Chapter 12: Working with Family

Question 1

What is the definition of family?

Answer 1

Self-identified group of two or more individuals, share characteristics & function like family

Question 2

What are some family assessment tools?

Answer 2

Genogram, Ecomap, Models-Calgary Family Assessment, Friedman Family Assessment, McGill Model of Nursing

Question 3

What is an Genogram?

Answer 3

describes family structure, relationships and health information.

Question 4

What is a Ecomap?

Answer 4

visual depiction of contact with the larger system

Question 5

Name 10 types of family forms

Answer 5

(nuclear, extended, blended, single parent, foster, adoptive, gay/lesbian, dual-career, extramarital sex families, big brother/big sister)

Question 6

What is Family as context?

Answer 6

places emphasis on the individual, keeping in mind that he/she is part of a larger system

Question 7

What is Family as Client?

Answer 7

places emphasis on the family as a whole (a set of interacting parts).

Question 8

Name 5 family functions- how families meet the needs of individuals members and society expectations

Answer 8

(affective- most vital, social placement/socialization, reproductive, economic, health care)

Question 9

Which of the following are true regarding care considerations of vulnerable families?
- Resources are insufficient, compromised family functions and tasks
- Illness or crisis exists
- Challenges with problem solving, blame others/disorganized
- Addiction, violence, low stress tolerance

Answer 9

All are true

Question 10

What are the 3 keys to family resilience?

Answer 10

• belief systems
• organization patterns
• communication processes

Question 11

Describe 5 major family health risks?

Answer 11

Biologic risk (disease/illness related to disease/lifestyle),
Economic risk (financial resources and demand),
Socialization/social risk (stressors & society’s resources for coping/support),
Behavioural lifestyle risk (personal health habits),
Life Event risk( normative/maturational or non-normative/situational)

Question 12

What are some characteristics of functional and dysfunctional (high vs low functional) families?

Answer 12

Ineffective coping, lack of support, lack of problem-solving & decision-making skills, poor/lack of parental role modelling, too permissive/restrictive, control/domineering, lack of respect, not open to help from others outside family, no involvement with community, unclear roles, lack of communication/unclear

Question 13

What does family cohesion and flexibility refer to?

Answer 13

Cohesion- emotional bonding among members and Flexibility- amount of change in leadership, roles, relationships, rules)

Question 14

Disengaged families

Answer 14

families are distanced and lack loyalty

Question 15

Enmeshed families

Answer 15

families are dependent on each other with little separation

Question 16

Rigid families

Answer 16

families that have strict discipline/rules and seldom change

Question 17

Chaotic families

Answer 17

families that lack structure and change too much

Question 18

What are the three stages of Caregiving stages?

Answer 18

Stage 1. Encounter: need for rapid adjustment of major
changes and losses in life
Stage 2. Enduring: heavy-duty caregiving & coping with
everyday stress is the norm
Stage 3. Exit: end or reduce career demands

Question 19

Family as a system

Answer 19

interacting parts and assessment of the dynamics among these parts, rather than the individual parts themselves

Question 20

Family as a component of society

Answer 20

basic or primary unit of society and is recognized as one of the many institutions of society