Deck 38: Family Assessment and Concepts of Nursing Care in the Community

Question 1

Prior to accepting an assignment as a home health nurse, the nurse must realize that:

A)All decisions will be made by the health care provider.
B)Independent decisions regarding emergency care of the child will be made by the nurse.
C)The family will adapt their lifestyle to the needs of the nurse.
D)The family is in charge.

Answer 1

The family is in charge.

Question 2

A group of nursing students are discussing job options. One of the students states that a position as a school nurse sounds interesting. In discussing the roles of the school nurse, the students will include: (Select all that apply.)

A)Developing a plan for emergency care of injured children.
B)Teaching a class on wellness to teachers and staff.
C)Prescribing antibiotics for streptococcal pharyngitis.
D)Diagnosing an ear infection.
E)Screening for head lice.

Answer 2

Developing a plan for emergency care of injured children.
Teaching a class on wellness to teachers and staff.
Screening for head lice.

Question 3

A 16-year-old client has a long leg cast secondary to a fractured femur. To effectively facilitate the adolescent's return to school, the school nurse should:

A)Develop an individualized health plan (IHP) that focuses on long-term needs of the adolescent.
B)Meet with all of the other students prior to the student's return to school to emphasize the special needs of the injured teen.
C)Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair-accessible.
D)Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.

Answer 3

Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair-accessible.

Question 4

The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. The nurse should:

A)Make an appointment for the child to see the health care provider.
B)Obtain the history of the illness from the parent.
C)Advise the parent to hang up and call 911.
D)Reassure the parent and provide instructions on home care for the child.

Question 5

As a component of the family assessment, the family assists the nurse in developing an ecomap. Prior to beginning the ecomap, the nurse explains that the ecomap:

A)Provides information about the family structure including family life events, health, and illness.
B)Illustrates family relationships and interactions with community activities including school, parental jobs, and children's activities.
C)Is a short questionnaire of five questions that measures family growth, affection, and resolve.
D)Is a family assessment that consists of three categories of information about the family's strengths and problems.

Question 6

The community health nurse is planning an education session for recently hired teachers at a child care center. It is most important that the nurse teach the staff:

A)How to take a temperature.
B)The schedule for immunizations.
C)How to interpret health care records.
D)Principles of infection control.

Question 7

The nurse is assigned to a child in a spica cast for a fractured femur suffered in an automobile accident. The child's teenage brother was driving the car, which was totaled. The nurse learns that the father lost his job three weeks ago and that the mother has just accepted a temporary waitress job. An appropriate diagnosis for this family is:

A)Interrupted Family Processes related to a child with significant disability requiring alteration in family functioning.
B)Risk for Caregiver Role Strain related to a child with a newly acquired disability and the associated financial burden.
C)Impaired Social Interaction (parent and child) related to the lack of family or respite support.
D)Compromised Family Coping related to multiple simultaneous stressors.

Question 8

A 2-month-old infant with bronchopulmonary dysplasia is being prepared for discharge from the neonatal intensive care unit. He will continue to receive oxygen via nasal cannula at home. Prior to discharge, the home health nurse assesses the home. Which of the following findings poses the greatest risk to this infant?

A)Paint peeling on the walls
B)A wood stove used for heating
C)A sibling who has an ear infection
D)Small toys strewn on the floor

Question 9

A child who is dependent on a ventilator is being discharged from the hospital. Prior to discharge, the home health nurse discusses development of an emergency plan of care with the family. Which of the following is the most essential part of the plan?

A)Designation of an emergency shelter site
B)Notifying the power company that the child is on life support
C)Acquisition of a backup generator
D)Provision for an alternate heating source if power is lost

Question 10

Prior to returning to school, an individualized health plan (IHP) will be developed for the child who:

A)Has recently developed a penicillin allergy.
B)Has been treated for head lice.
C)Has missed 2 weeks of school due to mononucleosis.
D)Is newly diagnosed with insulin-dependent diabetes mellitus.

Question 11

An assessment of a community has been conducted. The assessment revealed that the number of serious injuries in children has doubled in the past year. Based on this information, the most appropriate community nursing diagnosis is:

A)Altered family processes related to hospitalization of an injured child.
B)Risk for injury related to inadequate use of bicycle helmets.
C)Noncompliance related to inappropriate use of child safety seats.
D)Knowledge deficit related to injury prevention in children.

Question 12

A 5-year-old child who has had a tracheostomy for several years is scheduled to begin kindergarten in the fall. The teacher is concerned about this child being in her class, and consults the school nurse. The nurse should:

A)Make arrangements for the child to go to a special school.
B)Recommend that the child be home-schooled.
C)Ask the parents of the child to provide a caregiver during school hours.
D)Teach the teacher how to care for the child in the classroom.

Question 13

Several children have arrived at the walk-in clinic of a primary care facility. The child the nurse should assess first is:

A)A 6-year-old who is wheezing and short of breath.
B)A 2-year-old who has been pulling at his ear.
C)A 2-month-old with a 2-day history of diarrhea.
D)A 10-year-old with a sore throat.

Question 14

Which of the following aspects of an emergency medical services system is most indicative that EMS providers are prepared to provide emergency care to children?

A)Lists of hospitals in the area that treat children
B)Pediatric-sized equipment and supplies
C)Placement of small stretchers in emergency vehicles
D)Staff education related to assessment and treatment of children of all ages

Question 15

The home health nurse is providing care to a 2-week-old infant, and notes that the infant has a necklace with a charm around his neck. The parents state that they believe the charm will keep the infant healthy. The nurse should:

A)Report the parent to Social Services for endangering the child.
B)Respect the parents' wishes and leave the necklace in place.
C)Remove the necklace and inform the parents that it is dangerous.
D)Ask the parents to remove the necklace.