Public Health Nursing Ch. 27

Which assessment question reflects the psychological component of the Neuman system model?

"Can you describe your relationship with your parents?"

Which statement by a family member correlates with coping through communication during a crisis?

"I can add some humor when appropriate."

Which patient statement indicates empowerment?

"I have reached my weight loss goal of 10 pounds."

Which statement describes the initiation phase of a home visit?

"I have reviewed the purpose of the home visit with the family."

Which statement by the nurse regarding family home visits requires correction?

"I will save the family a trip to the health department."

Which statement by the nurse regarding life-event risks requires clarification?

"This event describes the movement from one stage or condition to another."

Which patient is most likely to defer to the authority to the health care team?

A patient experiencing an emergency admission to the hospital

Which is a characteristic of an empowered family seeking help to improve their nutrition?

Ability to communicate

Which family developmental task would be expected of a newly married husband and wife? Select all that apply. One, some, or all responses may be correct.

Adjusting to pregnancy Fitting into the kin network Establishing a mutually satisfying marriage

Which community service would the nurse recommend to a cancer patient who lives alone?

American Cancer Society

Which nursing action is used to prepare for a home visit?

Assessing issues during the pre-visit phase

Which type of risk would be decreased in a patient who has cut excess sugar from his or her diet?

Behavioral

Which factor has a significant impact on a family's health risk? Select all that apply. One, some, or all responses may be correct.

Biological Behavioral Environmental

Which nursing action during the termination phase of home visits would require correction?

Complete recording of interaction with the family.

Which type of contract rewards the family with a gift card after completion of the agreement?

Contingency

Which is the goal of using an empowering approach when caring for a family?

Create a partnership between the nurse and the family.

Which national goal of Healthy People 2020 is particularly important for families? Select all that apply. One, some, or all responses may be correct.

Create social and physical environments that promote good health for all. Achieve health equity, eliminate disparities, and improve the health of all groups. Promote quality of life, healthy development, and healthy behaviors across all life stages.

Which nursing action can empower a family to make changes?

Defining the active role of family members

Which describes completion of the major task of the post-visit phase?

Documented visit and services provided

Which is a foremost predictor of health when planning approaches for risk reduction and health promotion?

Economic risk

Which environmental risk can affect the health of a family? Select all that apply. One, some, or all responses may be correct.

Economics Social factors Physical aspects

Which parental behavior decreases the likelihood of adolescents abusing substances? Select all that apply. One, some, or all responses may be correct.

Enforcing a nightly curfew Not keeping alcohol in the home Creating a family contract related to alcohol use

Which characteristic describes the energized family's ability to meet health needs? Select all that apply. One, some, or all responses may be correct.

Equal power structure Flexible role relationships A high degree of family member autonomy

On which task is a significant portion of a home visit spent? Select all that apply. One, some, or all responses may be correct.

Establishing a relationship Implementing the nursing process

Which nursing action takes place during the beginning phase of contracting?

Establishing the goals of the contract

Which action will the nurse take when a family refuses a home visit?

Explore the reason for the refusal.

Which coping strategy is a patient using when he or she attends church more often to reduce stress?

External

Which environmental factor has a significant impact on the development of an individual's health values and habits?

Family

Which describes the motivational premise of contracting with a family?

Family control

Which family developmental task would be undertaken by a mother of school-age children?

Fitting into the community

Which coping process is an example of a cognitive strategy that can be used by a family in crisis? Select all that apply. One, some, or all responses may be correct.

Gain useful knowledge. Collaborate in problem solving. Be accepting of the situation and others.

Which tool is used to assess the basic patterns of health and illness in families?

Genogram

Which tool can determine whether, and to what degree, a family risk factor is present?

Health risk appraisal

Which is a social risk to a family?

High-crime neighborhood

Which strategy can clarify the nurse's role when involving the family in the nursing process to promote self-care?

Implement contracting.

Which activity is performed during the in-home phase of conducting a home visit? Select all that apply. One, some, or all responses may be correct.

Implementing the nursing process Interacting socially to establish a rapport Introducing self and professional identity

Which benefit applies to telehomecare? Select all that apply. One, some, or all responses may be correct.

Improves patient self-care Improves patient education Improves patient satisfaction Decreases the length of hospital stay

Which activity is conducted during the pre-visit phase of a home visit? Select all that apply. One, some, or all responses may be correct.

Initiate contact with the family. Establish a shared perception with the family. Determine the family's willingness for a home visit.

Which phase of a home visit requires the nurse to establish a foundation for an effective therapeutic visit?

Initiation

Which concept will be considered when evaluating a family's health risk? Select all that apply. One, some, or all responses may be correct.

Lifestyle Life events Risk appraisal Family health

Which nursing action would be initiated for a family at risk of diabetes when the services of the nurse's agency are not appropriate?

Make a referral to the appropriate organization.

Which benefit of the Affordable Care Act is helpful for families? Select all that apply. One, some, or all responses may be correct.

Mental health coverage Coverage of pre-existing conditions Young adults can remain on parents' insurance until age 26

Which defines an activity occurring during the working phase of a contract?

Mutual setting of time limits

Which is a major advantage of home health promotion services? Select all that apply. One, some, or all responses may be correct.

Patient convenience Individualized service Patient control of the setting Relaxed environment for discussion

Which is a secondary prevention strategy to address family obesity?

Performing a health risk survey of the family

Which factor is likely to affect a home visit? Select all that apply. One, some, or all responses may be correct.

Personal safety m Origin of the referral Whether visit is voluntary or required

Which phase includes determining the most convenient time for the family to schedule a home visit?

Pre-visit

Which accurately describes telehomecare monitoring?

Requires less time per patient interaction

Which action will the nurse take when attempting to schedule a home visit with a patient who does not have a telephone?

Send a letter by mail.

Which nursing action can be used to help a family identify community resources?

Sharing information

Which will the nurse anticipate when conducting a home visit?

Spend between 30 and 60 minutes at the family's home for the visit.

Which interacting set of factors of the Neuman systems model defines a family's health? Select all that apply. One, some, or all responses may be correct.

Spiritual Physiological Psychological Developmental

Which process of coping for a family in crisis is considered an external strategy? Select all that apply. One, some, or all responses may be correct.

Spiritual Social support Community links

Which agency shares the responsibility for family health programs? Select all that apply. One, some, or all responses may be correct.

State government Local government Federal government

Which factor is a primary determinant of family health?

The family health care policy of the family's nation

Which will the nurse anticipate when conducting a voluntary home visit?

Use of an informal tone

Which lifestyle and environmental component associated with the leading causes of morbidity and mortality has received increased attention as a result of major advances in public health and science? Select all that apply. One, some, or all responses may be correct.

Violence Accidents Chronic diseases