Role 3 family health

Question 1

2000 definition of family

Answer 1

per wright lee hayes, whoever you say is family

Question 2

1990 definition of family

Answer 2

strong emotion to belong with passion to be involved in each other’s lives

Question 3

1980 definition of family

Answer 3

2 or more people who depend on each other for emotional, physical, economic support

Question 4

define family development

Answer 4

process of progressive structural differention and transformation over time

Question 5

What 4 variables do RNs assess in families

Answer 5

physiological, psychological, sociocultural, and spiritual variables

Question 6

what 3 things are included in the physiological variable

Answer 6

family stage of development, structure, roles, genetic predisposition/family health problems/genogram (note: not all dzs are genetic)

Question 7

what 3 things are included in psychological variables

Answer 7

communication, emotional strength/flexibility to respond to change, coping ability

Question 8

what 4 things are included in sociocultural variables

Answer 8

physical layout of home and feeling about the home, neighborhood, culture/social class, economic status

Question 9

what 1 thing are assessed in spiritual variable

Answer 9

religion

Question 10

family development can be broken down to 4 parts

Answer 10

emerging families, solidifying families, reconstituting families, contracting families.

Question 11

in physiological variable, what is the family stages of development

Answer 11

stage 1 newly wed; stage 2 with infant; stage 3 with preschooler; stage 4 with school age; stage 5 with teenagers; stage 6 launching; stage 7 middle aged; stage 8 later life

Question 12

in physiological variable, what does RN care about

Answer 12

stage 1 get to know each other, establish a health marriage, fit into new family system, renegotiate relationships and roles in family; stage 2 with infant < 30 mon, accept new member, adjust marriage r/t lack of intimacy, realign relationships with extended family; stage 3 child 2.5-5 yo, socialize; safety; maintain healthy relationship within family and social; stage 4 child 6-13 yo support in school achievement; safety; meet physical needs of all family members; stage 5 child 13-20 allow independence; refocus martial status r/t teen stress; open communication between parent and teen; listen to both sides; when was the last time you had drugs; stage 6 LAUNCHING of 1st child and last child almost out; lots exits and entries; renegotiate marriage as focus; stage 7 middle age with last child leaving, accept shift of generational roles, provide health promoting environment, sustain new relationship if spouse had died; stage 8 later life retirement or both dead; accept limitations and death, if one alive maintain satisfying living arrangement r/t fixed income, adjust to loss of spouse and income

Question 13

in physiological variable, what are the 6 different types of family structures

Answer 13

1 nuclear family in household; 2 multigenerational with grandma and kids; 3 dyad just the couple with stigma; 4 single parent tight bond; 5 blended brady bunch; 6 extended family with aunt or foster family or if it’s the grandma w/out parent, accepted by all cultures

Question 14

in physiological family structure role what is formal and informal

Answer 14

formal is given by society daughter; informal is given by family the pretty one

Question 15

define role

Answer 15

established pattern of behaviors that is expected by society that is developed when we interact with others

Question 16

what are the the 7 types of roles

Answer 16

informal given by society; informal the pretty one; role assignment what role is assigned to me (could formal or informal), role performance how well, role strain too many rolls, roll allocation assignment of responsibility, role accountability sense of responsibility in acting out role

Question 17

in psychological communication, what are types of expressive functioning

Answer 17

emotional can talk about all feelings, functional communication clear direct, dysfunctional communication passive aggressive, double blind messages, circular communication switchboard gets feedback v chain maladaptive

Question 18

define expressive functioning in psychological variable

Answer 18

interaction among family members to provide support and encouragement

Question 19

what is included in expressive functioning

Answer 19

emotional, functional, dysfunctional, circular, problem solving, roles, control, belief, family interactional pattern

Question 20

physiological variable expressive functioning, emotional communication

Answer 20

be able to express full spectrum of feeling

Question 21

physiological variable expressive functioning, functional communication

Answer 21

clear direct, lack of distortion

Question 22

physiological variable expressive dysfunctional, name ways to do this

Answer 22

make assumptions, belittling, fail to listen, communicate indirect passive aggressive, double blind message

Question 23

physiological variable expressive functioning, name 3 types

Answer 23

adaptive switchboard v supportive cook for me v maladaptive chain

Question 24

physiological variable expressive functioning, name stuff about problem solving

Answer 24

who identifies the problem, solution pattern based on culture and experience, do they intensify or resolve the problem

Question 25

physiological variable expressive functioning, name stuff in relation to role

Answer 25

formal, informal; role assignment, performance, strain allocation, accountability

Question 26

physiological variable expressive functioning, name 2 types of control

Answer 26

instrumental and psychologocal

Question 27

physiological variable expressive functioning, name 2 factors of belief

Answer 27

expectations and attitudes; toleration of different views

Question 28

physiological variable expressive functioning, name 2 types of interactional patterns

Answer 28

functional constructive and flexible v dysfunctional rigid destructive and self-defeating

Question 29

define instrumental functioning

Answer 29

how to meet the physiological (instrumental food clothing shelter, task allocation, ADLs) and psychological (emtional functioning and functional communication) needs of family

Question 30

what to assess if family can problem solve

Answer 30

who identifies the problem, what are the solution patterns (to intensify v solve the problems)

Question 31

what are 2 types of control

Answer 31

instrumental take away tv v psychological use guilt to manipulate

Question 32

nanda dx for family should

Answer 32

affect each person in family

Question 33

what do RN consider in planning phase

Answer 33

identify for pt some resources via genogram, ecomap, family’s wants/goals

Question 34

who do RN collaborate with

Answer 34

family therapist and social worker

Question 35

what RN consider when implementing

Answer 35

utilization of Family Therapy; support positive family dynamics; positive feedback, emotional support; don’t judge

Question 36

family wellness depends on

Answer 36

ability to interact with stressors in environment, Family Adaptaion

Question 37

empower the family by

Answer 37

helping them get adequate tools to care for themselves; speak up for them; community connection; support the family during change

Question 38

cultural considerations are

Answer 38

family health beliefs and behavior; racial stereotyping; own ethnic blind spot (common ethnicity does not guarantee best outcome