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Chapter 4: Health of the Individual, Family and Community

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Unit 1: Foundation of Nursing Practice Chapter 4: Health of the Individual, Family and Community
Alexandra Bozan
Quiz by Alexandra Bozan, updated more than 1 year ago
Alexandra Bozan
Created by Alexandra Bozan about 7 years ago
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Question 1

Question
A nurse is providing care based on Maslow's hierarchy of basic human needs. For which nursing activities is this approach useful?
Answer
  • Making accurate nursing diagnoses
  • Establishing priorities of care
  • Communicating concerns more conscisely
  • Integrating science into nursing care

Question 2

Question
The nurse is prioritizing nursing care for a patient in a long-term care facility. Which examples of nursing interventions help meet physiologic needs?
Answer
  • Preventing falls in the facility
  • Changing a patient's oxygen tank
  • Providing material for a patient who likes to draw
  • Helping a patient eat his dinner
  • Facilitating a visit from a spouse
  • Referring a patient to a cancer support group

Question 3

Question
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 this nurse?
Answer
  • Physiologic
  • Safety and security
  • Self-esteem
  • Love and belonging

Question 4

Question
The nurse caring for patient in a long-term care facility knows that the highest level on Maslow's hierarchy of needs is self-actualization needs. Which statements accurately describe the achievement of self-actualization?
Answer
  • Humans are born with a fully developed sense of self-actualization
  • Self-actualization needs are met by depending on others for help
  • The self-actualization pr0cess continues throughout life
  • Loneliness and isolation occur when self-actualization needs are unmet
  • A person achieves self-actualization by focusing on problems outside of self
  • Self-actualization needs may be met by creatively solving problems

Question 5

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

Question 6

Question
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?
Answer
  • Who is the person you depend on for emotion support?
  • Who is the breadwinner in your family?
  • Do you plan on having any more children?
  • Who keeps your family together in time of stress?
  • What family traditions do you pass on to your children?
  • Do you live in an environment that you consider safe?

Question 7

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

Question 8

Question
Shuba and Raul are a couple in their late seventies. According to Duvall, which developmental task is appropriate for this older adult family?
Answer
  • Maintain a supportive home base
  • Stengthen marital relationships
  • Cope with loss of energy and privacy
  • Adjust to retirement

Question 9

Question
A visiting nurse performs a community assessment in an area of the city in which the nurse will be working. What is one element of a healthy community?
Answer
  • Meets all the needs of its inhabitants
  • Has mixed residential and industrial areas
  • Offers access to health care services
  • Has modern housing and condominiums

Question 10

Question
A nurse is practicing community-based nursing in a mobile health clinic. What would be the central focus of this nurse's care?
Answer
  • Individual and family health care needs
  • Populations within the community
  • Local health care facilities
  • Families in crisis

Question 11

Question
The nurse performs an assessment of the client and the family to have a better understanding of client and family needs. Which of the following is an individual need?
Answer
  • Safety
  • Political
  • Socialization
  • Education

Question 12

Question
A nurse is caring for a patient diagnosed with pancreatitis. Which of the following is a priority need for nursing management?
Answer
  • Inability to take care of family
  • Acute pain in the abdomen
  • Depression due to recurring symptoms
  • Lack of self-confidence

Question 13

Question
Which of the following theorists supports the developmental framework of family assessment?
Answer
  • Bowen
  • Duvall
  • Satir
  • Minuchin

Question 14

Question
In caring for a patient, the nurse recognizes which of the following as the primary educational and support structure for an individual?
Answer
  • Teachers and coaches
  • Clergy
  • Family members
  • Peers

Question 15

Question
A comprehensive definition of family is that it is a social group with members who share common values, interact over time, and
Answer
  • evolve psychologically over time
  • participate in religious rituals
  • maintain order and safety
  • occupy specific positions

Question 16

Question
The parents of a blended family have a baby boy age six months who is due for immunizations. The clinic closes to their home has recently closed, and they feel intimidated by the prospect of going to the large, university hospital by their home. Which of the following factors is the primary influence on this aspect of the family's health?
Answer
  • Economic factors
  • Community health care structure
  • Lifestyle influences
  • Family risk factors

Question 17

Question
The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual?
Answer
  • Emotional dimension
  • Sociocultural dimension
  • Environmental dimension
  • Physical dimension

Question 18

Question
The nursing student asks the instructor to explain what a community is. Which statement by the instructor would be inappropriate?
Answer
  • Communities have few effects of the health of the individuals that live there.
  • A community provides resources and services that help to keep its members healthy
  • A community is a group of individuals who live in the same geographic area
  • The members of the community share some characteristic in common, such as cultural values.

Question 19

Question
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 nurses's suggestions?
Answer
  • Safety and security
  • Self-actualization
  • Self-esteem
  • Physiologic

Question 20

Question
Parents raising two school-aged children incorporate their religious beliefs into the family's daily life. The family's belief regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family?
Answer
  • Physical
  • Socialization
  • Reproductive
  • Affective and coping

Question 21

Question
The nurse is conducting a family assessment of a traditional family. Which assessment data cue describes the socioeconomic status of the family?
Answer
  • The family celebrates Hannukkah and Passover with special meals
  • The family consults the family rabbi and synagogue members during times of stress
  • The father is an engineer and the mother is an elementary school teacher
  • The family members vacation together every year at a family beach resort

Question 22

Question
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?
Answer
  • Involvement from significant others
  • Stress of education, job and parenting
  • Economic difficulties associated with parenting
  • Limited time in learning to be a marital partner

Question 23

Question
Which nursing diagnosis is the priority according to Maslow's hierarchy of basic needs?
Answer
  • Constipation related to decreased mobility
  • Risk for falls related to unsteady gait following stroke
  • Anxiety related to inability to cope with pending prognosis
  • Impaired social interaction related to disturbed body image

Question 24

Question
The community environment affects the well being of the individual and the family. Which of the following is the health responsibility of the family?
Answer
  • Provide educational facilities
  • Facilitate health care services
  • Maintain a healthy lifestyle
  • Provide recreational services

Question 25

Question
A nurse working with patients in a community is aware that which of the following is a true statement related to environmental factors in that community?
Answer
  • Environmental factors focus on the harmful effects on an individual's health
  • Barriers to accessing health care within a community may include lack of transportaion
  • Lack of health insurance is a negative environmental factor affecting one's access to health care
  • The quality of air and water are relatively consistent when comparing urban and rural environments

Question 26

Question
The nurse is implementing care for several clients. Which of the following clients is the nurse helping to reach the highest level of Maslow's hierarchy of basic human needs?
Answer
  • The nurse allows the client's family to sit quietly at the client's bedside after visiting hours
  • The nurse provides privacy for the client and family during times of prayer
  • The nurse teaches the daughter how to do a finger-stick blood sugar for her mother
  • The nurse teaches the son how to perform passive range of motion with his father

Question 27

Question
To best enhance the quality of life for senior citizens, which of the following should a community sponsor?
Answer
  • A senior center
  • Transportation to physicians
  • Church groups
  • Home health visits

Question 28

Question
A nurse in a wellness center is presenting a class on integrating holistic therapies with traditional health care. The nurse talks about the trend in health care to treat each client in a manner that reconnects their total being. Which of the following would best be considered a holistic approach to health?
Answer
  • Emotional and sexual contact
  • Physical, emotion, and spiritual well being
  • Healthy work environment
  • Financial success and post-secondary education

Question 29

Question
An adolescent confides in the school nurse that she is arguing daily with her mother, and she often wonders if her mother loves her. The school nurse recognizes that the student faces which of the following risk factors for altered family heath?
Answer
  • A biologic risk factor
  • A lifestyle risk factor
  • A developmental risk factor
  • A psychosocial risk factor

Question 30

Question
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?
Answer
  • Self esteem
  • Love and belonging
  • Self actualization
  • Safety and security

Question 31

Question
The nursing student is assessing a community in regard to safety and security. Which of the following would be inappropriate for the nursing student to include under this basic need category?
Answer
  • Police and fire departments
  • Sanitation facilities
  • Parks and swimming pools
  • Housing and zoning codes

Question 32

Question
The nurse provides the mother of a toddler with the phone number for the Poison Control Center. Which level of Maslow's hierarchy of needs is the nurse addressing?
Answer
  • Physiologic needs
  • Safety and security needs
  • Self-actualization needs
  • Loving and belonging needs

Question 33

Question
During the nursing assessment, the client shares that the family attends church nearly every Sunday. Which function of the family does this represent?
Answer
  • Socialization
  • Reproductive
  • Physical
  • Economic

Question 34

Question
A nurse is planning education on self-administration of insulin to the client and his family members. The client asks the nurse why the family members are also included in the teaching. What should the nurses' response be?
Answer
  • Family members are equally involved in planning and implementation of care
  • Family members are a point of contact and are able to check on your progress
  • Family members can take you to the hospital if any emergency occurs
  • Family members are at risk of developing diabetes mellitus in the future
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