Primary Health Care Nursing
Final Test Solutions
Course Introduction
Primary Health Care Nursing focuses on the foundational principles and practices of nursing within the context of primary health care. The course explores health promotion, disease prevention, and community-based approaches essential for delivering comprehensive, person-centered care. Students learn about assessment, planning, and implementation of care strategies in diverse settings, including clinics, schools, and community organizations. Emphasis is placed on collaboration with multidisciplinary teams, cultural competence, advocacy, and addressing the social determinants of health. Through case studies and practical experiences, students develop skills to improve health outcomes for individuals, families, and communities, supporting the goal of accessible and equitable health care for all.
Recommended Textbook
Family Health Care Nursing Theory Practice and Research 6th Edition by Kaakinen
Available Study Resources on Quizplus
17 Chapters
200 Verified Questions
200 Flashcards
Source URL: https://quizplus.com/study-set/244
Page 2
Chapter 1: Family Health Care Nursing: An Introduction
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/3833
Sample Questions
Q1) The spouse of a client with complex care needs is unavailable to attend a care conference at 2 p.m. What should the nurse do to support family nursing care?
A) Have the client attend in place of the spouse
B) Schedule the conference when the spouse is available
C) Ask the spouse to telephone in during the time of the conference
D) Provide the spouse with outcomes determined during the meeting
Answer: B
Q2) The nurse notes that a client has been previously married and participates in raising the current spouse's children from a previous marriage. How should the nurse document this family type?
A) Extended
B) Cohabitation
C) Nuclear dyad
D) Reconstituted
Answer: D
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Theoretical Foundations for the Nursing of Families
Source URL: https://quizplus.com/quiz/3834
Sample Questions
Q1) The nurse works in an environment in which a family therapy theory serves as the model for assessing and planning care. Which data should the nurse expect when assessing the family?
A) Pathology
B) Health problem
C) Illness treatment
D) Normal trajectory
Answer: A
Q2) The nurse is struggling with using a developmental model when assessing a family new to a community. Which data could explain the difficulty the nurse is having using this model?
A) The parental units are same-sexed.
B) The youngest son is beginning college.
C) The middle child is attending high school.
D) The oldest daughter has just gotten married.
Answer: A
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Family Demography: Continuity and Change in
North American Families
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3835
Sample Questions
Q1) The nurse learns that a client is in a cohabitation living arrangement. What should this information indicate to the nurse?
A) Higher risk for divorce if the couple marries
B) Financial inability to obtain needed health care
C) Children are at a higher risk for behavioral problems
D) Health care decisions can be made on behalf of each other
Answer: B
Q2) Immigration rates increased after the Immigration and Naturalization Act was amended in 1965. Which observation demonstrates the greatest impact of this act to the practicing nurse?
A) There will be fewer clients from outside of the United States.
B) Chinese interpreters will be needed most often.
C) A large number of clients will be considered undocumented immigrants.
D) Refugees will have access to health care through resettlement programs.
Answer: D
To view all questions and flashcards with answers, click on the resource link above. Page 5
Study Resources on Quizplus for this Chatper
Source URL: https://quizplus.com/quiz/3836
Sample Questions
Q1) The nurse notes that the community health clinic has added a section for "family" on the assessment form. Which definition is most likely being used for "family"?
A) Biologically related members
B) Anyone who lives in the same residence
C) Anyone who the client says is the family
D) Two or more people living together related by birth, marriage, or adoption
Q2) The nurse learns that a child being seen in the community clinic has health coverage through the State Children's Health Insurance Program (CHIP). What does this coverage indicate to the nurse?
A) The child has a chronic disability.
B) The child receives special education.
C) The child is being raised in a single-parent family.
D) The child has no insurance and is not eligible for Medicaid.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Family Nursing Assessment and Intervention
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/3837
Sample Questions
Q1) Which of the following are characteristics of the Friedman Family Assessment Model? Select all that apply.
A) Family is an open system
B) Views families as subsystems of the wider society
C) Identifies family conflicts and patterns of violence
D) Focuses on family structure, function, and relationships
E) Used when the family-in-community is the setting for care
Q2) The nurse learns that a family is moving and will no longer be able to meet with the nurse for continuing care. What should the nurse do as this relationship is terminated?
Select all that apply.
A) Write a therapeutic letter
B) Schedule a summary meeting
C) Ask the physician to write a letter
D) Encourage the family to keep in touch
E) Refer to resources in the new community
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Family Health Promotion
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3838
Sample Questions
Q1) The nurse prepares to implement a care contract for a family. In which order should the nurse implement the components of the contract? All choices must be used.
A) Develop a plan
B) Evaluate the outcomes
C) Assign responsibilities
D) Determine the time frame
E) Modify, renegotiate, or terminate the contract
F) Set the goal, environmental planning, and reinforcement
G) Complete a family assessment of wellness and identify areas for improvement
Q2) Which factor(s) should the nurse identify as influencing the promotion of a family's health? Select all that apply.
A) Being a role model
B) Teaching self-care behavior
C) Supporting family member during illness
D) Focusing primarily on younger family members
E) Providing care for members across the life course
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 7: Nursing Care of LGBTQ Families
Available Study Resources on Quizplus for this Chatper
10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/3839
Sample Questions
Q1) During a health assessment a middle-aged homosexual male asks the nurse not to document his sexual preference because his primary health care provider is not aware. What should this request indicate to the nurse?
A) Fear of not receiving required care
B) Fear of having to pay more for care
C) Fear that family members will be discriminated against
D) Fear of not having anyone to help as aging occurs
Q2) The nurse notes that a transgender male has elevated liver enzymes and poor bone density. What should the nurse consider as a reason for these findings?
A) Poor calcium intake
B) High intake of alcohol
C) Masculinizing hormone therapy
D) Chronic use of tobacco and substances
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Genomics and Family Nursing Across the Life
Span
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/3840
Sample Questions
Q1) A female learns of a genetic predisposition to breast cancer. What should the nurse identify as being the first line of defense for this person to be?
A) More frequent mammograms to detect early cell changes
B) Radical mastectomy to prevent the development of cancer
C) Counseling to consider adoption to decrease the spread of breast cancer
D) Grief and end-of-life counseling for family members experiencing breast cancer
Q2) The nurse plans to attend a continuing education program for genetics. In which situations will the nurse use this knowledge?
A) In all health care settings
B) When caring for childbearing families
C) Only after being credentialed as a genetics nurse
D) After a genetic condition is diagnosed in a family
Q3) A family learns that their newborn has a genetic anomaly. Which statement best describes what genes control?
A) Major organs of the body
B) Personality characteristics of a person
C) Ability to learn across the life span
D) Functions of the human body at the cellular level
To view all questions and flashcards with answers, click on the resource link above. Page 10
Chapter 9: Families Living With Chronic Illness
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3841
Sample Questions
Q1) The nurse is preparing a presentation about the needs of family caregivers for a senate hearing on caring for people with chronic health problems. What should the nurse suggest as positive actions to improve the economic status of these caregivers? Select all that apply.
A) Implement flextime
B) Provide a tax credit for caregiving
C) Expand funding for the National Family Caregiver Program
D) Reduce the fees for placing chronically ill family members into skilled facilities
E) Include the care of extended family members through the Family and Medical Leave Act
Q2) The nurse notes that a family including a member with end-stage renal disease is feeling emotionally drained. On what should the nurse focus when assessing this core process? Select all that apply.
A) Culture
B) Control
C) Language
D) Attachment
E) Commitment
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Families in Palliative and End-of-Life Care
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3842
Sample Questions
Q1) The spouse of a client nearing death is concerned because the client's breathing is "so noisy." How should the nurse refer to the client's respiratory status when talking with the spouse?
A) Pneumonia
B) Congestion
C) Death rattle
D) Fluid in the lungs
Q2) The family of a client receiving palliative care for a terminal illness hesitate to call for the nurse since all staff seem to be too busy to address the client's needs. Which action should the nurse take to improve the connection with the family?
A) Vary the number and type of caregivers who respond to the client's needs
B) Enter the room and stand or sit at the bedside to talk with the client and family
C) Provide the family with reading material that explains the role of palliative care
D) Attend to infusions and environmental issues while talking with the client and family
To view all questions and flashcards with answers, click on the resource link above.
Chapter 11: Trauma and Family Nursing
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3843
Sample Questions
Q1) During a home visit the nurse believes that a client receiving treatment for post-traumatic stress disorder (PTSD) is improving. Which signs of resiliency did the nurse assess to make this clinical determination? Select all that apply.
A) Maintaining a positive attitude
B) Asking for help when needed
C) Expressing gratitude for help
D) Sitting quietly with minimal conversation
E) Waiting for a family member to prepare food
Q2) The nurse notes that a client who returned from war is having difficulty remembering recent events and is unable to perform simple self-care tasks. Which part of the client's physiology is responsible for thesebehaviors?
A) Amygdala
B) Hippocampus
C) Adrenal glands
D) Prefrontal cortex
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13
Chapter 12: Family Nursing With Childbearing Families
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/3844
Sample Questions
Q1) Although the nurse desires to use Duvall's Family Developmental Theory to guide the care of a family, the nurse decides against it. Which is the major reason for the nurse to make this decision?
A) The theory does not use the life-span approach.
B) The theory is based on individuals rather than families.
C) The theory does not include family life before having children.
D) The theory is based on traditional nuclear families and does not address diverse family structures.
Q2) The nurse plans care for a postpartum client arriving for a wellness visit. What should the nurse tell the client about postpartum depression?
A) Most mothers recognize the symptoms.
B) Most mothers are reluctant to ask for professional help.
C) Most fathers and mothers become depressed after the birth of a child.
D) Most health care providers confuse postpartum depression with anxiety.
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Family Child Health Nursing
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3845
Sample Questions
Q1) During a home visit the nurse learns that a family is experiencing a situational transition. Which event most likely occurred in this family?
A) Parents filed for divorce
B) Child diagnosed with cystic fibrosis
C) Oldest daughter accepted into college
D) Grandparent retired from a full-time job
Q2) A family with a child diagnosed with cystic fibrosis has newly relocated to a community. Which health trajectory will the nurse use as a guide for this family's care?
A) Chronicity
B) Uncertainty
C) Degenerative
D) Gradual onset
Q3) Which phrase most accurately characterizes the purpose for family child health nurses to practice family-centered health care?
A) Form partnerships between families and nurses
B) Provide consistently high-quality care for all families
C) View the nurse as the constant in family and child health
D) Foster partnerships between members of different families
To view all questions and flashcards with answers, click on the resource link above.
15
Chapter 14: Family Nursing in Acute Care Adult Settings
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/3846
Sample Questions
Q1) A client is recently admitted to a medical-surgical care area. Which action should the nurse take to help reduce the family's stress? Select all that apply.
A) Clarify information
B) Facilitate family conference
C) Provide time for the family to visit
D) Recognize the uniqueness of the family
E) Identify one person to provide information
Q2) A client is newly admitted to the intensive care unit for an acute illness. Which of the following family needs do the client's family require during this time? Select all that apply.
A) Comfort
B) Teaching
C) Proximity
D) Assurance
E) Information
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16
Chapter 15: Family Health in Mid- and Later Life
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3847
Sample Questions
Q1) The nurse learns that a grandparent will be the guardian of a grandchild. Which relationship is the strongest predictor of the grandparent-grandchild relationship?
A) Father and child
B) Mother and father
C) Father and grandparent
D) Mother and grandparent
Q2) The nurse prepares to use the FAMILY tool to assess a client and family. Which of the following will the nurse assess with this tool? Select all that apply.
A) Years of age
B) Members' needs
C) Assistance needed
D) Family involvement
E) Integration into care plan
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Family Mental Health Nursing
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3848
Sample Questions
Q1) A child with attention deficit-hyperactivity disorder is prescribed a stimulant. What about this medication should the nurse instruct the family? Select all that apply.
A) It can lead to slow bone growth.
B) A long-acting form is available.
C) Regular health checkups are required.
D) This medication will cure the disorder.
E) Impulsive behaviors will be eliminated.
Q2) A client with a major depressive disorder is prescribed a serotonin reuptake inhibitor. What should the nurse instruct the family to do in order to prevent this client from developing serotonin syndrome?
A) Do not provide any herbal supplements.
B) Ignore mild fevers as they commonly occur with this medication.
C) Stop the medication if excessive sleeping occurs.
D) Double the dosage of the medication if diarrhea occurs.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 17: Families and Community and Public Health
Nursing
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3849
Sample Questions
Q1) The nurse compares the Ottawa Charter for Health Promotion with the Population Health Promotion Model. Which is a major difference between these two approaches to population care?
A) The Ottawa Charter focuses on social issues.
B) The Ottawa Charter uses determinants of health as a key assumption.
C) The Population Health Promotion Model focuses on issues that place a population at risk.
D) The Population Health Promotion Model uses strategies for families to improve their health.
Q2) Which action should the nurse take to reduce health inequities within a community? Select all that apply.
A) Develop families' skills
B) Improve access to resources
C) Increase the use of home care services
D) Reduce the cost for health care services
E) Increase participation in family care processes
To view all questions and flashcards with answers, click on the resource link above. Page 19