Question 1

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?

Accepted Answer

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." 
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." A

Question 2

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?

Accepted Answer

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?" 
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?" C

Question 3

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

Accepted Answer

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?" 
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?" C

Question 4

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?

Accepted Answer

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. 
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 5

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

Accepted Answer

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 
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 6

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

Accepted Answer

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

Question 7

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?

Accepted Answer

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

Question 8

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?

Accepted Answer

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 
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

Question 9

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

Accepted Answer

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 
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

Question 10

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?

Accepted Answer

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. 
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 11

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.)

Accepted Answer

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 
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 12

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

Accepted Answer

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. 
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 13

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?

Accepted Answer

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 
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 14

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

Accepted Answer

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. 
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 15

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?

Accepted Answer

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 
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 16

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

Accepted Answer

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. 
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 17

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

Accepted Answer

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?" 
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 18

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

Accepted Answer

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?" 
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 19

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

Accepted Answer

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 
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

Question 20

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?

Accepted Answer

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." 
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."

Exam 19: Family Health Risks

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 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?

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

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?

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

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 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?

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

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

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

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?

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

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

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

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

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?

Community-Oriented Nursing and Community-Based Nursing

The History of Public Health and Public and Community Health Nursing

The Us Health and Public Health Care Systems

Ethics in Community Health Nursing Practice

Cultural Influences in Nursing in Community Health

Environmental Health

Government, the Law, and Policy Activism

Economic Influences

Epidemiological Applications

Evidence-Based Practice

Using Health Education and Groups in the Community

Community Assessment and Evaluation

Case Management

Disaster Management

Surveillance and Outbreak Investigation

Program Management

Managing Quality and Safety

Family Development and Family Nursing Assessment

Health Risks Across the Life Span

Vulnerability and Vulnerable Populations: an Overview

Rural Health and Migrant Health

Poverty, Homelessness, Mental Illness, and Teen Pregnancy

Alcohol, Tobacco, and Other Drug Problems in the Community

Violence and Human Abuse

Infectious Disease Prevention and Control

HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases

Nursing Practice at the Local, State, and National Levels in Public Health

The Faith Community Nurse

The Nurse in Home Health and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

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