1. The nurse is reviewing the medical records of the Clifford Family who has experienced
varying life crises. The nurse identifies which of the following as health risk factors? Select
allthat apply.
Answer
• Grandma Opal Clifford dies at the age of 98.
• Shirley Clifford is pregnant at the age of 15.
• Mr. Clifford is exposed to asbestos at work.
2. The home health nurse is making an initial visit to a client's home. During the visit she observes
the mother cooking dinner, the father watching television with a child on his lap, and the
grandmother in a rocking chair reading the Bible. The nurse recognizes this family structure as
which of the following?
Answer
- Extended family
3. 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 health?
Answer
A psychosocial risk factor
4. A nurse has the Petty Family as a client, who consists of a wife, husband, and their 4-year-
old daughter. The husband has been unemployed for 8 months, and they lost their apartment. The
family has been staying in neighborhood shelters and, on occasion, with the husband's father for a
night or two. Whenevaluating this family, the nurse identifies this family as which type?
Answer
A homeless family
5. 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 nurse's response be?
Answer
"Family members are equally involved in planning and implementation of care."
6. 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
Safety and security needs
7. The nurse is assessing the family structure of the client. The family house- hold is comprised
of two parents, three children, and one grandparent. The nurse recognizes that this is a(n)
Answer
Extended family.
8. The nurse recognizes that the community affects the ability of individuals to meet basic
human needs. Which example is not a characteristic of a healthy community?
Answer
The number of assaults increased 2% over the last year.
9. 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
10. A community is defined as a social group that may or may not share common geographic
boundaries yet interact because of
Answer
Common interests
11. 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?
, Answer
Measuring the patient's I&O during recovery
12. The nurse is assessing the communication style of the client. Communication is an
example of which dimension of the individual?
Answer
Sociocultural dimension
13. You are the community-based nurse who acts as case-manager for a small town about 60
miles from a major health care center. What is the
most important factor of community-based nursing for you be knowledgeable about?
Answer
Community resources available to patients.
14. The nurse is assessing a family parented by a 60-year-old grandmother and her 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?
Answer
Increased financial concerns
15. 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?
Answer
The father states, "I don't discuss money matters with my wife because I don't want her to
worry."
16. Which of the following statements is true regarding Friedman's theory of family-centered
nursing care?
Answer
The role of the family is essential in every level of nursing care.
17. The nurse is conducting a family assessment of a traditional family. Which assessment data
cue describes the socioeconomic status of the family?
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