Chapter 19: Family Health Risks

Foundations of Nursing in the Community 4e by Marcia Stanhope

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Chapter 19: Family Health Risks

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A nurse was preparing for a home visit to a family where the mother had just been discharged from trauma care after being hit by a drunk driver. The nurse hoped the family was able to care for her. Which of the following comments from the husband would suggest an energized family?
a. “I make most of the decisions so the kids don’t notice much difference.”
b. “My daughter is pretty independent; she’s active in both sports and theater.”
c. “My son is old enough to get a job and help pay all these medical bills.”
d. “My wife taught our daughter how to cook simple meals.”

 

 

ANS:  B

Pratt proposed the energized family as being an ideal family type that was most effective in meeting health needs. The energized family is characterized by active contact with a variety of groups and organizations (Boy Scouts, church, sports, theater), flexible role relationships (not if only the daughter is taught how to cook and only the son is expected to get a job), equal power structure (not if the husband makes all the decisions), and a high degree of autonomy by each member (kids know how to be flexible, because parents travel for business frequently).

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 326

 

  1. Using the Neuman Systems Model, which of the following questions would 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: Apply (Application)                               REF:   p. 327

 

  1. A nurse is working with a family member to reduce his health risk. Which of the following recommendations would most likely be made by the nurse?
a. “Be sure to take a 30-minute walk each day.”
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: Apply (Application)                               REF:   p. 327

 

  1. A nurse is appraising health risks. Which of the following questions would most likely be asked by the nurse?
a. “Does your 4 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: Apply (Application)                               REF:   p. 327

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