Quiz #3 Module 3 Part 1/2 Flashcards
define intersex
someone who is born with or ambiguous female and male genetics, and/or physical characteristics
define gender binary
the idea that there are only two genders: man or woman, and that people can only be one or the other and stay that way all their life
define cisgender
a term to describe a person whose gender identity matches the sex they were assigned at birth; someone who is not trans
define resilience
maintenance of positive adjustment under challenging life conditions
define vulnerability and protective processes
- vulnerability processes= physical illness, psychological stresses, social risk
- protective processes= self efficacy, good parenting problem solving, social support acquisition and maintenance
define family
set of relationships that each parent identifies as a network of individuals who influence each other’s lives, regardless of whether actual biological or legal ties exist
whats a blended family?
Both parents bring children from previous relationships into a new, joint living situation
whats an extended family?
Includes the nuclear family and other relatives (perhaps grandparents, aunts, uncles, cousins)
whats a traditional nuclear family?
Consists of mother and father (married, or common-law) and their children
what is family hardiness?
internal strengths and durability of family unit- and having active rather than passive approaches to stressful events
what are factors influencing family resiliency?
positive outlook, spirituality, flexibility, cohesiveness, clear communication, financial management, shared family involvement in recreation, routines and rituals, and support networks
what is the calgary family assessment model (CFAM)
relational, strengths focused practice model that guides nurses in the completion of comprehensive family assessment
what are the three major categories of family life that CFAM focusses on?
structural, developmental, and functional dimensions
what do the structural dimensions of the family assessment include?
• Internal structure: the people who are included in the family and how they are relationally connected to one another
• External structure: the relationships the family shares with people and institutions outside the family unit
-Context: the whole situation or background relevant to the family
what are the further subcategories for internal structure?
family composition, gender, sexual orientation, rank order, subsystems, and boundaries
what are the further subcategories for external structure?
extended families and larger systems
what are the further subcategories for context structure?
A family can be viewed in the context of ethnicity, race, social class, religion and spirituality, and environment
what is the calgary family intervention model (CFIM)?
is a companion to the CFAM but can be used as a guide for nursing interventions with the family
whats the goal of family nursing?
is to help the family and its individual members achieve and maintain optimal health throughout and beyond the illness experience
define family composition and give examples of questions nurses can ask families related to family comp.
individual members that form the family
- Who is in your family?
- Does anyone else live with you?
- Has anyone recently moved out of your household, married, or died?
define gender and give examples of questions nurses can ask families related to gender
set beliefs about or expectations of masculine and feminine behaviours and experience
Influenced by culture, relationships, and family
-How have your parents’ ideas about masculinity and femininity affected your own? Have your ideas about gender been challenged in any way since you became parents?
Do you have expectations of your children on the basis of their gender?
define rank order and give examples of questions that nurses may ask related to rank order
the order of children by age and gender
This is important to consider because they may influence roles and behaviours
-How many children are in your family?
-What are the children’s ages?
-Did you have distinct expectations for the oldest and younger children?
define extended family (in external structure) and what are questions that would be asked?
Includes the family of origin, the current generation, and step-relatives
- Where do your parents live? -How often do you have contact with them or your siblings?
- Which family members do you see or speak with regularly? Who are you closest to?
define larger systems (external structure) and what are some questions that would be asked?
groups with whom the family has meaningful contact
Include religions organizations, schools, friends, social groups etc.
-How many health agencies are regularly in contact with you?
-What agencies are involved with your family? Helpful or not?
define ethnicity (context structure) and think of questions
the concept of a family’s cultural, historical, geographic, linguistic, and ethnic heritage can greatly influence family interaction
May influence a family’s functioning, structure, perspectives, values, health beliefs, and philosophies
-Do you think your family has strong ethnic identity?
-Has your ethnic background influenced your health care?
define social class (context structure) and think of questions
shaped by education, income, and occupation
What is your job? How many hours do you work?
-Does anyone in the family work shifts? How does that influence your family functioning?
-What level of education do you have?
-Does your family have economic challenges?
define religion and spirituality (context structure) and think of questions
beliefs, rituals, and practices can influence their ability to cope with or manage an illness or health concern
- What practices does your family have?
- Are you involved in a particular church, temple etc?
- Do you consider your spiritual beliefs a resource?
define environment and spirituality (context structure) and think of questions
refers to the larger community, neighbourhood and home context
- What are the advantages/disadvantages of living in your neighbourhood?
- What community services does your family use?
what is a genogram?
A genogram is a sketch of the family structure and relevant information about family members
The most essential information include data about ages, occupation, schooling, religion, ethnicity, and current health status or family members
what is an ecomap?
An ecomap is a sketch of a family’s relationships with persons and groups outside of family
when are nurses encouraged to draw an ecomap or genogram?
when they’re with families for more than one day
what are linear and circular questions?
Linear questions: elicit information about a patient or family; they explore a family member’s descriptions or perceptions on an illness or life challenge
Circular questions: can help determine possible changes for a patient’s of family’s life; help nurses understand the difference between things
what is the sandwich generation?
people at a certain age who have to care for their parents but also are still caring for their own young children
which people have the poorest perinatal outcomes?
poor women (women living below the low income cut off), indigenous women, and young women with less education consistently
what are higher infant mortality rates associated with?
limited maternal education, young maternal age, poverty and lack of prenatal care
what are the 3 parts of a family genogram?
- mapping family structure
- recording family info
- describing the nature of relationships
what are the three indigenous groups?
first nations, metis, and inuit
define status indians
registered under the indian act
what is daniels decision?
(Indian affairs and Northern Development)- sided in favour of non-status Indians and metis as being Indian
define pre-european contact
-pre-European contact= refers to history of indigenous peoples before exploration and settlement of the America’s by Europeans
whats a reserve?
piece of land that’s set aside by federal government for the exclusive use of an Indian band or first nation
define colonialism
development of institutions/policies by European imperial and euro-American settler governments toward indigenous peoples
define post-eurpean contact
Europeans established relationships with indigenous people and colonization influenced indigenous systems of government, trade, and health care
define cultural genocide?
destruction of those structures and practices that allow the group to continue as a group
