NSG 527 final exam with complete solution
Family Unit
Success or failure of individuals in society is dependent upon stability of the:
The two purposes of the family are:
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)
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
Family Unit
Success or failure of individuals in society is dependent upon stability of the:
The two purposes of the family are:
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)
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
