2 Change is depending on co-evolving goals

Question 1

Change Theory - there are 9 concepts. Fuck.
Change is dependent on:
CCP
*
Change:
COIFD

U

Answer 1

• Change is dependent on:
> context
> co-evolving goals for tx
> perception of the problem
*
Change:
• can result from a myriad of causes / reasons
• occurs by “fit” b/w nurse therapeutic interventions and biopsychosocial-spiritual structures of family members
• is determined by structure
• facilitation is the nurse’s responsibility
• does not necessarily occur co-equally in all family members
*
• Understanding does not lead to change

Question 2

Change is dependent on co-evolving goals for tx.
*
Change requires that goals b/w nurses and families co-evolve within a realistic time frame. One of the main reasons for failure in working with families is…

Answer 2

either the nurse or family setting unrealistic or inappropriate goals

Question 3

Change is dependent on co-evolving goals for tx.
*
One of the primary goals of family interventions is?

Answer 3

to alter the family’s views/beliefs of the problem/illness and to alleviate suffering

Question 4

Change is dependent on co-evolving goals for tx.
*
Nurses should help families do what in relation to problems?
ABC

Answer 4

Search for alternative
affective
behavioural
cognitive responses to problems.

Question 5

Change is dependent on co-evolving goals for tx.
*
Nurses should help families search for alternative behavioural, cognitive and affective responses to problems.
*
Therefore, one of the nurse’s goals is to?

Answer 5

help the family discover or reclaim its own solutions to problems

Question 6

Change is dependent on co-evolving goals for tx.
*
Setting specific goals for tx is accomplished in?

Answer 6

collaboration w/ the family

Question 7

Change is dependent on co-evolving goals for tx.
*
Part of the assessment process is to? (2)

Answer 7

Identify current suffering/problems with which the family is most concerned + changes they would like to see.

Question 8

Change is dependent on co-evolving goals for tx.
*
Part of the assessment process is to identify current suffering/problems with which the family is most concerned + changes they would like to see.
*
This does what? (2)

Answer 8

• Provides a baseline for the goals of family interviews.

* Becomes the therapeutic contract.

Question 9

Change is dependent on co-evolving goals for tx.
*
Contracts can be verbal or written. These state…

Answer 9

• Which problems will be tackled

* During what time period/number of sessions

Question 10

Change is dependent on co-evolving goals for tx.
*
Contracts can be verbal or written. These state…
• Which problems will be tackled
• During what time period/number of sessions
*
What happens at the end of the period?

Answer 10

Progress is evaluated and either the contract with the family is terminated or a new contract is made if further therapeutic work is req.

Question 11

Change is dependent on co-evolving goals for tx.
*
On conclusion of the contract, what should happen?

Answer 11

Evaluation assessing change in the family system and the identified pt.

Question 12

Change is dependent on co-evolving goals for tx.
*
Family assessment and intervention are often more effective and successful if?

Answer 12

they are based on clear therapeutic goals

Question 13

Change is dependent on co-evolving goals for tx.
*
Family assessment and intervention are often more effective and successful if they are based on clear therapeutic goals. However…

Answer 13

However, families rarely come to family interviews with the understanding or desire that family change is required.

Question 14

Change is dependent on co-evolving goals for tx.
*
Family assessment and intervention are often more effective and successful if they are based on clear therapeutic goals. However, families rarely come to family interviews with the understanding or desire that family change is required.
*
Therefore, in addition to goal setting, the nurse must help the family do what?

Answer 14

obtain a different view of their problems

Question 15

Change is dependent on co-evolving goals for tx.
*
Where does the nurse begin in helping a family obtain a different view of their problems?
*
How can this be most easily accomplished?

Answer 15

Engaging the family.
*
Most easily accomplished by focusing on
understanding current suffering, 
the presenting problems/concerns,
family desires in relation to these