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Mental status > CH 10 potter Family Dynamics > Flashcards

CH 10 potter Family Dynamics Flashcards

1
Q

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.

A

Family durability

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2
Q

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.

A

Family resiliency (recover)

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3
Q

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

A

Family diversity

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4
Q

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

A

family dynamics

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5
Q

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

A

goal of family-centered nursing care

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6
Q

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

A

family

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7
Q

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

A

family

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8
Q

is what an individual believes the family to be.

A

family

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9
Q

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

A

Family forms

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10
Q

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

A

Nuclear Family (family form)

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11
Q

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

A

Extended Family (family form)

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12
Q

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.

A

Single-Parent Family (family form)

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13
Q

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

A

Blended Family (family form)

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14
Q

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

A

Alternative Family (family form)

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15
Q

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

A

Remarriage often results

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16
Q

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

A

Adolescent mothers

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17
Q

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

A

Adolescent fatherhood

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18
Q

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

A

Children of teenage fathers

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19
Q

65 years of age and over

A

The fastest-growing age-group in America is

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20
Q

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.

A

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

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21
Q

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

A

middle years// middle age group

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22
Q

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

A

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

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23
Q

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

A

Caregiving activities include

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24
Q

interactional process

A

caregiving is an

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25
Q

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

A

Homelessness

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26
Q

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

A

Homelessness

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27
Q

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

A

contribute to homelessness in families

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28
Q

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

A

Children of families who are homeless are often

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29
Q

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

A

Factors associated with family violence are

30
Q

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

A

Domestic violence includes

31
Q

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

A

Structure

32
Q

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

A

Rigid structures

33
Q

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

A

extremely flexible family structure

34
Q

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

A

Family function

35
Q

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

A

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

36
Q

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

A

Family nursing

37
Q

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

A

goal of family nursing

38
Q

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

A

family nursing practice has 3 levels of approaches:

39
Q

both relational and transactional concepts

A

Family as a system includes

40
Q

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

A

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

41
Q

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

A

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

42
Q

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

A

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

43
Q

, 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.

A

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

44
Q

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

A

family’s available resources

45
Q

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

A

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

46
Q

in which health promotion and disease prevention take place

A

family is the primary social context

47
Q

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

A

family’s beliefs, values, and practices strongly influence

48
Q

-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

A

crisis-proof, or effective, family

49
Q

lacks or believes it lacks control over its environment.

A

ineffective, or crisis-prone family

50
Q

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

A

Hardiness and resiliency

51
Q

is the internal strengths and durability of the family unit.

A

Family hardiness

52
Q

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

A

characterize family hardiness

53
Q

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

A

Resiliency

54
Q

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

A

Family resiliency

55
Q

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

A

understanding a family’s level of resiliency.

56
Q

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

A

Genetic factors

57
Q

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

A

The scope of genomics in nursing care

58
Q

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

A

areas unique to family assessment.

59
Q

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

A

Family Structure

60
Q

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

A

Developmental Assessment

61
Q

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)

A

Family Functioning

62
Q

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

A

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

63
Q

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

A

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

64
Q

multiple generations living together.

A

Intergenerational

65
Q

with the initiation of care and includes the family

A

Discharge planning begins

66
Q

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

A

Nursing diagnoses that relate to a family

67
Q

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

A

Caregiver coping, especially during hospitalizations, is often influenced by

68
Q

is a process by which a nurse and patient share information

A

Health education

69
Q
  • 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.
A

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

70
Q

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

A

complex health care system requires you to

71
Q

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

A

Synergy Model recognizes

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