Ch. 13 Family

Question 1

Relationship Building w/ Families

Answer 1

Give time and attention to developing a relationship w/ families

May complete the assessment over several sessions

Positive relationships develop when:

• -nurse is knowledgeable and skillful
• -focus is on the immediate need of the family

Question 2

Genogram

Answer 2

Multigenerational diagram listing family members and their relationships

Includes age, dates of marriage and deaths, and geographic locations of family members

Use to analyze

• -family composition
• -relationship problems
• -mental health - illness patterns

Question 3

Family Apgar

Answer 3

Measures the following functions that families provide for children

1. Resource - availability when needed
2. Decisions - problem solving and mutual decision making
3. Nurturing - freedom and support to change
4. Emotional experiences - intimacy
5. Time, space, and money - time commitment to family

Question 4

Families in Poverty

Answer 4

Condensed life cycle

• -have children while young
• -low levels of education

Female-headed households, extended family

Chronic stress and untimely losses

Reliance on institutional supports

Question 5

Communication Patterns

Answer 5

Develop over a lifetime

Some more open than others

Development of family subsystems

Observe verbal and nonverbal

• -who talks to each other
• -who sits next to each other
• -who answers questions
• -what types of content are discussed and not discussed
• -daily communication patterns

Question 6

Mentally ill Family Member

Answer 6

Family serves several functions when a member is mentally ill

• -provide support to member
• -provide information to providers
• -monitor progress and report concerns
• -advocate for services like residential care

Family to Family Education Program by National Alliance for the Mentally ill (NAMI) - excellent psychoeducational program

Question 7

Components of a Comprehensive Family Psychoeducation Program

Answer 7

Didactic
Skill
Emotional
Family Process
Social

Question 8

Didactic

Answer 8

Provides information about mental illness and the mental health system

Question 9

Skill

Answer 9

Offers trading in communication, conflict, resolution, problem solving, assertiveness, behavioral management, and stress management

Question 10

Emotional

Answer 10

Provides opportunities for ventilation, sharing, and mobilizing resources

Question 11

Family Process

Answer 11

Focuses on coping w/ mental illness and its sequelae for the family

Question 12

Social

Answer 12

Increases use of informal and formal support networks