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preventive medicine > family structure and function tools in family assessment > Flashcards

family structure and function tools in family assessment Flashcards

1
Q

A systematic way of understanding the family and to aid them in evaluating the impact of illness on a person and on his/her role in the family.

A

Family assessment tools

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2
Q

Family map is developed by __________, a psychiatrist - family therapist.

A

Salvador Minuchin

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3
Q

Facilitates the communication of information’s about a family system to colleagues so that they can be understood

A

Family map

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4
Q

Reflect family relationships and interaction patterns

A

Family map

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5
Q

Tool for obtaining a therapeutic ally for the delivery of care in the family

A

Family map

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6
Q

Provides schematic description on whom to ask for assistance in making decisions for the patient

A

Family map

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7
Q

Possible source of somatic complaint may also be identified

A

Family map

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8
Q

Author of Family APGAR

A

Gabriel Smilkstein

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9
Q

The purpose is to assess general family function

A

Family APGAR

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10
Q

The capability of the family to UTILIZE and SHARE inherent resources

A

Adaptation

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11
Q

Measures the satisfaction attained in solving problems by communication

A

Partnership

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12
Q

Refers to the freedom of change both physical and emotional growth

A

Growth

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13
Q

It is the intimacy and emotional interaction in the family

A

Affection

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14
Q

The member’s satisfaction with the commitment made by other members of the family

A

Resolve

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15
Q

APGAR scoring: 2

A

Almost always

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16
Q

APGAR scoring: 1

A

Some of the time

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17
Q

APGAR scoring: 0

A

Hardly ever

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18
Q

APGAR scoring: Highly functional

A

8-10

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19
Q

APGAR scoring: Moderately dysfunctional

A

4-7

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20
Q

APGAR scoring: Severely dysfunctional

A

0-3

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21
Q

What is SCREEM?

A

Social Cultural Religious Economic Educational Medical

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22
Q

Very important in the assessment of the family as to its capacity to participate in the provision of health care or to cope with crisis

A

SCREEM

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23
Q

Commonly used when the need for care is long or lasts a lifetime

A

SCREEM

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24
Q

Assess the resource of difficult and non-compliant patients

A

SCREEM

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25
Q

SCREEM family resources survey is developed by ____________.

A

M. Medina, Jr.

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26
Q

The goal is to develop a valid and reliable Filipino measure of family resources.

A

SCREEM family resource survey

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27
Q

Assesses the family’s capacity to participate in the provision of health care or to cope with crisis.

A

SCREEM family resource survey

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28
Q

SCREEM RES: 0-6

A

Severely inadequately family resources

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29
Q

SCREEM RES: 7-12

A

Moderately inadequate family resources

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30
Q

SCREEM RES: 13-18

A

Adequate family resources

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31
Q

Provides a predictable and chronological sequence of events in the family’s life, which can be related to clinical events and to the health maintenance of family members

A

Family life cycle

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32
Q

Description of the family dynamics through clearly defined stages of development.

A

Family life cycle

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32
Q

One has to explore whether family members seldom act INDEPENDENTLY or get OVERINVOLVED with each other.

A

Enmeshment

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33
Q

This is symbolized by three parallel lines.

A

Enmeshment

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34
Q

One has to explore whether family members are isolated from each other or have little emotional response from each other.

A

Disengagement

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35
Q

This is symbolized by dotted lines.

A

Disengagement

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36
Q

One has to explore whether the family members talk directly to each other about personal matters.

A

Triangulation

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37
Q

This is symbolized by an open-ended arrow with its open end embracing two individuals and the pointed end pointing to a third person.

A

Triangulation

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38
Q

One has to explore whether one member of the family is siding with one member.

A

Coalition

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39
Q

This is symbolized by a bracket.

A

Coalition

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40
Q

The behavioral skeleton around which family life is built.

A

Family structure

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41
Q

A family who is not open to negotiation in spite of the fact that circumstances render the old boundaries no longer appropriate is considered _______.

A

Rigid

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42
Q

It exist if couple spend little time together, have separate bedrooms or completely separate lives.

A

Rigid boundaries

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43
Q

Create dysfunctional families when members fail to adjust during phase transitions.

A

Rigid boundaries

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44
Q

Rigid boundaries may lead to ____________.

A

Disengagement

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45
Q
A
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46
Q

Establishing personal independence

A

Unattached adult (Leaving home)

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47
Q

Establishing an intimate relationship with spouse

A

Newly married couple

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48
Q

Dividing the various marital roles in an equitable way

A

Learning to live together

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49
Q

Opening the family to include a new member

A

Family with young children

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50
Q

Increasing the flexibility of the family boundaries to allow the adolescent to move in and out of the family system.

A

Family with adolescent

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51
Q

Accepting the multitude of exits from and entries into the family system

A

Launching Family

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52
Q

Adjusting to the ending of the wage-earning rates.

A

Retirement

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53
Q

Dealing with lessening abilities and greater dependence on others

A

Old age

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54
Q

Beginning emotional separation from parents

A

Leaving home

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55
Q

Developing further the EMOTIONAL SEPARATION from parents

A

Newly married couple

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56
Q

Establishing a new, more independent relationship with family

A

Learning to live together

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57
Q

Dividing the PARENTING ROLES

A

Family with young children

58
Q

Adjusting to the ending of parenting roles

A

Launching family

59
Q

Minimal emphasis on the family in the delivery of health care.

A

Level I

60
Q

Ongoing medical information and advice. WORKS COLLABORATIVELY with patientd and families, and understands the triangular nature of the patient-doctor-family relationship.

A

Level II

61
Q

Feelings and support. The physician understands normal family development and how families react to stress.

A

Level III

62
Q

Assessment of family dysfunction and provision of intervention. It is the most common involvement among patients who are alcohol or drug abusers.

A

Level IV

63
Q

Family therapy

A

Level V

64
Q

The traditional type of family.

A

Nuclear family

65
Q

Was long considered by most societies as being the ideal way of raising children

A

Nuclear family

66
Q

Children find stability and strength and usually have a lot more opportunities because of the financial ease of both parents

A

Nuclear family

67
Q

Couples who either choose not or cannot conceive children

A

Childless family

68
Q

Often considered as the “forgotten family” as it doesn’t really meet the traditional rules set by most societies

A

Childless family

69
Q

Includes a wife, a husband working and living together

A

Childless family

70
Q

Most of these families choose to own a pet or keep contact with their nephews or nieces as a substitute

A

Childless family

71
Q

Represents the biggest change in a society if we are to speak about family structures

A

Single-parent family

72
Q

Usually close and are always looking for ways of solving their issues together, like dividing up the chores around the house.

A

Single-parent family

73
Q

Just as about as frequent as nuclear family, although they have a tendency of having more issues, like discipline problems or adjustments periods

A

Step-family

74
Q

Includes 2 or more adults who have some sort of relation, either by marriage or blood.

A

Extended family

75
Q

Grouping of individuals which are formed for specific ideological or societal purposes

A

Communal family

76
Q

Considered as an alternative lifestyle for people who feel alienated from the predominantly economically oriented society

A

Communal family

77
Q

Classification based on descent:

A

Patrilineal, Matrilineal

78
Q

Classification based on residence

A

Neolocal, matrilocal, patrilocal

79
Q

Classification based on authority

A

Equalitiarian, matriarchal, patriarchal

80
Q

Classification based on naming

A

Patronymic, matronymic

81
Q

Classification according to relationship

A

Conjugal, unmarried

82
Q

Classification according to set-up

A

Democratic, authoritarian

83
Q

Classification according to social class

A

Lower, middle or upper class

84
Q

Member gives some priority to the needs of the group over his own needs.

A

Functional Family Relationship

85
Q

Recurrent patterns of behavior by which individuals fulfill family functions and needs

A

Family roles

86
Q

Concerned with the provision of physical resources (food, shelter and clothing), decision making and family management

A

Instrumental role

87
Q

To provide emotional support and encouragement to family members

A

Affective role

88
Q

Assignment of responsibilities within a family that enables the family to function properly

A

Role Allocation

89
Q

Make decisions on who will be responsible for completing a certain task for fulfilling a particularly responsibility

A

Role Allocation

90
Q

Refer to a family members sense of responsibility for completing the tasks of an assigned role

A

Family accountability

91
Q

Parents in healthy families understand that they are responsible for disciplining their children.

A

Family accountability

92
Q

5 Essential Roles For Effective Family Functioning:

A
  1. Provision of resoures
  2. Nurturance and support
  3. Life skills development
  4. Maintenance and Management of the Family system
  5. Sexual Gratification of Marital Partners
93
Q

Created for the purpose of defending against others

A

Permanent alliance

94
Q

Seriously disrupt a family’s functional adaptive capacity

A

Permanent Alliance

95
Q

Disruptive and distorts the normal balance of family relationship

A

Permanent Alliance

96
Q

Has distorted thinking and believes that they are basically responsible for the other person’s dysfunction

A

The Enabler

97
Q

Tends to blame others, makes strong peer alliances, and is often disciplined by teachers or other adults for breaking rules.

A

The Scapegoat

98
Q

Always, volunteering, very responsible and manifests a drive, almost a compulsion, to be on top.

A

The Hero

99
Q

Often gets lost in the shuffle

A

The Lost Child

100
Q

Tends to be funny or distracting and gets attention frequently. This student likes to hide, make faces, pull the chair from someone else, otherwise act out.

A

The mascot

101
Q

Assigning of blame to a person or things for fault of others

A

Scapegoating

102
Q

Object is to draw off tension that cannot be resolved in the usual manner and assign it to another

A

Scapegoating

103
Q

Frequently occurs in a strict authoritarian family

A

Scapegoating

104
Q

One in which the wife is dependent and infantile and in which the husband’s self esteem and fragile maturity depend on keeping her that way

A

Doll’s house family

105
Q

The husband’s ego strength and borderline maturity rely upon the continuation of this relationship

A

Doll’s house family

106
Q

The spouses are not merely unhappy but ar openly hostile to one another, often competing for loyalty of the children

A

Shizophrenic family

107
Q

Children lack a warm, affectionate relationship between parents and children

A

Delinquency

108
Q

Common among boys who have lost their father or passed through an important formative years (ages 4 to 8) without a father figure present or with one present who serves inadequately in the paternal role

A

Delinquency

109
Q

Deprived of a supportive environment and raised where care is impersonal and inadequate often shows developmental difficulty and high susceptibility to diseases and can also affect the child’s IQ.

A

Emotional deprivation

110
Q

A relationship has been shown between incontinence in children and the strength of maternal relationship during the early formative years.

A

Enuresis

111
Q

Bedwetting is greatest if total disruption of the family occurs through either divorce or abandonment.

A

Enuresis

112
Q

Major cause of death in children over 1 year old in developed countries

A

Accidental injuries

113
Q

5 Major Forms of Family Disorders:

A
  1. Uncompleted family unit
  2. Willed family dissolution
  3. Empty shell family
  4. Externally caused crisis
  5. Internal catastrophe
114
Q

Any event, past or present that changes the lifestyle or presents a significant strain upon family organization.

A

Crisis

115
Q

A crisis identified with short and long term addition of one or more to the family structure.

A

Addition (Hill’s Taxonomy of Crisis)

Examples: Adoption, birth, marriage, unplanned pregnancy

116
Q

Associated with the threat of loss or actual departure of a family member

A

Abandonment

Examples: Planned departure, separation, death, stow away

117
Q

A crisis that occurs when a family member initiated a change in a previously ordained family moral code

A

Demoralization

Examples: School suspension, alcoholism, drug abuse, delinquency, infidelity

118
Q

Crisis involving gain or loss of wealth, power or position in the family or extra familial society

A

Status change

Examples: Loss of income, sudden fame, expulsion, loss of freedom

119
Q

State of impaired functioning that occurs when an individuals resources are inadequate or unavailable to meet an intense stressor or an accumulation of stressor

A

Disequilibirium

120
Q

Assets that serve to nurture an individual and those that supply the means for solving stressor-induced problems

A

Resources

121
Q

Refers to adjustment by the family to stressors within and outside the family

A

Coping

122
Q

State of family disequilibrium that results from the failure of an individual to identify or use resources to resolve a stressor induced problem

A

Crisis

123
Q

The use of pathologic defense mechanisms to escape from an unresolved crisis, resulting in a state of impaired emotional and social functioning.

A

Maladaptation

124
Q

State of impaired interaction or nurturing within the family that follows the use of abnormal defense mechanisms to escape from anxiety of unresolved family crisis.

A

Pathologic disequilibrium

125
Q

Family function is continuously deteriorating because of failure to resolve a crisis, may eventually lead to family dissolution.

A

Terminal Disequilibrium

126
Q

Seeing but refusing to acknowledge what one sees and hearing but negating what is actually heard

A

Denial

127
Q

Involves purposeful, UNCONSCIOUS SHIFTING from one object to another the interest of solving a conflict.

A

Displacement

128
Q

Actually plays a crucial role in ego development but can be used a defense mechanism when a person unconsciously incorporates the characteristics and qualities of another person or object into his ego system.

A

Identification

129
Q

Differs from identification in the fact that this involves internalization of the characteristics of another person or object, creating a radical shift or alteration in the person.

A

Introjection

130
Q

Individual provides a plausible but inaccurate justification for his or her failures

A

Rationalization

131
Q

Consist of expelling and withholding from conscious awareness of an idea or feeling

A

Repression

132
Q

The redirection of feeling and desires and especially of those unconsciously retained from childhood toward a new object.

A

Transference

133
Q

Individual retreats to an earlier developmental stage that was more secure and pleasant and/or the use of less mature response in attempting to cope with stress.

A

Regression

134
Q

Performing an extreme behavior in order to express thoughts or feelings the person feels incapable of otherwise expressing.

A

Acting out

135
Q

Reduces anxiety by converting dangerous thoughts, feelings, behavior or impulses into their opposite feelings, impulses or behavior.

A

Reaction formation

136
Q

Reduces anxiety by thinking about events in a cold clinical way

A

Intellectualization

137
Q

The defensive conversion of psychic derivative of bodily symptoms tendency to react with somatic rather than psychic manifestations.

A

Somatization

138
Q

Perceiving and reacting to an UNACCEPTABLE INNER IMPULSE and their derivatives as though they were outside the shelf.

A

Projection

139
Q

Redirecting or acting put unacceptable impulses or wrong urges into SOCIALLY ACCEPTABLE IMPULSE

A

Sublimation

140
Q

Consciously forcing the unwanted information out of conscious awareness.

A

Supression

141
Q

Process of counterbalancing perceived weakness by emphasizing strength IN OTHER AREAS

A

Compensation

142
Q

Satisfying internal needs THROUGH HELPING OTHERS

A

Altruism

143
Q
A

preventive medicine (10 decks)

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