chapter 20, 21, 22 (module 10 family health) Flashcards

1
Q

4 things to consider about a family

A

-context
-client
-system
-component of society

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2
Q

4 frameworks for family nursing

A

-neuman’s systems theory
-family development and life cycle theory
-bioecological systems theory
-family systems theory

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3
Q

3 family health risks

A

-biological
-environmental
-behavioral

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4
Q

health risks: children

A

-obesity
-accidents and injury
-child maltreatment
-acute illnesses
-chronic health conditions

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5
Q

health risks: adults

A

-chronic diseases
-CV disease
-HTN
-stroke
-DM
-mental illness
-cancer
-weight control

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6
Q

health risks: men

A

-less participation in healthcare
-cancers unique to men (prostate, testicular)
-erectile dysfunction

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7
Q

health risks: women

A

-eating disorders
-repro health
-gestational diabetes
-menopause
-breast cancer
-osteoporosis

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8
Q

ethical and legal issues for adults

A

-decision making
-elder abuse and neglect

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9
Q

examples community based models of care for adults

A

-senior centers
-adult day health
-home health and hospice
-assisted living
-long term care and rehab

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10
Q

health disparities among adults

A

-adults of color
-incarcerate adults
-LGBTQIA+ adults
-adults with physical and mental disabilities
-frail elderly

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11
Q

skills of nursing with families

A

-communication
-advocacy
-collaboration
-health promotion and disease prevention

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12
Q

characteristics of healthy families

A

-communicating well
-affirms and supports members
-respect
-trust
-humor and play
-balance in interaction with each other
-leisure time together
-shared sense responsibility
-traditions and rituals
-religious core
-honors privacy
-admits and seeks to fix problems

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13
Q

3 components of family nursing theory

A

-nursing models/theories
-family social science
-family therapy

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14
Q

stages of family life cycle

A

-married couple
-childbearing couples with infants
-families with preschool children
-families with school aged children
-families with adolescents
-families launching young adults
-middle aged parents
-aging parents

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15
Q

components (5) of bioecological family systems model

A

-microsystem
-mesosystem
-exosystem
-macrosystem
-chronosystem

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16
Q

example of microsystem

A

interact with on daily basis
(home, neighborhood, work, school, healthcare, family, close friends)

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17
Q

example of mesosystem

A

interacts with frequently but not daily
(home health aid, hospice nurse, social work, church member, transportation system, pharmacy)

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18
Q

example of exosystem

A

external environments that have indirect influence on family
(economic system, local and state political system, religious, school board, community/welfare, social security, protective services)

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19
Q

example of macrosystem

A

broad overarching social ideology and cultural values, attitudes, and beliefs that indirectly influence family
(jewish religious ethic, cultural value of autonomy in decision making, ethnicity)

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20
Q

example of chronosystem

A

time-related contexts in which changes have occurred over time that may influence any/all other levels of ecosystem
(death of young parent, divorce, marriage, war, natural disaster)

21
Q

individual’s biological makeup influences health through interactions with social and physical environments, as well as behavior

A

determinants of health

22
Q

includes the family; it is where culture, language, and personal and spiritual beliefs are learned

A

social environment

23
Q

Hazards in the home may affect health negatively, and a clean and safe home has a positive influence on health

A

physical environment

24
Q

family life cycle stages

A

-launching: single young adult leaves home
-marriage: joining of families
-families with young children
-families with adolescents
-families as launching centers
-aging families

25
Q

phases and activities of home visit

A
  1. initiation: clarify referral, purpose of visit
  2. previsit: contact, willingness of family, schedule home visit, review family record
  3. in home: introduce, rapport, nursing process
  4. termination: review visit and plan for future visit
  5. postvisit: record visit, plan for next visit
26
Q

phases and activities in contracting

A
  1. beginning: data collection, set goals, develop plan
  2. working phase: divide responsibilities, time limits, implement plan, evaluate and renegotiate
  3. termination: mutual termination of contract
27
Q

what percentile for kids in height and weight is BMI underweight

A

<5th percentile

28
Q

what percentile for kids in height and weight is BMI normal

A

5th-85th percentile

29
Q

what percentile for kids in height and weight is BMI overweight

A

85th-95th percentile

30
Q

what percentile for kids in height and weight is BMI obese

A

> 95th percentile

31
Q

top 5 causes unintentional injury and death: 0-1 years old

A
  1. suffocation
  2. homicide
  3. motor vehicle
  4. drowning
  5. adverse effects from injury
32
Q

top 5 causes unintentional injury and death: 1-4 years old

A
  1. drowning
  2. motor vehicle
  3. suffocation
  4. homicide
  5. fire/burns
33
Q

top 5 causes unintentional injury and death: 5-9 years old

A
  1. motor vehicle
  2. drowning
  3. burns/fire
  4. homicide
  5. suffocation
34
Q

top 5 causes unintentional injury and death: 10-14 years old

A
  1. motor vehicle
  2. suicide
  3. drowning
  4. homicide
  5. burns/fire
35
Q

top 5 causes unintentional injury and death: 15-19 years old

A
  1. motor vehicle
  2. poisoning
  3. homicide
  4. suicide
  5. drowning
36
Q

who gets screened for lipid disorders

A

-men 35+ yo
-women 45+ yo

37
Q

who gets pap smears

A

all women who are sexually active/18 yo

38
Q

who gets screening for colorectal cancer

A

50+ yo

39
Q

who gets mammograms

A

women 40+ yo

40
Q

who gets screening for osteoporosis

A

postmenopausal women 60+ yo

41
Q

who gets screening for rubella seriology/immunization

A

women of childbearing age

42
Q

who gets screening for chlamydia

A

-sexually active women 25+ yo
-women 25+ yo with new/multiple sex partners

43
Q

who gets screening for testicular cancer

A

-symptomatic males

44
Q

who gets screening for DM

A

adults with HTN or hyperlipidemia

45
Q

who gets a multivitamin/folic acid

A

woman planning for/capable of pregnancy

46
Q

who gets aspirin prevention

A

adults at risk for coronary heart disease

47
Q

who gets rubella immunization

A

women of childbearing age

48
Q

who gets pneumococcal vaccine

A

adults 65+ yo

49
Q

who gets influenza vaccine

A

adults 65+ yo
people at risk
annually