Deck 37: Family Assessment and Concepts of Nursing Care in the Community

Question 1

Which aspect of an emergency medical services system (EMS) indicates the providers are prepared to provide emergency care to children?
1) Listing hospitals in the area that treat children
2) Having pediatric-sized equipment and supplies
3) Placing small stretchers in emergency vehicles
4) Educating staff related to assessment and treatment of children of all ages

Answer 1

4

Question 2

The nurse is preparing to collect data for a family assessment. Which nursing actions are appropriate? Select all that apply.
1) Conducting interviews
2) Observing interactions
3) Reviewing reports from the healthcare provider
4) Monitoring daily living patterns
5) Asking a family friend his or her opinion of the family

Answer 2

1, 2, 3, 4

Question 3

The nurse is developing an ecomap for a pediatric client and family. Which explanation should the nurse provide prior to beginning this task?
1) "It provides information about your family structure including family life events, health, and illness."
2) "It illustrates your family relationships and interactions with community activities including school, parental jobs, and children's activities."
3) "It is a short questionnaire of five questions that measures your family's growth, affection, and resolve."
4) "It is an assessment that consists of three categories of information about your family's strengths and problems."

Answer 3

2

Question 4

Which nursing actions will allow a family to further develop resilience when faced with an illness of a child? Select all that apply.
1) Teaching skills to provide care
2) Suggesting adaptations related to discipline
3) Providing positive reinforcement
4) Recommending the use of defensive coping strategies
5) Focusing on the weaknesses

Question 5

A 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 the class, and consults the school nurse. Which nursing action is appropriate?

A) Making arrangements for the child to go to a special school
B) Recommending that the child be home schooled
C) Asking the parents of the child to provide a caregiver during school hour
D)Teaching the teacher how to care for the child in the classroom

Question 6

The home health nurse is providing care to a 2-week-old newborn, and notes that the baby has a necklace with a charm around the neck. The parents state that they believe the charm will keep the baby healthy. Which nursing action is most appropriate?
1) Report the parent to Social Services for endangering the child.
2) Respect the parents' wishes and leave the necklace in place.
3) Remove the necklace and inform the parents that it is dangerous.
4) Ask the parents to remove the necklace.

Question 7

Which must the nurse realize prior to accepting any assignment as a home health nurse?
1) All decisions will be made by the healthcare provider.
2) Independent decisions regarding emergency care of the child will be made by the nurse.
3) The family will adapt their lifestyle to the needs of the nurse.
4) The family is in charge.

Question 8

Which actions are expected for a nurse who works in the school environment? Select all that apply.
1) Developing a plan for emergency care of injured children
2) Teaching a class on wellness to teachers and staff
3) Prescribing antibiotics for streptococcal pharyngitis
4) Diagnosing an ear infection
5) Screening for head lice

Question 9

Which pediatric client will the community health nurse assess first?
1) A 6-year-old who is wheezing and short of breath.
2) A 2-year-old who has been pulling at his ear.
3) A 2-month-old with a 2-day history of diarrhea.
4) A 10-year-old with a sore throat and low-grade fever.

Question 10

A 2-month-old infant with bronchopulmonary dysplasia (BPD) is being prepared for discharge from the neonatal intensive care unit. The infant will continue to receive oxygen via nasal cannula at home. Prior to discharge, the home health nurse assesses the home. Which finding poses the greatest risk to this infant?
1) Paint peeling on the walls
2) A wood stove used for heating
3) A sibling who has an ear infection
4) Small toys strewn on the floor

Question 11

A child who is dependent on a ventilator is being discharged from the hospital. Which will the nurse recommend for the emergency plan of care for this family during the discharge instruction process?
1) Designating an emergency shelter site
2) Notifying the power company that the child is on life support
3) Acquiring a backup generator
4) Having an alternate heating source if power is lost

Question 12

In which situation will the school nurse collaborate with the family and other members of the healthcare team in order to develop an individualized health plan (IHP)?
1) For a child who recently developed a penicillin allergy
2) For a child who has been treated for head lice
3) For a child who has missed 2 weeks of school due to mononucleosis
4) For a child who is newly diagnosed with insulin-dependent diabetes mellitus.

Question 13

The nurse is constructing a genogram as part of the family assessment process. Which will the nurse include in the genogram? Select all that apply.
1) Social class
2) Occupation
3) Place of residence
4) Social networks
5) Ethnicity

Question 14

The nurse is planning care for a pediatric client who has a fractured femur and requires a spica cast after being involved in a motor vehicle accident. The client's adolescent brother was driving the car, which was a total loss. The client's father lost his job 3 weeks ago and the mother has just accepted a temporary waitress job. Which is an appropriate nursing diagnosis for this child, and family, based on the current data?
1) Interrupted Family Processes related to a child with significant disability requiring alteration in family functioning.
2) Risk for Caregiver Role Strain related to a child with a newly acquired disability and the associated financial burden.
3) Impaired Social Interaction (parent and child) related to the lack of family or respite support.
4) Compromised Family Coping related to multiple simultaneous stressors.

Question 15

A community assessment conducted by the nurse reveals that the number of serious injuries in children has doubled in the past year. Which is the most appropriate nursing diagnosis when planning care to address the increased number of injuries?
1) Altered Family Processes related to hospitalization of an injured child
2) Risk for Injury related to inadequate use of bicycle helmets
3) Noncompliance related to inappropriate use of child safety seats
4) Knowledge Deficit related to injury prevention in children

Question 16

Which are resources that enable families to develop and adapt to stressors? Select all that apply.
1) Education
2) Communication
3) Prior experiences
4) Problem solving
5) Adequate finances

Question 17

The telephone triage nurse receives a call from a parent who describes a crowing sound when the 18-month-old breathes and the child is hard to wake up. Which is the appropriate nursing action?
1) Making an appointment for the child to see the healthcare provider
2) Obtaining the history of the illness from the parent
3) Advising the parent to hang up and call 911
4) Reassuring the parent and providing instructions on home care for the child

Question 18

The pediatric nurse is working as a first responder within the community after a tornado. Which nursing actions are appropriate? Select all that apply.
1) Providing first aid to the walking wounded
2) Assessing for panic reactions
3) Allowing a child to leave the scene unaccompanied by an adult
4) Administering immunizations
5) Discussing the situation with the local media

Question 19

Which is the priority topic the nurse will include when teaching newly hired teachers at a child care center within the community?
1) How to take a temperature
2) The schedule for immunizations
3) How to interpret healthcare records
4) Principles of infection control

Question 20

An adolescent client has a long leg cast secondary to a fractured femur. Which nursing action is most appropriate in order to effectively facilitate the adolescent's return to school?
1) Develop an individualized health plan (IHP) that focuses on long-term needs of the adolescent.
2) Meet with all of the other students prior to the student's return to school to emphasize the special needs of the injured teen.
3) Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair accessible.
4) Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.