CH 10 potter Family Dynamics

Question 1

is a system of support and structure within a family that extends beyond the walls of the household.
- For example, marriages may end in divorce or death, and remarriage may occur, or children may leave home as adults, but in the end the “family” transcends long periods and inevitable (unavoidable) lifestyle changes.

Answer 1

Family durability

Question 2

is the ability of a family to cope with expected and unexpected stressors. The family’s ability to adapt to role and structural changes, family members’ developmental milestones, and crises shows resilience.
- For example, a family is resilient when the wage earner loses a job and another member of the family takes on that role. A family survives and thrives because of the challenges encountered from stressors.

Answer 2

Family resiliency (recover)

Question 3

is the uniqueness of each family unit.
-For example, some families experience marriage and have children in later life. Another family includes parents with young children and grandparents living in the home. Every person within a family unit has specific needs, strengths, and important developmental considerations

Answer 3

Family diversity

Question 4

the interactions between family members that are affected by a family’s makeup (configuration), structure, function, problem solving, and coping capacity

Answer 4

family dynamics

Question 5

is to address the comprehensive health care needs of the family as a unit and to advocate, promote, support, and provide for the well-being and health of the patient and individual family members

Answer 5

goal of family-centered nursing care

Question 6

suggests a visual image of adults and children living together in a satisfying, harmonious manner

Answer 6

family

Question 7

as a set of relationships that a patient identifies as family or as a network of individuals who influence one another’s lives, whether there are actual biological or legal ties

Answer 7

family

Question 8

is what an individual believes the family to be.

Answer 8

family

Question 9

are patterns of people considered by family members to be included in a family

Answer 9

Family forms

Question 10

A nuclear family consists of two adults (and sometimes one or more children).

Answer 10

Nuclear Family (family form)

Question 11

An extended family includes relatives (aunts, uncles, grandparents, and cousins) in addition to the nuclear family.

Answer 11

Extended Family (family form)

Question 12

A single-parent family is formed when one parent leaves the nuclear family because of death, divorce, or desertion or when a single person decides to have or adopt a child.

Answer 12

Single-Parent Family (family form)

Question 13

A blended family is formed when parents bring children from previous marriages or other parenting relationships into a new joint-living situation.

Answer 13

Blended Family (family form)

Question 14

Relationships include multi-adult households, grand families (grandparents caring for grandchildren), communal groups with children, “nonfamilies” (adults living alone), and cohabitating partners.

Answer 14

Alternative Family (family form)

Question 15

in a blended family with a complex set of relationships among all members.

Answer 15

Remarriage often results

Question 16

are less likely to finish high school and are more likely to require public assistance, live in poverty, and have children with poorer educational, behavioral, and health outcomes

Answer 16

Adolescent mothers

Question 17

is associated with lower socioeconomic status, lower educational attainment, and incarceration

Answer 17

Adolescent fatherhood

Question 18

are more likely to have low birth weight, live in poverty, and have lower cognitive test scores

Answer 18

Children of teenage fathers

Question 19

65 years of age and over

Answer 19

The fastest-growing age-group in America is

Question 20

FASTEST-GROWING AGE-GROUP IN AMERICA IS 65 YRS & OVER
- continues to affect the family life cycle, particularly the “sandwich generation”—composed of the children of older adults.

Answer 20

This phenomenon, often referred to as the “Graying of America,”

Question 21

must meet their own needs along with those of their children and their aging family members.

Answer 21

middle years// middle age group

Question 22

such as military deployment, unemployment, adolescent pregnancy, substance abuse, and divorce resulting in single parenthood.

Answer 22

This new parenting responsibility is the result of several societal factors (grandparents raise their grandkids)

Question 23

finding resources, providing personal care (bathing, feeding, or grooming), monitoring for complications or side effects of an illness or treatment, and providing instrumental activities of daily living (shopping or housekeeping). Family caregivers also provide ongoing emotional support for their loved ones, making decisions about care options, being a patient advocate, monitoring finances, and maintaining the integrity of the family unit

Answer 23

Caregiving activities include

Question 24

interactional process

Answer 24

caregiving is an

Question 25

is a major public health issue that affects the functioning, health, and well-being of the family and its members

Answer 25

Homelessness

Question 26

They are more likely to have mental and chronic health problems -. Exposure to the elements, poor nutritional status and poor access to health care affect the health of people who are homeless. They are also vulnerable to physical and emotional violence, injury, and trauma. Poverty, domestic violence, reduced government support for families

Answer 26

Homelessness

Question 27

Poverty, domestic violence, reduced government support for families with dependent children, and lack of affordable housing

Answer 27

contribute to homelessness in families

Question 28

in fair or poor health and have higher rates of asthma, ear infections, stomach problems, mental illness, poor dental health, and poor immunization documentation. -emergency department only healthcare access

Answer 28

Children of families who are homeless are often

Question 29

complex and include stress, poverty, social isolation, psychopathology, and learned family behavior. Other factors such as alcohol and drug abuse, pregnancy, sexual orientation, and mental illness increase the incidence of abuse within a family

Answer 29

Factors associated with family violence are

Question 30

not only intimate-partner relationships of spousal, live-in partners and dating relationships but also familial, elder, and child abuse. Emotional, physical, and sexual abuse occurs across all social classes

Answer 30

Domestic violence includes

Question 31

is based on the ongoing membership of the family and the pattern of relationships, which are often numerous and complex

Answer 31

Structure

Question 32

specify who accomplishes different tasks and limit the number of people outside the immediate family allowed to assume these tasks.

Answer 32

Rigid structures

Question 33

The absence of stability sometimes prevents other family members from taking action during a crisis or rapid change.

Answer 33

extremely flexible family structure

Question 34

is what a family does, such as how a family interacts to socialize younger family members, cooperates to meet economic needs, and relates to the larger society

Answer 34

Family function

Question 35

Some processes include communication among family members, goal setting, conflict resolution, caregiving, nurturing, and the use of internal and external resources

Answer 35

Family function involves the processes used by a family to achieve its goals

Question 36

assumes that all people, regardless of age, are members of some type of family form

Answer 36

Family nursing

Question 37

is to help a family and its individual members reach and maintain maximum health throughout and beyond the illness experience.

Answer 37

goal of family nursing

Question 38

(1) family as context, (2) family as patient, (3) family as a system

Answer 38

family nursing practice has 3 levels of approaches:

Question 39

both relational and transactional concepts

Answer 39

Family as a system includes

Question 40

the primary focus is on the health and development of an individual member existing within a specific family environment.

Answer 40

family as context (1 of family nursing practice level of approaches)// aka take care of pt that's ill

Question 41

Consider the family’s ability to help your patient meet physical as well as psychological needs when viewing a family as context.

Answer 41

family as context (1 of family nursing practice level of approaches)

Question 42

the family’s needs, processes, and relationships (e.g., parenting or family caregiving) are the primary focus of nursing care.

Answer 42

family as patient (1 of family nursing practice level of approaches) aka take care of the ills pt family

Question 43

, you are caring for each family member (family as context) and the family unit (family as patient), using all available environmental, social, psychological, and community resources.

Answer 43

When you care for a family as a system (1 of family nursing practice level of approaches)

Question 44

such as time, coping skills, and energy level to support, , adequate income, education

Answer 44

family’s available resources

Question 45

you use elements from both the context and patient perspectives and assess the resources available to the family system.

Answer 45

family as a system (1 of family nursing practice level of approaches)// aka u use elements for both context and pt perspective & assess recourses available to family

Question 46

in which health promotion and disease prevention take place

Answer 46

family is the primary social context

Question 47

the family’s structure and function, also affect family communication patterns, roles, and health-promoting practices.

Answer 47

family’s beliefs, values, and practices strongly influence

Question 48

-combines the need for stability with the need for growth and change type of family has a flexible structure that allows different family members to complete tasks and accepts help from outside the family system - effective family controls the environment and influences the immediate environment of home, neighborhood, and school

Answer 48

crisis-proof, or effective, family

Question 49

lacks or believes it lacks control over its environment.

Answer 49

ineffective, or crisis-prone family

Question 50

moderate a family’s stress, thus affecting a family’s health.

Answer 50

Hardiness and resiliency

Question 51

is the internal strengths and durability of the family unit.

Answer 51

Family hardiness

Question 52

A sense of control over the outcome of life, a view of change as beneficial and growth producing, and an active rather than passive orientation in adapting to stressful events

Answer 52

characterize family hardiness

Question 53

helps individuals and families respond in healthy ways when they experience stressful events

Answer 53

Resiliency

Question 54

does not develop through evasion of risk but through successful application of protective factors such as family cohesion, self-efficacy, and peer acceptance to engage in adverse situations and emerge from them stronger

Answer 54

Family resiliency

Question 55

Resources (e.g., adequate income, education) and techniques (e.g., coping resources) that a family or individuals within the family use to maintain a balance or level of health aid in

Answer 55

understanding a family’s level of resiliency.

Question 56

reflect a family’s heredity or genetic susceptibility to diseases that may or may not result in actual development of a disease

Answer 56

Genetic factors

Question 57

is broad and encompasses risk assessment, risk management, counseling and treatment options, and treatment decisions.

Answer 57

The scope of genomics in nursing care

Question 58

The form, structure, function, and health of the family are

Answer 58

areas unique to family assessment.

Question 59

Determines members of the family, relationships among family members, and the context of the family

Answer 59

Family Structure

Question 60

Determines how families adapt during predictable and unpredictable changes and difficult times

Answer 60

Developmental Assessment

Question 61

Addresses how individuals behave in relation to one another; includes instrumental aspects, which are routine activities (e.g., making meals, doing laundry), and expressive aspects (e.g., communication, problem solving, roles, influence and power, beliefs)

Answer 61

Family Functioning

Question 62

structure, function, health beliefs, values, and the way a family perceives events

Answer 62

Culture is an important variable when assessing a family because race, ethnicity, language, and norms affect

Question 63

religious, childrearing, and health care practices; recreational activities; and nutritional preferences

Answer 63

The cultural heritage of a family or member of the family affects

Question 64

multiple generations living together.

Answer 64

Intergenerational

Question 65

with the initiation of care and includes the family

Answer 65

Discharge planning begins

Question 66

often focus on a family’s ability to cope with its current situation. -often focus on changes in family processes or roles

Answer 66

Nursing diagnoses that relate to a family

Question 67

their communication with providers, access to the patient, and the presence of staff helping explain the patient’s problems and treatment plan

Answer 67

Caregiver coping, especially during hospitalizations, is often influenced by

Question 68

is a process by which a nurse and patient share information

Answer 68

Health education

Question 69

- clear communication, adaptability, healthy childrearing practices, and support and nurturing among family members. - Other strengths exist in the form of the use of crisis for growth, a commitment to one another and the family unit, a sense of well-being and cohesiveness, and spirituality.

Answer 69

Family strengths may include (improve their health and meet their goals)

Question 70

be astute, use time wisely, and anticipate the type of interventions needed to support family and patient needs up to and including discharge

Answer 70

complex health care system requires you to

Question 71

the importance of the relationship between the nurse and the patient and family to create a healing environment

Answer 71

Synergy Model recognizes