Ch 2: Theoretical Foundations for the Nursing of Families + ch 7: Family health promotion (14 questions)

Question 1

What is the relationship between theory, practice and research?

Answer 1

A dynamic feedback loop rather than a static linear progression. They are mutually interdependent

Question 2

True or false. Theories merges all at once

Answer 2

FALSE

theories build slowly over time

Question 3

Define Inductive reasoning

Answer 3

Using a specific observation to form a general conclusion

Question 4

Define deductive reasoning

Answer 4

Using a general idea to form a specific conclusion

Question 5

What is a theory?

Answer 5

Interrelated concepts that link together to explain a phenomenon

Question 6

What is the major function of theory in family nursing?

Answer 6

To provide knowledge and understanding that improves nursing care for families.

Question 7

What are building blocks for theory?

Answer 7

concepts

Question 8

Define concepts

Answer 8

The major idea expressed by a theory, may be abstracts or concrete and have different meanings in various conceptual or theoretical frameworks

Question 9

Define propositions

Answer 9

Statements about the propose relationship between 2 or more concepts or a logical deduction from a theoretical statement

Question 10

What are the 3 traditional theories that have formed family medicine?

Answer 10

1) Family social science theories

2) Family therapy theories

3) Nursing models and theories

Question 11

Define family social science theories

Answer 11

• Best developed and informative about family phenomena
• Purist form is abstract
• targets normal families

Question 12

Define family therapy theories

Answer 12

• Newer and not as well developed
• Focus primarily on family pathology
• Describes family dynamics and patterns
• Both descriptive and prescriptive
• target dysfunctional families

Question 13

Define nursing conceptual framework

Answer 13

• Least developed theories
• Represents a deductive approach
  Viewed more critically today
• target family with health and illness problems

Question 14

Define family systems theory

Answer 14

• Allows nurses to understand and assess families as an organized whole or as individual within an interactive and interdependent family system
  abstract

Question 15

What are the 4 components of family systems theory?

Answer 15

1) All parts of the system are interconnected

2) The whole is more than the sum of its parts

3) All systems have some forms of boundaries or borders between the system and its environment

4) Systems can be further organized into subsystems

Question 16

What are the strengths of family systems theory?

Answer 16

• Views the family and its subsystems within the context of its suprasystems
• Excellent data gathering method and assessment strategy

Question 17

What are the weakness of family systems theory?

Answer 17

• Not specific enough for beginners to define family nursing interventions
• Takes time and practice to develop ways to understand how a family as a whole is greater than each member

Question 18

Define developmental and family life cycle theory

Answer 18

• Framework used for understanding normal family changes and experiences over members lifetimes
• Early work was primary based on the experiences of white middle class nuclear families

Question 19

What are the 2 concepts of developmental and family cycle theory?

Answer 19

1) Families develop and change over time structure and responsibilities

2) Families experience transitions form one stage to another

Question 20

What are the strengths for developmental and family cycle theory?

Answer 20

• Helps predict what a family may experience at any stage
• Helps health promotion
• Family strengths and available resources are easier to identify

Question 21

What are the weakness for developmental and family cycle theory?

Answer 21

• Only focus on nuclear families. Two parent, heterosexual and intact
• Limited acknowledgment of cultural diversity and health disparities in families

Question 22

Define bioecological systems theory

Answer 22

• Biological dispositions and environmental shape human development
• Encompasses environment, genetics and how it affects humans

Question 23

what makes up the bioecological systems aka what are the 5 systems?

Answer 23

1) Microsystems - individuals and their families in everyday life experience

2) Mesosystems - relationship of how families react with other things like religion, school or with peers

3) Exosystems - external environmental factors that influence individuals and family indirectly ex: jobs

4) Macrosystem - culture, religions

5) chronosystems - changes in person or environment overtime

Question 24

Which impacts an individual more? Proximal, intermediate or distal determinants?

Answer 24

Distal because it focuses on the root of the problem (ex: gov’t, policies)

Question 25

Define Bronfenbrenner’s ecological perspective

Answer 25

An ecological perspective emphasizing the intricate dynamic between families and environmental factors that influences health

Question 26

Define health equity

Answer 26

Identifying and removing systemic barriers that determine their access to economic, social, political and environmental resources for health

Question 27

Define health equality

Answer 27

Every person has a fair and just opportunity to access the resources that they need to be as health as possible

Question 28

Define intersectionality

Answer 28

Looks at multiple social categories such as race, ethnicity, gender and sexual orientation and analyzes how they intersect and related to one another and how they can come together rand affect the individual.

Question 29

Define family resilience

Answer 29

Ability of the family to cope with the adversity and to overcome life challenges

Question 30

Name the parts of the tree and match each one crown, trunk, roots to proximal, intermediate, distal?

Answer 30

Crown = Proximal (health behaviour, physical environment, education, income)

Trunk = Intermediate (health care systems, education systems, basically all the systems)

Roots = Distal (slavery, racism, colonialism)