NSG 527 Final Exam | Verified with 100% Correct Answers

NSG 527 Final Exam | Verified with 100% Correct Answers a system of ideas, beliefs, and attitudes about the worst of an entity of concept that consciously or unconsciously binds the family together. Family values Patterns of behaviors considered "right in a given society" Norms What stage or prevention: health promotion and disease prevention role of the family RN is to teach families to take responsibility for health and attain health goals by enjoying a healthy lifestyle primary prevention what stage of prevention: -early detection and treatment the role of the family RN is to: -conduct screening and assessments -make referrals - determine patterns of dysfunction - health teaching secondary prevention what stage of prevention: - management of chronic illness - rehabilitation and convalescence role of family RN: - provide support to families while in the rehabilitation process - case manager, advocate, and counselor tertiary prevention in family nursing, the first step is __________ assessment ***assessment is constant throughout the course of treatment What theory?: -focuses on the family's response to crisis, resources, and perceptions of a situation. - illness causing stress that changes the family dynamic - resources for the family for dealing with stressor(s) - implications/reality of the event on families and how they will adapt Family Stress Theory what theory? -comprehensive, holistic perspective assessing the family and family universe (inner and outer environments) - family as a social system - identifies how the family interacts with each other in the family relationships and support each other effectively to perform their actions structural functional theory What theory? -looks at the family progression through its lifecycles with predictable stages, tasks, and issues - limitation - emphasis on the nuclear family Family developmental theory Commonly experienced events of the family as a unit through its existence the family lifecycle the most functional way of maintaining equilibrium in a family in the face of a change is by the use of ________ ________ role flexibility role changes create _______ during transition stress most important way in which we identify social class occupation what are the three ways in which we identify social class? 1. occupation - most important 2. income 3. education - ranked highest in the process of analysis for determining health status outcomes defined as a unit with distinct part and boundaries, extending over a period of time and with some identified purpose(s) system the central nervous system consists of the _______ and __________ brain and spinal cord lobe that is associated with working memory, planning, and insight into our problems frontal lobe primitive part of the brain - involved in swallowing, arousal, and breathing brainstem puts emotional meaning on a stimulus, forms environmental memories and is involved in rage and fear amygdala involved in learning, processing information into memories, and assigning the time and the place to memories hippocampus involved with emotions - made up of the rim of the medial (innermost) portions of the frontal, parietal, and temporal lobes and overlies the brainstem limbic system carry sensory information TOWARD the central nervous system and brain afferent neurons carry motor information AWAY from the central nervous system and toward muscles to cause movement efferent neurons inhibitory neurotransmitter in the nervous system Gamma-aminobutyric acid (GABA) excitatory neurotransmitter in the nervous system glutamate responsible for myelin formation in the CNS oligodendroglia cells disease of the nerve cells that lead into the basal ganglia resulting in shuffled gait, tremors, rigidity, etc. Parkinson's disease termination of a neurotransmitter action in SNS requires uptake into a _______ _________ presynaptic neuron recovery emerges from ________ hope emotional bond to another person attachment the first attachment theorist John Bowlby Attachment style? marked by distress when separated from caregivers and are joy when the caregiver returns. 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. secure attachment Attachment style? -avoids parents and caregivers -shows no preference for parent of stranger - possibly a result of abuse/neglect avoidant attachment attachment style? -fear of abandonment - constantly needing reassurance, hates separations, even for a few hours - sees them as a threat to relationship, constantly checking, and can fall in love in days ambivalent attachment attachment style? lived in chronic fear and emotional turmoil as a child does not know how to function in relationships was severely abused as a child and will date those that abuse them or become abusers disorganized attachment 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 systems theory one unit in totality for analysis; interdependency; the structure is the organization of the parts needed for effective function and measurable outcomes. System what are these? 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. SAMHSA dimensions of recovery what are the four dimensions of recovery 1. health 2. home 3. purpose 4. community who founded recovery? Dr. Abraham Low ________ has been identified as the primary goal of behavioral health care Recovery a dimension of recovery: make informated healthy decision based on what's support for you and your well being/purpose - engage in meaningful activities health a dimension of recovery: stable and safe place to live - e.g., opioid use disorder patient in hospital and then released to residential center which would be _________ recovery because they have a stable place to live home dimension of recovery: engage in meaningful daily activities such as job, school, volunteering, or being creative purpose dimension of recovery: build a relationship, social networks that provide support community effective, adaptable intervention for helping individuals and their families develop knowledge of and coping skills for a variety of problems and challenges in living. - improves the knowledge base about the illness - provides information regarding recovering strategies - promotes problem solving skills of the family psychoeducation Which of the following activities related to respiratory health is an example of tertiary health promotion and illness prevention? A) Administering a nebulized bronchodilator to a client who is short of breath B) Assisting with lung function testing of a client to help determine a diagnosis C) Teaching a client that "light" cigarettes do not prevent lung disease D) Advocating politically for more explicit warning labels on cigarette packages Ans: A A nurse is educating women on the need for calcium to prevent bone loss. What level of prevention does this represent? A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Residual prevention An woman 80 years of age has had a cerebrovascular accident. She has flaccidity of her right side with aphasia. For this client, which of the following activities constitutes tertiary prevention? A) Assessment of her blood pressure B) Daily bleeding and clotting times C) Gait training and speech therapy D) Education on the symptoms of a CVA A nurse is giving a talk to a local community group on health promotion and illness prevention. The nurse explains the different levels of promotion. Which of the following does the nurse include when talking about primary promotion? Select all that apply. A) Immunization clinics B) Poison control information C) Screenings for blood pressure D) Recommending mammograms for women E) Teaching about a healthy diet Primary health promotion is directed toward promoting good health and preventing disease. Examples include immunization clinics, providing poison control information, and accident prevention. Teaching about a healthy diet, regular exercise, and using seat belts are other examples. Secondary health promotion focuses on screening for early detection of diseases with prompt diagnosis. Things included are screenings for blood pressure and cholesterol, recommending gynecologic exams, and recommending mammograms for women at appropriate ages. During the course of assessing the family structure and behaviors of a pediatric patient's family, the nurse has identified a number of highly significant risk factors. Which of the following actions should the nurse prioritize when addressing these risk factors? A) Engage in appropriate health promotion activities. B) Validate the family's unique way of being. C) Enlist the help of community and social support. D) Introduce the family to another family that possesses fewer risk factors makes referrals for a parent support group for the family. This is an example of which nursing role? A) Teacher/Educator B) Leader C) Counselor D) Collaborator A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of the following actions is the best example of using the counselor role as a nurse? A) Discussing the legal aspects of adoption for teens wishing to place their infants with a family B) Searching the Internet for information on child care for the teens who wish to return to school C) Conducting a client interview and documenting the information on the client's chart D) Referring a teen who admits having suicidal thoughts to a mental health care specialist A nurse is caring for a client who is a chronic alcoholic. The nurse educates the client about the harmful effects of alcohol and educates the family on how to cope with the client and his alcohol addiction. Which of the following skills is the nurse using? A) Caring B) Comforting C) Counseling D) Assessment What may happen to the family when one of the family members suffers an illness? A) Alterations in values and religious beliefs B) More public displays of affection C) Changes in roles for the client and family D) Increased resistance to stress Which of the following nursing interventions is an example of health promotion and preventive care on the primary level? Select all that apply. A) A nurse counsels a teenager to stop smoking. B) A nurse conducts a health fair for high blood pressure screening. C) A nurse counsels the family of a client diagnosed with lung cancer. D) A home health care nurse arranges for rehabilitation services for a patient. E) A school nurse arranges for a career seminar for graduating seniors. A nurse is giving a talk to a local community group on the importance of proper diet and regular exercise. This is an example of which type of health promotion? A) Primary health promotion B) Secondary health promotion C) Tertiary health promotion D) Chronic health promotion Which of the following groups involves all parts of a person's life and is concerned with meeting basic human needs to promote health? A) Peers B) Family C) Community D) Health care providers An unmarried couple in a committed relationship live together with their adopted twin boys. Which of the following best describes this type of family? A) Nuclear family B) Extended family C) Blended family D) Adoptive family When providing nursing care to a client, the nurse provides family-centered nursing care. What is one rationale for this nursing action? A) The nurse does not want the client to feel lonely. B) The client will be more compliant with medical instructions. C) The family will be more willing to listen to instruction D) Illness in one family member affects all family members What is the purpose of the affective and coping function of the family? A) Providing a safe environment for growth and development B) Ensuring financial assistance for family members C) Providing emotional comfort and identity D) Transmitting values, attitudes, and beliefs A nurse provides health promotion and accident prevention programs for a family with adolescents and young adults. Which of the following is a task of a family at this stage? A) Establish a mutually satisfying marriage. B) Adjust to cost of family life. C) Maintain supportive home base. D) Maintain ties with younger and older generations. Which of the following individuals would the nurse assess as being most at risk for altered family health? A) An unmarried adolescent with a newborn B) A newly married couple who ask about birth control C) A middle-aged man and woman with no children D) An older adult, living in an assisted-living community Which of the following statements accurately describes a characteristic of a community? A) Communities do not exist in rural areas. B) Communities are formed by the characteristics of people and other factors. C) Communities are not limited by geographic boundaries. D) Communities have little or no effect of the health of residents. Which of the following is an example of a community factor that may affect health? A) Rural setting B) Air and water quality C) Number of residents D) Educational level Which of the following factors may be a barrier to health care services for those living in rural areas? A) Inadequate health care insurance B) Lack of knowledge about needed care C) Living long distances from services D) Decreased interest in health promotion Which of the following definitions best describes community-based nursing? A) A focus on populations within the community B) A focus on older adults living in nursing homes C) Care provided in the client's home for chronic illnesses D) care centered on individual and family health care needs A nurse assigned to a client's care schedules a family assessment of the client. Which of the following should the nurse use for basic family assessment? A) Interview B) Physical assessment C) Survey D) Poll When a family visits the counseling clinic for the first time, which of following activities will the nurse complete as part of the initial family assessment? A) Discuss the roles of the parents. B) Outline the basic needs of the family. C) Resolve all family conflicts. D) Interview the family members. The nurse is planning interventions to promote the health of a family struggling with loss of energy and privacy for the parents. In which family stage is the family? A) Family with young children B) Family with adolescents and young adults C) Family with middle-aged adults D) Family with older adults The nursing student asks the nurse about the difference between family-centered nursing and client-centered nursing. Which of the following would be inappropriate for the nurse to include when responding to the student? A) The family is composed of interdependent members who affect one another. B) The health of the family can be improved through health promotion activities. C) A strong relationship exists between the family and the health status of its members. D) Illness of one family member infrequently occurs in other members. Five functions have been identified as being essential to the growth of individuals and families. One of these functions is education and support. How is support manifested in the context of coping with crisis and illness situations? A) Making clear distinctions between the generations B) Actions that tell family members they are cared about and loved C) The promotion of exercise in the lifestyle D) Transmitting culture and acceptable behaviors A Mexican immigrant who migrated to the United States and lives in a Spanish-speaking community with other relatives is taken to the ER following a fall at work. He is admitted to the hospital for observation. The nurse is aware tht this client is at risk for: A) Cultural assimilation B) Cultural shock C) Cultural imposition D) Cultural blindness Culture shock refers to the feelings a person experiences when placed in a different culture perceived as strange. Culture shock may result in psychological discomfort or disturbances, as the patterns of behavior a person found acceptable and effective in his or her own culture may not be adequate or even acceptable in the new one. The person may then feel foolish, fearful, incompetent, inadequate, or humiliated. A nurse walks by a client's room and observes a Shaman performing a healing ritual for the client. The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other clients on the floor. What feelings is this nurse displaying? A) Culture conflict B) Cultural blindness C) Stereotyping D) Cultural shock Culture conflict occurs when people become aware of cultural differences, feel threatened, and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about their own values. Cultural blindness occurs when one ignores differences and proceeds as though they do not exist. Stereotyping is the assumption that all members of a culture, ethnic group, or race act alike. Culture shock refers to the feelings a person experiences when placed in a different culture that is perceived as strange. All of the following are factors to consider when caring for clients with limited income. Which one is the most important? A) Basic human needs may go unmet B) Limited access to reliable transportation C) Decreased access to health care services D) Risk for increased incidence of disease A client who has difficulty sleeping expresses to the nurse that watching television may help him relax and get sleep. The nurse disregards the client's concern and suggests drinking warm milk before going to bed. Which cultural characteristic is the nurse demonstrating? A) Stereotype B) Ethnocentrism C) Racism D) Relativity A nurse engages in professional rituals as a means to standardize practice and ensure efficiency. In doing so, the nurse integrates understanding of which of the following as a characteristic? A) Preconceived and untested belief about people B) Viewing one's own culture as the only correct standard C) Common and observable expressions of culture D) Belief system held to varying degrees as absolute truth Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance? A) Know the client's cultural personal space preferences. B) Realize that sitting close to the client is an indication of warmth and caring. C) Sit three to six feet away from the patient in an attempt to not offend. D) Remember not to intrude into the personal space of the elderly. When a psychiatric case manager collects data from the patient and family members as well as the patient's past utilization of health care services, the psychiatric case manager is involved in which of the following psychiatric case management functions? A. Assessment B. Planning C. Monitoring D. Evaluation When a psychiatric case manager explains to a patient's family the likely course of a mental health illness and its prognosis, the psychiatric case manager is assuming which one of the following roles? A. Mentor B. Liaison C. Advocate D. Educator During family therapy sessions, a nurse realizes that the mother frequently allies with her daughter against the father. This is an example of which of Bowen's concepts of family functioning? A. Multigenerational transmission of anxiety B. Differentiation of self