Deck 19: Family Health Risks

Question 1

A home health nurse is preparing to terminate the first home visit with teenage parents and their new baby. Which of the following actions will the nurse take before leaving?

A)Determine the family's willingness for another home visit
B)Establish the purpose of the visit
C)Review the family's learning and other accomplishments of the visit
D)Review the family record and reason for referral

Answer 1

Review the family's learning and other accomplishments of the visit

Question 2

Which of the following clients would cause the nurse the most concern?

A)The client who is currently unemployed but actively seeking a position and frequently walking from one interview to another
B)The client who is not employed but spending time at the gym keeping fit and studying the benefits of organic natural uncooked foods
C)The client who is employed and often works 12 hours a day without moving from the computer desk
D)The client who is employed but always leaves promptly at 5:00 to pick up the children from the day care center

Answer 2

The client who is employed and often works 12 hours a day without moving from the computer desk

Question 3

Which of the following best describes the use of genomic health care?

A)Assists with understanding family relationships
B)Assists with determining familial health risks
C)Useful in learning about environmental risk factors
D)Useful in detecting risk for developing cancer

Answer 3

Assists with determining familial health risks

Question 4

A nurse is implementing risk reduction interventions with a family. Which of the following questions is most important for the nurse to ask?

A)"Did any of the hunters in your family kill a deer this year?"
B)"How do you keep your rifles safe from curious children?"
C)"Where do you shoot with your handguns?"
D)"Where do you keep your rifles locked when it is not hunting season?"

Question 5

Which of the following best describes a normative life event that can increase the risk for illness?

A)A family is involved in a motor vehicle crash.
B)A group of teens experiment with recreational drugs.
C)A woman is pregnant with her first child.
D)The family wage earner is laid off from his job.

Question 6

A nurse arrives at a home at the appointment time established with the client over the phone. However, no one answers the door. Finally a child comes out and says, "My mom said she couldn't see you and you should go away." Which of the following actions should be taken by the nurse?

A)Demand the child let the nurse into the home to talk to the mother.
B)Interview the child as to how the family is doing.
C)Leave a card with information on how to get in touch with the nurse .
D)Point out that legally once an appointment has been made the mother needs to be seen.

Question 7

A nurse is drawing a genogram. Which of the following would the nurse use to demonstrate a marriage relationship between two individuals?

A)A broken line
B)A dashed line
C)A solid line
D)Two parallel lines

Question 8

An occupational health nurse is developing an educational program to address the importance of healthy personal health habits. Which of the following topics would be most important for the nurse to address?

A)Avoidance of alcohol
B)Regular physical exercise
C)Daily consumption of calcium-rich foods
D)Monthly self-breast and testicular exams

Question 9

A nurse has completed health risk appraisals with several different families. Which of the following families would be of most concern to the nurse?

A)An older couple who has just retired and sold their house, who talk about their new condo in a retirement community.
B)Newlyweds who have been saving their money, who want to discuss birth control and family planning in preparation for future pregnancies.
C)Parents who come with their child for his pre-kindergarten physical exam and want to be sure all the child's immunizations are up to date.
D)A woman who is very pleased with her new position at the hospital and wants to have her pre-employment exam and drug screen.

Question 10

During which phase of the home visit does the nurse document what was accomplished?

A)Pre-visit phase
B)In-home phase
C)Termination phase
D)Post-visit phase

Question 11

Using the Neuman Systems Model, which of the following questions would the nurse ask a client to assess physiological health?

A)"What helps you to cope with situations involving your wife's cancer?"
B)"How has your child's illness affected the behavior of your other children?"
C)"Tell me about any illnesses your other family members have."
D)"Who do you turn to for support outside your immediate family?"

Question 12

A nurse is completing an initial home visit with a family. Which of the following actions should be taken first by the nurse?

A)Assess the family and the home setting for both strengths and problems.
B)Determine the family's expectations of a home visit.
C)Establish rapport between the nurse and the family.
D)Engage in extended social interaction as would be expected from any guest.

Question 13

A nurse is completing a health risk appraisal with a client. Which of the following comments would cause the nurse to probe further to determine if the family is in crisis?

A)"I can't visit my husband in the hospital when I'm at work all day. How can I be sure he's all right?"
B)"My husband always handled our finances. Now that he's gone, I'll have to learn how to do this."
C)"I don't know what to do now that my husband is dead. There is no way I can go back to work and also take care of our three children."
D)"What am I supposed to do now that everything we own is gone? Are there any agencies that can help me?"

Question 14

Which of the following families is at high risk for health problems?

A)A man agrees that he needs to eat better and exercise more but also expresses how busy he is at his job.
B)A man knows that his grandfather, father, and older brother all died of cardiac disease.
C)A man is currently unemployed and despairs about finding a position.
D)A man expresses disappointment that, having been laid off as an executive, his new position pays only about two thirds of his original salary.

Question 15

A nurse is appraising health risks. Which of the following questions would most likely be asked by the nurse?

A)"Does your 4 year-old have a booster seat in the car?"
B)"Have you noticed any physical problems as you go about your daily routine?"
C)"What concerns do you have today?
D)"Why did you decide to come in for a checkup?"

Question 16

A nurse is conducting a health risk appraisal. Which of the following activities is the nurse assessing when using this tool?

A)Health promotion activities
B)Illness prevention activities
C)Risk reduction activities
D)Unhealthy activities

Question 17

A home health nurse is about to visit a family at their home. However, the nurse is feeling uncomfortable about getting out of her car because a group of young adults across the street are drinking and fighting among themselves. Which of the following actions should be taken by the nurse?

A)Call the agency and ask what she should do.
B)Call the family, explain the situation, and try to reschedule.
C)Fulfill the nurse's commitment to the family and enter the home quickly.
D)Drive away and notify the family from a safer location.

Question 18

A nurse was preparing for a home visit to a family where the mother had just been discharged from trauma care after being hit by a drunk driver. The nurse hoped the family was able to care for her. Which of the following comments from the husband would suggest an energized family?

A)"I make most of the decisions so the kids don't notice much difference."
B)"My daughter is pretty independent; she's active in both sports and theater."
C)"My son is old enough to get a job and help pay all these medical bills."
D)"My wife taught our daughter how to cook simple meals."

Question 19

A home health nurse who is visiting a family for the first time asks, "Could we review your extended family and other persons or groups with whom you interact each week?" Which of the following provides the best rationale for the nurse asking this question?

A)To assess the family's environment and social resources and risks
B)To communicate with relevant others as needed
C)To determine financial assets available to the family in case of serious need
D)To understand the extended family relationships

Question 20

A nurse is working with a family member to reduce his health risk. Which of the following recommendations would most likely be made by the nurse?

A)"Be sure to take a 30-minute walk each day."
B)"Call our office if you have any questions or concerns at all."
C)"Come back in 2 weeks for follow-up on your surgery."
D)"Continue to take the drug until it is gone, even if you're feeling better earlier."

Question 21

A nurse calls a family to arrange for the first home visit. Which of the following information should the nurse share with the family? (Select all that apply.)

A)The reason for the visit
B)Everything the nurse knows about the family
C)How many visits will be planned
D)The cost of the visit and how this may be paid

Question 22

A nurse notes that the community has an unusually high prevalence of sexually transmitted infections among teens. Which of the following best describes a secondary prevention action the nurse could take?

A)Conducting a sexual behavior survey with the adolescents
B)Establishing in-school education related to transmission of sexual infections
C)Providing free condoms at schools and universities
D)Providing follow-up educational programs for those diagnosed with an STI

Question 23

A family asks the nurse to please meet at their home rather than at the clinic. Which of the following best describes why the family prefers to meet in their home? (Select all that apply.)

A)The family won't have to travel.
B)It is cheaper for the family because of reimbursement requirements.
C)Meeting at home is much more convenient for the family.
D)The nurse won't be distracted by other clients or responsibilities.
E)It would save money for the nurse and the clinic.

Question 24

Which of the following should be the initial consideration made by a nurse who is working with lesbian, gay, bisexual, and transgendered (LGBT) families?

A)Understanding of same sex marriage laws within the state
B)Understanding of personal feelings of working with members of this community
C)Assessment of the family structure within the LGBT family
D)Assessment of sexual orientation in a safe environment

Question 25

The nurse and the family have agreed on an ambitious goal to improve family functioning, but as the family later expresses with some dismay, they have not been able to change their behavior as easily and quickly as they had hoped. Which of the following must be remembered throughout this process? (Select all that apply.)

A)A reassessment of resources should be done if the plan does not work.
B)Individual family members must all be willing to make the plan their first priority.
C)Goals must be realistic and feasible.
D)Ongoing negotiation is central to the process.

Question 26

A nurse has been successful in creating improvement in a family's health. Which of the following characteristics is most likely displayed by the nurse?

A)Skilled at recognizing and strengthening the family's competencies
B)Skilled at obtaining referrals and resources for the family
C)Skilled at communication and interpersonal relationships
D)Skilled at assessing and naming the family's main problems

Question 27

A nurse wants to empower the family of a mother who has been newly diagnosed with breast cancer. Which of the following actions would the nurse most likely take?

A)Apply for emergency financial assistance on the family's behalf.
B)Arrange for community members to assist with child care.
C)Invite the mother to join a cancer support group.
D)Teach the family how to navigate the health care system.

Question 28

Which of the following factor(s) may help determine how many home visits are made to a particular family? (Select all that apply.)

A)Agency's policies regarding eligibility for services
B)Family's feelings about the home visit and willingness to continue
C)Nurse's perception of the amount of time needed to complete required tasks
D)Reimbursement policies of third-party payers

Question 29

A nurse has just witnessed the signing of an agreement between two parents in which the parents pledge not to yell at each other in the presence of their children. Which of the following is being demonstrated through this action?

A)Contracting
B)Crisis intervention
C)Empowerment
D)Strategic planning

Question 30

A nurse enters a family's home for the first time. Which of the following goals should the nurse have? (Select all that apply.)

A)Assessing each family member in detail both physically and psychologically
B)Collaborating with the family to establish goals and a plan for meeting them
C)Determining the exact relationship between each member of the family
D)Exploring the family's perception of their problems and needs