Question 1

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. C

Question 2

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?" C

Question 3

A nurse calls a family to arrange for the first home visit.Which of the following information should the nurse share with the family?

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 A,D

Question 4

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

Accepted Answer

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 
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 5

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 6

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?"

Question 7

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."

Question 8

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 prekindergarten 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 preemployment 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 prekindergarten 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 preemployment exam and drug screen.

Question 9

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?"

Question 10

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 horizontal line 
B)  An X through a circle 
C)  A solid horizontal line 
D)  A solid vertical line 
A)  A broken horizontal line 
B)  An X through a circle 
C)  A solid horizontal line 
D)  A solid vertical line

Question 11

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?

Accepted Answer

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. 
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 12

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

Accepted Answer

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

Question 13

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 14

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 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 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 the family's main problems

Question 16

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."

Question 17

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

Accepted Answer

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. 
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 18

A nurse enters a family's home for the first time.Which of the following goals should the nurse have?

Accepted Answer

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 
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

Question 19

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 20

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

Accepted Answer

A)  Previsit phase 
B)  In-home phase 
C)  Termination phase 
D)  Postvisit phase 
A)  Previsit phase 
B)  In-home phase 
C)  Termination phase 
D)  Postvisit phase

Exam 19: Family Health Risks

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

A nurse calls a family to arrange for the first home visit.Which of the following information should the nurse share with the family?

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

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

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

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

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

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?

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

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

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

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 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?

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

A nurse enters a family's home for the first time.Which of the following goals should the nurse have?

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

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

Community- and Prevention-Oriented Practice to Improve Population Health

The History of Public Health and Public and Community Health Nursing

The Changing Ushealth and Public Health Care Systems

Ethics in Public and 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, Teen Pregnancy, and Mental Illness

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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