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ABSN Cohort 19 > Family Exam 3 -FINAL- > Flashcards

Family Exam 3 -FINAL- Flashcards

1
Q

History of Childbearing:

Late 1800’s: Industrialization (4)

A

↑ urban living
↑ care outside of home
Child-bearing still at home for middle class
Euro colonists, A.Slaves, Natives were midwives

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2
Q

History of Childbearing:

First Third of 20th Century (4)

A

Urban livers had births at home
↑ public HP nursing for moms/babies
Child-bearing at hospital
Nurses thought: Family

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3
Q

History of Childbearing:

1930’s through “Baby Boom” in 1950’s (4)

A

Infection control begins
Dramatic ↑ child-birth at hospitals, ↓ family involvement
Males forbidden w/ women
Nurseries established

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4
Q

History of Childbearing:

1960 - 1970 (2)

A

Sedation questioned

↑ expectation of coaches and physicians

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5
Q

History of Childbearing:

1980 - Present (2)

A

↑ Family-Centered Care

Birth Centers and Family Contact promoted

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6
Q 
Childbearing:
Focuses on...
Nurses position...
Theories r/t Nurses...
Stress and Acute Conditions Effect...
A

Family relationships and Health
Powerful influence
Improve understanding of care
Disrupt family functioning, development, and structure

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7
Q

Family Systems Theory:
Focuses on…
2 Major ▲’s

A

Balance within/outside family
▲ ↑ reception of outside education
▲ ↑ permeability of family boundaries

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8
Q 
Family Developmental and Life Cycle Theory:
Focuses on...
How many Tasks...?
What are the Tasks?
(AFRAPRME)
A

Family development through childbearing
9, each of which the family will struggle with..

Arranging Space for Child - identify resource/barriers
Financing Childbearing - HARD + HP insurance ↓ last 10 years
Mutual Responsibility of Care - educate/assist attachment
Role Learning - …
Adjusting ▲’d Communication Patterns - promote + comms.
Planning for +Children - consider culture + resource
Re-Aligning Inter-generational Patterns - support friends and activities
Maintaining Motivation/Morale - ↑ coping strats
Establishing Rituals/Routines - consider rituals r/t children

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9
Q

Family Systems Theory 4 Concepts

Concept 1, 2, 3, and 4

A
  1. All parts = interconnected
  2. Whole > sum of parts
  3. All systems for boundaries
  4. Systems can be organized into subsystems
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10
Q

Family Systems Theory 3 Boundaries:
Open
Flexible
Closed

A

Openly u/resource
Selectively u/resource
Ø u/resource or share, keeps issues w/in family

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11
Q

Transition Points:

5 Shifts

A 
Planned/Unplanned Pregnancy
Infertility
Pregnancy loss
Adoption
Birth
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12
Q

Transition Points:

Example Normative vs. Non-normative Family child

A

Normative has developing child

Non-normative has disabled who never leaves home

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13
Q

Transition Points:

Situational

A

Personal relationships ▲ with shifts

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14
Q

Duvall’s Family Development Theory:

8 Stages and basis

A

Marriage - adjustment
Childbearing - establishing home
Pre-School - coping w/ energy depletion/Ø privacy
School-Aged - encouraging education
Adolescents - freedom balance
Launching Yadults - maintaining support
Milddle-Aged Parents (empty nest - retirement) - refocusing marriage/keeping ties to future gens
Aging Parents (retirment - death) - coping with death and living alone

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15
Q

Duvall’s Family Development Theory:

The Basic Premise

A

All members developing/changing and influencing each other at same time, r/in unexpected results.

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16
Q

Conflicts:

Childbearing -> CB. Family Nursing

A

Nurse focus from individual women before birth to whole family once birth occurs

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17
Q

Conflicts:
Does RN = OB?
Who is client and what is it NOT?

A

NO!
Family is client and family or context.
It’s not about procedures/medical tx.

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18
Q 
Infertility:
Numerical Definition.
Female Response...
Male response...
Common S/S...
A

Ø conception after > 12 months trying
anxiety, depression, hostility - like to talk about it
Disguise feelings - talking ↑ anxiety
anger and tension

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19
Q

Adoption:

US compared to International…

A

US ↑ cost/length (12 mo - 6 years)

International are cheaper but Ø Hx

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20
Q

Perinatal Loss:
What is it?
Societal Invisibility r/in…?
How do we talk about it…?

A

Losing child at during pregnancy - birth
↑ frustration b/c Ø time to mourn
In front of partner to include and share

21
Q 
Nursing Focuses during...
Perinatal illness
Attachment
Feeding
Family Relationships
PostPartum Depression
PPD Statistic for mothers/teen mothers
A

Maintain regular fx
Assess risk/ss of poor attachment
Include fathers and postdischarge clinics
Empahsize+ and family help
Identify and Tx (ARE YOU SAD?!). If yes, refer to MHP.
10% mothers, 48% Teen mothers exp. PPD.

22
Q 
Family-Centered HPCare:
Child primary source of support is...?
Opening share...?
Form...?
Respect...?
Support...?
A 
The Family
Concerns and resource
Partnerships between family and HPcare system
Culture
Strength, growth, and development
23
Q

Family Career is…?

A

a Dynamic process of ▲ that occurs during the lifespan of a “family”

24
Q

Directive vs. Supportive Behaviors

A

Acting for family (not if they’re available)

Background support to maintain activity (bills).

25
Q

Discharge planning:

3 Focuses

A

Physical Care
Family Adjustment to helping ill
Barrier to Care at home

26
Q 
Families:
Progressive
Accommodating
Maintaining
Struggling
Floundering
A

“normal” - manages illness and stays +
“compromised” - illness identified and mnged daily
“burdened” - negative and can’t solve
“conflicted” - ↓ agreement, dz consistently in foreground
“mean well” - hope but don’t act to solve

27
Q

4 Primary Cultural Differences in Definition

A

Definition of HP
Definition of illness and Dz
Health Practice
Family Fx

28
Q

Nurse Role w/ Family After Code (3)

A

Include Family during ICU stay
Avoid separation
Family Presence during Resuscitation = good

29
Q

SPICES Assessment Tool of Older Adults

A 
Sleep Disorders
Poor Nutrition
Incontinence
Confusion
Evidence of Falling
Skin Breakdown
30
Q

FAMILY Assessment Tool of Older Adults

A 
Family Involvement
Assistance Needed
Member Needs
Integration into Care Plan
Links to Community support
Your Intervention
31
Q

Frailty Risk is greatest for (AGE+ than)? and increases chance of (EVENT).

A

85+ years old

Elder Abuse

32
Q

Mental Disorder Statistics (6)

A

1 cause of disability in Canada/US

Common w/ Substance Abuse
1/3 Schizos attempt suicide, 15% successful
2/3 MDD attempt suicide, 10 - 15% successful
Experience before 3 yrs/o r/in expression of genes which may otherwise be unexpressed (neglect, smoking/drinking r/in Ønormal development and ADHD)
Early Assessment/Intervention is best.

33
Q

What is an Aggregate

A

Community/Group defined by shared characteristics

34
Q

What is PTSD and what does it do.

4 Key S/S
Substance abuse % for men/women. Sobriety Fx?
Fx on family violence

A 
Painful memories r/in negative consequence
Intrusion of thoughts
Discussion avoidance
Sensory Sensitivity
Negative Cognition/Mood

12 - 34% ♂
30 - 59% ♀
Sobriety DOES NOT CURE

↑% poor relationships, substance abuse, and child abuse

35
Q

Health Promotion Model:
Focuses on…
Interventions based on…

A

Specific issues to specific populations

Broad levels to meet needs at community level

36
Q

12 Core Competencies of a Public Health Nurse

CECH IIE GHECE

A 
Communication
Epidemiology/BioStats
Community Assessment/PLanning
Health Promotion/Risk Reduciton
Illness/Dz Managment
Infomration/HPCare Technology
Environmental HP
Global HP
Human Diversity
Ethics/Social Justice
Coordination/Management
Emergency Preparedness
37
Q

3 Health Promotion Frameworks

A

Alma Ata - health promotion, accessibility, public participation, appropriate technology, intersectoral collaboration
Ottawa Charter - personal skills, supportive environments, healthy public policy, strengthen comm. action, reorient health services.
Population Health Promotion - peoples needs

38
Q

Gerontological Nurse Roles:
Assessment of Risk Factors (4)
Early Interventions (5)
Who is also at risk for Depression?

A

ADLs, iADLs, Cognition, sensory impairments

Providing aids (glasses), assessing safety (risk for suicide), supporting physical fx, enhancing autonomy, providing encouragment

CareGivers

39
Q 
GeroStats
20% 85 year olds need...
20% of deaths occur where...
25% older adults have...
25% older adults account for...
50% acute care pts are ...
A 
nursing home care
occur in nursing homes
chronic dz that fx ADLs
trauma admissions in EDs
> 65 yrs/o
40
Q

in 2008, 12% of the population was > 65 yrs/o… expected in 2050 to be…?

A

20%

41
Q

WHO HAS THE POOREST HEALTH PAST 85 YEARS

A

HISPANIC PEOPLE LOL

42
Q

Resistance vs. Noncompliance

A

reluctant to recover

unresponsive to intervention

43
Q 
Stages of an Interview and Purpose
Engagement
Assessment
Intervention
Termination
A

Establish therapeutic relationship
Problem identification
Core clinical work to incite ▲
Ending relationship and encouraging solving of own problems in future

44
Q 
Purpose of Therapeutic Communication:
Build...
Ask...
Listen...
Inform...
Give...
Invite...
A 
Trust
Questions
Confirms they've heard
on resource, offered/Ø imposed
Feedback (feelings)
other family to join
45
Q

Systems Theory says… ▲ in 1 family member…

A

influences them all!!

46
Q 
Barriers to Optimal End-Of-Life Care...
Lack of...
Delayed...
Exclusion of...
Lack of...
Moral...
A 
education on nursing programs
referral to hospice
family members
support
distress
47
Q

Good Death vs. Bad Death (5 ea)

A 
S/S managment
Clear decision making
Preparation
Contribution
Affirmation
Ø planning ahead
Ø closure of affairs
↑ level of burden
Ø goodbyes
Poor perception of uncontrollable s/s (pain)
48
Q

Nurse Pracitioners are… (6)

A 
Client Oriented
Delivery Oriented
Group Oriented
Fillers of positions
Providers of Primary Care
Active in HP policy ▲

ABSN Cohort 19 (28 decks)

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