chn part 2 jen

Question 1

FAMILY SOCIAL SCIENCE THEORIES

Answer 1

 Developmental Theory
 Systems Theory
 Structural-Functional Theory
 Interactional/Communications Theory
 Family Stress Theory
 Change Theory
 Others:
- Conflict Theory
- Social Exchange Theory
- Multicultural Theory

Question 2

FAMILY THERAPY THEORIES

Answer 2

Structural Family Therapy Theory
 Family System’s Therapy Theory
 Interactional /Communications Family
Therapy Theory
 Others:
- Psychodynamic Therapy Theory
- Experiential Therapy Theory
- Strategic Therapy Theory
- Behavioral Therapy Theory
- Solution-Oriented Therapy
- Narrative Therapy Theory

Question 3

STRUCTURAL-FUNCTIONAL THEORIES

Answer 3

 Family as a social system

family in terms of its relationship with
other major social structures such as:
medicine, religion, government, and the
economy

focus is to determine how family
patterns are related to other institution and
to consider the family in the overall
structure of society.

Question 4

SYSTEMS THEORY

Answer 4

As open system, the family interact with
their environment, system depend on
both positive and negative feedback in
order to maintain a steady state.

Question 5

FAMILY INTERACTION THEORY

Answer 5

Focus on the families as units of
interacting personalities and examine
internal family dynamics including
communication processes, roles, decision
making and problem solving and
socialization pattern

Question 6

STRUCTURAL FAMILY THERAPY THEORY

Answer 6

Focus of intervention is on restructuring
the family

Question 7

FAMILY SYSTEM THEORY

Answer 7

Assumption underlying this theory is that
chronic anxiety is an inevitable,
omnipresent part of life, and also
underlying for dysfunction

Key concept within his theory is
differentiation of self

Question 8

INTERACTIONAL/COMMUNICATION FAMILY
THERAPY THEORY

Answer 8

Embodies communication approaches to
family therapy

Dynamic interaction of the patterns
between family members with a focus on
communication process

Question 9

FAMILY NURSING THEORY

Answer 9

Integrated approaches are needed to guide
family nursing practice

Question 10

There are three family nursing practice
models that are commonly used:

Answer 10

 Family Systems Stressor-Strength
Model and Inventory
 Friedman Family Assessment Model
 Calgary Family Assessment and
Intervention Models

Question 11

There are three family nursing practice
models that are commonly used:

Family Systems Stressor-Strength Model and
Inventory

Answer 11

appraisal of family
stressors and strengths

restoration of family stability and functioning
through the application of primary,
secondary and tertiary prevention approach

Question 12

There are three family nursing practice
models that are commonly used:

Friedman Family Assessment Tool

Answer 12

used for family assessment,
formulate diagnoses and develop
intervention based on identifying data.

Question 13

There are three family nursing practice
models that are commonly used:

Calgary Family Assessment and Intervention Models

Answer 13

emphasizes identification of family
strengths and resources. CFIM, Interventions
are based on what the best for the family,
assist families to empower themselves

Question 14

ASSESSMENT PHASE

Answer 14

measures the status of the family as a
client

Its ability to maintain wellness,
prevent

control or resolve problems in
order to achieve health and wellness
among its members

Data about present condition or status of
the family are compared against the norms

Question 15

TWO MAJOR TYPES OF ASSESSMENT:

Answer 15

FIRST LEVEL ASSESSMENT

SECOND LEVEL ASSESSMENT

Question 16

DATA COLLECTION

First Level DatA

Answer 16

 Family structure, characteristics and
dynamics
 Socioeconomic and cultural characteristics
 Home and environment
 Health status of each member
 Values and practices on health
promotion/maintenance and disease
prevention

Question 17

DATA COLLECTION

Second First Level Date

Answer 17

 Data on family’s assumption on health task
on each health condition or problem
 Family’s perception of the condition or
problem
 Decisions made and appropriateness; if
none, reasons
 Effects of decision

Question 18

FAMILY GENOGRAM

Answer 18

are a visual representation of a
person’s family, relationships between
members, and medical and mental health
histories.

Question 19

1st Level Assessment

DATA COLLECTION TOOLS:

Answer 19

FAMILY GENOGRAM

ECOMAP

FAMILY APGAR

Question 20

ECOMAP

Answer 20

a structural diagram of a client’s most
important relationships with people, groups,
and organizations; and identifies resources
available in clients’ community

Question 21

FAMILY APGAR

Question 22

2
nd Level Assessment

Answer 22

FAMILY COPING INDEX

Question 23

DATA COLLECTION/GATHERING METHODS

Observation

Answer 23

sensory capacities

Gather information about the family’s
state of being and behavioral
responses

Communication
Role
Home

Question 24

DATA COLLECTION/GATHERING METHODS

Interview

Answer 24

Completing health history of family
members
– Personally asking significant family
members
– Collecting information from colleagues
who work with the family

Question 25

DATA ANALYSIS/INTERPRETATION

Answer 25

 Sort Data
 Cluster/Group Related Data
 Distinguish Relevant from Irrelevant Data
 Identify Patterns with Norms
 Make Inferences

Question 26

FAMILY COPING INDEX

Answer 26

Basis for estimating the nursing needs of the
family

Question 27

FAMILY COPING INDEX

 A family health care need is present when:

Answer 27

• The family has a health problem with which
  they are unable to cope
• There is a reasonable likelihood that nursing
  will make a difference in the family’s ability to
  cope

Question 28

Direction for Scaling:
Two Parts:
. A Point on the Scale

Answer 28

Placing the family in relation to their
ability to cope with the nine areas of
family nursing at the time you
observed and as you would expect it
to be

Rating should be done after 2 – 3 home visits
when the nurse is more acquainted with the
family

Question 29

FAMILY COPING INDEX

A Point on the Scale

SCALE IS AS FOLLOWS:

Answer 29

0 – 2 or no competence
3 – 5 coping in some fashion but poorly
6 – 8 moderately competent
9 fairly competent

Question 30

Nature of the Problem

Answer 30

– Wellness (3)
– Health deficit (3)
– Health threat (2)
– Foreseeable crisis (1)

Question 31

Modifiability

Answer 31

Current knowledge, technology,
interventions to manage the
problem
– Resources of the family
– Resources of the nurse
– Resources of the community

Question 32

Salience

Answer 32

Family’s perception and evaluation
of the problem

Question 33

Determining Appropriate Interventions

Supplemental

Answer 33

• actions which the nurse
  performs in behalf of the family when it is
  unable to do things for itself.

Question 34

Determining Appropriate Interventions

Facilitative -

Answer 34

actions that remove barriers
to appropriate health action

Question 35

Determining Appropriate Interventions

. Developmental

Answer 35

• actions that improve the
  capacity of the family to provide for their
  own health needs. This type of intervention
  is directed towards family empowerment

Question 36

Family-Nurse Contacts

• Home Visit

Answer 36

Expensive in terms of time, effort,
and logistics for the nurse
– Effective and appropriate if the
objectives of care require accurate
appraisal of family relationships,
home and environment and family
competencies

Question 37

Clinic/Office Conference

Answer 37

– Less expensive
– Provides opportunity to use
equipment that cannot be taken to
the home
– Other team members may be
consulted or called upon

Question 38

Telephone Conference

Answer 38

– Effective, efficient and appropriate
if the objective of care requires
immediate access to data, given
problems on distance or travel time

Question 39

• Written Communication

Answer 39

– Less time-consuming option
– Families needing follow-up

Question 40

School Visit or Conference

Answer 40

– Provides an opportunity to work
with the family and school
authorities on how to determine the
degree of vulnerability of and work
out interventions to help children
and adolescents on specific health
risks. Hazards or adjustment
problems

Question 41

Industrial Plant or Job Site Visit

Answer 41

When you need to make an
accurate assessment of health
risks/ hazards, and work with
employer or supervisor on what
can be done to improve on
provisions for health and safety of
workers

Question 42

Tools of PHN
* PHN Bag

Answer 42

– Tool used by the nurse during a
home visit to be able to provide
care safely and efficiently

Question 43

Bag Technique

Answer 43

Helps the nurse in infection control
– Allows the nurse to give care
efficiently
– Should not take away the nurse’s
focus on the patient and the family
– May be performed in different ways

Question 44

Interprofessional Care in the Community
Rural health unit

Answer 44

A duly licensed physician as Head
of the Unit
– Registered Nurse for every 5000
population but no less than 2 in
each LGU, once of which shall be a
roving nurse
– Midwife
– Medical technologist
– Sanitation inspector
– BHW (1:20HH)

Question 45

Local Government Unit (LHB)

Answer 45

– Chair: Governor or Mayor
– vice chair
– members

Question 46

Government Organizations

Answer 46

– DSWD
– Nutrition Council
– Population Commission

Question 46

Non-Government Organizations

Answer 46

– Socio-civic organizations
– Religious org
Schools

Question 47

Evaluation of Family Nursing Care

Formative Evaluation

Answer 47

Judgment made about
effectiveness of nursing
interventions as they are
implemented.

Question 48

Evaluation of Family Nursing Care

Summative Evaluation

Answer 48

Determining the end
results of family nursing
care and usually
involves measuring
outcomes or the degree
to which goals have
been achieved

Question 49

Records in Family Health Nursing Process

• Health Records

Answer 49

– Written document about a target client
which relates an event pertinent to
health and health care services

Question 50

Records in Family Health Nursing Process

• Health Reports

Answer 50

– Account or summary of the services
rendered to clients