Question 1

The nurse notes that a young female client lives in a homeless shelter with her children. Which characteristic is most likely associated with this client?

Accepted Answer

Homelessness is more common among single mothers who have never been married. It is not necessarily associated with widowhood or divorce/separation from a spouse.

Question 2

Which characteristic should the nurse remember when caring for a single mother? Select all that apply.

Accepted Answer

A,D,E

Question 3

The nurse prepares to assess a female client who is 25 years old. What should the nurse most likely expect when assessing this client's family structure?

Accepted Answer

At 25 years old, it is common for individuals to live with a sexual partner, reflecting modern trends in family structures and relationships.

Question 4

The nurse learns that a middle-aged client lives alone. What should the nurse consider when planning this client's care?

Accepted Answer

The nurse should consider that there is no one to help with care needs at home when planning care for a middle-aged client who lives alone. This may require additional support from healthcare providers or community resources to ensure the client's needs are met. A transfer to a skilled facility is not necessarily required and would depend on the client's individual needs and preferences. The client's finances and health insurance coverage may also be important considerations, but they do not directly address the issue of living alone and needing care.

Question 5

The community health nurse notes a large number of cohabitation households in the community. Which statement could explain the reason for this? Select all that apply.

Accepted Answer

There are multiple factors that could contribute to the prevalence of cohabitation households in a community, including easier access to reliable birth control, increased uncertainty about the stability of marriage, ease of separation compared to a marriage, and a reduced stigma associated with cohabitation and sexual relations outside of marriage. While some individuals may choose to cohabitate as a way to express that their relationship is different from a traditional marriage (option E), this is not necessarily a widespread driving force behind the trend. Therefore, only options A, B, C, and D are likely to be contributing factors to the observed prevalence of cohabitation households in the community.

Question 6

Immigration rates increased after the Immigration and Naturalization Act was amended in 1965. Which observation demonstrates the greatest impact of this act to the practicing nurse?

Accepted Answer

The Immigration and Naturalization Act of 1965 allowed refugees to resettle in the United States and have access to health care through resettlement programs. This would likely result in an increased number of refugee clients seeking health care services, which would therefore have the greatest impact on practicing nurses. Option A is incorrect because the act actually increased immigration rates, so there would likely be more, not fewer, clients from outside of the United States. Option B is incorrect because it is too specific to one particular language and culture, and there is no information supporting the idea that Chinese individuals would be the most common non-English-speaking clients seen by nurses. Option C is also incorrect because while there may be some undocumented immigrants seeking health care services, the act did not specifically address undocumented immigration and its impact on nursing practice would be less significant than that of increased refugee resettlement.

Question 7

When considering nursing care of families today, how will changing demographics affect the nurse's approach to care?

Accepted Answer

The answer of When considering nursing care of families today,...

Question 8

The nurse learns that a client is in a cohabitation living arrangement. What should this information indicate to the nurse?

Accepted Answer

The answer of The nurse learns that a client is...

Question 9

During a community fair presentation, a participant asks why health care costs continue to increase in the United States. How should the nurse respond? Select all that apply.

Accepted Answer

The answer of During a community fair presentation, a participant...

Question 10

The nurse prepares an educational program on the living arrangements of young adults for a community health fair. What should the nurse explain as an important difference between the young adults of today and those of previous generations?

Accepted Answer

According to recent studies, young adults today are spending more years living with their parents than previous generations. The reasons for this include increased student debt, higher cost of living, and delays in starting a career or achieving financial stability.

Question 11

The nurse notes that a preadolescent male with same-sex parents is scheduled for a wellness examination. Which of the following should the nurse keep in mind when caring for this client?

Accepted Answer

Same-sex parents may face social and legal discrimination, which can create emotional distress for the child. It is important for the nurse to be aware of this potential risk and provide appropriate support and resources. There is no evidence to suggest that this client is less developed or cognitively delayed compared to his peers simply because of his family structure.

Question 12

The nurse learns that an older female client lives alone. Which statement best explains the reason for this client's living arrangement?

Accepted Answer

This statement is a fact supported by research, as women generally have longer life expectancies than men. Therefore, it is more common for older women to outlive their spouses or partners and find themselves living alone. A and B are untrue, and C is a stereotype without evidence to support it.

Quiz 3: Family Demography: Continuity and Change in North American Families