A child who has been hospitalized for a long time is preparing to ...

[sheilaspns]

A child who has been hospitalized for a long time is preparing to go home, where care will be continued. Which action by the nurse is most beneficial to assist the family in this transition?
 
  A.
  Advise the family to call the local visiting nurses association for home visits.
  B.
  Call the child's school to inquire about requirements for returning to school.
  C.
  Consult a social worker to help evaluate insurance coverage and transportation.
  D.
  Give the family brochures for the local support group for chronically ill children.

Question 2

A clinic nurse is explaining to a student nurse the function of the community health map in assessing families. Which description of this assessment tool is most accurate?
 
  A.
  It assesses how the family interacts with outside social systems.
  B.
  It locates health-care settings in, or close to, their neighborhood.
  C.
  It outlines family problems and social resources to help with them.
  D.
  It shows how the health of the community impacts each family.

[enass]

Answer to Question 1

ANS: C
Preparing a family for home-based care, or other community-based care, involves ensuring that the family is able to provide the care needed by the child at home or in another setting. This can include discussing specialized equipment in the home, health insurance coverage, transportation, and/or returning to school. If the family needs or desires visiting nurses, the nursing staff or social worker at the hospital should arrange this for the family. Calling the school to get information about the child's return to school yields helpful information, but may not be needed yet, and is too limited in scope to be the best answer. Simply giving parents brochures for support groups may or may not be helpful; the parents may not be literate or may not understand the benefit without discussion.

Answer to Question 2

ANS: A
A community health map is an assessment tool for family structure, function, and support networks. It displays significant related data and helps the nurse focus on the family as it interacts with the social systems within and around the family. Its purpose is not to locate local health-care settings. The focus is on family health and past successes and current strengths, not on family problems. Correlations can be made between the health of the community and the health of those living in that community, but this is not the purpose of the community health map.