NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions)

Preview (16 of 54 Pages)

100%

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 1 preview image

Loading page ...

NURS 480 EXAM 1 - 3 STUDY GUIDES WITH COMPLETE SOLUTIONSwhat issues have you faced after the school was made aware of your son's HIV?Single - Living alone, unmarriedNuclear dyed (two)/childless - Married couple without childrenNuclear - Offspring involved, parents and children2 generations of family, parents, and their own/adopted children in the same houseBinuclear - two separate families with children, family is a member of bothTwo postdivorce families with children as members of bothBlended - 1+ parents are married and they're bringing the children togetherExtended/multigenerational - 2+ adult generations and one that includes grandparents andgrandchildren living in the same householdSingle parent - One parent and child(ren) residing in one householdCommune - Group setting, group of men/women/childrenCohabitation - Sharing a home between 2 people who aren't married, might be emotionallyinvolvedLiving together apart - couples share living space and may share financial, household, orparenting responsibilities with no romantic attachment to each otherLiving apart together - 2 people with/without children forgoing cohabitation entirely,preferring to keep their separate homes

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 2 preview image

Loading page ...

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 3 preview image

Loading page ...

Accordion families - the ways members move in and out of the houseInterpret family genograms:- square- circle- X- link- link w/ cross- dotted line- solid line from parents- solid and dotted line from parents- solid line with X- solid line with X and no shape- solid line w/ triangle- two solid lines with a line connecting the two shapes - Square = maleCircle = femaleX = deathLink = marriageLink with cross in between = divorceDotted line = cohabitationSolid line from parents = biological childSolid and dotted line from parents = adopted childSolid line with X = stillbirthSolid line with X and no shape = abortionSolid line with triangle = pregnancyTwo solid lines with a line connecting the two shapes = identical twinsThree foundational components of family nursing - (1) determining how family is defined(2) understanding the concepts of family health(3) knowing the current evidence about the elements of a healthy family.How does the US census bureau define family? - 2+ people living together who are relatedby birth, marriage, or adoption

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 4 preview image

Loading page ...

Legal family - Relationships through blood ties, adoption, guardianship, marriageBiological family - Genetic biological networks among and between peopleSociological family - groups of people living together with or without legal or biological tiesPsychological family - Groups with strong emotional tiesNuclear family - a couple and their dependent children, regarded as a basic social unit.Blended families - remarried couples who have at least one stepchild living with themCohabitation - People living together who aren't marriedFamily health - People centered care that expands the care to individuals, families,communities, and societyApproaches to family nursing - as the context for individual development - the family servesas context for the individual as either a resource or stressor to the individual's health andillnessApproaches to family nursing - as a client - family nurse is interested in how all the familymembers are individually affected by the health event of one family memberApproaches to family nursing - as a system - Family is viewed as an interactional system inwhich the whole is more than the sum of its partsthe interactions between members are the target for nursing interventionsApproaches to family nursing - component of society - the family is a basic/primary unit ofsociety and is part of the larger system of societyTraits of a healthy (well functioning) family - Communicates and listensFosters table time (eats meals together)

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 5 preview image

Loading page ...

Affirms and supports each otherDevelops trustLaughs and playsBalance of interactionTeaches right and wrongHas rituals and traditionsShares religious coreRespects privacyValues serviceAdmits to services and seeks helpAffective family functioning - How members relate to one another and those outsideimmediate family boundariesDiscuss how family members teach a sense of belonging, emotional and psychological health,and the potential for optimal developmental patternsEconomic family dynamic - The economy affects when people get jobs, get married, havechildren, retireConsumerism, money managementResponsibilities of family members to gain and maintain economic stabilityHealth care family dynamic - Families influence when to seek treatment, whether to follow orignore treatment optionsFamily processes - Interactions among members of a family including relationships,communication patterns, time spent together, satisfaction with family lifeFamily structure - the ordered set of relationships within the family, without respect toroles and functionTheories - abstract, general ideas subject to rules and organizations

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 6 preview image

Loading page ...

- all theories contain concepts, relations, and propositions- all theories show logical relationships between concepts to illustrate patterns (like familycohesion and mental health)- theories attempt to make sense of complex phenomenon in the world (like domesticviolence)- level of evidence for nursing practiceConcepts - the building blocks of theory, words that create mental images or abstractrepresentations of phenomena of studyMajor ideas expressed by a theory, may exist on a continuum from empirical to abstractPropositions - statements about the proposed relationship between 2+ conceptssuggest a relationship between the subject and objectConceptual model - Set of general propositions that integrate concepts into meaningfulconfigurations or patternsInductive reasoning - A type of logic in which generalizations are based on a large number ofspecific observations.Deductive reasoning - reasoning in which a conclusion is reached by stating a generalprinciple and then applying that principle to a specific case (The sun rises every morning;therefore, the sun will rise on Tuesday morning.)Change theory - Systems of relationships appear to possess a tendency toward progressivechangeTransition theory - Understanding and predicting the transitions families experience overtime by combining Role Theory, Family Development Theory, and Life Course Theory

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 7 preview image

Loading page ...

Family systems theory - a theory that views the family as a system of interacting partswhose interactions exhibit consistent patterns and unstated rules- focus on circular interactions among family members- all parts are interconnected- whole > sum of parts- all systems have boundaries between the system and the environmentASSESSMENT- family members as individuals, family as a whole- communication: linear vs circular- three generations of influence- family changes across time, and family's strategies to maintain balanceDevelopmental and life cycle theory - Understanding family changes and experiences acrosstime. Based on the idea that stress happens with expected and unexpected transitions.Disequilibrium=stressInterventions aim at adjusting family roles, power structure, and relationships to return to astate of equilibrium for the next transition.- Impact of chronic illness on family development (progressive like cancer, constant likeblindness, relapsing/episodic like multiple sclerosis)ASSESSMENT- How the family has adjusted to recent transitions- adjustments to individual developmental changes- power structure, roles of members across time and transitions- how illness has changed the familyPhases of the family cycle of health and illness - 1. family member health - health promotionand risk reduction2. Family vulnerability and symptom experience - identification of illness and beginningtreatment of symptoms

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 8 preview image

Loading page ...

3. Sick role and family appraisal - family coping to accept, adjust, and accept the illness4. Diagnosis - working relationship w health team to get info and accept the diagnosis5. Illness career: accept treatment plan, recognize family roles, maintain health care team6. Recovery and rehabilitation: reestablish normal and relinquish the "sick role"7. Adjust to social stigma, maintain health care team, grieve8. Death and family reorganization: grieve and integrate loss into new family transitionBiological systems theory - Bronfenbrenner- influences of an individual, the family, etc- Microsystems: unique member traits- Mesosystems: family characteristics- Exosystems: geographic location, extended family- Macrosystems: societal, cultural, political influences- Chronosystems: time- all systems interact in a bidirectional manner, children influence their parents and viceversaIllness beliefs model - - enhance the therapeutic ways nurses help families suffering in theirexperience of serious illness- used to discover family core beliefs that may constrain or facilitate health or healing- used to create therapeutic conversationsINTERVENTIONS- create a calm, trusting environment that invites open expression of family member'sfeelings about the illness experience- commend family members for positive actions taken- invite questions and answer them carefully

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 9 preview image

Loading page ...

Rolland's chronic illness framework - - explains how families w/ similar illness stories adaptdifferently- Onset of the illness (acute or gradual)Level of disability resulting from the conditions (capacitating or incapacitating)Outcome of the illness (fatal, unpredictable, nonfatal)Stability of the disease (progressive, constant vs relapsing symptoms)Time phase of the chronic illness (diagnosis, mid illness, or terminal phase)the reaction/adaptation of the individual and family to a chronic condition differs accordingto whether the disability is considered on time and expected vs off time and unexpectedFamily nursing assessment and intervention model - Addresses 3 areas- health promotion activities and lines of defense within the family- family reaction and instability at lines of defense of resistance- restoration of family stability and family functioning at levels of prevention andinterventionIDEAS- responses to stressors develop over time and become patterns within families- lines of resistance function to stabilize family functioning or to move the family to a higherlevel of functioning after experiencing a stressor- all families are constantly changing between reacting to stressors and stabilizing orreturning to a state of equilibriumASSESSMENT- General family system stressors: How has chronic illness impacted the family?- Specific family system stressors: How has the patient's illness impacted family roles?- Family system strengths: what are the strengths of each family member and the family asa whole?INTERVENTIONS- support the family through general stressors and specific stresors

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 10 preview image

Loading page ...

Implicit family policies - Zoning ordinancesTraffic, criminal, environmental, corporate, and voting lawsExplicit family policies - Designed to achieve specific goals for familiesexample- adoption, childcare, marriagepolicies/programs/laws around marriage, divorce, adoption, child care, family leave,reproductive rights, and so onSocial determinants of health - The conditions in which people are born, grow, live, work, andage, shaped by the distribution of money, power, and resources at global, national, and locallevelsPhysical, social, educational, and economic determinants of health - Income, housing,education, employment, accessterm-50 to health care, public safety, transportation, andavailability of community based resources (can be classified as changeable or unchangeabledepending on policies and cultural constructs)Health literacy - The degree to which individual have the ability to find, understand, and usehealth related info that they can then use to make informed decisions about their healthLow health literacy has been linked to... - Lower adherence to healthy lifestylesLower participation in health screening programsPoorer management of chronic diseasePoorer adherence to medical regimens and protocolsLess participation in community groupsLess use of primary care servicesIncreased use of emergency and urgent care servicesFamily nursing process - 1. Analysis of family story2. Designing plan of action3. Family intervention4. Family evaluation

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 11 preview image

Loading page ...

5. Nurse reflectionFriedman Family Assessment Model - takes a broad approach to family assessment, whichviews families as a subsystem of society.Identification Data, developmental stage and history of family, environmental, familystructure, family functions, family stress and copingCalgary family assessment model - A family system is part of a larger suprasystem and isalso composed of many subsystemsfamily as a whole > sum of partschange in one family member affects all family membersGenomics - the study of all genes in the human genome and their interactions with eachother, the environment, and other factorsGenetics - the study of individual genes and their impact on clinical disordersHuntington chorea - inherited disease of the CNS characterized by quick, involuntarymovements, speech disturbances, and mental deteriorationautosomal dominantDefinitive diagnosis through genetic testingPrenatal testing (as early as 8-10 weeks) is possiblePrenatal testing - testing for a genetic disorder that occurs prior to birthCarrier testing - a genetic test that determines whether an individual is heterozygous for agiven gene that results in a genetic disorderPredictive testing - used to clarify the genetic status of asymptomatic family members

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 12 preview image

Loading page ...

Presymptomatic genetic testing - Tests people to determine whether they have inherited adisease-causing gene before the symptoms of the disease have appeared.Pharmacologic testing - Analyzes a person's genes to understand how drugs may movethrough the body and be broken downDirect to consumer genetic testing - genetic test marketed directly to consumers thatprovides access to ones' genetic information without medical professional involvementHealth teacher - The family nurse teaches about family wellness, illness, relations, andparenting, to name a few. The teacher-educator function is ongoing in all settings in bothformal and informal ways.Examples include teaching new parents how to care for their infant and giving instructionabout diabetes to a newly diagnosed adolescent boy and his family membersCoordinator, collaborator, and liaison - The family nurse coordinates the care that familiesreceive, collaborating with the family to plan care.For example, if a family member has been in a traumatic accident, the nurse would be a keyperson in helping families to access resources—from inpatient care, outpatient care, homehealth care, and social services to rehabilitation. The nurse may serve as the liaison amongthese services."Deliverer" and supervisor of care and technical expert - The family nurse either delivers orsupervises the care that families receive in various settings. To do this, the nurse must be atechnical expert both in terms of knowledge and skill.For example, the nurse may be the person going into the family home on a daily basis toconsult with the family and help take care of a child on a respirator.

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 13 preview image

Loading page ...

Family advocate - The family nurse advocates for families with whom they work; the nurseempowers family members to speak with their own voice, or the nurse speaks out for thefamily.An example is the nurse who is advocating for family safety by supporting legislation thatrequires wearing seat belts in motor vehicles.Consultant - The family nurse serves as a consultant to families whenever asked orwhenever necessary. In some instances, he or she consults with agencies to facilitatefamily-centered care.For example, a clinical nurse specialist in a hospital may be asked to assist the family infinding the appropriate long-term care setting for their sick grandmother. The nurse comesinto the family system by request for a short period and for a specific purpose.Counselor - The family nurse plays a therapeutic role in helping individuals and familiessolve problems or change behavior.An example from the mental health arena is a family who requires help with coping with along-term chronic condition, such as when a family member has been diagnosed withschizophrenia."Case finder" and epidemiologist - The family nurse gets involved in case-finding andbecomes a tracker of disease.For example, consider the situation in which a family member has been recently diagnosedwith a sexually transmitted disease. The nurse would engage in sleuthing out the sources ofthe transmission and in helping to get other sexual contacts in for treatment. Screening offamilies and subsequent referral of the family members may be a part of this role.Environmental specialist - The family nurse consults with families and other health careprofessionals to modify the environment.

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 14 preview image

Loading page ...

For example, if a man with paraplegia is about to be discharged from the hospital to home,the nurse assists the family in modifying the home environment so that the patient can movearound in a wheelchair and engage in self-care.Clarify and interpret - The nurse clarifies and interprets data to families in all settings.For example, if a child in the family has a complex disease, such as leukemia, the nurseclarifies and interprets information pertaining to diagnosis, treatment, and prognosis of thecondition to parents and extended family members.Surrogate - The family nurse serves as a surrogate by substituting for another person.For example, the nurse may stand in temporarily as a loving parent to an adolescent who isgiving birth to a child by herself in the labor and delivery roomResearcher - The family nurse should identify practice problems and find the best solutionfor dealing with these problems through the process of scientific investigation.An example might be collaborating with a colleague to find a better intervention for helpingfamilies cope with incontinent elders living in the home.Role model - The family nurse is continually serving as a role model to other people throughhis or her activities. A school nurse who demonstrates the right kind of health in personalself-care serves as a role model to parents and children alike.Case manager - Although case manager is a contemporary name for this role, it involvescoordination and collaboration between a family and the health care system. The casemanager has been formally empowered to be in charge of a case.For example, a family nurse working with seniors in the community may become assigned tobe the case manager for a patient with Alzheimer's diseaseFamily genogram - family tree format depicting relationships of family members over atleast three generations

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 15 preview image

Loading page ...

Family ecomap - Visual representation of how a family is connected to other individuals andsocial systems; uses circles, lines, and arrows to show family relationships and the strengthand directional flow of energy and resources to and from the family.Key for ecomapBroken lineArrowsStraight line w hash marksStraight line - Broken line: tenuous/distant relationshipArrows: direction of the flow of energyStraight line w hash marks: relationship with tensionStraight line: strong/close relationship, thicker the line, stronger the relationshipFamily reasoning web - - An organizational tool to help analyze the family story, byclustering individual pieces of data into meaningful family categoriesCategories: family routines of daily living, communication, supports and resources, roles,beliefs, developmental stage, health knowledge, environment, stress management, culture,spiritualityNURS 480 EXAM 2 STUDYTHERAPEUTIC/MEANINGFUL COMMUNICATION WITH PATIENTS AND FAMILIES -What does the 2003 privacy rule do? - It was added to the 1996 HIPAA to regulate the useand disclosure of protected health information, which is any information held by the personseeking care that concerns health status, provision of health care, or payment

NURS480 Nursing Diagnosis Study Guide Practice Exam With Answers (250 Solved Questions) - Page 16 preview image

Loading page ...

HIPAA - agencies can establish rules for ways in which they verify relationships, but thispractice cannot be mandatedInformation can be shared by any method when others need to know/are involved in careDoesn't forbid family members staying past visiting hours even when room is shared5 aspects of relationship-focused communication - Building trustAsking questionsListeningInformingGiving feedbackPresence - the gift of selfBeing with another person in a manner that recognizes the person's values, meanings andneeds (physically and psychologically)Human presence can lessen suffering and distress of another through relationships andconnectionsThe presence of a supportive family member can minimize the distress of an illness situationand maximize the health and healing potential of nursing careNursing presence is central to family focused practice and may be a means to improvesatisfaction with carefamily presence - crucial to the wholeness of an individualProvides comfortImportant during times of acute illness requiring lifesaving measures

Preview Mode

This document has 54 pages. Sign in to access the full document!

Report

Study Now!

Document Details

Related Documents

NURS480 Comprehensive Practice Exam With Answers (55 Solved Questions)

NURS480 Comprehensive Practice Exam With Answers (189 Solved Questions)

Laboratory 8 Muscle Soreness Lab Manual

Case Diana

Identifying a Local Healthcare Economic Issue

Dashboard Metrics Evaluation 1 Dashboard Metrics E

NRP 563 DQ 2

NRP 563 DQ 7

Clinical Supervision Report Week 2

NU 185 Exam 5 Final

Company

Explore

Study Tools