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Family Health Nursing focuses on the holistic care of families and their members across the lifespan, emphasizing the promotion, maintenance, and restoration of health within the family unit. This course explores the dynamics of family structure, roles, and functions, and examines the impact of health and illness on families. Students will learn strategies for health assessment, disease prevention, and management of common family health issues, with attention to cultural, economic, and social factors influencing family health. The course also covers family-centered nursing interventions, communication, and collaboration with multidisciplinary teams to optimize health outcomes within diverse communities.
Recommended Textbook
Health Promotion Throughout the Life Span 8th Edition by Edelman
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25 Chapters
700 Verified Questions
700 Flashcards
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28 Verified Questions
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Source URL: https://quizplus.com/quiz/23834
Q1) In reviewing a person's medical claims, a nurse realizes that the individual with moderate persistent asthma has had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma management guidelines. The nurse discusses this with the person's primary care provider. In this scenario, the nurse is acting as a(n):
A) advocate.
B) care manager.
C) consultant.
D) educator.
Answer: B
Q2) Which model of health is most likely used by a person who does not believe in preventive health care?
A) Clinical model
B) Role performance model
C) Adaptive model
D) Eudaimonistic model
Answer: A
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Sample Questions
Q1) A family has recently become homeless. Which of the following factors most likely contributed to this situation?
A) Being from an ethnic minority background
B) Declining rates of poverty
C) Having multiple chronic illnesses
D) Being unable to find affordable housing
Answer: D
Q2) Which of the following individuals will most likely experience a disparity in health and health care? (select all that apply)
A) African American man
B) Unemployed woman
C) White middle-aged man
D) Single white woman
Answer: A, B, D
Q3) Which of the following best demonstrates the practice of transcultural nursing?
A) Using previous knowledge about ethnic minority cultures to plan care
B) Adapting nursing care to meet the need of a person from an ethnic minority
C) Requesting an interpreter when caring for a person from an ethnic minority
D) Attending a presentation about cultural diversity
Answer: B
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Sample Questions
Q1) Which of the following statements about the financing of health care in the United States is accurate? (select all that apply)
A) Employee-sponsored health insurance premiums experienced minimal increases from 2001 to 2011.
B) State tax dollars must fund at least 50% of a state's Medicaid cost.
C) The largest percentage of health care dollars is spent on hospital care.
D) Most workers who have an employer-sponsored health insurance plan are enrolled in preferred provider organizations (PPOs).
Answer: C, D
Q2) Which addition to a community best demonstrates the concept of the Healthy People 2020 report?
A) New cardiothoracic intensive care unit at a major hospital
B) New rehabilitation center
C) New recreational health center
D) New children's hospital
Answer: C
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Sample Questions
Q1) Which of the following is the first step in the valuing process?
A) Acting out the choice
B) Selecting from alternatives
C) Being happy with personal beliefs and actions
D) Choosing freely
Q2) A nurse is counseling someone who has recently been diagnosed with diabetes. The nurse says, "Tell me more about how this diagnosis has affected your daily activities." Which of the following best describes the type of communication the nurse is using?
A) Verbal communication
B) Nonverbal communication
C) Metacommunication
D) Functional communication
Q3) An individual reveals to the nurse that he is having an affair with his wife's best friend. Which of the following statements will enhance effective therapeutic communication between him and the nurse?
A) "You know that what you are doing is wrong."
B) "Why would you want do something like that?"
C) "How could you do that to your wife and children?"
D) "This affair seems to be troubling you."
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Sample Questions
Q1) A client is scheduled to have open-heart surgery. His physical condition is such that he is at high risk to experience complications during the procedure, but he has not been advised of this possibility. Which of the following ethical concepts has been ignored in rendering care for this client?
A) Beneficence
B) Autonomy
C) Justice
D) Informed consent
Q2) A nurse is providing care to a 15-year old female who has recently been diagnosed with a sexually transmitted infection (STI). Which of the following actions should the nurse take next?
A) Seek advice from an ethics expert.
B) Facilitate interaction between the adolescent and her parents/guardians.
C) Report the STI to the appropriate authorities.
D) Contact the adolescent's parents/guardians.
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Q1) Which individual is at risk for a dysfunction in elimination pattern? (select all that apply)
A) 46-year-old mother of two
B) 32-year-old African American man
C) 15-year-old girl
D) 72-year-old white woman
E) None of above
Q2) A 27-year-old woman has not received a Pap test i 3 1/2 n years. This assessment finding identifies an alteration in which functional pattern?
A) Health-perception-health-management pattern
B) Elimination pattern
C) Activity-rest pattern
D) Self-perception-self-concept pattern
Q3) A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?
A) Assessment
B) Implementation
C) Planning
D) Evaluation
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Sample Questions
Q1) A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take?
A) Study information regarding the family from agency records and other sources.
B) Make a contract with the family that states specific goals and objectives.
C) Identify how the home visit will be financed.
D) Understand the situation from the family's perspective.
Q2) A home care nurse is planning an intervention with a family focusing on decreasing susceptibility. Which of the following nursing interventions would be most appropriate to implement?
A) Education about building on current strengths of the family
B) Education about hand hygiene
C) Education about health care resources in the community
D) Education about child safety seats
Q3) A nurse is providing follow-up care for a family who has recently had a baby. Which of the following topics should the nurse anticipate discussing with the family?
A) Type 1 diabetes
B) Fetal alcohol syndrome
C) Communicable diseases
D) SIDS
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Q1) A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs?
A) Walk around the neighborhood.
B) Interview members of the community.
C) Obtain town morbidity and mortality rates.
D) Go to the town hall to obtain the number of parks in the community.
Q2) A nurse is working with a community that is experiencing an alteration in its values-beliefs pattern. Which of the following is most likely to result because of a disturbance in this functional health pattern?
A) Respiratory disorders
B) Hearing loss
C) Coronary artery disease
D) Stress
Q3) Which of the following is a stage of change? (select all that apply)
A) Reflection
B) Action
C) Maintenance
D) Acceptance
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Sample Questions
Q1) The proportion of people with a condition who correctly test positive when screened is known as:
A) sensitivity.
B) specificity.
C) validity.
D) efficacy.
Q2) A nurse is using a sweat test to screen people for cystic fibrosis. Which of the following results demonstrates poor sensitivity?
A) When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis
B) When 6 out of every 10 sweat tests performed are positive, but the six individuals do not actually have cystic fibrosis
C) When 6 out of every 10 sweat tests performed are negative, and the six individuals really do not have cystic fibrosis
D) When 6 out of every 10 sweat tests performed are positive, and the six individuals really do have cystic fibrosis
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Sample Questions
Q1) A nurse is developing learning objectives for an individual who has been recently diagnosed with asthma. Which is an example of an appropriately written psychomotor learning objective?
A) The individual will understand how to correctly use an inhaler.
B) The individual will realize the importance of using an inhaler correctly.
C) The individual will feel better when using the inhaler correctly.
D) The individual will demonstrate proper use of the inhaler.
Q2) An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy?
A) Communication
B) Values
C) Advanced planning
D) Empowerment
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Sample Questions
Q1) A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education?
A) "I drink skim milk on a regular basis."
B) "I try not to eat foods that have added salt on the label."
C) "I eat American cheese about once every 2 weeks."
D) "I add salt to many of the food that I eat to enhance the flavor."
Q2) A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?
A) "Vitamin E supplements are unnecessary, so I don't recommend you use this supplement."
B) "Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin ."
C) "Vitamin E supplements can interfere with the absorption of iron and create additional health problems."
D) "Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient."
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Q1) A nurse is developing an exercise program for a person with moderate osteoarthritis of the knees. Which of the following forms of exercise would the nurse include in this program?
A) Step aerobics
B) Running
C) Water aerobics
D) Bike riding
Q2) During an office visit, a nurse provides counseling to a 70-year-old woman with osteoporosis who is otherwise very healthy. Which of the following information should the nurse provide to the woman?
A) Avoid all forms of exercise because of the risk of fractures.
B) Walk with a partner at least 30 minutes a day 5 days a week.
C) Use a wheelchair to get around so that she can prevent falls.
D) Take a step aerobics class 5 days a week.
Q3) An inborn set of physiological changes that offset those of the fight or flight response is known as:
A) Self-efficacy
B) Catecholamine surge
C) Relaxation response
D) Metabolism
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Sample Questions
Q1) A nurse is explaining the relaxation response to a person. Which of the following statements would be most appropriate for the nurse to make?
A) "When the relaxation response is used, your sympathetic nervous system is activated and your pulse rate slows down."
B) "The relaxation response helps you to become more aware of your surroundings."
C) "Deep breathing is very effective in relaxing muscle groups and relieving stress."
D) "Holding your breath for 10 to 15 seconds will reduce your blood pressure and pulse rate."
Q2) The nurse in the pediatric oncology unit is working with a family whose toddler has been diagnosed with leukemia. The nurse can best assist the family to deal with this extrinsic stressor by doing which of the following? (select all that apply)
A) Setting treatment goals for them until they are able to do so themselves
B) Encouraging them to talk about their concerns
C) Discussing relaxation techniques such as guided imagery with them
D) Asking them if they would like to meet with a member of a pediatric oncology support group
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Sample Questions
Q1) The nurse has just discussed reflexology with an individual. Which of the following statements would the person make that demonstrates that learning has taken place?
A) Reflexology is a therapy that uses upper back massage to control tension and stress.
B) Reflexology uses massage of acupressure points to optimize positive energy flow.
C) Reflexology uses pressure applied to specific hand and foot areas to relieve tension.
D) Reflexology uses a squeezing or stretching motion to hands or feet to restore a positive energy flow.
Q2) The nurse has formulated a nursing diagnosis for a person with carpal tunnel syndrome of "Energy Field Disturbance r/t Slowing or Blocking of Energy Flow Secondary to Repetitive Motion Injury." Which of the following actions must the nurse take first when planning interventions for this person?
A) Move his or her hands over the person.
B) Obtain permission to use healing touch therapy.
C) Explain healing touch therapy.
D) Focus on the area of disturbed energy flow.
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Sample Questions
Q1) Which of the following statements is correct related to the concept of growth
A) Growth occurs mainly during early childhood.
B) Older adults do not experience growth-related changes..
C) Growth refers only to the increase in the size of specific organs and systems.
D) Growth occurs throughout the life cycle.
Q2) The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the child's weight?
A) The infant is gaining weight faster than anticipated.
B) The infant is malnourished.
C) The infant is at the expected weight for his or her age.
D) The infant is having a growth spurt.
Q3) According to Piaget's theory of cognitive development, which of the following statements is correct?
A) Cognitive function continues to become refined throughout life.
B) A child's greatest task is to make sense of the world around him or her.
C) Culture plays a major role in cognitive development.
D) Learning precedes development.
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Sample Questions
Q1) A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching?
A) "It is safe to eat up to 12 ounces of cooked fish weekly."
B) "I should avoid using caffeine during pregnancy."
C) "Consumption of one drink per day will not cause any harm to my unborn baby."
D) "Use of nicotine during pregnancy may cause my child to be born prematurely."
Q2) Which of the following statements about race and culture in the United States is correct?
A) The United States ranks 22nd in the world for infant mortality rate.
B) Ethnic minority populations have higher rates of low-birth-weight infants.
C) Black infants are more likely to have cleft palates than Native American infants.
D) Whites have more fraternal twin pregnancies than non-Whites.
Q3) During which week would pregnancy begin to pose health concerns for the fetus?
A) 36 weeks
B) 38 weeks
C) 40 weeks
D) 42 weeks
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Sample Questions
Q1) A nurse is completing a well-child assessment of a 6-month-old infant. Which of the following guidelines should be used when assessing the infant's height and weight?
A) CDC growth charts
B) CDC body mass index (BMI) charts
C) WHO growth standards
D) Denver Developmental Screening height and weight standards
Q2) The mother of a 4-month-old infant is concerned about the possibility of SIDS because her neighbor's daughter passed away last year as a result of SIDS. The mother reports she is so nervous that she has taken up smoking again. The mother informs you that the 4-month-old sleeps supine and takes a pacifier to help her fall asleep. Which of the following statements would be the best response from the nurse?
A) "You should place the infant in the bed with you until 6 months of age."
B) "You should never give the infant a pacifier while she is sleeping."
C) "You should try to stop smoking."
D) "You should place the infant on her stomach."
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Q1) A nurse is providing anticipatory guidance to parents about the self-perception-self-concept pattern of a toddler. Which of the following statements would the nurse most likely make?
A) "Temper tantrums are expected, so always give in to them."
B) "Put your toddler in time out if he has a temper tantrum."
C) "Childproof your home."
D) "Always provide your toddler with challenging toys."
Q2) A parent expresses her frustration over the constant fighting between her toddler and preschooler. Which of the following would be an appropriate response from the nurse?
A) Tell the mother not to worry about it and continue with the office visit.
B) Tell the mother this is normal behavior for the toddler, and she should be firm with the child without taking sides.
C) Say to the mother, "Don't you remember fighting with your sibling? Don't worry; everything will work out."
D) Say to the mother, "Don't worry; this behavior will all end soon."
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Sample Questions
Q1) A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic reaction?
A) Apple juice
B) Oatmeal raisin cookies
C) Jelly sandwich
D) Banana
Q2) Which of the following is the most common intraocular tumor in young children?
A) Neuroblastoma
B) Wilms tumor
C) Retinoblastoma
D) Leukemia
Q3) A 5-year-old is prescribed a medication that is renally excreted. Which of the following considerations should be made when the nurse examines the dosage of the medication?
A) The dosage should be lower than the recommended dose.
B) The dosage should be at the recommended dose.
C) The dosage should be higher than the recommended dose.
D) The medication should not be administered.
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Sample Questions
Q1) Parents of an 8-year-old boy tell the nurse that they are concerned about their son because he occasionally sleepwalks. Which of the following is the best response from the nurse?
A) "Sleepwalking is much more common in girls than boys."
B) "I am glad you mentioned this. Sleepwalking is sometimes a sign of a neurological deficit."
C) "Does he also have nightmares? Do the two problems often occur together?"
D) "This is not abnormal for a child of this age. He will most likely outgrow this tendency as his nervous system matures."
Q2) The school nurse has written a grant to obtain funding for a vision screening program and glasses for children in his pre-K to 6th grade elementary school. Which of the following statements should be included with the rationale for the need for funding?
A) Many preschool children are hyperopic and need glasses to prevent headaches.
B) Fewer than 10% of children entering school have had eye exams.
C) Vision screening can diagnose vision/eye problems before they become severe.
D) Approximately one in four children has a vision problem.
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Sample Questions
Q1) Which of the following disorders is characterized by males having an extra chromosome, typically being tall and initially thin, and not developing secondary sex characteristics?
A) Gynecomastia
B) Menstruation
C) Turner syndrome
D) Klinefelter syndrome
Q2) Which female disorder is characterized by only one X chromosome present instead of two?
A) Gynecomastia
B) Menstruation
C) Turner syndrome
D) Klinefelter syndrome
Q3) When do females usually begin puberty?
A) 1 year before males
B) 1 year after males
C) 2 years before males
D) 2 years after males
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Sample Questions
Q1) A 26-year-old client has a total cholesterol of 206 mg/dL and an LDL of 110. Which of the following conclusions can be drawn by the nurse?
A) The client has achieved the target levels for cholesterol in young adults.
B) The client has a very low risk of developing heart disease.
C) The client requires counseling about cardiac disease risk factors.
D) The client has early-onset cardiac disease.
Q2) An occupational health nurse is conducting a blood pressure screening. Which of the following clients is at greatest risk of mortality from cardiac disease? (select all that apply)
A) Black man with a blood pressure of 130/80
B) Mexican American man with a blood pressure of 110/60
C) White woman with a bold pressure of 120/80
D) Black woman with a blood pressure of 128/78
Q3) A nurse is planning a community health education program for young adults. Which of the following considerations should be made by the nurse?
A) The age span encompassing young adulthood is between 20 to 30 years of age.
B) The number one cause of death for young adults is injury.
C) The number of young adults in the United States is increasing.
D) The maternal mortality rate is at its lowest point since 1980.
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Sample Questions
Q1) Which of the following is a normal physiological change that occurs during middle age?
A) Increase in gastric emptying resulting in acid reflux
B) Reduction in height caused by kyphosis
C) Reduction of glomerular filtration by 50%
D) Increase in the amount of estrogen produced in both genders
Q2) An occupational health nurse is planning injury-prevention educational sessions. Which of the following considerations should be made by the nurse?
A) Education should be focused on workers with the least experience.
B) All workers need continued education related to safety issues.
C) OSHA rules apply to all companies with more than 25 employees.
D) Middle-age workers have the lowest rate of injury of any age group.
Q3) Which of the following statements about alcohol intake is correct?
A) Women have a higher death rate related to alcoholism than men.
B) A woman who drinks two glasses of wine per day with her evening meal is considered a moderate drinker.
C) More women than men are considered problem drinkers.
D) Women who experience fewer cognitive effects from drinking are less likely to drink heavily than do women who get a "buzz" from drinking.
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Sample Questions
Q1) A nurse is planning to write a grant for a health promotion project in the community. Which of considerations should the nurse make when determining the appropriate population for this project?
A) The fastest growing population is children under the age of 12.
B) The fastest growing population is young Black American adults.
C) The fastest growing population is White middle-age adults.
D) The fastest growing population is non-White older adults age 65 and older.
Q2) Which of the following statements is the best definition of polypharmacy?
A) The use of more than five medications prescribed by different physicians
B) The use of multiple medications for the same or different health problems
C) The use of multiple pharmacies and self-management of medications
D) The use of multiple medications and supplements simultaneously
Q3) Which of the following individuals would be at greatest risk of injury?
A) 80-year-old who does not have air conditioning or a fan
B) 70-year-old who has new dentures
C) 68-year-old who has difficulty tasting salt in food
D) 84-year-old who needs hearing aids
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Sample Questions
Q1) A school nurse is planning an educational presentation for high school students about violence. Which of the following statements would be included in the presentation? (select all that apply)
A) "Violent behavior happens when someone bullies another person."
B) "Withholding food from a child as a punishment is violent behavior."
C) "Collective violence occurs during an argument between two people."
D) "Painting a racial slur on a building is violent behavior."
Q2) A nurse is participating in disaster preparedness planning for the local community. Which of the following would be an appropriate responsibility for the nurse? (select all that apply)
A) Completing a risk assessment in the community
B) Implementing strategies to decrease posttraumatic stress disorder
C) Coordinating meetings among multiple agencies and disciplines
D) Evaluating the economic impact of the disaster
Q3) Which of the following information about anthrax is correct?
A) Anthrax is a viral infection.
B) Anthrax can cause skin lesions or pneumonia.
C) Anthrax is spread by person-to-person contact.
D) Anthrax is treated by IV penicillin for 30 days.
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