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Chapter 19: Family Health Risks

Foundations of Nursing in the Community, 3rd Edition Stanhope, Lancaster

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Chapter 19: Family Health Risks

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Using the Neuman Systems Model, what might the nurse ask a client to assess physiological health?
a. “What helps you to cope with situations involving your wife’s cancer?”
b. “How has your child’s illness affected the behavior of your other children?”
c. “Tell me about any illnesses your other family members have.”
d. “Who do you turn to for support outside your immediate family?”

 

 

ANS:   C

Physiological health involves issues related to physical wellness or illness. Other components of health in Neuman’s model include psychological health, sociocultural health, developmental health, and spiritual health.

 

DIF:    Cognitive Level: Application             REF:    p. 333

 

  1. Which recommendation by the nurse would be aimed toward reducing a family member’s health risk?
a. “Be sure to take a 30 minute walk each day before you leave for work or when you get home.”
b. “Call our office if you have any questions or concerns at all.”
c. “Come back in 2 weeks for follow-up on your surgery.”
d. “Continue to take the drug until it is gone, even if you’re feeling better earlier.”

 

 

ANS:   A

The factors that determine or influence whether disease or other unhealthy results occur are called health risks. The major categories of risk include inherited biological risk, social and physical environmental risk, and behavioral risk. All the other options are treatment oriented rather than risk avoidance. Exercising for 30 minutes a day reduces the risk for many diseases.

 

DIF:    Cognitive Level: Application             REF:    p. 334

 

  1. Which question reflects the nurse appraising health risks?
a. “Does your year-old have a booster seat in the car?”
b. “Have you noticed any physical problems as you go about your daily routine?”
c. “What concerns do you have today?
d. “Why did you decide to come in for a checkup?”

 

 

ANS:   A

Health risk appraisal refers to the process of assessing for the presence of specific factors in each of the categories that have been identified as being associated with an increased likelihood of an illness, such as cancer, or an unhealthy event, such as an automobile accident.

 

DIF:    Cognitive Level: Application             REF:    p. 334

 

  1. Which question reflects a nurse’s concern regarding risk reduction?
a. “Did any of the hunters in your family kill a deer this year?”
b. “How do you keep your rifles safe from curious children?”
c. “Where do you shoot with your handguns?”
d. “Where do you keep your rifles locked when it is not hunting season?”

 

 

ANS:   C

Risk reduction is a complex process that requires knowledge of risks and families’ perceptions of the nature of the risk. In this situation the nurse was asking questions to determine the family’s perception of risks associated with owning guns. If the family does not perceive the behavior (having guns in the house) as risky, but rather as necessary for food or sport, the nurse must first educate or persuade the family that others may be more comfortable if certain precautionary measures are taken (such as locks on the guns). Rifles are used for food and sport but handguns are often used in crimes and accidents resulting in death.

 

DIF:    Cognitive Level: Synthesis                REF:    p. 334

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