Family and Community Medicine

Question 1

Represents a composite of the individual developmental changes of family members

Answer 1

Family life cycle

Question 2

Presents a cyclic development of the evolving family unit

Answer 2

Family life cycle

Question 3

Shows the evolution of the marital relationship

Answer 3

Family life cycle

Question 4

Family Life Cycle Stages: IDENTIFY
Increasing flexibilities to include children’s independence and grandparents’ frailties
Refocus on midlife marital and career issues — midlife crisis

Answer 4

Families with Adolescents

Question 5

Family Life Cycle Stages: IDENTIFY
Leaving home
Accepting emotional and financial responsibility for self
Differentiation of self in relation to family of origin

Answer 5

Unattached Young Adult

Question 6

Family Life Cycle Stages: IDENTIFY
Joining the families through marriage
Commitment to new system
Realignment of relationships with extended families and friends to include spous

Answer 6

Newly Married Couple

Question 7

Family Life Cycle Stages: IDENTIFY
Accepting the shifting of generational roles
Maintaining own function in face of physiologic decline
Support for a more central role of the middle generation
Dealing with loss of spouse, siblings, peers, and preparation for own death
Life review and integration

Answer 7

Families in Later Life

Question 8

Family Life Cycle Stages: IDENTIFY
Accepting new members into the marriage and extended family
Joining in child rearing, financial and household task

Answer 8

Family with Young Children

Question 9

Family Life Cycle Stages: IDENTIFY
Launching children and moving on
Accepting exits from and entries into the family system
Development of adult to adult relationships between grown children and their parents

Answer 9

Launching Family

Question 10

A group of people who are related to each other either biologically, emotionally, or legally

Answer 10

Family (general)

Question 11

A group of people related by blood, marriage, or adoption who live together in one household

Answer 11

Family (by affinity)

Question 12

A small social system made up of individuals related to each other by reason of strong reciprocal affection and loyalties and comprising a permanent household (or cluster of household) that persists over years and decades — common ideology

Answer 12

Family (by structure, function, composition, and affection)

Question 13

Classification of Families according to Structure:
Parents and dependent children
Separate dwelling
Economically independent

Answer 13

Nuclear Family

Question 14

Classification of Families according to Structure:
Includes step parents and step children
Due to divorce or annulment with remarriage

Answer 14

Blended Family

Question 15

Classification of Families according to Structure:
Parents, children, and relatives
Aggregate of families or part of families from two ro more generatios occupying a single or adjacent dwellings

Answer 15

Extended Family

Question 16

Classification of Families according to Structure:
Different families formed for specific ideological or societal purposes
Frequently considered as alternative lifestyle for people who feel alientated from a predominantly economically oriented society

Answer 16

Communal or Corporate Family

Question 17

Classification of Families according to Structure:

E.g. Amish community in Lancaster counter, Pennsylvania (socialists? marxists? are they?)

Answer 17

Communal or Corporate Family

Question 18

Classification of Families according to Structure:

Children

Answer 18

Single Parent Family

Question 19

Tools in Family Assessment:
Family Apgar (Smilkstein)
Capability of the family to utilize and share inherent resources

Answer 19

Adaptation

Question 20

Tools in Family Assessment:
Family Apgar (Smilkstein)
How time, space, and money are shared

Answer 20

Resolve

Question 21

Tools in Family Assessment:
Family Apgar (Smilkstein)
Satisfaction with emotional relationships and intimacy within the family

Answer 21

Affection

Question 22

Tools in Family Assessment:
Family Apgar (Smilkstein)
Sharing of decision making

Answer 22

Partnership

Question 23

Tools in Family Assessment:
Family Apgar (Smilkstein)
Physical and emotional growth

Answer 23

Growth

Question 24

Tools in Family Assessment:

Assesses capacity of the family’s resources and coping with crisis (e.g. when someone gets sick)

Answer 24

SCREEM

Question 25

Tools in Family Assessment:

SCREEM?

Answer 25

SCREEM
Social
Cultural
Religious
Economic
Educational
Medical...factors affecting health

Question 26

Essential health care made universally accessible to individuals and families in the community by means acceptable to them, through their full participation and at a cost that the community can afford. It forms an integral part both of the country’s health system of which it is the nucleus and of the overall social and economic development of the community—

Answer 26

Primary Health Care

Alma Ata Declaration

Question 27

Goals of primary health care

Answer 27

Equal access to health care

Self reliance in health

Question 28

Elements of PHC

Answer 28

ELEMENTS
Education
Local / Endemic Disease Control
Epidemic Disease Control
Maternal and Child Health
Essential Drugs
Nutrition
Technology Transfer
Sanitation

Question 29

Strategies of PHC:
\_\_\_ and \_\_\_ partnership
Integration of \_\_\_ and \_\_\_ measures
Inter-sectoral linkages
Use of \_\_\_
Cooperation with traditional health system
Community \_\_\_

Answer 29

government and private sector
preventive and curative
village health workers (BHW: MC available)
organizing