A 75-year-old man is being discharged to his home following a fall in his kitchen that resulted in a fractured pelvis. The home health nurse makes a home assessment that will be used to design interventions to meet which priority need?
- A. sleep and rest
- B. support from family members
- C. protection from potential harm
- D. feeling a sense of accomplishment
Correct Answer: C
Rationale: Protection from potential harm is a priority safety need, critical for a patient with a fractured pelvis to prevent further injury, as per Maslow's hierarchy.
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Which of the following is a characteristic of a healthy family?
- A. Rigid role assignments.
- B. Lack of communication.
- C. Flexibility in roles.
- D. Absence of conflict.
Correct Answer: C
Rationale: A healthy family exhibits flexibility in roles, allowing members to adapt to changing needs and circumstances.
Which of the following individuals would the nurse assess as being most at risk for altered family health?
- A. an unmarried adolescent with a newborn
- B. a newly married couple who ask about birth control
- C. a middle-aged man and woman with no children
- D. an older adult, living in an assisted-living community
Correct Answer: A
Rationale: An unmarried adolescent with a newborn is at high risk due to potential lack of support, financial strain, and emotional stress.
Which of the following is an example of a community factor that may affect health?
- A. rural setting
- B. air and water quality
- C. number of residents
- D. educational level
Correct Answer: B
Rationale: Air and water quality directly impact community health by affecting residents' physical well-being.
Which of the following is a tenant of Maslows basic human needs hierarchy?
- A. A need that is unmet prompts a person to seek a higher level of wellness.
- B. A person feels ambivalence when a need is successfully met.
- C. Certain needs are more basic than others and must be met first.
- D. People have many needs and should strive to meet them simultaneously.
Correct Answer: C
Rationale: Maslow's theory posits that certain needs, starting with physiologic needs, are more basic and must be satisfied before higher-level needs can be addressed.
David and Susan are in a committed relationship and live together with their adopted twin boys. Which of the following best describes this type of family?
- A. nuclear family
- B. extended family
- C. blended family
- D. adoptive family
Correct Answer: A
Rationale: A nuclear family consists of two parents and their children living together, regardless of whether the children are biological or adopted.
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