Online Practice Test 24

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 24 > NCLEX® Review Date/Time Submitted: July 15, 2012 at 1:54 PM (UTC/GMT)

Summary of Results 67% Correct of 9 Scored items: 6 Correct:  67% 3 Incorrect:  33% 1 question not scored. 9 scored questions. More information about scoring

1.		The home health nurse has been assigned to an elderly woman who is cohabitating with her daughter and her son in a one bedroom apartment on the edge of town. The grandson is the primary caregiver at the age of fourteen since his mother is an alcoholic and an unreliable participant in caring for her mother. The home health nurse completes a health history of the client but realizes: Your Answer: The nurse should create a plan of care that includes all members of the family
		Objective: Describe the roles and functions of the family Rationale: In the nursing profession, interest in the family unit and its impact on the health, values, and productivity of the individual family members is expressed by family-centered nursing. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		A bilingual nurse practitioner working in a rural clinic is working with a pregnant mother of four children. The woman who does not speak English has been in the country for several years with her children attending the local public school. In an attempt to teach the expectant mother the value of good nutrition on the neonate's health, the nurse could incorporate which tactic for health promotion activities? Your Answer: Include the bilingual children in the discussion on good nutrition.
		Objective: Identify theoretical frameworks used in family health promotion. Rationale: The structural-functional theory focuses on family structure and function. The structural component addresses the membership of the family and relationships among family members. The focus of nursing care should be the inclusion of all family members in health promotion activities. Sharing information with family members may create the achievement of family goals. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Decide what is the best action for client and situation.
3.		A recently married couple has five children between them. What type of family have they formed? Your Answer: Blended family
		Objective: Describe different types of families. Rationale: A blended family consists of two previously existing family units combined together to make a single unit. A cohabiting family is when different families share the same dwelling but don't necessarily combine their other resources, or offer assistance and help to people outside of their own family unit. Members of a traditional family would not have had children from a previous marriage or relationship. A single-adult family has only one adult heading up the family unit. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		Which of the following should a nurse consider when evaluating a family's coping resources? Your Answer: Roles of family members Correct Answer: Availability of support persons
		Objective: Identify the components of a family health assessment. Rationale: Support persons will be vital in offering assistance and care for the client recovering from illness. Family structure will not have a direct effect on the client's ability to maintain health or recover from illness. Preventive health practices are not related to the client's ability to cope with the stresses and demands of illness. Roles and role performance don't impact the family's coping resources. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
5.		How should the nurse use the concepts of total care and individualized care? Your Answer: By using both total care and individualized care for each client
		Objective: Develop nursing diagnoses, outcomes, and interventions pertaining to family functioning. Rationale: Nurses must use all principles and areas that apply when caring for a client, and must plan and organize that care with respect to the client's individual, unique needs. Total care should be used throughout all phases of nursing care. All clients should receive both individualized and total care. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
6.		A fifteen year old girl has been admitted to the Obstetrics unit after delivering her second baby in two years. The focus of health promotion activities should be: Your Answer: Methods of birth control
		Objective: Identify common risk factors regarding family health. Rationale: Young parents are often developmentally, physically, emotionally, and financially ill prepared to undertake the responsibility of parenthood. Children born to an adolescent are often at greater risk for health and social problems. Health promotion activities should focus on the developmental preparedness of the client and be completed in a nonjudgmental manner. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Decide what is the best action for client and situation.
7.		The nurse approaches a family who is living in a shelter for abused women. The mother has bruises around her mouth and on her arms. The nurse asks her if she can perform a physical examination to assess the extent of her injuries. As the nurse begins the examination, the woman recoils from the nurse's touch and screams, "Don't touch me!" The nurse's best response would be: Your Answer: "I know that you have been hurt and will try not to hurt you with my touch."
		Objective: Identify common risk factors regarding family health. Rationale: Family violence has increased in recent years. Spousal abuse may go unreported due to family boundaries. Nurses should be alert to the symptoms of family violence and take appropriate measures to report it and obtain resources for the family. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Knowledge Strategy: Physiologic needs come first then safety. Psychosocial needs are addressed after physiologic and safety
8.		After an accident, a mother of a newborn has been discharged home. She has lost the use of her dominant right arm. In planning her discharge, the nurse can use which of the following nursing diagnoses to guide care? Your Answer: Caregiver Role Strain Correct Answer: Impaired Home Maintenance
		Objective: Develop nursing diagnoses, outcomes, and interventions pertaining to family functioning. Rationale: Nursing needs to focus on assisting the family to plan realistic goals/outcomes and strategies that enhance family functioning, such as improving communication skills, identifying and utilizing support systems, and developing and rehearsing parenting skills. Nursing Process: Diagnosis Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Decide what is the best action for client and situation
9.		Which of the following is an element of systems theory?  Your Answer: Suprasystem Correct Answer: Open system
		Objective: Describe the roles and functions of the family. Rationale: A system is a set of interacting identifiable parts or components. A system depends on the quality and quantity of its input, throughput, output, and feedback. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
10.		A single mother confides to the nurse that her adolescent son no longer spends time with the family and has withdrawn communication. The client is worried that the son may be taking drugs but cannot be sure. List the appropriate nursing diagnoses available to create a care plan that will assist the family. Your Answer:
		Answer: Interrupted family processes Readiness for enhanced family coping Caregiver role strain Objective: Identify common risk factors regarding family health. Rationale: The challenge for the nurse and family is to disseminate information and data to create a plan that can minimize family dysfunction. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge of family health processes.