Ch 10 Flashcards
Summary
• Families are as diverse as the individuals who compose them. Some family members have different beliefs and traditions, even within the same generation.
• Families face many challenges, including changing structures and roles, especially as the laws, economic status, and demographics of society change.
• Family caregiving is an interactive process that occurs within the context of the relationships among its members. Family caregivers are often spouses who are older adults or adult children trying to work full-time and care for aging family members.
• Many factors, including the increased need for family caregivers, poverty, homelessness, and domestic violence, affect family forms and a family’s health.
• A family’s structure and functioning significantly influence the family’s health, health needs, and ability to respond to health problems.
• Your decision to view a family as an important context for an indi- vidual family member or to view a family unit as the patient or as a system depends on the situation and the family’s needs.
• The family is the primary social context in which health promotion and disease prevention take place. Family members influence one another’s health beliefs, practices, and status.
• The concept of family is highly individual; focus the nursing process and nursing care on a patient’s attitude and beliefs about family rather than on a traditional definition of family.
• As you provide family-centered care, you use clinical judgment and continually assess, analyze, and reflect on the changing needs and health care goals of patients and their families.
• The outcome of family nursing is to help a family and its individual members reach and maintain maximum health throughout and beyond the illness experience.
• Whether you are caring for a patient with the family as context, patient, or a system, you direct your nursing interventions to increase abilities of family members to function and perform, remove barriers to health care, and do things that the family cannot do for itself.
• Evaluation of nursing care of families is centered on the patient and family. Compare actual responses to care with the outcomes you set in the plan of care and revise the care plan as needed.
REFLECTIVE LEARNING
• Think about a patient you were assigned to care for recently. Describe the patient’s family and its structure. What effect did that structure have on your patient’s health?
• Interview a peer about his or her family. How do the beliefs and values of your peer’s family affect the family’s structure, functioning, health practices, and family celebrations?
• Reflect on a patient you cared for who had a family caregiver. What responsibilities did the family caregiver assume for the patient? Des- cribe how the family caregiver coped with the caregiving role. What stressors related to caregiving did the family caregiver experience?
A family includes a mother, a stepfather, two teenage biological daughters of the mother, and a biological daughter of the father. The father’s daughter just moved home following the loss of her job in another city. The family is converting a study into a bedroom and is in the process of distributing household chores. Nursing assessment reveals that all members of the family think that their family can adjust to lifestyle changes. This is an example of family:
1. Diversity
2. Durability
3. Resiliency
4. Configuration
3
A mother and her two children are homeless and enter a free health care clinic. Which statements most likely describe the effects of homelessness on this family? (Select all that apply.)
1. The children have stability in their education.
2. The family members may have symptoms of malnutrition, such as anemia.
3. The family is at a low risk for experiencing violence.
4. The children are at higher risk for developing ear infections.
5. All family members may have mental health issues.
2.,4.,5.,
A nurse is caring for a 66-year-old patient who lives alone and is receiving chemotherapy and radiation for a new cancer diagnosis. He is unable to care for himself because of severe pain and fatigue. He moves into his 68-year-old brother’s home so his brother can help care for him. Which assessment findings indicate that this family caregiving situation will be successful? (Select all that apply.)
1. Both the patient and his brother attend church together regularly.
2. The brothers are living together and enjoy eating the same foods.
3. Other siblings live in the same city and are willing to help.
4. The patient and his brother have a close network of friends.
5. The patient has obsessive-compulsive disorder and has difficulty
throwing away possessions.
1.,3.,4.,
A family is facing job loss of the father, who is the major wage earner, and relocation to a new city where there is a new job. The children will have to switch schools, and his wife will have to resign from the job she enjoys. Which of the following contribute to this family’s hardiness? (Select all that apply.)
1. Family meetings
2. Established family roles
3. New neighborhood
4. Willingness to change in time of stress
5. Passive orientation to life
1.,2.,4.,
A patient who is newly divorced states, “Although I’m really scared about what happens next to my children and myself, I know that divorce is not uncommon today.” What term does the nurse use in the patient’s medical record to describe the characteristic displayed in this statement?
1. Durability
2. End-of-lifecare
3. Family functioning
4. Family’s culture
1
A hospice nurse is caring for a family that is providing end-of-life care for their grandmother, who has terminal breast cancer. The nurse focuses on symptom management for the grandmother and on helping the family with developing coping skills. This approach is an example of which of the following?
1. Family as context
2. Family as patient
3. Familyasasystem
4. Family as structure
2
A 7-year-old child was recently diagnosed with asthma. A nurse is providing education to the child and her parents about the treat- ment and management of asthma and changes they need to make in their home environment to promote her health. Which state- ment made by the parents requires follow-up by the nurse?
1. “We’ve made an appointment to talk with the school nurse about the change in our child’s health.”
2. “We forgot to give our daughter her medications before bed- time, so we made a list of her medications to help us remember.”
3. “We worked out a schedule to check on her before and after
school.”
4. “We haven’t been spending time with our parents because we’re so busy taking care of our daughter.”
4
A family consisting of a grandparent, two adults, and three school- age children just immigrated to the United States. They come to a community wellness center to establish health care. Which of the following questions does the nurse ask to assess the family’s function? (Select all that apply.)
1. “What does your family do to keep members healthy?”
2. “How does your family usually make decisions?”
3. “What health services are available in your neighborhood?”
4. “Which rituals or celebrations are important for your family?”
5. “Is there a lot of crime in your neighborhood?”
6. “How many parks are there in your community?”
1.,2.,4.,
A married couple has three children. The youngest child just graduated from college and is moving to a different city to take a job. The other two children left home several years ago. The parents of both spouses are older and are beginning to need help to main- tain their home. What assessment questions will help the nurse determine the family’s functioning? (Select all that apply.)
1. “Which transitions or changes in your family are you currently experiencing?”
2. “Are your children having any problems that are affecting your family right now?”
3. “Describe a recent family conflict and how your family resolved it.”
4. “What coping strategies do you typically use as a family?”
5. “Who is involved in helping care for your parents?”
3.,4.,5.,
During a visit to a family clinic, a nurse teaches a mother about immunizations, the use of car seats, and home safety for an infant and toddler. Which type of nursing interventions are these?
1. Restorative
2. Healthpromotion
3. Acutecare
4. Growth and development
2
