A nurse is caring for a person with a potential dysfunction in the health-perception–health-management pattern. Which of the following nursing interventions would most likely be performed?

Correct Answer: B

Rationale: In this scenario, the most appropriate nursing intervention for a person with a potential dysfunction in the health-perception–health-management pattern is providing education regarding the dangers of smoking, which is option B. Educational Rationale: 1. **Correct Answer (B):** Providing education about the dangers of smoking aligns with addressing health perception and management issues. By educating the individual about the harmful effects of smoking, the nurse can help enhance the person's understanding of how their behavior impacts their health. This intervention empowers the individual to make informed decisions to improve their health. 2. **Incorrect Answer (A):** Arranging for home delivery of medication is a helpful intervention for medication adherence but may not directly address the underlying issue of health perception and management. While it facilitates access to medication, it does not address the potential dysfunction in the individual's perception of health. 3. **Incorrect Answer (C):** Instituting visiting nurse services for blood pressure checks focuses on monitoring a specific health parameter but does not directly address the overall health perception and management pattern, which is the primary concern in this case. 4. **Incorrect Answer (D):** Providing direct observed therapy for tuberculosis medications is a specific intervention for medication adherence in tuberculosis treatment. While important for treatment success, it does not specifically target the potential dysfunction in health perception and management related to the individual's overall health behaviors. Educational Context: Understanding the health-perception–health-management pattern is crucial in nursing practice to address individuals' beliefs and behaviors related to health. Nurses play a key role in promoting health literacy, providing education, and supporting individuals in making informed decisions to manage their health effectively. By recognizing and addressing potential dysfunctions in this pattern, nurses can contribute significantly to improving health outcomes and promoting overall well-being.

Correct Answer: B

Rationale: The correct answer is B) Cognitive-perceptual. This choice is correct because the absence of books in the home for preschool-age children directly relates to the cognitive and perceptual development of those children. Reading plays a crucial role in language development and cognitive skills in young children, impacting their ability to learn, think critically, and develop intellectually. Option A) Roles-relationship is incorrect because the presence or absence of books in the home does not directly pertain to the roles and relationships within the family. Option C) Health-perception–health-management is incorrect as this functional health pattern focuses on how individuals and families perceive their health and manage it, which is not directly related to the absence of books in the home. Option D) Self-perception–self-concept is also incorrect as this pattern deals with how individuals view themselves and their self-concept, which is not directly impacted by the absence of books in the home. Educationally, understanding Gordon's functional health patterns is essential for nurses to comprehensively assess individuals and families, enabling them to identify areas of strengths and weaknesses in various aspects of health and well-being. This helps in developing targeted interventions and promoting holistic health promotion strategies.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Difficulty with open communication with the child. As an expert educator in pharmacology, it is crucial to understand the rationale behind this choice. Adolescents often face challenges in communicating openly with their parents or caregivers due to various factors such as developmental changes, peer influence, and emotional struggles. This can impact the family dynamic and the overall well-being of the adolescent. Option A) Concerns about career decisions may be a common issue for adolescents, but it is not necessarily a problem that the family would report to the nurse. Career decisions are more personal to the adolescent and may not directly involve the family seeking nursing intervention. Option B) Concerns about exposure to environmental hazards are important but are not specifically related to the family's interaction with the adolescent. While it is a valid concern, it does not directly address the family's reported problems. Option C) Difficulty with parents finding fulfillment with raising the child is more of a parental concern rather than a problem that the family would report about the adolescent. It focuses on the parents' experience rather than the adolescent's challenges. Understanding and addressing communication barriers between adolescents and their families is essential for promoting healthy relationships and overall well-being. By identifying and supporting open communication, nurses can help families navigate this critical aspect of adolescent development. This knowledge is vital in pharmacology practice as effective communication can also impact medication adherence and health outcomes.

Correct Answer: C

Rationale: In the context of pharmacology and health promotion, conducting an environmental assessment as part of a family assessment is crucial for identifying factors that may impact an individual's health. The correct answer, option C - Safety of the home, is the most relevant choice for a nurse to assess during this process. Assessing the safety of the home allows the nurse to identify potential hazards such as tripping hazards, presence of toxic substances, or lack of proper ventilation, which can have a direct impact on the health and well-being of the family members, especially if medications are involved. Option A - Convenience stores in the neighborhood, while important for assessing access to healthcare resources, is not directly related to the safety of the home environment in the context of a family assessment for health promotion. Option B - Garbage collection in the neighborhood, although related to environmental health, is not as directly relevant to assessing the immediate safety of the home. Option D - Climate of the home, while important for comfort and certain health conditions, is not as critical to assess as the safety of the physical environment within the home. Educationally, understanding the importance of environmental assessments in pharmacology is essential for nurses to provide holistic care. By recognizing and addressing environmental factors that can impact health outcomes, nurses can better promote health and prevent potential medication-related issues within the family unit.

Correct Answer: D

Rationale: In pharmacology and health promotion, understanding the dynamics of community systems is crucial for effective interventions. The correct answer, "D) Function of a community," encompasses the essence of how different parts of a community interact and adapt over time. This process of dynamic change with adaptation reflects the functional aspect of a community's operations, highlighting the interplay between various subsystems within the larger system. Option A, "Structure of a community," focuses more on the physical layout or organization of a community rather than its dynamic functioning and adaptation. While community structure is important, it does not capture the ongoing process of change and interaction as described in the question. Option B, "Community health promotion," is more about the actions taken to improve community health rather than the systemic interactions and adaptations within the community itself. Health promotion initiatives are a result of understanding a community's functions, but they are not synonymous with the process described in the question. Option C, "Community diagnosis," involves assessing the health needs and issues within a community. While this is an essential step in health promotion, it does not directly address the dynamic change and interaction aspect emphasized in the question. In an educational context, grasping the concept of community function is fundamental for designing effective health promotion strategies. By understanding how community systems and subsystems interact and adapt, pharmacology professionals can tailor interventions to meet the evolving needs of the community. This knowledge helps in creating sustainable health outcomes and fostering community resilience.