NSG527 / NSG 527 Final Exam (Latest 2024 / 2025): Psychopathology, Theories, & Advanced Clinical Modalities | Rated A Questions and Verified Answers 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 Actual Stress Period ANSWER 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. Analog communication ANSWER analog is nonverbal behavior that accompanies communication Antistress Period ANSWER Occurs prior to confronting the stressor; anticipation; if the stressor is identified early coping strategies can be identified to lessen the impact. 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 Command communication ANSWER the command is the intent and how the message is delivered both verbally and nonverbally Complementary communication ANSWER complementary behavior is supplemental Digital communication ANSWER digital is verbal communication 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. 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 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 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 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 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 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 Unit ANSWER Success or failure of individuals in society is dependent upon stability of the: 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 Hill's Family Stress Theory (ABCX Model) ANSWER 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 Information communication ANSWER information is the content of what is said Interacting variables in Hill's Family Stress Theory ANSWER 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 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 King's Theory of Goal Attainment ANSWER 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.
Neumann's Health System's Model ANSWER 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 Newman's Expanding Consciousness Model ANSWER 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. 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 Orem's Self-Care Model ANSWER 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 Phases of the Resiliency Model of Family Stress, Adjustment, and Adaptation ANSWER 1. Adjustment 2.Adaptation Poststress Period ANSWER 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. 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 Rogers's Science of Unitary Human Beings ANSWER 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 Roy's Adaptation Model ANSWER 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 Secondary Prevention ANSWER After the disease occurrence Early detection, diagnosis, treatment of signs and symptoms Conduct screening assessments Health teaching 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. 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.
Structural Family Therapy ANSWER Family interactions are altered by change in the structure of the family as facilitated by therapy 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 Symmetrical communication ANSWER symmetrical communication mirrors the other individual 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 Tertiary Prevention ANSWER Recovery and rehabilitation Maximize the level of functioning Provide support to families in the rehabilitation process The most stressful life events are: (FILE) ANSWER family losses marital strains family legal violations illness and family caregiver strains intrafamily strains The Resiliency Model of Family Stress, Adjustment, and Adaptation is based on 4 assumptions ANSWER 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. The three phases of stress include ANSWER Antistress Period Actual Stress Period Poststress Period
The two purposes of the family are: ANSWER 1. Meeting the needs of society 2. Meeting the needs of the individuals in the family Three causal relationships that can alter family health status include ANSWER marriage parenthood social support systems