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CPU MIDTERMS 6969 > NCM 2105 COMMUNITY HEALTH NURSING MIDTERMS > Flashcards

NCM 2105 COMMUNITY HEALTH NURSING MIDTERMS Flashcards

1
Q

 Basic unit of society

A

FAMILY

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2
Q

Unit of interacting persons related by ties of
marriage, birth or adoption

A

FAMILY

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3
Q

Buffer between the needs of the individual and
the demands and expectations of the society

A

FAMILY

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4
Q

Group of individuals living together for the
mutual benefit of each other

A

FAMILY

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5
Q

THE FILIPINO FAMIL

A

 Based on the Philippine Constitution, Family
Code with focus on religious, legal, and
cultural aspects of the definition of family.

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6
Q

tHE FILIPINO FAMILY

Section 1

A

the foundation of the nation

it shall strengthen its solidarity and
actively promote its total development

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7
Q

tHE FILIPINO FAMILY

Section 2

A

Marriage, as an inviolable social
institution, is the foundation of family and
shall be protected by the state.

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8
Q

tHE FILIPINO FAMILY
Section 3

A

 The state shall defend:
1. the right of spouses to found a family in
accordance with their religious convictions
and the demands of responsible
parenthood
2. the right of children to assistance
including proper care and nutrition, and
special protection from all forms of
neglect, abuse, cruelty, exploitation and
other conditions prejudicial to their dev”t
3. the right of the family to a family living
wage income
4. the right of families or family associations
to participate in the planning and
implementation of policies and programs
of that affect them

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9
Q

tHE FILIPINO FAMILY

Section 4

A

 The family has the duty to care for its
elderly members but the state may also
do so through just programs of social
security

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10
Q

TYPES OF FAMILY

STRUCTURE

  1. Traditional
A

Traditional
- Nuclear/Extended Family

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11
Q

TYPES OF FAMILY

STRUCTURE
Nuclear Family

A

A nuclear family consists of two parents and their children living together in one household.

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12
Q

TYPES OF FAMILY

STRUCTURE
Extended Family

A

An extended family includes not only the nuclear family but also other relatives, such as grandparents, aunts, uncles, and cousins, who may live together or maintain close connections.

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13
Q

TYPES OF FAMILY

STRUCTURE
Blended/Reconstituted

A

(single parents
with own children marry each other)

partners in a relationship have children from previous relationships and come together

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14
Q

TYPES OF FAMILY

STRUCTURE
cohabitation

A

two people who are not married live together

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15
Q

.TYPES OF FAMILY

STRUCTURE
Communal

A

l (group of families/individuals
related or unrelated living and sharing
resources e.g. nursing homes)

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16
Q

TYPES OF FAMILY

STRUCTURE
Dyad

A

(couple without a child)

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17
Q

TYPES OF FAMILY

STRUCTURE
No-kin

A

(group of at least two people
sharing a relationship and exchange
support who have no legal or blood tie to
each other)

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18
Q

TYPES OF FAMILY

STRUCTURE
Foster

A

r (substitute family for children
whose parents are unable to care for
them)

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19
Q

TYPES OF FAMILY

STRUCTURE
Compound Family

A

(where a man has
more than one spouse)

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20
Q

Compound Family- approved by Philippine authorities only
among____by virtue of Presidential
Decree _____, also known as the
;

A

Muslims

No. 1083

Code of Muslim Personal Laws of the
Philippines (Office of the President, 1977)

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21
Q

TYPES OF FAMILY

STRUCTURE
Family of Procreation

A

refers to the family you yourself created

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22
Q

TYPES OF FAMILY

STRUCTURE
Family of Orientation

A

refers to the family where you came from

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23
Q

TYPES OF FAMILY

AUTHORITY
. Patriarcha

A

l – full authority on the father or
any male member of the family e.g. eldest
son, grandfather

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24
Q

TYPES OF FAMILY

AUTHORITY
Matriarchal –

A

– full authority of the mother
or any female member of the family, e.g.
eldest sister, grandmother

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25
Q

TYPES OF FAMILY

AUTHORITY
Egalitarian

A

– husband and wife exercise
a more or less amount of authority, father
and mother decides

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26
Q

TYPES OF FAMILY

AUTHORITY
Democratic

A

– everybody is involved in
decision making

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27
Q

TYPES OF FAMILY

AUTHORITY
Autocratic

A

– dictatorial

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28
Q

TYPES OF FAMILY

AUTHORITY
Laissez-faire –

A

full autonomy

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29
Q

TYPES OF FAMILY

AUTHORITY
Matricentric

A

– the mother decides/takes
charge in absence of the father (e.g.
father is working overseas)

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30
Q

TYPES OF FAMILY

AUTHORITY
Patricentic

A

– the father decides/ takes
charge in absence of the mother

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31
Q

TYPES OF FAMILY
DESCEND

Patrilineal

A
  • affiliates a person with a
    group of relatives wh
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32
Q

TYPES OF FAMILY
DESCEND

Bilateral

A

both parents

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33
Q

TYPES OF FAMILY
DESCEND

Matrilineal

A

related through mother

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34
Q

TYPES OF FAMILY
RESIDENCE

  1. Patrilocal
A
  • family resides / stays with /
    near domicile of the parents of the
    husband
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35
Q

TYPES OF FAMILY
RESIDENCE

Matrilocal

A
  • live near the domicile of the
    parents of the wife
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36
Q

CONCEPT OF A FAMILy

Physical

A

Providing a safe, comfortable environment
necessary to growth, development and
rest/recreation

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37
Q

Economic

A

 Financial aid for members
 Meeting monetary needs

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38
Q

Reproductive

A

 With offspring

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39
Q

Socialization

A

 Teaching; transmitting beliefs, values,
attitudes and coping mechanism; providing
feedback; guiding problem-solving

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40
Q

FAMILY CENTERED NURSING APPROACH

Four approaches included in the family health nursing
care view

A

Family as the Context
Family as the Client
Family as a System
Family as a Component of Society

41
Q

FAMILY CENTERED NURSING APPROACH

Family as the Context

A

the primary focus is on the health and development of an individual member existing within a specific environment.

42
Q

FAMILY CENTERED NURSING APPROACH

Family as the Client

A

Family is the foreground and individuals are in
the background.

 Family is seen as the sum of individual family
members.

The focus is concentrated on each and every
individual as they affect the whole family.

43
Q

FAMILY CENTERED NURSING APPROACH

Family as a System

A

The focus is on the family as a client and it is
viewed as an international system in which the
whole is more than the sum of its parts.

44
Q

FAMILY CENTERED NURSING APPROACH

Family as a Component of Society

A

Family is seen as one of many institutions in
society, along with health, educational,
religious, or economic institutio

The family as a whole interacts with other
institutions to receive exchange or give
communications and services

45
Q

FAMILY STAGES AND TASKS
(Duvall and Miller)

Beginning Family

A

Covers the start of the marriage to the birth
of the 1st child, including establishment of a
new household and the beginning of a
nuclear family
 Establishing a mutually satisfying marriage
 Planning to have or not have children

46
Q

FAMILY STAGES AND TASKS
(Duvall and Miller)

Childbearing Family

A

 Begins with the birth of the 1st child and lasts
until the child is 30 months’ old
 Having and adjusting to infant
 Supporting the needs of three members
 Renegotiating marital relationship

47
Q

FAMILY STAGES AND TASKS
(Duvall and Miller)

Family with Preschool Children

A

 Covers the years from the time the
oldest child is 2 ½ y.o. and until the youngest
child is 5 y.o.
 Adjusting to costs of family life
 Adapting to needs of preschool children to
stimulate growth and development
 Coping with parental energy depletion and
lack of privacy

48
Q

FAMILY STAGES AND TASKS
(Duvall and Miller)

Family with School Aged Children

A

 Stage from which the oldest child is 6 y.o.
until the child turns 13 y.o.
 Adjusting to the activity of growing children
 Promoting joint decisions between children
and parents
 Encouraging and supporting children’s
educational achievement
 Meeting the physical health needs of all
family members
 Maintaining a satisfying marital relationship

49
Q

FAMILY STAGES AND TASKS
(Duvall and Miller)

Family with Teenagers and Young Adults

A

 Begins when oldest child is 13 y.o. and ends
when youngest child is 20 y.o. or leaves
home
 Maintaining open communication among
members
 Supporting ethical and moral values within
the family
 Balancing freedom with responsibility for
teenagers
 Releasing young adults with appropriate
ritual and assistance
 Strengthening marital relationship

50
Q

FAMILY STAGES AND TASKS
(Duvall and Miller)

Launching Center Family

A

 Covers between the time the 1st child leaves
home and the last child leaves home
 Maintaining a supportive home base
 Building a new life together as a couple
 Assisting with aging or ill parents

51
Q

FAMILY STAGES AND TASKS
(Duvall and Miller)

Middle Aged Family

A

 Years from the time the last child leaves
home to the retirement or death of one of the
spouses
 Reinvest in couple identity with concurrent
development of independent interest
 Realign relationships to include in-laws and
grandchildren
 Deal with disabilities and death of older
generation
 Maintaining tie

52
Q

FAMILY ROLES

Nurturer

A

Making all family members feel cherished and
loved

53
Q

FAMILY ROLES

Provider

A

Furnishes financial resources

54
Q

FAMILY ROLES

Decision-maker

A

 Decided “what” will happen

55
Q

FAMILY ROLES

Problem Solver

A

 Decides “how” it will happen
 Most creative family member
 First one to match a solution to a need or problem

56
Q

FAMILY ROLES

Tradition Setter

A

 Seeing that family values continue to be
transmitted from generation to generation

57
Q

FAMILY ROLES

Value Setter

A

Influences whether the family accepts or rejects
traditional, cultural, community and religious
values

58
Q

FAMILY ROLES

Health Superviso

A

Makes health care discussions for family
members

59
Q

Eight Family Tasks (Duvall & Niller)
Physical Maintenance

A

provides food
shelter, clothing, and health care

60
Q

Eight Family Tasks (Duvall & Niller)

Socialization of Family

A

preparation of children to live in the
community and interact with people
outside the family.

61
Q

Eight Family Tasks (Duvall & Niller

Allocation of Resources

A

determines
which family needs will be met and
their order of priority.

62
Q

Eight Family Tasks (Duvall & Niller

Maintenance of Order

A

opening an effective means of
communication between family
members, integrating family values

63
Q

Eight Family Tasks (Duvall & Niller

Placement of Members Into Larger
Society

A

electing community activities such as
church, school, politics at correlate
with the family beliefs and values

64
Q

Eight Family Tasks (Duvall & Niller

. Division of Labor

A

who will fulfill
certain roles e.g., family provider,
home manager, children’s caregiver

65
Q

Eight Family Tasks (Duvall & Niller

Maintenance of motivation and
morale

A
  • created when members
    serve as support people to each other
66
Q

Five Family Health Tasks (Maglaya A,., 2004)

A
  1. Recognizing interruptions of health
    development
  2. Making decisions about
    seeking health care/ to take action
  3. Dealing effectively
    health and non-health situations
  4. Providing care to all
    members of the family
  5. Maintaining a home
    environment conducive to health
    maintenance’
67
Q

FAMILY
3 MAIN POINTS OF INTERACTION

A
  1. Husband-Wife Relations
  2. Parent-Child Relations
  3. Sibling Relations
68
Q

FAMILY SYSTEMS THEORY

A

→ Family as living social system within context
→ Family is composed of interrelated and
interdependent individuals who are organize
into single unit to attain their goal

69
Q

THE INTERACTIONAL/SYMBOLIC
INTERACTIONAL FRAMEWORK

A

→ Family as interacting personalities.

70
Q

THE DEVELOPMENTAL APPROACH

A

→ Use a family which is developing across a
lifespan
→ Every individual is growing.

71
Q

STRUCTURAL-FUNCTIONAL PERSPECTIVE

STRUCTURAL-FUNCTIONAL PERSPECTIVE
→ Specifies 4 structural dimensions:

A

ROLE STRUCTURE – first dimension;
every family member has a role to
perform.
2. VALUE SYSTEM – second dimension;
every family has its own value system.
3. COMMUNICATION PROCESS – third
dimension; open communication.
4. POWER STRUCTURE – fourth
dimension; Role as power, who makes
major decisions?

72
Q

FAMILY HEALTH

A

a dynamic changing relative state of well being
which include biological, psychological,
spiritual, sociological and cultural factors of the
family system.

73
Q

FAMILY ASSESSMENT TOOLS

Genogram

A

pertinent family information
Family tree format
last 3 generations

McGoldrick et al

74
Q

FAMILY ASSESSMENT TOOLS

ECOMAP

A

visual diagram of the family unit in
relation to other units or subsystems in
the community.

75
Q

FAMILY ASSESSMENT TOOLS

FAMILY APGAR

A
  1. Adaptation - Use of intra and extra
    familial resources for problem
    solving.
  2. Partnership - Sharing of decisionmaking and nurturing
    responsibilities by family members.
  3. Growth - physical and emotional
    maturation and self-fulfillment
    achieved by family members
    through mutual support and
    guidance.
  4. Affection - Caring or loving
    relationships among family.
  5. Resolve - Commitment to devote
    time to other members of the family
    for physical and emotional nurturing.
76
Q

DATA GATHERING METHODS

A
  1. Observation
  2. Physical examination
  3. Interview
  4. Record review
  5. Laboratory/diagnostic tests
    FAMILY HEALTH CARE PRO
77
Q

ASSESSMENT
1. FIRST LEVEL ASSESSMENT

A

A. Assessment/ Initial Data Base in FNP

B. Typology of Nursing Problems

78
Q

STEPS IN DEVELOPING A FAMILY
NURSING CARE PLAN

A

Pioritized Health Condition /Problem
2. Define Goals and Objectives of Care
3. Develop Interventional Plan
4. Develop Evaluation Plan

79
Q

CATEGORIES/LEVELS OF INTERVENTION/
HEALTH CARE SERVICES

A

HEALTH PROMOTION
DISEASE PREVENTION
CURATIVE CARE
REHABILITATIVE CARE

80
Q

CRITERIA FOR SELECTING THE TYPE OF
NURSE-FAMILY CONTACT

A
  1. Effectivity
  2. Efficiency
  3. Appropriateness
81
Q

TYPE OF NURSE – FAMILY CONTACT

HOME VISIT
CLINIC/OFFICE CONFERENCE
TELEPHONE CONFERENCE
WRITTEN COMMUNICATION

A

HOME VISIT – expensive in terms of time,
efforts and logistics, but it is effective and
appropriate if the outcomes

CLINIC/OFFICE CONFERENCE - less
expensive for the nurse and provide
opportunity to use equipment that cannot be
taken home.

TELEPHONE CONFERENCE – maybe
effective, efficient and appropriate if the
outcomes of care require immediate access to
data, given problems on distance and travel
time.

WRITTEN COMMUNICATION – less timeconsuming for the nurse in instances when
there are many priority families needing followup on top of problems of distance and travel
time

82
Q

TOOLS OF THE PHN
(PUBLIC HEALTH NURSE)

A

o Public Health Bag

83
Q

DEVELOP THE EVALUATION PLAN

A

I. MONITORING

II. EVALUATION

84
Q

II. EVALUATION

Focus of Evaluation:

A
  1. Inputs
  2. Processes
  3. Results or outcomes
    → Output
    → Effect
    → Impact
85
Q

STEPS IN PROGRAM EVALUATION

A
  1. Decide what to Evaluate
  2. Design the Evaluation Plan
  3. Collect Relevant Data
  4. Analyze Data
  5. Make Decision
  6. Report/Give Feedback
86
Q

IMPORTANCE/USES OF RECORDS AND
REPORTS

A

Communicate care to other team

Help identify patterns of responses and changes in status

Provide data for evaluation, research and
improvement of quality care

Document data to supply validation for
insurance or legal purposes.

87
Q

AIR
2. DAR
3. DIE
4. PIE
5. SOAP/SOAPIE

A

(Assessment, Intervention, Response,
Action)

(Data, Action, Response)

(Data, Intervention, Evaluation)

(Problem, Intervention, Evaluation)

(Subjective, Objective,
Analysis of Assessment, Plan, Implementation,
Evaluation)

88
Q

FIELD HEALTH SERVICES AND INFORMATION
SYSTEM (FHSIS)

A

Records are facility based, they are kept at the
BHS or RHU.
♥ Records serves as a basis of reports.
♥ Records consist of summary data that are
transmitted or submitted monthly, quarterly
and annually to a higher level.

89
Q

FIELD HEALTH SERVICES AND INFORMATION
SYSTEM (FHSIS)

FAMILY FOLDER

A

✓ OB/GYN - history of previous pregnancies
✓ Child Growth and Devt. Chart Card - weight
and immunization record

90
Q

FIELD HEALTH SERVICES AND INFORMATION
SYSTEM (FHSIS)

HOME BASED MATERNAL RECORD (HBMR)

A

use as a guide during prenatal care for the
identification of risk factors and danger signs
and in doing appropriate measures.

91
Q

RECORDING TOOLS
1. Individual Treatment Record (ITR)

A

→ the building block of the FHSIS

92
Q

RECORDING TOOLS
2. Target Client List (TCL)

A

→ the second building block of the FHSIS

93
Q

TCL’S MAINTAINED AT THE RHU/HC

A

o Prenatal Care
o Postpartum Care
o Under 1 year old children
o Family Planning
o Sick Children
o National Tuberculosis Program Register
o National Leprosy Control Program

94
Q

RECORDING TOOLS
3. Summary table

A

serves as a
source of information for the 10 leading causes
of morbidity in the municipality/city.

95
Q

RECORDING TOOLS

Monthly Consolidation Table (MCT)

A

Accomplished by the nurse based on the
summary table.

96
Q

LOCAL GOVERNMENT UNITS

A

♥ Local Health Board

97
Q

GOVERNMENT ORGANIZATIONS

A

♥ DSWD
♥ Nutrition Council
♥ Population Commission

98
Q

NON-GOVERNMENT ORGANIZATIONS

A

♥ Socio-Civic Organizations
♥ Religious Organizations
♥ Schools

99
Q
A

CPU MIDTERMS 6969 (17 decks)

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