Nursing 527 Final Exam With 100%
Correct Answers 2023
Definition of family: family is composed of persons joined together by bonds of
marriage, blood, or ————– and residing in the same household. – Correct Answeradoption
The family unit and the survival of society: Success or failure of individuals in society is
dependent upon ———- of the family unit.
Children’s reality is based upon patterns of ———– and exposure provided by parents.
- Correct Answer-stability
socialization
Change and diversity in the family: Influenced by:
o ec—————
o te————– advances
o de———— trends
o socio————–trends
o changes in the family – Correct Answer-o economics
o technological advances
o demographic trends
o sociocultural trends
o changes in the family
Primary, Secondary, or Tertiary levels of prevention:
Prevent occurrence of disease, disease prevention
o TEACH families to take Responsibility for and to attain health goals by enjoying
healthy lifestyle – Correct Answer-Primary
Primary, Secondary, or Tertiary levels of prevention:
After disease occurs, early detection / diagnosis / Tx Role of the nurse in ———- is
conduct disease screening, make referrals, determine patterns of dysfunction, health
teaching – Correct Answer-Secondary/secondary
Primary, Secondary, or Tertiary levels of prevention:
Maximize the level of functioning – Role of the Family Nurse-Functions: Provide support
to families in the rehabilitation process. Case manager, advocate, teacher and
counselor – Role of the Family Nurse-Challenges: Disability and chronic disease –
Correct Answer-Tertiary
Challenges to PRIMARY prevention
Challenges faced: lack of ———-/monetary, at—– of HCP, HCP as poor role models,
environmental h———–, lack of health ————— in patients, access to h———–,
education, employment. – Correct Answer-funding
attitudes
hazards
knowledge
healthcare
Challenges to SECONDARY prevention
D—— of health issues, Ma———- of family members—lack of co——– skills,
Dysfunction of co———— – Correct Answer-Denial
Maladaptation
coping
communications
Nightingale
King
Roy’s adaptation module
Neumann’s Health System Model
Orem’s self-care mode
Roger’s Science of unitary human beings
Newman’s Expanding Consciousness Model
Which one?
Nurses care for the whole family unit in the home environment, Emphasis on the health
and wellness in presence of environmental factors – Correct Answer-Nightingale
Nightingale
King
Roy’s adaptation module
Neumann’s Health System Model
Orem’s self-care mode
Roger’s Science of unitary human beings
Newman’s Expanding Consciousness Model
Which one?
Includes family as context. The nurse/family members complete assessment to
determine goals and a plan of care, and the family unit provides socialization and
establishes norms of behavior across the life cycle – Correct Answer-King
skip – Correct Answer-skip
Nightingale
King
Roy’s adaptation module
Neumann’s Health System Model
Orem’s self-care mode
Roger’s Science of unitary human beings
Newman’s Expanding Consciousness Model
Which one?
family unit is context- same as the individual. The family is adaptive and interacts with
external environment and the internal and external stimuli. – Correct Answer-Roy’s
adaptation module
Nightingale
King
Roy’s adaptation module
Neumann’s Health System Model
Orem’s self-care mode
Roger’s Science of unitary human beings
Newman’s Expanding Consciousness Model
Which one?
The client is an open system where the family is defined, family 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. The appropriate model for community based healthcare – Correct
Answer-Neumann’s Health System Model
Nightingale
King
Roy’s adaptation module
Neumann’s Health System Model
Orem’s self-care mode
Roger’s Science of unitary human beings
Newman’s Expanding Consciousness Model
Which one?
The family unit must sustain selfcare. Nursing works with individuals to achieve selfcare in the family, the family unit is the direct receiver of the health care services. And
self care of the family can incorporate health beliefs of the family – Correct AnswerOrem’s self-care mode
Nightingale
King
Roy’s adaptation module
Neumann’s Health System Model
Orem’s self-care mode
Roger’s Science of unitary human beings
Newman’s Expanding Consciousness Model
Which one?
A family has energy that response to the environment, the same as the individuals.
Family s have stages of development and progress in one direction. Permeability of
boundaries determines the degree of responsiveness required from environmental
input. – Correct Answer-Roger’s Science of unitary human beings
Nightingale
King
Roy’s adaptation module
Neumann’s Health System Model
Orem’s self-care mode
Roger’s Science of unitary human beings
Newman’s Expanding Consciousness Model
Which one?
Expansion of consciousness defines health. Individuals move unidirectionally to expand
consciousness and allow this inside and outside of family unit. Can incorporate the
family with community energy fields. As the individuals of the family moves towards
consciousness, he/she can explain the internal dynamics of the family. – Correct
Answer-Newman’s Expanding Consciousness Model
Family Social Science
Theories:Structural-Functional:
Focuses on the family as a ———- system identifies how family ——— with other
institutions of society. Identifies how families interact with each other to effectively
perform their functions
Strengths: C———- and recognizes the family as a w——- entity in context of
community.
Family Unit
Success or failure of individuals in society is dependent upon stability of the:
The two purposes of the family are:
- Meeting the needs of society 2. Meeting the needs of the individuals in the family
Healthy families exhibit the following characteristics: (Beaver and Hampton)
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
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
marriage
parenthood
social support systems
Stage 2 of Health/Illness and Family Interaction
Family Appraisal of Symptoms-This stage begins when a family member has symptoms
Stage 3 of Health/Illness and Family Interaction
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
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
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
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
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
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
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
The entire family is in the foreground. Dynamics of the family, subsystems, and relationships with external sources are the focus.
Family as a Component of Society
The family is a subsystem of society. Families are considered an institution of society equating to religion and educational institutions for example.
Primary Prevention
Prevent the occurrence of disease.
Health promotion and disease prevention
Teach families to take responsibility for health and attain health goals by enjoying a healthy lifestyle
Secondary Prevention
After the disease occurrence
Early detection, diagnosis, treatment of signs and symptoms
Conduct screening assessments
Health teaching
Tertiary Prevention
Recovery and rehabilitation
Maximize the level of functioning
Provide support to families in the rehabilitation process
Nightingale’s Environmental Model
Did not present a theory of nursing or family nursing
Emphasized the presence of environmental factors in health and wellness
Nurses care for the whole family unit in the home environment
King’s Theory of Goal Attainment
included family-as-context
Collaboratively the nurse and family members identify complete assessment to determine goals and a plan of care
The family unit provides socialization and establishes norms of behavior across the life cycle.
Roy’s Adaptation Model
Family is a unit of analysis, in the same context as the individual
The family unit is adaptive and interacts with the external environment and internal and external stimuli
Neumann’s Health System’s Model
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
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
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
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
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
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
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
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
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
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
Therapy consists of communication skills and the intent of messages sent and received; how communication effects behavior
Attention is on patterns of communication in the family unit
Structural Family Therapy
Family interactions are altered by change in the structure of the family as facilitated by therapy
Family Systems Therapy
The self is differentiated; intellect and emotion are fostered in the individual unit of each family
Can develop a family genogram from discussion on family tree with therapist
Intellect leads over emotion
Family Career or Life Cycle (Family development theory
(2-Parent Nuclear) Transitional Stage: Between Families
Stage I: Beginning Families
Stage II: Childbearing Families
Stage III: Families with Preschool Children
Stage IV: Families with School Age Children
Stage V: Families with Teenagers
Stage VI: Families Launching Young Adults
Stage VII: Middle-Age Parents
Stage VIII: Family in Retirement and Old Age
Other circumstances: divorced, stepparent, domestic
The most stressful life events are: (FILE)
family losses
marital strains
family legal violations
illness and family caregiver strains
intrafamily strains
Phases of the Resiliency Model of Family Stress, Adjustment, and Adaptation
- Adjustment 2.Adaptation
The Resiliency Model of Family Stress, Adjustment, and Adaptation is based on 4 assumptions
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
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)
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
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
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
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
Antistress Period
Actual Stress Period
Poststress Period
6 behavior-specific cognitions in the Health promotion model
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
information is the content of what is said
Command communication
the command is the intent and how the message is delivered both verbally and nonverbally
Digital communication
digital is verbal communication
Analog communication
analog is nonverbal behavior that accompanies communication
Symmetrical communication
symmetrical communication mirrors the other individual
Complementary communication
complementary behavior is supplemental