast cancer.

c) A nurse provides nutrition for a patient through a feeding tube. b) A nurse places a No Smoking sign on the door of a patient who is receiving oxygen. a) A nurse includes family members in the care of a patient. d) A nurse prepares a room for a clerical visit requested by a patient. e) A nurse helps a patient focus on her strengths following a diagnosis of breast cancer.

A home health care nurse who works in a low-income community assesses the risk factors for patients being served. What is an example of community risk factor? a) A woman finds out that she is genetically inclined to develop crippling arthritis. b) An 80-year-old man is at risk for falls in his home due to clutter in his hallways and stairways. c) Children are kept inside the home on a sunny summer day because of lack of recreational opportunities. d) A child is born with sever intellectual disability.

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

A visiting nurse working in a new community performs a community assessment. What assessment finding is indicative of a health community? a) It meets all the needs of its inhabitants b) It has mixed residential and industrial areas c) It offers access to health care services d) It consists of modern housing and condominiums

c) It offers access to health care services

A nurse caring for patients in a long-term care facility uses available resources to help patients achieve Maslow's highest level of needs; self-actualization needs. Which statements accurately describe these needs? Select all that apply. a) Humans are born with a fully developed sense of self-actualization. b) Self-actualization needs are met by depending on others for help. c) The self-actualization process continues throughout life. d) Loneliness and isolation occur when self-actualization needs are unmet. e) A person achieves self-actualization by focusing on problems outside self. f) Self-actualization needs may be met by creatively solving problems.

c) The self-actualization process continues throughout life. e) A person achieves self-actualization by focusing on problems outside self. f) Self-actualization needs may be met by creatively solving problems.

The number and availability of health care institutions and services would be considered a(n) ? risk factor

community

A nurse works with families in crisis at a community mental health care facility. What is the BEST broad definition of a family? a) A father, a mother, and children b) A group whose members are biologically related c) A unit that includes aunts, uncles, and cousins d) A group of people who live together and depend on each other for support

d) A group of people who live together and depend on each other for support

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

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

A nurse working in a "Aging in Place" facility interviews a married couple in their late seventies. Based on Duvall's Developmental Tasks of Families, which developmental task would the nurse assess for this couple? a) Maintenance of a supportive home base b) Strength of the marital relationship c) Ability to cope with loss of energy and privacy d) Adjustment to retirement years

d) Adjustment to retirement years

A nurse is caring for a 78-year-old male patient who has been hospitalized following a stroke. Which nursing action has the highest priority for this patient? a) Ensuring that the patient has family and friends visit him b) Helping the patient to fill out an advanced directives form c) Finding a safe environment for the patient upon discharge d) Measuring the patient's Input & Output during recovery

d) Measuring the patient's Input & Output during recovery

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? a) Love and belonging needs b) Safety and security needs c) Self-actualization needs d) Self-esteem needs

d) Self-esteem needs