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NURSING LEVEL 2 > CHN: Chapter 2 and 3 > Flashcards

CHN: Chapter 2 and 3 Flashcards

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1
Q

This defined as a group of people living together composed of the head and its members related by blood, marriage, or adoption (NSCB, 2008).

A

Family

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2
Q

Sociologists tend to define family in terms of a:

A

“social unit interacting with a larger society”

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3
Q

Defined as “the family of marriage, parenthood, or
procreation; composed of a husband, wife, and their immediate children – natural, adopted or both (Friedman et al., 2003)

A

Nuclear family

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4
Q

Consisting only of husband and wife, such as newly married couples and “empty nesters”;

A

Dyad family

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5
Q

Consisting of three generations or more than one family, which may include married siblings and their families and/or
grandparents

A

Extended family

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6
Q

From a union where one or both spouses bring a child or children from previous marriage into a new living arrangement

A

Blended family results

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7
Q

Where a man has more than one spouse

A

Compound family

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8
Q

This is commonly known as live-in arrangement between an unmarried couple who are called common-law husband/wife
and their child or children from such an arrangement

A

Cohabiting family

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9
Q

Results from the death of a spouse from the death of
spouse, separation or pregnancy outside of wedlock

A

Single parent family

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10
Q

is made up of a cohabiting couple of same sex (homosexual) in a sexual relationship

A

Gay/lesbian family

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11
Q

It must be viewed as an important unit of health care

A

Family as a Client

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12
Q

It interacts with larger units outside the family and with smaller unit inside
the family

A

Family as a System

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13
Q

Is a function of the family which remained the universally accepted institution for reproductive function and child rearing

A

Procreation

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14
Q

Is a function of a family which involves the transmission of the culture of a social group. The family is the “first teacher” instructing the children in societal rules.

A

Socialization of family member

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15
Q

Is a function of a family which confers its societal rank on the children (social class).

A

Status placement

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16
Q

It is an economical function of a family in which whole family works as a team
participating in farming, fishing, or cottage industries

A

Rural family is a unit of production

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17
Q

It is an economical function of a family in which economically productive
members work separately to earn salaries or wages

A

Urban family is more a unit of consumption

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18
Q

Function of a family in which the family provides for survival needs (food, shelter & clothing)

A

Physical Maintenance

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19
Q

Family supports spouses or partners by providing companionship & meeting affective, sexual & socioeconomic needs

A

Welfare & Protection

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20
Q

What are the stages of the family life cycle?

A
  1. Marriage: Joining of families
  2. Families with young children
  3. Families with adolescents
  4. Families as launching centers
  5. Aging families
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21
Q

A stage in the family life cycle in which there is a:
-Formation of identity as a couple
-Inclusion of spouse in realignment of relationships with extended families
-Parenthood: making decisions

A

Marriage: Joining of families

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22
Q

A stage in the family life cycle in which there is a:
-Integration of children into family unit
-Adjustment of tasks: child rearing, financial and household
-Accommodation of new parenting and grandparenting roles

A

Families with young children

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23
Q

A stage in the family life cycle in which there is a:
-Development of increasing autonomy for adolescents
-Midlife reexamination of marital and career issues
-Initial shift towards concern for the older generation

A

Families with adolescents

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24
Q

A stage in the family life cycle in which there is a:
-Establishment of independent identities for parents and grown children
-Renegotiation of marital relationship
-Readjustment of relationships to include in-laws and grandchildren
-Dealing with disabilities and death of older generation

A

Families as launching centers

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25
Q

A stage in the family life cycle in which there is a:
-Maintaining couple and individual functioning while adapting to the aging process
-Support role of middle generation
-Support and autonomy of older generation
-Preparation for own death and dealing with the loss of spouse and/or siblings and other peers

A

Aging families

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26
Q

The family carries out several tasks and one of which is the health task. An
important responsibility of the community health nurse is to

A

Develop the family’s
capability in performing health tasks

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27
Q

The following are the health tasks of the family, according to Freeman and Heinrich (1981):

A
  1. Providing its members with means for health promotion and disease
    prevention (e.g. breastfeeding an infant, healthy diet for older family
    members)
  2. Recognizing interruptions of health or development.
  3. Seeking health care.
  4. Managing health and non-health crises.
  5. Providing nursing care to sick, disabled or dependent members of the family.
  6. Maintaining a home environment conducive to good health and health and personal development.
  7. Maintaining a reciprocal relationship with the community and its health
    institutions.
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28
Q

What are the characteristics of a healthy family?

A
  1. Members interact with each other
  2. Can establish priorities
  3. Healthy families affirm, support and respect each other.
  4. Members engage in flexible role relationships, share power, respond to
    change, support the growth and autonomy of others, and engage in decision making that affects them;
  5. Teaches family and societal values and beliefs and shares spiritual core;
  6. Foster responsibility and value service to others;
  7. Have a sense of play and humor and share leisure time;
  8. Have the ability to cope with stress and crisis and grow from problems.
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29
Q

This helps practitioners identify the health status of individual members of the family and aspects of family composition, function and process

A

Family Health Assessment

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30
Q

What are the principles of bag technique?:

A
  1. Performing the bag technique will minimize, if not, prevent the spread of
    any infection.
  2. It saves time and effort in the performance of nursing procedures.
  3. The bag technique can be performed in a variety of ways depending on the
    agency’s policy, the home situation, or as long as principles of avoiding
    transfer of infection is always observed.
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31
Q

Types of Family-Nurse Contacts:

A

a. Clinic Visit
b. Home Visit
c. Group Conference
d. Telephone calls (landline or mobile/cell)
e. Written Communication

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32
Q

This takes place in a private clinic, health center, barangay health station, or in an ambulatory clinic during a community
outreach activity.

A

Clinic Visit

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33
Q

Advantages of clinic visit:

A

o Family member takes the initiative of visiting the professional health worker, usually indicating the family’s readiness to
participate in the health care process.
o Allows the nurse to maximize resources
o Distractions are lessened because the nurse has greater control over the environment

34
Q

Disadvantages of clinic visits:

A

Family is unable to transport the family member requiring nursing care.
o Family may feel less confident to discuss family health concerns because the nurse is in control of the situation

35
Q

A professional, purposeful interaction that takes place in the family’s residence aimed at promoting, maintaining, or restoring
the health of the family or its members.

A

Home Visit

36
Q

Advantages of home visits

A

o It allows firsthand assessment of the home situation
o The nurse is able to seek out previously unidentified needs.
o It gives the nurse an opportunity to adapt interventions according to family resources.
o It promotes family participation and focuses on the family as a unit.
o Teaching family members in the home is made easier.
o The personalized nature of a home visit gives the family a sense of confidence in themselves and in the agency.

37
Q

Disadvantages of home visits:

A

o Cost in terms of time and effort
o More distractions at home since the nurse is unable to control the environment
o Nurse’s safety

38
Q

Phases of Home Visit

A

A. Pre-visit Phase
B. In-home Phase
C. Post-visit Phase

39
Q

The nurse contacts the family, determines the family’s willingness for a home visit, and sets an appointment with them. A plan for the home visit is formulated during this phase.

A

Pre-visit Phase

40
Q

Principles in planning for a home visit

A
  1. The home visit should have a purpose.
  2. Use information about the family collected from all possible sources, such as
    records, other personnel and/or agency, or previous contacts with the family
  3. The home visit plan focuses on identified family needs, particularly needs
    recognized by the family as requiring urgent attention.
  4. The client and the family should actively participate in planning for continuing
    care.
  5. The plan should be practical and adaptable.
41
Q

The nurse seeks permission to enter and lasts until he or she leaves the family’s home.

A

In-home Phase

42
Q

Concepts under In-home Phase:

A

a. Initiation
b. Implementation
c. Termination

43
Q

Steps in initiation:

A

 Knock or ring the doorbell and say in a loud but not threatening voice.
 On entering the home, acknowledge the family members with a greeting and introduce self and the agency he or she represents.
 Start to observe the environment for own safety and sit as the family
directs to sit.
 To establish rapport, initiate a short social conversation, then state the
purpose of the visit and the source of information

44
Q

This is a part of in-home phase in which it involves the application of the nursing process –
assessment, provision of direct nursing care as needed, and evaluation.

A

Implementation

45
Q

Consists of techniques such as interview, physical
examination, and simple diagnostic examinations that can be done at home (Capillary blood glucose determination). It includes observation of family dynamics and the family’s physical environment (use Family Assessment Form as a guide).

A

Assessment

46
Q

Steps in the implementation phase:

A

 Assessment
 Physical care, health teachings and counseling are provided to the family as needed or according to plan.
 Evaluate with the family what has been accomplished during the visit

47
Q

Consists of summarizing with the family the events during the home visit and setting a subsequent home visit or another form of nurse patient contact such as a clinic visit.

A

Termination

48
Q

A phase of home visit in which it takes place when the nurse has returned to the health facility.

A

Post-visit Phase

49
Q

Provides opportunity for initial contact between the
nurse and target families of the community

A

Group Conference

50
Q

Used to give specific information to families, such as instructions given to parents through school children.

A

Written Communication

51
Q

A tool that helps the nurse outline the family’s structure. It is a way to diagram the family. Generally, three generations of family members are included in a family tree, with symbols denoting genealogy.

A

Genogram

52
Q

Provides mechanism for recording the family’s medical and health histories.

A

Family Health Tree

53
Q

Components of family health tree:

A

a. Causes of death of deceased family members
b. Genetically linked diseases
c. Environmental and occupational diseases
d. Psychosocial problems, such as mental illness and obesity
e. Infectious diseases
f. Familial risk factors from health problems
g. Risk factors associated with the family’s methods of illness prevention
h. Lifestyle-related risk factors

54
Q

A tool that is used to depict a family’s linkages to its supra systems

A

Ecomap

55
Q

Components of Initial Data Base

A

A. Family Structure, Characteristics and Dynamics
B. Socio-economic and cultural characteristics
C. Home and Environment
D. Health Status of each Family Member
E. Values, Habits, Practices on Health Promotion, Maintenance and Disease
Prevention

56
Q

Risk factor assessment indicating presence of major and contributing
modifiable risk factors for specific life style disease

A

HPN
physical inactivity, sedentary life style
obesity
diabetes mellitus
inadequate fiber intake
stress
alcohol drinking
substance abuse.

57
Q

Purpose of family coping index

A

To provide a basis for estimating the nursing needs of a particular family

58
Q

A family health care need is present when:

A
  1. The family has a health problem with which they are unable to cope.
  2. There is a reasonable likelihood that nursing will make a difference in the in
    the family’s ability to cope.
59
Q

May be defined as dealing with problems associated with health care with reasonable success.

A

Coping

60
Q

When the family is unable to cope with one or another aspect of health care it may be said to have a:

A

Coping deficit

61
Q

Two parts of the Coping index:

A
  1. A point on the scale
  2. A justification statement
62
Q

Enables you to place the family in relation to their ability to cope with the nine areas of family nursing at the time observed and as you would expect it to be in 3 months or at the time of discharge if nursing care were provided

A

A point on the scale

63
Q

Consists of brief statement or phrases that explain why you have rated the family as you have.

A

A justification statement

64
Q

General considerations of the coping index:

A
  1. It is the coping capacity and not the underlying problem that is being rated.
  2. It is the family and not the individual that is being rated.
  3. Rating should be done after 2-3 home visits when the nurse is more acquainted with the family.
  4. The scale is as follows:
     0-2 or no competence
     3-5 coping in some fashion but poorly
     6-8 moderately competent
     9 fairly competent
  5. Justification
  6. Terminal rating is done at the end of the given period of time.
65
Q

A brief statement that explains why you have rated the family as
you have.

A

Justification

66
Q

Is done at the end of the given period of time. This enables the nurse to see progress the family has made in their competence; whether the prognosis was reasonable; and whether the family needs further nursing service and where emphasis should be placed.

A

Terminal rating

67
Q

Areas to be assessed in the coping index:

A
  1. Physical independence
  2. Therapeutic Competence
  3. Knowledge of Health Condition
  4. Application of the Principles of General Hygiene
  5. Health Attitudes
  6. Emotional Competence
  7. Family Living
  8. Physical Environment
  9. Use of Community Facilities
68
Q

This category is concerned with the ability to move
about to get out of bed, to take care of daily grooming, walking and other things which involves the daily activities.

A

Physical independence

69
Q

This category includes all the procedures or treatment prescribed for the care of ill, such as giving medication, dressings, exercise and relaxation, special diets, use of prosthetic devices and other adaptive appliances such as wheelchairs and walker.

A

Therapeutic Competence

70
Q

This system is concerned with understanding of the health condition or essentials of care according to the developmental stages of family members

A

Knowledge of Health Condition

71
Q

This is concerned with the
family action in relation to maintaining family nutrition, securing adequate rest and relaxation for family members, carrying out accepted preventive
measures, such as immunization

A

Application of the Principles of General Hygiene

72
Q

This category is concerned with the way the family feels about health care in general, including preventive services, care of illness and public health measures

A

Health Attitudes

73
Q

This category has to do with the maturity and integrity with which the members of the family are able to meet the usual
stresses and problems of life, and to plan for happy and fruitful living

A

Emotional Competence

74
Q

This category is concerned largely with the interpersonal or group aspects of family life

A
74
Q

This category is concerned largely with the interpersonal or group aspects of family life

A

Family Living

75
Q

This is concerned with the home, school, work and the
community and the work environment as it affects family health.

A

Physical Environment

76
Q

This is the ability of the family to seek and utilize, as needed, both government-run and private health, education, and other community services.

A

Use of Community Facilities

77
Q

The nurse organizes data into clusters (data synthesis) and sets aside
data that may be considered irrelevant. Seemingly inaccurate or conflicting data are validated with the family respondent.

A

Family Data Analysis

78
Q

Are reflected in data on household membership and demographic characteristics, family members living outside
the household, family mobility, and family dynamics

A

Family Structure and Characteristics

79
Q

Include data on social integration, educational
experiences and literacy, work history, financial resources, leisure time
interests, and cultural influences, including spirituality or religious affiliation

A

Socioeconomic Characteristics

80
Q

Refers to the physical environment inside the family’s home/residence and its neighborhood

A

Family Environment

81
Q

Take into account the family’s activities of daily living, self-care, risk behaviors, health history, current health status, and
health care resources

A

Family Health and Health Behavior

NURSING LEVEL 2 (2 decks)

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