module 3

Question 1

what is a nuclear family?

Answer 1

traditional family

Question 2

lone parent vs. single parent?

Answer 2

lone parent- sole caregiving from one parent with no assistance
single parent- one parent raises with financial assistance

Question 3

where is the primary context in which health promotion and disease prevention takes place?

Answer 3

with the family!
-influenced by many factors:
biology, social status, economic, politics, violence, geographic and environmental contexts

Question 4

what is the assumption that family nursing is based on?

Answer 4

assumption that every person, regardless of age, is a member of some type of family

Question 5

blended vs. biological family

Answer 5

blended- formed from loss

biological- formed without loss

Question 6

what is family centered care based on?

Answer 6

dignity and respect
information sharing
patient and family participation
family-professional collaboration

Question 7

what is the calgary assessment model?

Answer 7

relational, strengths-focused model that guides nurses in completion of comprehensive family assessments

Question 8

what are the 3 major categories of the calgary assessment model?

Answer 8

1) structural
2) developmental
3) functional
each category has subcategories

Question 9

structural assassment (calgary)?

Answer 9

• internal structure (composition and relationships shared by family)
• external structure (connects that family has with persons outside family)
• context (situation or relevant background; ethnicity, race, religion, environment)

Question 10

when do you use genograms and ecomaps in the calgary assessment model

Answer 10

the structural assessment

Question 11

developmental assessment (calgary)?

Answer 11

• all families tend to go through the same series of developmental stages
• nurse looks at stages, tasks, attachments

Question 12

functonal assessment (calgary)?

Answer 12

instrumental functioning (normal activities of daily living)
expressive functioning (communication, problem solving, beliefs, alliances, roles)

Question 13

aim of nursing interventions in the calgary family intervention model?

Answer 13

enhance family members abilities in areas, remove barriers to health care, perform actions that the family cannot perform for it self

Question 14

what are the two types of interventive questions?

Answer 14

1. linear: usually yes or no answers, elicit information about patient/family
2. circular: determine possible changes for a patients or familys lives

Question 15

what is a commendation?

Answer 15

conversational statement that emphasizes family strengths and abilities, enhances the nursing relationship by offering commendations

Question 16

should you encourage emotional responses from the patient?

Answer 16

yes! encourage to talk about emotions and validate their feelings, illness narratives are a persons story on how the illness affects their whole being

Question 17

should nurses encourage respite?

Answer 17

yes they should depending on the familys need for respite, gives a break

Question 18

what are the four stages of family intervention?

Answer 18

engagement, assessment, intervention, termination

-each stage includes specific skills

Question 19

how do resilience and hardiness work together?

Answer 19

they are mediating factors for long term health

Question 20

family hardiness is?

Answer 20

internal strengths and durability of the family unit.

-sense of control over outcome of life, perceive change as beneficial, active approaches to stress.

Question 21

resilience is?

Answer 21

maintenance of positive adjustment under challenging life conditions
-ability to cope under stressful and unexpected outcomes

Question 22

what is the resilience theory?

Answer 22

it focuses on interaction between protective and vulnerability processes

• vulnerability= illness, stress, risks
• protective= self efficacy, good parenting, problem solving, suppor

Question 23

stages of family development (6)?

Answer 23

1. leaving home
2. joining families through marriage
3. families with young children
4. families with adolescents
5. families in late middle aged
6. families nearing end of life

Question 24

family as context?

Answer 24

individual within family

Question 25

family as patient?

Answer 25

what happens to patient impacts the whole family

Question 26

current trends for canadian families?

Answer 26

• Divorce rates decreasing
• Aboriginal teen pregnancy increasing
• Teen pregnancy decreasing
• Lone family increase
• Increase of grandparents raising grandchildren
• Family members caring for parents

Question 27

barriers for the LGBTQ community?

Answer 27

• negative beliefs
• invisibility
• lack of information

Question 28

proximal vs. intermediate vs. distal determinants of health

Answer 28

proximal- health behaviours
intermediate- health care systems, education system
distal- colonialism, racism, social exclusion, repression

Question 29

family genogram?

Answer 29

standardized set of connections to geographically record basic information about family members and their relationships over 3 generations
-3 parts: mapping structure, recording family info, describing nature of relationships

Question 30

family ecomaps?

Answer 30

illustrate shared relationships between family members and external environment

• inner circle: family unit
• smaller outer circle: significant ppl, agencies, social institutions
• lines: strength of relationship
  arrows: flow of relational energy

Question 31

health care phases?

Answer 31

health promotion
health maintenance
health restoration
health rehabilitation