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NSG 527 Final Exam - Mod 10-12 | Actual Questionsand Answers Latest Updated 2025/2026 (Gra, Exams of Nursing

General Systems Theory - ✔✔"a system theory constitutes a way of explaining a unit such as a family as it relates to and interacts with other systems... it explain how each variable affects the whole and how the whole affects each part" Concepts of the General Systems Theory - ✔✔System: one unit in totality for analysis; interdependency; the structure is the organization of the parts needed for effective function and measurable outcomes. Holism or Nonsummativity: the system is analyzed holistically and not in individual parts Interconnectedness: the system is interconnected with the environment in which it exists Social System: is a social organization with persons having interactions with defined boundaries Open System: all living systems must be interactive with the environment Closed System: does not need interaction with the environment to survive

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NSG 527 Final Exam - Mod 10-12 | Actual Questions
Updated 2025/2026 (Graded A+)
General Systems Theory - ✔✔"a system theory constitutes a way of explaining a unit such as a family as
it relates to and interacts with other systems. .. it explain how each variable affects the whole and how
the whole affects each part"
Concepts of the General Systems Theory - ✔✔System: one unit in totality for analysis; interdependency;
the structure is the organization of the parts needed for effective function and measurable outcomes.
Holism or Nonsummativity: the system is analyzed holistically and not in individual parts
Interconnectedness: the system is interconnected with the environment in which it exists
Social System: is a social organization with persons having interactions with defined boundaries
Open System: all living systems must be interactive with the environment
Closed System: does not need interaction with the environment to survive
Hierarchy of Systems: each unit has a hierarchy that transcends from a higher-level to a lower-level
system; an identified system of study is called a target system of focal system.
Boundaries: are lines of demarcation from systems, subsystems, and suprasystems; these boundaries
can be porous or flexible to allow more or less interaction between the system and the environment.
Input: is received from the environment and affects survival; it is the source of output in the system.
Output: occurs when a system monitors and processes its output.
Feedback: ongoing monitoring of input and output in a system.
Self-Regulation, Homeostasis, Steady State, and Equilibrium: self-regulation is a mechanism for
managing the family's ability to balance and control input; when this occurs there is homeostasis, steady
state and equilibrium.
Differentiation: this process occurs for growth and change to occur; families need a balance of stability
(morphostasis) and change to grow as a unit.
Energy: increased energy is needed from the environment for systems with increased activity; energy is
necessary for differentiation to occur.
Application of the General Systems Theory Concepts to the Family - ✔✔- Family: living social system;
interdependent; family members in a single unit for reaching mutual goals.
- Reciprocal Determinism of the Ripple Effect: the ripple effect occurs when a significant stressor
impacts one family member and the effect "ripples" to the entire family unit; circular causation.
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NSG 527 Final Exam - Mod 10- 12 | Actual Questionsand Answers Latest

Updated 2025 /202 6 (Graded A+)

General Systems Theory - ✔✔"a system theory constitutes a way of explaining a unit such as a family as it relates to and interacts with other systems. .. it explain how each variable affects the whole and how the whole affects each part" Concepts of the General Systems Theory - ✔✔System: one unit in totality for analysis; interdependency; the structure is the organization of the parts needed for effective function and measurable outcomes. Holism or Nonsummativity: the system is analyzed holistically and not in individual parts Interconnectedness: the system is interconnected with the environment in which it exists Social System: is a social organization with persons having interactions with defined boundaries Open System: all living systems must be interactive with the environment Closed System: does not need interaction with the environment to survive Hierarchy of Systems: each unit has a hierarchy that transcends from a higher-level to a lower-level system; an identified system of study is called a target system of focal system. Boundaries: are lines of demarcation from systems, subsystems, and suprasystems; these boundaries can be porous or flexible to allow more or less interaction between the system and the environment. Input: is received from the environment and affects survival; it is the source of output in the system. Output: occurs when a system monitors and processes its output. Feedback: ongoing monitoring of input and output in a system. Self-Regulation, Homeostasis, Steady State, and Equilibrium: self-regulation is a mechanism for managing the family's ability to balance and control input; when this occurs there is homeostasis, steady state and equilibrium. Differentiation: this process occurs for growth and change to occur; families need a balance of stability (morphostasis) and change to grow as a unit. Energy: increased energy is needed from the environment for systems with increased activity; energy is necessary for differentiation to occur. Application of the General Systems Theory Concepts to the Family - ✔✔- Family: living social system; interdependent; family members in a single unit for reaching mutual goals.

  • Reciprocal Determinism of the Ripple Effect: the ripple effect occurs when a significant stressor impacts one family member and the effect "ripples" to the entire family unit; circular causation.
  • Nonsummativity: the family unit is "greater than the sum of its parts"; a comprehensive assessment of the family includes all components of the interrelatedness.
  • Self-Reflexivity and Goal Seeking: families have an innate sense to focus on their organizational structure and function and then to set goals accordingly; communication is the key methodology for ensuring success of this process.
  • Hierarchy of Systems: Family as Focal System: the family has a hierarchal structure with its members; this also extends to the environment which encompasses institutions of the suprasystem.
  • Open, Closed and Random Family Systems: Open family-in an open system with the environment; change is necessary and desirable; boundaries are permeable in the family system. Closed-family-social control; rigidity; change is a stressor to the family Random-family-individual family members determine their boundaries; family dynamics are in chaos
  • Family Boundaries: adaptation within families occurs when boundaries can expand and retract to regulate input and output; the degree of openness can act negatively and/or positively on the stability of the family.
  • Family Adaptation: family members have the ability to be flexible in altering behavior; the family adapts by actively processing internal and external input; family homeostasis occurs when there is balance.
  • Family Subsystems: families have multiple subsystems comprising the family structure; Table 6 - 2, p. 162, provides an overview of family subsytems in the nuclear, two-parent family. Attachment Theory - ✔✔Attachment theory is focused on the relationships and bonds between people, particularly long-term relationships including those between a parent and child and between romantic partners. Patterns of Attachment: Characteristics of Secure Attachment - ✔✔Secure attachment is marked by distress when separated from caregivers and are joy when the caregiver returns. Remember, these children feel secure and able to depend on their adult caregivers. When the adult leaves, the child may be upset but he or she feels assured that the parent or caregiver will return. When frightened, securely attached children will seek comfort from caregivers. These children know their parent or caregiver will provide comfort and reassurance, so they are comfortable seeking them out in times of need. Patterns of Attachment: Characteristics of Ambivalent Attachment - ✔✔Ambivalently attached children usually become very distressed when a parent leaves. This attachment style is considered relatively uncommon, affecting an estimated 7-15% of U.S. children. Research suggests that ambivalent attachment is a result of poor maternal availability. These children cannot depend on their mother (or caregiver) to be there when the child is in need.

diagnosed with oppositional-defiant disorder (ODD), conduct disorder (CD) or post-traumatic stress disorder (PTSD) frequently display attachment problems, possibly due to early abuse, neglect or trauma. Clinicians suggest that children adopted after the age of six months have a higher risk of attachment problems. hindbrain includes the upper part of the spinal cord, the brain stem, and a wrinkled ball of tissue called the cerebellum - ✔✔hindbrain controls the body's vital functions such as respiration and heart rate. The cerebellum coordinates movement and is involved in learned movements uppermost part of the brainstem is the midbrain - ✔✔controls some reflex actions and is part of the circuit involved in the control of eye movements and other voluntary movements. The forebrain is the largest and most highly developed part of the human brain - ✔✔it consists primarily of the cerebrum (2) and the structures hidden beneath it. two frontal lobes - ✔✔When you plan a schedule, imagine the future, or use reasoned arguments, these two lobes do much of the work. One of the ways the frontal lobes seem to do these things is by acting as short-term storage sites, allowing one idea to be kept in mind while other ideas are considered rearmost portion of each frontal lobe is a motor area - ✔✔helps control voluntary movement place on the left frontal lobe called Broca's area - ✔✔allows thoughts to be transformed into words. parietal lobes, sensory areas - ✔✔receive information about temperature, taste, touch, and movement from the rest of the body. Reading and arithmetic are also functions in the repertoire of each parietal lobe. occipital lobes - ✔✔process images from the eyes and link that information with images stored in memory. Damage to the occipital lobes can cause blindness. temporal lobes - ✔✔At the top of each temporal lobe is an area responsible for receiving information from the ears. The underside of each temporal lobe plays a crucial role in forming and retrieving

memories, including those associated with music. Other parts of this lobe seem to integrate memories and sensations of taste, sound, sight, and touch. cerebral cortex (cerebrum) - ✔✔Most of the actual information processing in the brain takes place in the cerebral cortex. The Inner Brain - ✔✔these structures not only determine our emotional state, they also modify our perceptions and responses depending on that state, and allow us to initiate movements that you make without thinking about them. The hypothalamus - ✔✔directs a multitude of important functions. It wakes you up in the morning, and gets the adrenaline flowing during a test or job interview. The hypothalamus is also an important emotional center, controlling the molecules that make you feel exhilarated, angry, or unhappy. thalamus - ✔✔major clearinghouse for information going to and from the spinal cord and the cerebrum. hippocampus - ✔✔memory indexer—sending memories out to the appropriate part of the cerebral hemisphere for long-term storage and retrieving them when necessary basal ganglia - ✔✔clusters of nerve cells surrounding the thalamus. They are responsible for initiating and integrating movements. LIMBIC SYSTEM - ✔✔influences emotions, the visceral responses to those emotions, motivation, mood, and sensations of pain and pleasure. myelin sheath - ✔✔Myelin is a substance that forms the myelin sheath associated with nerve cells. This sheath is a layer of phospholipids and provides insulation for the axon and helps nerve signals travel faster and farther. Diseases such as multiple sclerosis are a result in a lack of this myelin sheath, with the resultant effect being that the conductivity of signals is much slower severely decreasing the effectiveness of the nervous system in sufferers. Parkinson's disease - ✔✔results in tremors, rigidity, and a stiff, shuffling walk, is a disease of nerve cells that lead into the basal ganglia.

The concept of recovery - ✔✔The concept of recovery assumes that an individual with mental illness has strengths and resources that can be developed to build a meaningful and fulfilling life irrespective of the severity of his/her disablement. Rather than focusing on an individual's deficits, the concept of recovery focuses on the individual identifying and developing strengths and interests so that he/she can lead a fulfilling and meaningful life. Recovery has been identified as a primary goal for behavioral health care. The Eight Dimensions of Wellness - ✔✔1. Social Wellness • Pursuing satisfying relationships with others

  • Respecting differences of other groups and individuals • Engaging in effective ways of resolving conflicts • Contributing to the common welfare of the community • Recognizing that one's self and society are interdependent • Understanding of personal & social identity within larger community
  1. Physical Wellness • Pursuing healthy, safe practices in areas of exercise, sleep, nutrition and sexuality
  • Engaging in self-care behavior which promotes thriving and prevents illness/disease
  1. Emotional Wellness • Being aware of and accepting one's own feelings and the feelings of others • Experiencing self-esteem and appreciating one's life • Paying attention to, expressing and managing one's emotions appropriately • Managing stress and dealing with difficult decisions effectively
  2. Career Wellness • Preparing for and entering work that is consistent with one's personal interests and values • Gaining satisfaction from work that is personally enriching and rewarding • Expanding and evolving one's skills and interests throughout life
  3. Intellectual/Creative Wellness • Engaging one's mind in creative and stimulating activities • Using resources to expand knowledge and improve skills • Adapting to changes, new information, differing perceptions and approaches
  4. Financial Wellness • Obtaining, managing and maintaining finances • Paying bills, allocating finances appropriately • Healthy relationship with money
  5. Environmental Wellness • Acting with recognition of the interdependence of self, society and the natural environment • Accepting personal and social responsibility for promoting ecological well-being • Making environmentally sound choices concerning the workplace, home and neighborhood • Maintaining home Four Dimensions of Recovery - ✔✔Four major dimensions support a life in recovery:
  • Health: Make informed, healthy choices that support physical and emotional well-being.
  • Home: Have a stable and safe place to live.
  • Purpose: Engage in meaningful daily activities, such as a job or school, volunteering, caring for your family, or being creative. Work for independence, income, and resources to participate in society.
  • Community: Build relationships and social networks that provide support.

Develop a Recovery Plan - ✔✔Recovery plans:

  • Enable you to identify goals for achieving wellness
  • Specify what you can do to reach those goals
  • Include daily activities as well as longer term goals
  • Track any changes in your mental health problem
  • Identify triggers or other stressful events that can make you feel worse, and help you learn how to manage them Tools to Aid to Recovery - ✔✔There are many programs which aim at recovery and wellness and are available for both people with mental illness and professionals involved in their care. The ------- Wellness Recovery Action Planning (WRAP) program is widely utilized within the United States, and it focuses on facilitating recovery.
  • Peer recovery support services were developed by the Recovery Community Services Program (RCSP) to help people become and stay engaged in the recovery process and reduce the likelihood of relapse. psychoeducation - ✔✔The term psychoeducation describes a range of individual, family, and group interventions that are focused on educating participants about a significant challenge in living, helping participants develop social and resource supports in managing the challenges of mental illness. Psychoeducation is an effective, adaptable intervention for helping individuals and their families develop knowledge of and coping skills for a variety of problems and challenges in living. Types of Psychoeducation: Individual Psychoeducation - ✔✔Consumer psychoeducation is a direct service designed to help individuals with mental and substance use disorders manage their own recovery. The service supports development of personal strategies that lead to better understanding of mental and substance use disorders. Individuals then use the acquired information to create personal goals. A combination of motivational, educational, and cognitive-behavioral techniques helps consumers create their own definition of recovery, gain control over their lives, and move forward on their paths to recovery. Educational materials and interventions help consumers learn relapse prevention and recovery strategies, build social support, use medications effectively, cope with stress, and manage their symptoms. Types of Psychoeducation: Group Psychoeducation - ✔✔Psychoeducational groups offer an opportunity for group members to increase members knowledge and understanding of their illness and treatment, coping and management strategies, and skills needed to avoid relapse.