NSG 527 final Exam 2025 Questions
and Answers
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
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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.
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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
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