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Theoretical Foundations of CFAM Flashcards

1
Q

The six theoretical models that inform the CFAM are:

A 
PoMo
Systems
Cybernetics
Change
Communication
BoC
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2
Q

In this model, Pluralism is a key focus.

A

Postmodernism

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3
Q

Postmodernism, simply put, is a…

A

Debate about knowledge

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4
Q

Pluralism refers to:

A

That there are multiple POV’s and ways to see things. No one great narrative that explains it all.
“There are as many ways to understand and experience the world as there are people who experience it”

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5
Q

Postmodernism is partly a reaction to the modernist claim that:

A

Knowledge emerges primarily from science & technology.

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6
Q

In practice now more emphasis is given to:

A

Illness narratives & experience of family members not just to medical narratives.

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7
Q

This (illness narratives & experience) invites…

A

Collaboration and consultation between nurses & family members

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8
Q

Offshoots of Postmodernism include:

A

Constructive/Social Constructivism

BoC (Bring Forthism)

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9
Q

W&L find which offshoot most beneficial?

A

BoC

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10
Q

This is defined as a complex of elements in mutual interaction.

A

System

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11
Q

Hierarchy of systems include..

A

Suprasystem
Family System
Individual System

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12
Q

In addition, nurses must pay attention to:

A

Boundaries

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13
Q

T/F Systems are arbitrarily defined by their boundaries.

A

TRUE

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14
Q

In assessing boundaries attention must be paid to their:

A

Permeability

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15
Q

In family systems the boundaries must be..

A

Permeable and limiting

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16
Q

What has dramatically changed the permeability of boundaries in the last decade?

A

Technology - social networking

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17
Q

Common analogy to visualize systems theory

A

Mobile

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18
Q

From a systems perspective, the whole is…

A

Greater than all of the parts

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19
Q

In considering the impact of illness on families we acknowledge this concept of systems theory:

A

A change in one family member affects all family members

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20
Q

This concept can also be used to understand how a nurse can change the family system by implementing..

A

Family Interventions

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21
Q

T/F Over the past few years there has been a shift away from the belief that families tend toward maintaining equilibrium.

A

True

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22
Q

We now understand that the family is able to…

A

Create a balance between change and stability

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23
Q

The concept of change and stability is perhaps the most…

A

Difficult concept of systems theory

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24
Q

The 5 Concepts of Systems Theory

A

Whole is greater than sum of parts
Family is made up of suprasystem & subsystems
Change in one member affects all
Family creates balance between change & stability
Behaviours are best understood from view of circular rather than linear causality

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25
Q

Linear causality means…

A

One event causes another (doesn’t affect initial)

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26
Q

Circular causality occurs when..

A

Second event affects first event

27
Q

Families normally need help to move from a linear perspective to a more..

A

Interactional, Reciprocal & Systemic View

28
Q

The science of communication and control theory:

A

Cybernetics

29
Q

2 Concepts of Cybernetics:

A

Family systems have self-regulating ability

Feedback processes can occur simultaneously at sever system levels with families

30
Q

The difference between cybernetics & systems theory?

A

Systems-changing focus from parts to wholes

Cybernetic-changing focus from substance to form

31
Q

Different levels where feedback processes can occur? (3)

A

Individual
Family
Family & Community

32
Q

Theory based in studying communication..

A

Communication Theory

33
Q

Concept 1- All nonverbal communication is…

A

Meaningful

34
Q

In understanding NVC it is important to consider the..

35
Q

Concept 2 - Communication has two major channels..

A

Digital

Analog

36
Q

Verbal communication=

37
Q

NVC=

38
Q

In understanding Analog & Digital communication we must consider the _______ which include _______ & __________.

A

Levels
Message
Meta-message

39
Q

If there is discrepancy between digital and analog, attention should be paid to the:

40
Q

Concept 3 - A dyadic relationship has varying degrees of _______________ & ______________.

A

Symmetry

Complementarity

41
Q

A relationship of unequal status?

A

Complementary - one giving, one receiving

Mother & Infant

42
Q

A relationship between two who behave as equals?

A

Symmetrical - competitive

Adolescent Peers

43
Q

To reach a healthy relationship, relationships must be:

A

Symmetrical & Complementary

44
Q

Concept 4- All communication has two levels:

A

Content & Relationship

45
Q

What is being said..

46
Q

What you’re saying & how it’s occurring..

A

Relationship

47
Q

The more something changes, the more it stays the same. Nurses must understand the paradoxical relationship between…

A

Persistence & Change

48
Q

A change within a system where the system itself remains unchanged.

A

First Order Change

49
Q

First order change refers to using the same…

A

Problem solving strategies over & over again. Mechanical

50
Q

Change that changes the system itself. Can be sudden or radical, unknown to person.

A

Second order change

51
Q

Second order change represents a…

A

Quantum jump in system to different level of functioning

52
Q

Most obvious type of change, happens without any professionals or sophisticated theories.

A

Spontaneous Change

53
Q

Change can be perceived as a difference which occurs…

A

Across time

54
Q

Change is Dependent on (3) & Determined by:• Change is Determined by structure

A

Perception of problem
Context
Coevolving treatment goals

Structure

55
Q

• Change Can have _______causes & is not based on _________ alone. It does not occur ______ in all members.

A

Numerous
Understanding
Equally

56
Q

Facilitating change is the _____ responsibility & occurs through ___ ____ ___________and family members’ _________

A

Nurses
Fit between interventions
Structures

57
Q

Objectivity & objectivity in parentheses are representative of which theory>

58
Q

BoC is based not on philosophy but on…

A

Biology & Phyisology

59
Q

Objectivity assumes that one.,

A

Ultimate domain of references exists for explaining the world

60
Q

Objectivity in parentheses means that there are..

A

Many POV’s and all are important to explain the world

61
Q

It is the nurses responsibility to help family members drift towards…

A

Objectivity in parentheses, and avoid the ‘sin of certainty’

62
Q

The notion that there is only one true way to manage health, illness or disability.

A

Sin of certainty

63
Q

We bring forth our realities through:

I WOOT

A 
Interacting with the 
World
Ourselves
Others
Through language
64
Q

BoC suggests that it is best to think of cognition as a continual interaction between…

A

What people expect to see

What they bring forth

Family (3 decks)

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