When providing nursing care to a patient, the nurse provides family-centered nursing care. What is one rationale for this nursing action?
- A. The nurse does not want the patient to feel lonely.
- B. The patient will be more compliant with medical instructions.
- C. The family will be more willing to listen to instructions.
- D. The family can influence the patient's health outcomes.
Correct Answer: D
Rationale: Family-centered care recognizes that the family plays a significant role in influencing the patient's health and recovery.
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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.
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.
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.
Which of the following definitions best describes community-based nursing?
- A. a focus on populations within the community
- B. a focus on older adults living in nursing homes
- C. care provided in the patients home for chronic illnesses
- D. care centered on individual and family healthcare needs
Correct Answer: D
Rationale: Community-based nursing centers on addressing the healthcare needs of individuals and families within their community context.
What is the major effect of a health crisis on family structure?
- A. adaptation to stress
- B. change in roles of family members
- C. respect for family values
- D. loss of individual identities
Correct Answer: B
Rationale: A health crisis often leads to changes in family roles as members adapt to new responsibilities and needs.
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