Term
| A nurse is applying for a position as a community-based nurse. Which type of assignments should this nurse choose to accept in this role? Select all that apply. |
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Definition
Visiting a client recently discharged from the hospital
Conducting an assessment on a family with a terminally ill child |
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Term
| 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? |
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Definition
| Family patterns of communication |
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Term
| The nurse is assessing the family structure of the client. The family household comprises two parents, three children, and one grandparent. The nurse recognizes that this is a(n): |
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Definition
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Term
| The nurse is explaining the expected developmental tasks of a typical family with adolescents. Which would be incorrect for the nurse to include? |
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Definition
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Term
| 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? |
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Definition
| Community indicates people who share similar characteristics. |
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Term
| What is an example of a community risk factor? |
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Definition
| Children are kept inside on a sunny day due to a lack of recreational opportunities. |
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Term
| The home health nurse is making an initial assessment visit to a family that consists of two parents and twin 3-year-old boys. During the interview, the nurse is most concerned if the client makes which statement? |
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Definition
| The father states, "I don't discuss money matters with my wife because I don't want her to worry." |
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Term
| The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual? |
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Definition
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Term
| 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? |
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Definition
| "Our 16-year-old just seems to butt heads with us at every turn." |
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Term
| Parents raising two school-aged children incorporate their religious beliefs into the family's daily life. The family's beliefs regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family? |
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Definition
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Term
| 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? |
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Definition
| Increased financial concerns |
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Term
| A nurse is planning education on self-administration of insulin to the client and the client's family members. The client asks the nurse why the family members are also included in the teaching. What should the nurse's response be? |
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Definition
| "Family members are equally involved in planning and implementation of care." |
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Term
| Which statement is true regarding Friedman's theory of family-centered nursing care? |
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Definition
| The role of the family is essential in every level of nursing practice. |
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Term
| The nurse is conducting a family assessment. Which assessment data cue describes the socioeconomic status of the family? |
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Definition
| One parent is an engineer and the other parent is an elementary school teacher. |
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Term
| Which client requires priority intervention by a nurse providing care on a medical-surgical unit? |
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Definition
| A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min |
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Term
| 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? |
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Definition
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Term
| 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? |
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Definition
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Term
| A client is admitted to the emergency department with a urinary tract infection and is experiencing a stress response from hospitalization. The client does not speak the same language as the hospital staff. What is the priority nursing intervention? |
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Definition
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Term
| A nurse is working at a community clinic that serves mostly families with young children. What would be a priority intervention for clients in this developmental stage? |
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Definition
| Setting up parenting classes |
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Term
| 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? |
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Definition
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Term
| A community is defined as a social group that may or may not share common geographic boundaries yet interact because of |
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Definition
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Term
| 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? |
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Definition
| "Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population." |
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Term
| The parents of a blended family have a male infant 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? |
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Definition
| Community health care structure |
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Term
| 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? |
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Definition
| Grab bars are installed in a client bathroom to facilitate safe showering. |
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Term
| 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? |
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Definition
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Term
| An adolescent informs the nurse of a desire to learn about birth control. What response by the nurse would gather additional data? |
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Definition
| “Would you like to tell me more?” |
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Term
| 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? |
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Definition
| Community resources available to clients |
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Term
| The nurse is explaining the expected developmental tasks of a typical family with adolescents. Which would be incorrect for the nurse to include? |
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Definition
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Term
| 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? |
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Definition
| "What can we do to help you meet any religious needs you may have?" |
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Term
| Client care dealing with nutrition and metabolism should include which factors? Select all that apply. |
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Definition
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Term
| 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? |
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Definition
| Emphasizing the client's strengths |
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Term
| 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? |
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Definition
| Erikson's theory of psychosocial development |
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Term
| 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? |
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Definition
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Term
| A nurse is implementing interventions that focus on protecting a client from physical and emotional harm. Which category of needs is the nurse addressing? |
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Definition
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Term
| A nurse is applying for a position as a community-based nurse. Which type of assignments should this nurse choose to accept in this role? Select all that apply. |
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Definition
Developing information sheets to distribute at the county fair
Attending meetings focused on community preparation for natural disasters
Organizing a free influenza immunization clinic |
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Term
| 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? |
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Definition
| Wash the nurse's hands before and after the dressing change. |
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Term
| A home health nurse is visiting a family after the recent death of their matriarch. The nurse observes that the family is dressed in black, all of the mirrors are covered, and that the immediate family is sitting on square wooden boxes instead of chairs. The nurse asks what is happening, and is told, "We are Jewish, and the family is 'Sitting Shiva'." This family is fulfilling which family function? |
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Definition
| affective and coping functions |
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Term
| A nurse is providing care to a client who is feeling lonely and isolated. In an effort to develop a trusting nurse–client relationship, the nurse exhibits a caring attitude, ensures the client's privacy, and spends time with the client to promote therapeutic communication. The nurse is meeting which category of client needs? |
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Definition
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Term
| A nurse working with clients in a community is aware that which is a true statement related to environmental factors in that community? |
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Definition
| Barriers to accessing health care within a community may include lack of transportation. |
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Term
| The community environment affects the well-being of the individual and the family. Which is the health responsibility of the family? |
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Definition
| Maintain a healthy lifestyle |
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Term
| A community health nurse is following Division of Community Health (DCH) guidelines to develop programs for the next year. On which program option will the nurse chose to focus? |
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Definition
| A research-based article that offers evidence that nutrition is improved when community gardens are developed. |
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Term
| 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? |
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Definition
| Position the client in a side-lying position. |
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Term
| What are examples of meeting physiologic needs according to Maslow’s hierarchy of needs? (Select all that apply.) |
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Definition
A home care practitioner requests quiet so that a client can sleep.
A nurse administers pain medication to a postoperative client. |
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Term
| A client is admitted to the emergency department following a tornado in which multiple people were killed or injured. The nurse applies direct pressure to an open wound on the client’s thigh while assuring the client that the weather has cleared. Which of Maslow’s basic human needs is the nurse addressing with the actions? Select all that apply. |
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Definition
Physiologic
Safety and security |
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Term
| Which are stressors that affect the health of the family? |
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Definition
| Inadequate childcare services |
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Term
| After assessing a group of clients, the nurse identifies issues related to unmet self-esteem needs. The nurse focuses interventions to meet this need for which client? Select all that apply. |
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Definition
Client who has undergone a below-the-knee amputation
Client who has facial scarring resulting from a significant burn injury
Client who no longer can work secondary to a brain injury
explaination
Self-esteem needs include the need for a person to feel good about himself or herself, to feel pride and a sense of accomplishment, and to believe that others also respect and appreciate those accomplishments. When a person's role changes, such as being unable to work secondary to a brain injury, self-esteem can be seriously altered because the person's responsibilities and relationships also change. A change in body image, such as a below-the-knee amputation or facial scarring from a burn injury, may also affect self-esteem. Fear about surgery or worry about the future reflect safety and security needs. |
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Term
| The nurse is preparing to make a home visit to evaluate a 3-week-old infant. The nurse knows that the parents are a lesbian couple. When planning appropriate nursing interventions for this family, which must the nurse do first? |
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Definition
| Assess for any personal biases about this nontraditional family structure. |
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Term
| A nurse is working with a single-parent family. When planning the care for this family, which need would the nurse anticipate as being a priority concern? Select all that apply. |
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Definition
shift in roles
financial concerns |
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Term
| An adolescent confides in the school nurse that the adolescent is arguing daily with her mother and often wonders whether her mother loves her. The school nurse recognizes that the student faces which risk factors for altered family health? |
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Definition
| A psychosocial risk factor |
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Term
| 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? |
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Definition
| Address the disease but also incorporate the mind, body, and spirit. |
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Term
| Which items represent lifestyle risk factors for altered family health? Select all that apply. |
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Definition
Ingestion of high-fat foods
Smoking by the parents
Inadequate dental hygiene |
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Term
| Which theorist supports the developmental framework of family assessment? |
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Definition
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Term
| A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea? |
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Definition
| sit with the client and ask them about their feelings |
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Term
| 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? |
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Definition
| Report the suspected child abuse to Child Protective Services. |
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Term
| 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? Select all that apply. |
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Definition
-Limited number of institutions providing health care
-Small number of recreational opportunities for adults and children
-Overlapping of industrial zones with residential zones |
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Term
| A family assessment of a father, mother, and four children has suggested the presence of several risk factors. Which aspect of the family's structure and function would be considered a psychosocial risk factor? |
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Definition
| The parents have a tumultuous relationship, with frequent separations in the past. |
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Term
| A community health nurse is following Division of Community Health (DCH) guidelines to develop programs for the next year. On which program option will the nurse chose to focus? |
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Definition
| A research-based article that offers evidence that nutrition is improved when community gardens are developed. |
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Term
| A nursing student's parents are both health care providers. The nursing instructor may feel the student has |
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Definition
| Been socialized in healthcare |
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Term
| The nurse is conducting a home assessment and suggests that the client’s family remove scatter rugs from the home and increase the lighting. Which basic human need is being addressed by the nurse’s suggestions? |
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Definition
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Term
| 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? |
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Definition
| Address the disease but also incorporate the mind, body, and spirit. |
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Term
| 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? |
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Definition
| Offer the client an extra blanket |
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Term
| 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? |
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Definition
| Limited time in learning to be a marital partner |
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Term
| The parents of a blended family have a male infant 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? |
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Definition
| Community health care structure |
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Term
| A family that consists of two LGBTQ+ parents and three children living in the same house is an example of which type of family? |
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Definition
Nuclear
A nuclear family is a group of people united by partnership and parenthood which consists of a pair of adults and their socially recognized children. An extended family includes aunts, uncles, and grandparents. A blended family is also a traditional family formed when parents bring unrelated children from previous relationships together to form a new family. A single-parent family involves one parent and may be the result of marital separation or divorce, the death of a spouse, or the parent never having been married. |
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Term
| Place the following nursing interventions in order of priority according to Maslow’s hierarchy of basic needs. |
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Definition
The nurse teaches the client about foods high in fiber.
The nurse teaches the client's daughter how to safely administer the client’s insulin.
The nurse assists the client in making a phone call to the client’s daughter.
The nurse positions the bed of the Muslim client who is bedfast toward Mecca.
The most basic level in the hierarchy, physiologic need of elimination, would be addressed when the nurse teaches the client about foods high in fiber. By teaching the daughter how to administer the client’s insulin, the nurse meets that client’s physical safety needs. The nurse facilitates the love and belonging needs of the client when assisting the client in making a phone call to the client’s daughter. The nurse who positions the bed of the Muslim client who is bedfast toward Mecca is helping the client to reach self-actualization, the highest level on the hierarchy. |
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Term
| The nurse assesses a client who is postoperative day 1 following a total abdominal hysterectomy. Assessment data includes blood pressure (BP) 150/88 mm Hg, heart rate (HR) 100 beats/min, respiratory rate (RR) 22 breaths/min with a pain scale of 8 on a scale of 1 to 10. The abdominal dressing is clean, dry, and intact. The client’s prescriptions indicate ambulation today. Which is the priority nursing action? |
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Definition
| Medicate the client for pain as prescribed by the health care provider. |
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Term
| 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? |
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Definition
| Immunization has become a community norm. |
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Term
| A school nurse is providing orientation to a nurse hired to provide care at a new elementary school opening in the district. The orienting nurse would ask for additional clarification about which statement made by the newly hired nurse? |
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Definition
| “I would like to engage our dyadic nuclear families in activities to strengthen their parent-child bonds.” |
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Term
| Nursing, as a profession, has long held the belief that providing nursing care to an individual client means providing nursing care to the entire family. What does this mean when put into a holistic framework of client care? |
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Definition
| Active participation by individuals and families in health promotion is integral to this framework of client care. |
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Term
| Which intervention performed by the nurse is most appropriate for assisting a client in meeting safety and security needs based on Maslow's Hierarchy of Needs? |
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Definition
| Providing the mother the phone number for the Poison Control Center |
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Term
| A nurse is assisting a neurologist, who is assessing the norepinephrine (noradrenaline) level of a client who is reporting stress. Which function does norepinephrine (noradrenaline) perform? |
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Definition
| heightens arousal and increases energy |
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