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NSG 527 Final Exam Study Guide: Family Systems Theories and Health, Exams of Nursing

This comprehensive study guide covers key concepts in family systems theory and their application to health and illness. it explores various theoretical models, including those by nightingale, king, roy, neumann, orem, rogers, and newman, and examines family structures, stress, and adaptation. The guide also includes questions and answers to aid in exam preparation, making it a valuable resource for nursing students.

Typology: Exams

2024/2025

Available from 04/18/2025

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NSG 527 Final Exam Study Set 100% Pass
Family Unit - ANSWER Success or failure of individuals in society is dependent upon
stability of the:
The two purposes of the family are: - ANSWER 1. Meeting the needs of society 2.
Meeting the needs of the individuals in the family
Healthy families exhibit the following characteristics: (Beaver and Hampton) - 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 - 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 - ANSWER
marriage
parenthood
social support systems
Stage 2 of Health/Illness and Family Interaction - ANSWER Family Appraisal of
Symptoms-This stage begins when a family member has symptoms
Stage 3 of Health/Illness and Family Interaction - 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 - 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 - ANSWER Acute Response to Illness by
Client and Family-The patient takes on the "sick role" and adaptation in this role begins
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NSG 527 Final Exam Study Set 100% Pass

Family Unit - ANSWER Success or failure of individuals in society is dependent upon stability of the: The two purposes of the family are: - ANSWER 1. Meeting the needs of society 2. Meeting the needs of the individuals in the family Healthy families exhibit the following characteristics: (Beaver and Hampton) - 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 - 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 - ANSWER marriage parenthood social support systems Stage 2 of Health/Illness and Family Interaction - ANSWER Family Appraisal of Symptoms-This stage begins when a family member has symptoms Stage 3 of Health/Illness and Family Interaction - 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 - 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 - 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 - 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 - 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 - 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 - 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 - ANSWER 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 - ANSWER The family is a subsystem of society. Families are considered an institution of society equating to religion and educational institutions for example. Primary Prevention - ANSWER 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 - ANSWER After the disease occurrence Early detection, diagnosis, treatment of signs and symptoms Conduct screening assessments Health teaching Tertiary Prevention - ANSWER Recovery and rehabilitation Maximize the level of functioning Provide support to families in the rehabilitation process Nightingale's Environmental Model - ANSWER 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

Structural-Functional Theory - 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 - 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 - 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 - 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 - 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 - 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 - ANSWER 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 - ANSWER Family interactions are altered by change in the structure of the family as facilitated by therapy

Family Systems Therapy - ANSWER 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 - ANSWER (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) - ANSWER family losses marital strains family legal violations illness and family caregiver strains intrafamily strains

The three phases of stress include - ANSWER Antistress Period Actual Stress Period Poststress Period

6 behavior-specific cognitions in the Health promotion model - 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 - ANSWER information is the content of what is said

Command communication - ANSWER the command is the intent and how the message is delivered both verbally and nonverbally

Digital communication - ANSWER digital is verbal communication

Analog communication - ANSWER analog is nonverbal behavior that accompanies communication

Symmetrical communication - ANSWER symmetrical communication mirrors the other individual

Complementary communication - ANSWER complementary behavior is supplemental