PAFP proceedings V: Tools in Family Assessment Flashcards

1
Q

Steps in Family Systems Approach

A
  1. Recognize family structure (family genogram)
  2. Understand normal family fx (Smilkstein’s cycle of family fx)
  3. Learn to assess family structure & fx in clinical practice (Genogram, Family APGAR, FACES, FES, SCREEM, DRAFT, clinical bio & life events)
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2
Q

A family genogram must consist of a minimum of __ generations.

A

3

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3
Q

Each generation must be identified by ___ numerals

A

Roman

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4
Q

The family name must be placed ___ each major unit

A

above

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5
Q

Given names and ages are placed ___ each symbol

A

below

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6
Q

The index patient is identified with an ___

A

arrow

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7
Q

___ is indicated when the chart was developed so that ages would be adjusted over time

A

Date

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8
Q

Type of chart (family genogram) that gives dynamic image of the family indicating strength of bonds, weaknesses (marital separation) & ability to withstand future stressful situations (who are living in the same household)

A

Functional chart

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9
Q

5 Fx of a normal family

A
  1. provides support to each other
  2. establish autonomy and independence for each person in the system
  3. create rules that govern conduct of family and of individuals w/in the family
  4. adapt to change in envt (family life cycle)
  5. communicate w/ each other
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10
Q

Family w/ chronic inability to respond to the needs of the members or to cope w/ changes and stresses in the envt

A

Dysfunctional family

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11
Q

Excellent tool in learning family structure but with limited role in assessing family fx

A

Family genogram

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12
Q

Family assessment technique used in individuals/ small groups wherein significance/ influence of family members can be assessed

A

Draw a Circle Test

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13
Q

Rapid tool developed by Smilkstein and consists of 5 questions to assess family fx and level of satisfaction

A

Family APGAR

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14
Q

Capability of family to utilize and share inherent resources (intra/extra-familial)

A

Adaptation

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15
Q

Sharing of decision-making

A

Partnership

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16
Q

Refers to physical and emotional growth; measures satisfaction of the available freedom to change

A

Growth

17
Q

Refers to how emotions are shared b/w members

A

Affection

18
Q

Refers to how time, space and money are shared

A

Resolve

19
Q

4 basic situations where Family APGAR is needed

A
  1. When the family will be directly involved in caring for the pt (e.g. Post-MI/CVA pts)
  2. When treating a new pt in order to get gen view of family fx
  3. When treating a patient whose family is in crisis (e.g. family tx for drug addicts)
  4. When a pt’s behavior makes you suspect a psychosocial problem possibly d/t a family dysfx
20
Q

All family health care programs should have an initial ____ scoring.

A

Family APGAR

21
Q

30-item tool with a 1-5 self-reported scale from Olson’s circumflex model of family fx

A

FACES (Family Adaptability and Cohesion Evaluation Scale)

22
Q

90-item questionnaire developed by Moss to compare health care results w/ family variables

A

FES (Family Envt Scale)

23
Q

Assessment involving resources of the family

A

SCREEM

Social
Cultural
Religious
Economic
Educational
Medical
24
Q

Simple tool developed by Drs. A. Pineda and R. Cruz involving a projective technique by drawing a family exhibiting evasiveness, adultered basic needs and psychopathology

A

DRAFT

Draw-a-Family-Test
Community-based Family Assessment

25
Q

Components of the Family Assessment Model

A
  1. Family identification (composition, social hx, community)

2. Individual & family data (health hx, family dynamics, recording hierarchies)

26
Q

Minuchin family map symbol for:

functional relationship

A

double line

27
Q

Minuchin family map symbol for:

dysfunction

A

single line w/ break

28
Q

Minuchin family map symbol for:

2 people w/ overinvolved relationship

A

3 parallel lines

29
Q

Minuchin family map symbol for:

rigid boundary where rules are clear but non-negotiable

A

solid line perpendicular to the relationship line

30
Q

Minuchin family map symbol for:

boundary that is clear but negotiable

A

broken line perpendicular to the relationship line

31
Q

Minuchin family map symbol for:

boundary that is diffuse or unclear

A

dotted line perpendicular to the relationship line

32
Q

Minuchin family map symbol for:

presence of coalition or alliance b/w people

A

brackets

33
Q

Minuchin family map symbol for:

escape from the system

A

arrow pointing away from the system

34
Q

Minuchin family map symbol for:

3rd person being triangulated by the conflict b/w the 2

A

open-ended arrow with its open end embracing 2 individuals and the pointed end pointing to the 3rd person