NURS 1200 TEST 1 STUDY GUIDE LATEST
UPDATED ACCURATE AND VERIFIED.
The nurse is performing a family assessment. Which question helps
assess family structure?
a. "Does anyone else live with you?"
b. "What have you liked doing in the past?"
c. "What activities do you like doing now?"
d. "Whose role is it to take you (Grandad) to the pharmacy?"
a. "Does anyone else live with you?"
A 50-year-old client presents to the clinic with complaints of fatigue,
missing work, and sleeping difficulty. The client reports caring for 2
young children and a mentally challenged, adult sibling. After performing
a physical assessment and having normal findings, the nurse concludes
that this client may be suffering from which diagnosis?
a. Sleep apnea
b. Insomnia
c. Epstein-Barr Virus
d. Caregiver Strain
d. Caregiver Strain
CAD =
coronary artery disease
Caregiver Strain Index
Screening tool that identifies caregivers needing a more comprehensive
assessment;
13 questions addressing potential strain in employment, financial, physical,
social, and time domains
symptoms of caregiver strain (*NTK)
Insomnia or difficulty sleeping
Excessive sleep
,Chronic fatigue
Irritability
Social withdrawal
Diminished self-worth
Concentration problems
Appetite changes
Weight gain or weight loss
Lower sex drive
Less interest in hobbies
Frequent bouts of crying
Frequent headaches or body pains
Unhealthy coping methods such as alcohol or drug abuse
caregiver strain (*NTK)
a term used to describe the burdens in the caregivers' day to day lives that can
be attributed to the need to provide care or assistance to someone else; the
negative physical, psychological, financial, or other negative consequence of
caring for another person for an extended time
DM =
diabetes mellitus
CVA =
cerebrovascular accident (stroke)
AF =
atrial fibrillation
The simple definition of family offered by Kaakinen is helpful:
"Family refers to two or more individuals who depend on one another for
emotional, physical, and economic support. The members of the family are self-
defined."
family dynamics is defined as
interrelationships between and among individual family members or "the forces
at work within a family that produce particular behaviors or symptoms."
,As implied by the word "dynamic," the interactions between family
members are
fluid and change with growth and development, time, and circumstances.
Scope of family
positive/healthy to negative/dysfunctional
Within the family, individuals assume or are assigned roles such as:
_____.
Healthy families are able to _____.
spouse, parent, child, sibling, grandchild, disciplinarian, leader, scapegoat,
nurturer, enabler, hero, and so on; adapt and adjust to roles that may change
over time
______ add to family complexity.
extended family relationships; divorce; remarriage; stepchildren
Wright and Leahy describe family systems theory as allowing nurses to
"view the family as a unit and thus focus on observing the interaction among
family members, and between the family and the illness or problem rather than
studying family members individually."
The following are key characteristics of family systems theory:
(1) A family system is part of a larger suprasystem and is composed of many
subsystems,
(2) the family as a whole is greater than the sum of its individual members, (3) a
change in one family member affects all family members,
(4) the family is able to create a balance between change and stability, and
(5) family members' behaviors are best understood from a view of circular
rather than linear causality.
The origins of structural-functional theory are in _____. In this theory, the
family is a _____.
social anthropology; social system
Structural-functional theory
, Family members have specific roles, such as the father role, mother role, and
daughter or son role. Maintaining equilibrium between complementary roles is
accomplished through family dynamics.
internal context events
events that the family can change (family structure, psychological defenses, and
values and beliefs)
external context events
those the family can't control (culture of larger society, genetics, maturity of
those involved)
Calculation of EDD take the first day of last menstrual period (LMP)
subtract 3 months, add 7 days, add 1 year. This way of calculating is
called
Nageles's rule
Ways to calculate EDD or EDB include:
Nagele's rule (-3months + 7days + 1year); utilizing gestational or birth calculator
or wheel; ultrasound (best method)
Presumptive signs of pregnancy:
Subjective findings the woman experiences or reports; may be caused by
something else; least reliable (ex. amenorrhea (absence of menstrual cycle),
nausea, vomiting, fatigue, urinary frequency, breast and skin changes, fetal
movement (Quickening), vaginal and cervical color changes)
Probable signs of pregnancy:
Objective indications that can be documented by an examiner; may be caused by
other conditions
Amenorrhea; Nausea and vomiting; Fatigue; Urinary frequency; Breast
and skin changes; Fetal movement (Quickening); Vaginal and cervical
color changes are all
UPDATED ACCURATE AND VERIFIED.
The nurse is performing a family assessment. Which question helps
assess family structure?
a. "Does anyone else live with you?"
b. "What have you liked doing in the past?"
c. "What activities do you like doing now?"
d. "Whose role is it to take you (Grandad) to the pharmacy?"
a. "Does anyone else live with you?"
A 50-year-old client presents to the clinic with complaints of fatigue,
missing work, and sleeping difficulty. The client reports caring for 2
young children and a mentally challenged, adult sibling. After performing
a physical assessment and having normal findings, the nurse concludes
that this client may be suffering from which diagnosis?
a. Sleep apnea
b. Insomnia
c. Epstein-Barr Virus
d. Caregiver Strain
d. Caregiver Strain
CAD =
coronary artery disease
Caregiver Strain Index
Screening tool that identifies caregivers needing a more comprehensive
assessment;
13 questions addressing potential strain in employment, financial, physical,
social, and time domains
symptoms of caregiver strain (*NTK)
Insomnia or difficulty sleeping
Excessive sleep
,Chronic fatigue
Irritability
Social withdrawal
Diminished self-worth
Concentration problems
Appetite changes
Weight gain or weight loss
Lower sex drive
Less interest in hobbies
Frequent bouts of crying
Frequent headaches or body pains
Unhealthy coping methods such as alcohol or drug abuse
caregiver strain (*NTK)
a term used to describe the burdens in the caregivers' day to day lives that can
be attributed to the need to provide care or assistance to someone else; the
negative physical, psychological, financial, or other negative consequence of
caring for another person for an extended time
DM =
diabetes mellitus
CVA =
cerebrovascular accident (stroke)
AF =
atrial fibrillation
The simple definition of family offered by Kaakinen is helpful:
"Family refers to two or more individuals who depend on one another for
emotional, physical, and economic support. The members of the family are self-
defined."
family dynamics is defined as
interrelationships between and among individual family members or "the forces
at work within a family that produce particular behaviors or symptoms."
,As implied by the word "dynamic," the interactions between family
members are
fluid and change with growth and development, time, and circumstances.
Scope of family
positive/healthy to negative/dysfunctional
Within the family, individuals assume or are assigned roles such as:
_____.
Healthy families are able to _____.
spouse, parent, child, sibling, grandchild, disciplinarian, leader, scapegoat,
nurturer, enabler, hero, and so on; adapt and adjust to roles that may change
over time
______ add to family complexity.
extended family relationships; divorce; remarriage; stepchildren
Wright and Leahy describe family systems theory as allowing nurses to
"view the family as a unit and thus focus on observing the interaction among
family members, and between the family and the illness or problem rather than
studying family members individually."
The following are key characteristics of family systems theory:
(1) A family system is part of a larger suprasystem and is composed of many
subsystems,
(2) the family as a whole is greater than the sum of its individual members, (3) a
change in one family member affects all family members,
(4) the family is able to create a balance between change and stability, and
(5) family members' behaviors are best understood from a view of circular
rather than linear causality.
The origins of structural-functional theory are in _____. In this theory, the
family is a _____.
social anthropology; social system
Structural-functional theory
, Family members have specific roles, such as the father role, mother role, and
daughter or son role. Maintaining equilibrium between complementary roles is
accomplished through family dynamics.
internal context events
events that the family can change (family structure, psychological defenses, and
values and beliefs)
external context events
those the family can't control (culture of larger society, genetics, maturity of
those involved)
Calculation of EDD take the first day of last menstrual period (LMP)
subtract 3 months, add 7 days, add 1 year. This way of calculating is
called
Nageles's rule
Ways to calculate EDD or EDB include:
Nagele's rule (-3months + 7days + 1year); utilizing gestational or birth calculator
or wheel; ultrasound (best method)
Presumptive signs of pregnancy:
Subjective findings the woman experiences or reports; may be caused by
something else; least reliable (ex. amenorrhea (absence of menstrual cycle),
nausea, vomiting, fatigue, urinary frequency, breast and skin changes, fetal
movement (Quickening), vaginal and cervical color changes)
Probable signs of pregnancy:
Objective indications that can be documented by an examiner; may be caused by
other conditions
Amenorrhea; Nausea and vomiting; Fatigue; Urinary frequency; Breast
and skin changes; Fetal movement (Quickening); Vaginal and cervical
color changes are all
