Download NSG 527 FINAL EXAM NSG 527 FINAL EXAM and more Exams Nursing in PDF only on Docsity!
NSG 527 FINAL EXAM
Family Unit - CORRECT ANSWER - Success or failure of individuals in society is dependent upon stability of the: The two purposes of the family are: - CORRECT ANSWER - 1. Meeting the needs of society
- Meeting the needs of the individuals in the family Healthy families exhibit the following characteristics: (Beaver and Hampton) - CORRECT ANSWER - Effective skills for negotiating problems Are clear, open and spontaneous in expressing emotions and decisions Respect the feelings of others Encourage others to be independent Hold others personally accountable for their actions Display warmth and closeness toward each other Stage 1 of Health/Illness and Family Interaction - CORRECT ANSWER - Family Efforts at Health Promotion-Many lifestyles that affect health are learned in the family. Tobacco use is an example of this. Health promotion, prevention, and risk reduction are impacted by families. Three causal relationships that can alter family health status include - CORRECT ANSWER - marriage parenthood social support systems Stage 2 of Health/Illness and Family Interaction - CORRECT ANSWER - Family Appraisal of Symptoms-This stage begins when a family member has symptoms
Stage 3 of Health/Illness and Family Interaction - CORRECT ANSWER - Care Seeking-A decision is made to seek medical care. Family members are consulted as needed for advice and recommendations, which may include on home remedies and self-medication Stage 4 of Health/Illness and Family Interaction - CORRECT ANSWER - Referral and Obtaining Care-Contact with a health care provider is initiated. This can be based upon the severity of the patient's condition, family's culture, health beliefs, availability, and accessibility. Stage 5 of Health/Illness and Family Interaction - CORRECT ANSWER - Acute Response to Illness by Client and Family-The patient takes on the "sick role" and adaptation in this role begins with the patient and family. Stage 6 of Health/Illness and Family Interaction - CORRECT ANSWER - adaptation to Illness and Recovery- Support of the patient by the family unit begins for convalescing and rehabilitating. Coping and adaptation about the illness begins at this stage. Family as Context - CORRECT ANSWER - The patient is an individual with family members who are usually the primary resource for them. The individual is the primary receiver and the family is secondary for assessment and intervention of care. Family as Sum of its Members - CORRECT ANSWER - The family is a sum of all family members. Family healthcare is operational when all members of the family receive care. Family Subsystems as Client - CORRECT ANSWER - The subsystem of a family can be defined as a dyad or triad and be comprised of a married couple, parent-child, and sibling-sibling, for example. They are the recipients of care. Family as Client - CORRECT ANSWER - The entire family is in the foreground. Dynamics of the family, subsystems, and relationships with external sources are the focus.
The family unit is adaptive and interacts with the external environment and internal and external stimuli Neumann's Health System's Model - CORRECT ANSWER - The client is an open system where family is defined. Family is comprised of subsystems with relationships among the family members The ability to maintain wellness when exposed to stressors occurs through a series of exchanges in the open system of the model Appropriate model for community-based health care Orem's Self-Care Model - CORRECT ANSWER - The family unit needs to sustain self-care Nursing works with individuals to achieve self-care in the family unit; the family unit is not the direct receiver of the health care services. Self-care of the family can incorporate health beliefs of the family Rogers's Science of Unitary Human Beings - CORRECT ANSWER - A family has energy fields that respond to the environment similar to individuals. Families have stages of development and progress in one direction Permeability of boundaries determines the degree of responsiveness required from environmental input Newman's Expanding Consciousness Model - CORRECT ANSWER - Expansion of consciousness defines health Individuals move unidirectionally to expand consciousness and allow this inside and outside of the family unit; can incorporate the family with community energy fields As the individual of a family moves towards consciousness, he/she can explain the internal dynamics of the family. Structural-Functional Theory - CORRECT ANSWER - Family as a social system Identifies how the family interacts with other institutions of society
Identifies how family members interact with each other in family relationships and support each other effectively to perform their functions discipline of Sociology Systems Theory - CORRECT ANSWER - The family as a set of interacting elements distinguishable from the environment it interacts. Views family in context of suprasystems and subsystems Grand theory Family Developmental Theory - CORRECT ANSWER - Explains the developmental changes of family members through the years Provides the ability to make predictions of family needs according the life cycle Emphasis is on the traditional nuclear family Family Interactional Theory - CORRECT ANSWER - Family members assign meaning to events in their world; this is impacted by the relevancy of the situation The focus on internal dynamics of families Family Stress Theory - CORRECT ANSWER - Illness causing stress that changes family dynamics Resources in the family for dealing with the stressor(s) Implications/reality of the event on families and how they will adapt Change Theory - CORRECT ANSWER - The effect of change on the family unit and health behavior Strong family support is predictive of success with new health behaviors Interactional/Communication Family Therapy - CORRECT ANSWER - Therapy consists of communication skills and the intent of messages sent and received; how communication effects behavior
Phases of the Resiliency Model of Family Stress, Adjustment, and Adaptation - CORRECT ANSWER - 1. Adjustment 2.Adaptation The Resiliency Model of Family Stress, Adjustment, and Adaptation is based on 4 assumptions - CORRECT ANSWER - It is normal for families to face hardships and make changes to adapt. Families develop strengths to protect members from major disruptions. Families develop coping mechanisms and defense strategies with change. Families benefit and contribute to communities at times of stress and crisis. Interacting variables in Hill's Family Stress Theory - CORRECT ANSWER - A: Event and related hardships B: Crises in meeting the hardshipsC: How the family defines the eventX: The crises or noncrisis2.The adjustment phase post-crisisDisorganizations, recovery, reorganization Hill's Family Stress Theory (ABCX Model) - CORRECT ANSWER - Focus is on the precrisis stage Landmark family stress theory Developed by Hill and named the ABCX Model A, B, C, X are variables that interact and lead to family crisis or noncrisis Antistress Period - CORRECT ANSWER - Occurs prior to confronting the stressor; anticipation; if the stressor is identified early coping strategies can be identified to lessen the impact. Actual Stress Period - CORRECT ANSWER - Increased energy required by family members to cope with stressor(s); basic survival methods can be used at this time which may include intrafamilial and spiritual resources. Poststress Period - CORRECT ANSWER - Focus is on attaining homeostasis of the family unit; families are challenged at this time and can regress in dynamics; families need to focus intensely on affective function at this time.
The three phases of stress include - CORRECT ANSWER - Antistress Period Actual Stress Period Poststress Period 6 behavior-specific cognitions in the Health promotion model - CORRECT ANSWER - Perceived benefits of action perceived barriers to action Perceived self-efficacy Activity-related affect Interpersonal influences (family, peers, providers); norms, support, models Situational influences; options demand characteristics aesthetics Information communication - CORRECT ANSWER - information is the content of what is said Command communication - CORRECT ANSWER - the command is the intent and how the message is delivered both verbally and nonverbally Digital communication - CORRECT ANSWER - digital is verbal communication Analog communication - CORRECT ANSWER - analog is nonverbal behavior that accompanies communication Symmetrical communication - CORRECT ANSWER - symmetrical communication mirrors the other individual Complementary communication - CORRECT ANSWER - complementary behavior is supplemental
