Final Exam NSG 527 /NSG527 (Latest 2024/ 2025) Already Graded A Questions and Verified Answers

Final Exam NSG 527 / NSG527 (Latest 2024 / 2025): Already Graded A Questions and Verified Answers What is the purpose of family psychoeducation? ANSWER - Helps improve knowledge base of any type of illness - Provides information about recovery stages - Empowers problem-solving skills within the family What does family psychoeducation NOT do? ANSWER Does not advocate for any vocational rehab How does family meet the needs of society? ANSWER Helps mediate between society expectations and personal needs of the individual client How does the family meet the needs of its members? ANSWER Facilitates ongoing development of the personality of each individual Who is affected by a member of a family having issues/illness? ANSWER The whole family How can the advanced practice nurse positively impact the family when treating a member of the family with an illness? ANSWER - Help promote healthy ways - Identify other health issues other family members have What are some major differences in gay and lesbian families? ANSWER - Developmental stages can differ - No one uniform family structure - Increase in stigma What is the significant difference between the 5 types of family nursing practice? ANSWER The conceptualization of the family What are the three levels of prevention? ANSWER 1. Primary 2. Secondary 3. Tertiary What is primary prevention? ANSWER Health promotion and disease prevention

What is secondary prevention? ANSWER Early detection and treatment What is tertiary prevention? ANSWER Managing chronic illness, rehabilitation and convalescence In what two specific areas does the American Nurses Association incorporate the family as a client? ANSWER 1. Community health nursing 2. Pediatric nursing Who believed that the family is the basic conditioning unit? ANSWER Dorothy Orem Who believed in clean air, environmental factors, and home health nursing? ANSWER Florence Nightingale What is stress theory? ANSWER Emphasizes a family's response to/ how they manage a crisis, including resources they possess and those that are available to them, as well as their own perception of the crisis/situation What is the developmental approach? ANSWER The family's progression through different stages of tasks or issues through the lifecycle What is the structural-functional approach? ANSWER A holistic, comprehensive approach that incorporates not only the family, but their inner and outer environments/universe What is the family lifecycle career? ANSWER Successive areas of stages of experiences of a family as a unit What is a system? ANSWER A unit with distinct parts; a family What is an open family system? ANSWER Involves more open boundaries and greater energy use. Family differentiation does not occur if the system divides into smaller units What is system theory? ANSWER Discusses self-regulation and balance

What is synonymous with balance? ANSWER Homeostasis, steady state, and equilibrium What is a family system? ANSWER An open social system that is organized and has a specific purpose.

It is not a dynamic system that has little area for change What is a closed family system? ANSWER Involves greater control and structure. Rigid, stagnated, and view change as threatening. View outsiders as not helpful or good.

What is a random family system? ANSWER Sets their own rules and schedules What is ambivalent attachment? ANSWER Fear of abandonment, need constant reassurance, constantly checking to see if their caregiver is around, and do not like to be separated What is disorganized attachment? ANSWER A lot of emotional trauma as a child, lived in chronic fear, abused or severely neglected. Might end up dating someone who is abusive or end up the abuser What is the difference in working with a whole family verses just one patient? ANSWER When working with the family you can do a full assessment, and your evaluation and your treatment has a greater scope because it involves the whole family. Your whole assessment, treatment plan and evaluation will be much broarder What are the principles of recovery? ANSWER Recovery: - emerges from hope - is person-driven - occurs via many pathways - is holistic - is supported by peers and allies - is supported through relationship and social networks - is culturally based and influenced - is supported by addressing trauma - Involves individual, family, and community strengths and responsibility - is based on respect What is an example of recovery emerges from hope? ANSWER A client had a mental health issue and through successive treatment felt empowered or optimistic and make statements such as "I think I may be able to overcome this disease"

How is change determined when evaluating a family? ANSWER *Situationally* A person's perception of the issue is important in deciding whether they will accept treatment or change How can the advanced practice nurse involve the family in the treatment of their issues? ANSWER By asking questions...

Ask them how they have handled issues before, coping strategies, or how have you resolved issues. Do not advise them to follow the prescribed treatment. Empower them and allow them to have input What can be helpful when dealing with families of other cultures? ANSWER Identify that we can be less judgmental about other people's behaviors.

This is usually due to us trying to identify our own beliefs and values and understand why we have them. It helps us to understand other cultures.

What can lead to increase in stigmatization, impaired communication, and inaccurate assessments? ANSWER Insensitive or cultural ignorance issues What is the health dimension of recovery? ANSWER Make information based on what is supportive for you in your wellbeing and engage in meaningful activities What is the community dimension of recovery? ANSWER Build a relationship and social networks What is the home dimension of recovery? ANSWER Stable and safe place to live Example: Coming out of inpatient hospitalization and going into a residential treatment recovery program (a stable place to live) What are the three social class determinants? ANSWER Occupation Education Income Which of the social class determinants is considered the most important? ANSWER Occupational status

What is an autocratic family typology? ANSWER Rigid,strict parenting style that leaves little room for input from other family members AKA Authoritarian What is a democratic family typology? ANSWER Parenting style characterized by joint-decision making, mutual respect, autonomy, and responsibility. All family members have input What is a common trend due to family power? ANSWER Increase in the democratic family What is the advantage of informal roles? ANSWER Help to maintain homeostasis and balance so that emotional needs can be met What does the family role structure do? ANSWER Maintains equilibrium and balance If a member is ill and leaves the role, the functional role structure believes that the role should go unfilled until the person returns. There is flexibility with the roles to shift as needed.

What are family values? ANSWER A system of ideas and beliefs Values serve to guide behavior, and families transmits the values. Family values are not considered to be fixed.

What are norms? ANSWER A pattern of behavior thought to be viewed in society as socially right or correct What are family value conflicts? ANSWER Social class, personal difference, and generational issues What are the main functions of the frontal lobe? ANSWER The working memory, insight, and planning What are the main functions of the thalamus? ANSWER Gating and filtering function, sensory information passes through What are the main functions of the brainstem? ANSWER Primitive part of the brain. Concerned with breathing, swallowing, and arousal What are the main functions of the amygdala? ANSWER Forms your emotional memories. Involved in fear and rage. Can put emotional meaning to stimulus

What are the main functions of the hippocampus? ANSWER Learning, processing of information to memories. Can also assign a time and place to your memories What is included in the central nervous system? ANSWER Brain and spinal cord What are the afferent neurons? ANSWER Sensory neurons; carry the sensory information towards the central nervous system What is GABA? ANSWER An inhibitory neurotransmitter in the nervous system that decreases neuronal excitability What are oligodendrocytes? ANSWER A type of cell mainly responsible for the myelin formation in the central nervous system What is Parkinson's disease? ANSWER A disease of the nerve cells that lead to the basal ganglia in the brain Results in tremors and shuffling gait What is the limbic system? ANSWER The area of the brain that is made up of the innermost portions of the frontal, temporal, and parietal lobes and that overlies the brainstem What does termination of a neurotransmitter action in the sympathetic nervous system lead to? ANSWER Reuptake in the presynaptic neuron