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NURS 562: Family Nursing Prep U
Chapter 1 2025 Management Of The
Complex & Chronically Ill Adult-
Gerontology Patient Exam Questions
With Correct And Full Answers
In an effort to improve the health status of women and their children, several national campaigns have been implemented. The campaign that reduced the incidence of sudden infant death syndrome (SIDS) by 50% was the:
- Back to Front Campaign.
- Prone No More Campaign.
- Back to Sleep Campaign.
- Front to Back Campaign.
back to sleep campaign
When describing birth during the 18th century, which description would be most accurate regarding maternal care during pregnancy and birth?
- The majority of births occurred in the home with female midwives in attendance.
- Streptococci were identified as the major cause of puerperal fever.
- Heavy doses of narcotics were used during labor.
- Books on birth education became readily available.
The majority of births occurred in the home with female midwives in attendance.
The nurse is assessing a 9-year-old boy with pneumonia. Which finding is a factor for this child's morbidity?
- Medical records reveal a history of asthma.
- Child's height and weight plot at the 50th percentile on the growth chart.
- Child's white blood cell (WBC) count is within normal limits.
- Child is active in a Boy Scout troop.
Medical records reveal a history of asthma.
The nurse is caring for a 2-year-old boy who needs a lumbar puncture. His mother is present. What would prevent informed consent from being obtained?
- learning the mother is not the custodial parent
- finding out the mother is younger than 18 years of age
- determining the mother cannot read the form
- establishing the mother was never married
learning the mother is not the custodial parent
A group of women are attending a community presentation regarding the leading health concerns of women. Which interventions should the nurse recommend to have the greatest impact on the leading cause of death?
- "Immunizations may be the cause of some illnesses being seen currently."
- "Environmental quality is directly related to health care."
"Immunizations may be the cause of some illnesses being seen currently."
A nursing instructor has completed a discussion about the importance of critical thinking with a group of students. The instructor emphasized which aspect of critical thinking as most important?
- Clinical judgment
- Collecting data
- Evidence-based practice
- Maintaining initial plan
Clinical Judgment
The nurse is working with the parents of an infant and a toddler in the clinical setting. What statement by the parent would alert the nurse to assess the children further?
- "We enjoy taking walks in the park and playing outside as much as possible."
- "We have baby gates installed at the top and bottom of our stairs in our home."
- "We live in an old house, and we are planning to renovate it when the kids are older."
- "We have to hire babysitters sometimes because our parents are not able to help babysit."
"We live in an old house, and we are planning to renovate it when the kids are older."
The nurse is providing education to the parents of a school-aged child. Which information would the nurse include in the teaching plan?
- Discussion of the importance of proper use and fit of a helmet for bike riding
- Verbal directions regarding gates at the top and bottom of the stairs
- Information about and encouragement to avoid the dangers of distracted driving
- Teaching about the signs and symptoms of sexually transmitted infections
Discussion of the importance of proper use and fit of a helmet for bike riding
Which statement best describes the pattern of maternal mortality since World War II?
- It has steadily decreased.
- It has remained constant.
- It has steadily increased.
- After decreasing until the 1960s, it has increased steadily.
It has steadily decreased.
The nurse is caring for a 16-year-old boy with injuries from a car accident. Which activity describes the nurse's manager role?
- facilitating return to school by working with the school nurse
- teaching the mother cast care
- discussing driving safety with the teen
- changing dressings covering the skin abrasions
facilitating return to school by working with the school nurse
- Detection of genetic mutations in children
- Identification of human genes and functions
- Treatment of gene mutations
Identification of human genes and functions
A client learns she is 6 weeks' pregnant and asks the nurse for the name of the local abortion clinic. What is the most appropriate response by the nurse?
- Provide the client with the requested information.
- Tell the client that abortion results in death of the fetus.
- Call the hospital chaplain to talk to the client.
- Ask the health care provider to discuss the issue with the client.
Provide the client with the requested information.
The nurse is admitting a client to the emergency clinic and notes that the client's gender expression is different than the gender noted in the driver's license and insurance documentation. What is the nurse's best response?
- The nurse should communicate with the client based on the client's preferred pronoun.
- The nurse should communicate with the client by the gender indicated on the driver's license.
The nurse needs to clarify the conflict between the driver's license and the client's appearance.
- The nurse should refer to the client using the pronoun based on the legal documented gender.
- The nurse should avoid using any gender specific pronouns or anything that relates to either gender.
The nurse should communicate with the client based on the client's preferred pronoun.
A nurse manager is working with a group of staff nurses at a local women's health clinic on enhancing the staff's cultural humility. The clinic serves a culturally diverse client population. Which aspect would the nurse manager emphasize as a crucial first step?
- having each staff member identify their own preconceptions about the cultures being served
- encouraging the staff to use open-ended questions with each client to develop a respectful partnership
- urging the staff to read the literature highlighting the different cultures served by the clinic
- viewing the members of a specific culture as being relatively the same in terms of beliefs
having each staff member identify their own preconceptions about the cultures being served
The nurse is running an education program for early grade-school children. Which topic would address the number one cause of death for this age group?
- The importance of crossing streets safely
- The importance of immunizations
- Prevention of infection and communicable disease
- Exercise and good nutrition
The importance of crossing streets safely
The nurse is talking with the mother of a 2-year-old girl during a scheduled visit. Which teaching subject best supports the emphasis on preventive care?
- Showing the mother how to teach handwashing to her child.
A prenatal nurse is preparing a presentation on the trends in childhood mortality rates in order to strategize for program funding. Which statements would the nurse likely include in the presentation? Select all that apply.
- The childhood mortality rate in the United States has decreased since 1980.
- Disparities exist by gender, age, race, and ethnicity.
- Childhood mortality rate decreases with the increase of community services.
- Leading causes of childhood mortality include suicide.
- Unintentional injury remains a leading cause of mortality in children.
Disparities exist by gender, age, race, and ethnicity.
Leading causes of childhood mortality include suicide.
Unintentional injury remains a leading cause of mortality in children.
After completing an assessment, the nurse examines the information to develop a wellness diagnosis for the client to identify which potential goal?
- Acute health problems
- Potential problems
- The potential for improvement in health
- Chronic health problems
The potential for improvement in health
The nurse working in a free health clinic is providing care to a 1-year-old girl and her single teenage mother. Which action would be most important initially?
- discussing family health history
- assessing the child's cognitive level
- obtaining food stamps for the family
- observing the mother/child interaction
observing the mother/child interaction
In order to advocate for children and families, the nurse must first acknowledge that the basic system in which health behavior and care are organized, secured, and performed is the:
health care facility.
community.
government.
family.
family
A nurse informs a 19-year-old client that she is pregnant. The client immediately states that she plans to have an abortion. What would be the most appropriate response from the nurse to this client?
Sharing a room allows for monitoring of the infant.
Maintain neutral temperatures and avoid overheating.
A nurse is reviewing a labor plan with a client who has been admitted to the labor and birth unit. The client states that she has been drinking a significant amount of herbal teas lately to help with uterine contractions. Which is the priority action by the nurse?
Prepare the client for a fetal nonstress test.
Ask the client when she last ate or drank anything.
Determine the type of herbal teas recently consumed.
Ask about other complementary and alternative therapies.
Determine the type of herbal teas recently consumed.
A nurse witnesses a peer tell a client, "You are a mother now and you have to do what is best for you baby. You have to breastfeed her!" Which is the best action by the nurse?
- Approach the client later and provide correct information.
- Immediately interrupt the conversation and reprimand the nurse.
- Fill out an incident report to go in the nurse's personnel file.
- Pull the nurse aside and inquire as to the content of the conversation.
Pull the nurse aside and inquire as to the content of the conversation.
A nurse has been invited to teach a community group about gender identity issues. Which issues does the nurse plan to address to ensure understanding of these issues? Select all that apply.
- Sexual orientation refers to whom a person is attracted to sexually.
- Gender identity is a person's innate sense of being male, female, or neither.
- Gender expression is how a person presents to the world: male, female, or neither.
- Children are typically raised according to their anatomical characteristics identifying their sex.
- Transgender refers to individuals whose gender identity is not the same as their assigned natal sex.
- Transgenders and those with alternate sexual orientation are often depressed, isolated, and exploited.
Sexual orientation refers to whom a person is attracted to sexually.
Gender identity is a person's innate sense of being male, female, or neither.
Gender expression is how a person presents to the world: male, female, or neither.
Children are typically raised according to their anatomical characteristics identifying their sex.
Transgender refers to individuals whose gender identity is not the same as their assigned natal sex.
Transgenders and those with alternate sexual orientation are often depressed, isolated, and exploited.
Which physician is known as the "Father of Pediatrics"?
Abraham Jacobi
- Black women often have limited or no health care insurance coverage.
- Quality obstetrical health care may not be available in the community.
- Black women have a genetic link to high-risk pregnancies.
- Many black women have low socioeconomic status.
Quality obstetrical health care may not be available in the community.
Bias among health care providers toward the black population fosters distrust.
Black women often have limited or no health care insurance coverage.
Many black women have low socioeconomic status.
A 15-year-old pregnant client living with her divorced mom is brought into the emergency department by her boyfriend requiring a dilatation and curettage (D & C) after a miscarriage. Who will the nurse approach to sign the consent for the D & C?
both the client's parents
the client's boyfriend
the parent who has custody
the client
the parent who has custody
A nursing instructor is teaching a session investigating infant mortality as a standard measurement of the quality of health care in the country. The instructor determines the session is successful when the
students correctly choose which factors as contributing to the high numbers of deaths in the United States? Select all that apply.
- Male gender of infant
- Preterm births
- Congenital deformities and chromosomal abnormalities
- Maternal age 30 to 34 years
- Maternal complications
Preterm births
Maternal complications
Congenital deformities and chromosomal abnormalities
Cost containment in the health care field has become a sought-after necessity because of rising costs and the influence of managed care. Nurses are instrumental in assisting with cost containment of health care by prioritizing which strategy?
Health promotion
Client teaching
Alternative birth systems
Quality improvement
health promotion
Low birth weight
Early prenatal care
Low adolescent delivery rates
Home deliveries
Low Birth Weight
What is a current trend in child health care?
- Children are hospitalized for observation more than previously.
- Health promotion rather than health restoration is stressed.
- Child health care is moving out of regional centers.
- Nursing roles are decreasing because of the increasing role of families.
Health promotion rather than health restoration is stressed
What makes the area of family nursing a difficult arena in which to provide care at times?
- the presence of family in the hospital rooms
- family members who might not agree on treatments and a plan of care
- family-centered care plans and use of community areas in acute care settings
- nurses having different values from families
- family members who might not agree on treatments and a plan of care
Consent for urgent treatment is needed for a minor. The parents are unable to be at the hospital. What action by the nurse constitutes informed consent?
- Telephone consent with two witnesses listening simultaneously.
- Explaining the needed treatment to the minor and documenting this action.
- Contacting the institution's attorney to provide and document consent.
- Treating the minor and obtaining written informed consent when the parent arrives.
Telephone consent with two witnesses listening simultaneously.
A nurse educator is conducting a class on intimate partner violence for a group of new graduate nurses during orientation. Which statement by the educator best reflects current practice regarding these problems in women's health?
- "Asking every client about intimate partner and family violence is the best way to elicit accurate information."
- "The nurse should screen for these problems at every client encounter."
- "The nurse is not legally responsible for reporting suspected intimate partner violence."
- "Since families are more stable than in the past, nurses are not as concerned about these problems as they used to be."
"The nurse should screen for these problems at every client encounter."
