objective 4: Specialty Area of Family Nursing

Question 1

• A specialty area that has a strong theory base
• Working as partners with families, CHNs focus on capacity
  building
• CHNs recognize family strengths and use these strengths to
  deal with health concerns.

Answer 1

family nursing

Question 2

what are CHNs responsible for in family nursing?

Answer 2

• Helping families promote their health
• Partnering with families to help identify family strengths and health
  concerns
• Assisting families to cope with health concerns within the context of
  the existing family structure and community resources
• Identifying, enhancing, and promoting family resiliency
• Collaborating with families to develop useful
  interventions
• Referring to community resources as agreed upon
  by the family
• Facilitating family evaluation of strengths and
  progress made in reference to health concerns

Question 3

two or more individuals
who depend on one another for emotional, physical, and/or financial
support

Answer 3

family

Question 4

a study of the structure of families and
households and the family-related events, such as marriage and
divorce, that alter structure through their number, timing and
sequencing

Answer 4

family demography

Question 5

family has changed over time from traditionally defined families to include what?

Answer 5

• blended families
• cohabitating heterosexual or homosexual/same-sex partners
• sibling-led households
• foster families
• couples living apart or commuter families
• “skipped-generation” families (grandparents caring for
  grandchildren)

Question 6

Defined as the characteristics and demographics (gender,
age, number) of individual members who make up family
units.
* defines the family members
(who is in the family), what the relationships are between
those members, and family context.

Answer 6

family structure

Question 7

are families that demonstrate effective
coping within their family units, provide autonomy and are
responsive to the particular interests and needs of individual
family members

Answer 7

functional families

Question 8

has been used to refer to family units that
demonstrate ineffective coping, inhibit clear communication within
family relationships and do not provide psychological support for individual members

Answer 8

dysfunctional family

Question 9

what are the 4 major family social theories?

Answer 9

• Structure-Function
• Systems Theory
• Developmental theory
• Interactional Theory

Question 10

• Defines families as social systems
• Looks at the arrangement of members within the family, relationships
  between members, and roles and relationships of the members to the
  whole family
• A useful framework for assessing families and health
• Sees illness of a family member as resulting in alteration of the family
  structure and function

Answer 10

structure-function theory

Question 11

• This approach views patients as participating members of
  a family.
• Nurses use this perspective to determine the effects of
  illness or injury on the entire family system.
• Emphasis is on the whole, rather than the individual.
• Interventions need to assist individual, subsystem, and
  whole-family functioning.

Answer 11

systems theory

Question 12

• Looks at the family system over time, through different phases that can
  be predicted with known family transitions based on norms.
• At each family life-cycle stage, developmental needs of the family and
  tasks must be performed.

Answer 12

developmental theory

Question 13

• Focuses on the family as a unit of interacting personalities
• Examines their symbolic communication processes.
• The process of role-taking is central.

Answer 13

interactional theory

Question 14

Approaches the family from a structural–
functional perspective
Views the family as an open social system
Focuses on the family’s functions and structure,
and relationships to other social systems

Answer 14

the friedman family assessment model

Question 15

what are the 6 broad categories of interview questions?

Answer 15

1.Identifying Data
2.Developmental Family stage and history
3.Environmental Data
4.Family Structure
5.Family Functions
6.Family Coping

Question 16

• This family systems nursing model focuses on the family
  unit as patient.
• This approach consists of the following types of
  assessment of a family:
• Structural assessment
• Developmental assessment
• Functional assessment

Answer 16

the Calgary family assessment model

Question 17

The first nursing family intervention model
developed.
Was designed to help CHNs facilitate family
functioning in the cognitive, affective, and
behavioural domains
Family strengths are identified and reinforced
through the use of commendations.
Both the CFAM and the CFIM use circular
communication to change family behaviour.

Answer 17

the Calgary family intervention model

Question 18

• Developmental model of nursing
• Explores contextual factors of the following:
• Health work
• Health potential
• Style of nursing
• Competence in health behaviour
• Health status

Answer 18

the McGill model of nursing

Question 19

• Holds the basic premise that the family’s role is to provide
  support for one another so individuals can develop and
  maintain functioning in three areas:
• social
• psychological
• biological

Answer 19

McMaster model of family functioning

Question 20

• An approach to inquiry with families
• Guided by collaboration
• Incorporating a number of skills:
• Listening and questioning
• Empathy
• Mutuality and reciprocity
• Self observation and reflection
• Sensitivity to emotional and social contexts as well as
  power relations

Answer 20

relational practice

Question 21

what are the 4 approaches to conceptualizing families

Answer 21

family as the context or structure
family as the pt
family as a system
family as a component of society

Question 22

Places the individual family member first and the family second

Answer 22

family as the context or structure

Question 23

• The family is first and individuals are second.
• The family is seen as the sum of individual family members.
• The focus is on the ways that the individual members affect the
  whole family.

Answer 23

family as the pt

Question 24

The family is seen as the interactions and relationships
between the family members

Answer 24

family as a system

Question 25

The family is viewed as a primary unit of society and as part of a larger system

Answer 25

family as a component of society

Question 26

what are the safety tools?

Answer 26

• Safety Checklists
• Safety Plans
• Safety Line
• Planning!!

Question 27

what are the stages of a home visit?

Answer 27

engagement
family nursing assessment
contracting with families
family interventions
termination and evaluation
post-visit documentation

Question 28

• The beginning of the interview process with a
  family.
• Focuses on the establishment of the nurse– patient relationship

Answer 28

engagement

Question 29

• The cornerstone for family nursing interventions
• A systematic assessment process by which the CHN
  identifies family health concerns and strengths as building blocks for interventions.

Answer 29

family nursing assessment

Question 30

• Contracting is making an agreement between two or more parties.
• It involves a shift in responsibility and control toward a shared effort by the patient and professional (as opposed to an effort by the professional alone).

Answer 30

contracting with families

Question 31

States a specific reward for the patient after
completion of the patient’s portion of the contract

Answer 31

contingency contract

Question 32

Does not specify rewards, but implied
rewards are the positive consequences of reaching the goals
specified in the contract

Answer 32

noncontingency contract

Question 33

what are the 3 phases of contracting families?

Answer 33

beginning
working
termination

Question 34

1. Mutual data collection and exploration of needs
   and problems
2. Mutual establishment of goals
3. Mutual development of a plan

Answer 34

beginning phase

Question 35

. Mutual division of responsibilities
2. Mutual setting of time limits
3. Mutual implementation of plan
4. Mutual evaluation and renegotiation

Answer 35

working phase

Question 36

Mutual termination of contract

Answer 36

termination phase

Question 37

• After assessment, if any interventions are needed, the CHN
  implements the intervention using a family intervention model such
  as the CFIM.
• As much as possible, this should be done in partnership with the
  family.

Answer 37

family interventions

Question 38

• When the purpose of the visit has been accomplished,
  the CHN reviews with the family what has occurred
  and what has been accomplished.
• This phase provides a basis for evaluating whether
  further home visits are needed or referrals to
  community resources are required

Answer 38

termination and evaluation

Question 39

• After the nurse has left the patient’s home, the visit
  must be recorded for legal and clinical purposes.
• The record must be current, dated, and signed.

Answer 39

post-visit documentation

Question 40

what does recording of the CHNs interaction with the family consist of?

Answer 40

narratives
flow sheets
problem-oriented medical records
subjective and objective assessment plans
a combo of any of these

Question 41

• Factors that determine or influence whether disease or unhealthy
  results occur
• May be biological (including age-related), physical, environmental,
  social or behavioural
• Although risk factors can singly influence outcomes, the combined
  effect of several risks has greater influence

Answer 41

health risks

Question 42

The process of assessing and analyzing for the presence of specific
factors in each of the categories associated with an increased
likelihood of an illness developing or the occurrence of an unhealthy
event

Answer 42

health risk appraisal

Question 43

Is based on the assumption that decreasing the number or magnitude of risks will result in a lower probability of the undesired event.

Answer 43

health risk reduction

Question 45

Risks to a family’s health generally fall into one of three major
categories…

Answer 45

biological and age-related risks
env risks
behavioural risks

Question 46

• A number of illnesses have a familial component that can be
  accounted for either from a genetic basis or from established lifestyle
  patterns.
• CHNs need to recognize that family history data can provide the
  genetic information required by families to make relevant decisions.

Answer 46

biological and age-related risks

Question 47

A drawing that depicts basic information about the family, relationships in the family, and patterns of health and illness

Answer 47

genogram

Question 48

A family’s health risk increases if they are exposed to any of the
following:
* High-crime neighbourhoods
* Communities without adequate recreation or health resources
* Communities that have major noise or chemical pollution
* Other high-stress environments

Answer 48

environmental risks

Question 49

A diagram depicting the family’s interactions with other groups
and organizations

Answer 49

ecomap

Question 50

• The pattern of personal health habits (e.g., physical activity,
  substance use or abuse, or violent and abusive behaviour) of an
  individual or family.
• The family is the basic unit within which health behaviour is
  developed, organized, and performed.

Answer 50

behavioural risks

Question 51

• Although assessment of individual lifestyle contributes to
  determining the lifestyle risk of a family, it is important to look at risks
  for the family as a unit.
• One approach is to identify family patterns for relevant lifestyle
  components

Answer 51

behavioural health risk assessment

Question 52

Occurs when the family is not able to cope with an event and becomes
disorganized
* The demands of the situation exceed the resources of the family.
* Examples of family resources are money and extended family who are available to them.

Answer 52

family crisis

Question 53

• Positive behaviours or qualities that help maintain family health
• can be used to help families deal with health concerns and to promote their health.

Answer 53

family strenghts

Question 54

Defined as the successful coping of
family members under adversity that
enables them to flourish with warmth,
support, and cohesion
* The ability to cope with expected and
unexpected stressors.

Answer 54

family resilence

Question 55

requires a viewpoint that often conflicts with the
perspective of the nursing profession.
* It assumes a partnership between the professional and the patient,
instead of a relationship in which the professional is dominant.
* The nurse’s approach to the family should be positive and focused on
competencies rather than on problems or deficits.

Answer 55

empowerment