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NP1 Family Nursing 3

The document discusses several questions related to community/public health nursing and answering families. It notes that improving family health improves community health. When first visiting a family, establishing a relationship is the priority over assessing insurance or the referral reason. The primary goal of family case management is maximizing their self-care capabilities rather than ensuring the most cost-effective care. When assessing a family, directly observing and interacting with them provides the most helpful data compared to medical records or other providers' input. Visiting a client's home allows a nurse to include family/environmental conditions in their assessment.

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Jonas Marvin Anaque
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420 views2 pages

NP1 Family Nursing 3

The document discusses several questions related to community/public health nursing and answering families. It notes that improving family health improves community health. When first visiting a family, establishing a relationship is the priority over assessing insurance or the referral reason. The primary goal of family case management is maximizing their self-care capabilities rather than ensuring the most cost-effective care. When assessing a family, directly observing and interacting with them provides the most helpful data compared to medical records or other providers' input. Visiting a client's home allows a nurse to include family/environmental conditions in their assessment.

Uploaded by

Jonas Marvin Anaque
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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1. Why do community/public health nurses focus on families?

a. Families will understand the higher cost of care if they are active participants.
b. Improving the health of a family improves the health of a community.
c. Nurses find such a focus much easier than trying to focus on the community.
d. Nurses allow family members to receive respite by providing this type of care.

ANS: B
When a nurse cares for a family, nursing practice is directed toward maximizing the health and well-
being of all individuals within a family system. Improving the health of a family improves the health of a
community.

2. A community/public health nurse is visiting a family for the first time. Which of the following should
be the priority action for the nurse?
a. Assessing how the family is adjusting to the illness of the sick family member
b. Clarifying what insurance or third-party payer is reimbursing this care
c. Determining the problem or reason for the referral
d. Establishing a relationship with the family

ANS: D
Although all of the options are important aspects of planning care, the nurse's ability to establish a
relationship in which the family's rights and strengths are respected is more important than any other
task.

3. What is the primary goal of case management of families?


a. To ensure the care is given in the most cost-effective manner possible
b. To coordinate all of the community agencies involved in care of the family
c. To focus on communication, counseling, and teaching
d. To work to maximize the family's self-care capabilities

ANS: D
Although nurses try to be cost-effective and to communicate, counsel, or teach, as well as coordinate
care, the ultimate goal of case management is to maximize the family's self-care capabilities.

4. A community/public health nurse is conducting a family assessment. Which source of data would be
most helpful?
a. Information from other cooperating health care agencies
b. Input from other professional health care providers
c. Observation and interaction with the family members
d. Review of family members' charts and medical record data

ANS: C
Sources of data can include, but should not be limited to, charts and written health records, biologic
data such as blood pressure measurements or specimens, telephone calls and conversations with other
health care team members, information from social service agencies involved with the family, and
environmental and community information. However, the most accurate and complete information can
be obtained only by observing and interviewing the family itself.
5. A nurse met with a client before hospital discharge to make arrangements to visit the client at home.
Why would the nurse visit the client's home when the assessment could be completed while the client is
still in the hospital?
a. The client may not realize all of the assistance that is needed until he or she returns home.
b. The client needed time to consider the community resources that would be used in the future.
c. The nurse wanted to include family and environmental conditions in the assessment.
d. The nurse wanted to ask the client questions in a private setting.

ANS: C
Meeting families in their own environment is preferable because the nurse can observe firsthand the
physical and environmental conditions, as well as the way family members act with each other in their
home.

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