UNIT IV. THE FAMILY Flashcards
1
Q
National Statistical
Coordination Board (NSCB, 2008)
is a group of persons usually living together and
composed of the head and other persons related to the head b blood, marriage or adoption.
It includes both the nuclear and extended family
A
family
2
Q
Sociologists
” social unit interacting with the larger society
A
family
3
Q
is characterized by people together because of birth, marriage, adoption, or
choice”
A
family
4
Q
is two or more persons who are joined together by bonds of
sharing and emotional closeness and who identify themselves as being part of the family”.
A
family
5
Q
s defined as “the family of marriage, parenthood, or procreation;
composed of a husband, wife, and their immediate children- natural, adopted, or
both”
A
Nuclear family
6
Q
consists only of husband and wife, such as newly married couples
and “empty nesters”
A
Dyad family
7
Q
consisting of three generations, which may include married
siblings and their families and/or grandparents.
A
. Extended family
8
Q
, which results from a union where one or both spouses bring a
child or children from a previous marriage into a new living arrangement;
A
Blended family
9
Q
where a man has more than one, spouse; approved by
Philippine authorities only among Muslims under Presidential Decree No. 1083,
also known as the Code of Muslim Personal Laws of the Philippines (Office of the
President, 1077);
A
Compound family,
10
Q
which is commonly described as a “live–in” arrangement
between an unmarried couple who are called common-law spouses and their
child or children from such an arrangement; and
A
Cohabiting family,
11
Q
which results from the death of a spouse from the death of spouse,
separation, or pregnancy outside of wedlock.
A
Single parent
12
Q
n family is made up of a cohabiting couple of the same sex in a
sexual relationship. The homosexual family may or may not have children.
A
The gay or lesbian
13
Q
expressly
states that marriage is a special contract of permanent union between a man and
a woman entered into following the law of the establishment of conjugal and
family life, same-sex marriage is not legally acceptable
A
Family Code of the Philippines (Executive Order No. 209)
14
Q
The family fulfills two important purposes
A
The first is to meet the needs of society,
and the second is to meet the needs of individual family members
15
Q
The
family is the _____ between individuals and society
A
“buffer”
16
Q
The family meets the needs of society through:
A
- Procreation.
- Socialization of healthy members.
- Status placement.
- Economic function.
17
Q
The basic unit (family) so strongly influences the development of an individual that it
may determine the success or failure of that person’s life” (Friedmen wt al. 2003). Specifically.
The family meets the needs of individuals through
A
- Physical Maintenance.
- Welfare and protection.
18
Q
Regardless of the definition of the family accepted or the form that it may lake, what is
evident is the importance of the family unit to society. The family meets individual needs
through the provision of basic needs (food, shelter, clothing, affection, and education). The
family supports spouses or partners by meeting affective, sexual, and socioeconomic needs.
A
The family as a client
19
Q
reasons nurses need to work with families:
A
- The family is a critical resource.
- In a family unit, any dysfunction (illness, injury, separation) that affects one or
more family members will affect the members and unit as a whole. - Case finding
- Improving nursing care.
20
Q
. It is a way to explain how the family as a unit interacts
with the larger unit outside the family and with smaller units inside the family (
A
general systems theory
21
Q
Family Life Cycle
A
- Beginning family through marriage or commitment as a couple of relationships
- Parenting the first child
- Living with adolescent(s)
- Launching family (youngest child leaves home)
- Middle-aged family (remaining marital dyad to retirement)
- Aging family (from retirement to death of both spouses)
22
Q
Stages and tasks of the family lifecycle
A
- Marriage: joining of families
a. Formation of identity as a couple
b. Inclusion of spouse in the realignment of relationship with extended families
c. Parenthood: making decisions - Families with young children
a. Integration of children into the family unit
b. Adjustment of tasks: child-rearing, financial, and household
c. Accommodation of new parenting and grandparenting roles - Families with adolescents
a. Development of increasing autonomy for adolescents
b. Midlife re-examination of marital and career issues
c. The initial shift towards concern for the older generation - Families as launching centers
a. Establishment of independent identities for parents and grown children
b. Renegotiation of the marital relationship
c. Readjustment of relationships to include in-laws and grandchildren
d. Dealing with disabilities and the death of the older generation - Aging families
a. Maintaining couple and individual functioning while adapting to the aging process
b. Support role of the middle generation
c. Support and autonomy of older generation
d. Preparation of own death and dealing with the loss of a spouse and/or sibling and
other peers
23
Q
s providing its members with means for health promotion
and disease prevention. Breastfeeding an infant, a healthy diet for older family members,
bringing a young child to the health center for immunizations, and teaching a child about
proper hand washing are a few examples of family
A
The First family health task
24
Q
This is a requisite step the
family has to take to be able to deal purposefully with an unacceptable health condition
A
Recognizing the interruptions of health or development.
25
When the health needs of the family are beyond its capability in
terms of knowledge, skill, or available time, the family consults with health workers
Seeking health care
26
When the health needs of the family are beyond its capability in
terms of knowledge, skill, or available time, the family consults with health workers.
Seeking health care.
27
Crisis, whether health-related or not, is a fact
in life that the family has to learn to deal with. Crises may include maturational crises,
which can be anticipated by the family, or incidental crises, which may not be easily
foreseeable. The family’s ability to cope with crises and develop from its experience is an
indicator of a healthy family
Managing health and nonhealthy crises
28
In
addition to the care of the very young and very old, many minor illnesses, chronic
conditions, and disabilities require home management by responsible family members
Providing nursing care to sick, disabled, or dependent members of the family.
29
In addition to a safe and healthy physical environment, the home should
also have an atmosphere of security and comfort to allow for psychosocial development.
Maintaining a home environment conducive to good health and personal
development. I
30
Just as the family utilized community resources, the family also takes interest
in what is happening in the community and, depending on the availability of the family
member and the family's perception of its need and appropriateness, gets involved in
community events.
Maintaining a reciprocal relationship with the community and its health
institution.
31
characterized healthy families as “energized families”
and provide a description of healthy families to guide assessing strength and copying.
Otto (1973) and Pratt (1976)
32
They suggest the
following traits of a healthy family
1. Members interact with each other they communicate and listen repeatedly in many
contexts.
2. Healthy families can establish priorities. Members understand that family needs our
priority.
3. Healthy families affirm, support, and respect each other.
4. The member engages in flexible role relationships, shares power respond to change
support the growth and autonomy of others, and engages in decision-making that affects
them.
5. The family teaches family and societal values and beliefs and shares a spiritual core.
6. Healthy families foster responsibilities and value service to others.
7. Healthy families have a sense of play and you more and share leisure time
8. Healthy families can cope with stress and crisis and grow from problems. They know
when to seek help from professionals.
33
is the practice of nursing directed toward maximizing the health and
well-being of all individuals within a family system
-focuses on the individual family member, within the context of the family, or the
family unit.
Family nursing
34
helps practitioners identify the health status of the
individual members of the family and aspects of family composition, function, and process.
Assessment of the family
35
The nurse can obtain information for the family health assessment through
interviews
36
Secondary data can be derived from a ___ like charts, health center
records, and/ or other agency records or from communication with other health workers or
agencies who have worked with the family
review of records
37
a family is differentiated from the household, which
is a term applied to a social unit consisting of a person living alone or a group of persons who
sleep in the same housing unit and have a common arrangement in the preparation and
consumption of food (NSCB,2003). Thus, a domestic helper/worker who resides in the family
home is a member of a household but is not a family member.
In the family Assessment Form
38
is a tool that helps the nurse outline the family structure. It is a way to
diagram the family
genogram
39
is another tool that is helpful to the community health nurse.
Based on the genogram, provides the mechanism regarding families'
medical and health histories
family health tree
40
The nurse should note the following points on the
family health tree:
1. Causes of death are decreased by family members
2. Genetically linked diseases include heart disease, cancer, diabetes, hypertension,
allergies asthma, and mental retardation
3. Environmental and occupational diseases
4. Psychosocial problems such as mental illness and obesity
5. Infectious diseases
6. Familial risk factors for health problems
7. The risk factor associated with the family's methods of illness prevention, such as having
periodic physical examinations, Pap smears, and immunizations.
8. Lifestyle +related risk focus (i.e., by asking what family members do to "handle stress"
and" keep in shape")
41
s another classic tool that is used to depict family linkages to
its suprasystems.
Ecomap
42
portrays an overview of the family in their situation;
it depicts the important nurturant or conflict-laden connection between
the family and the world. It demonstrates the flow of resources, or the locks and deprivation.
This mapping procedure highlights the nature of the interfaces and points to conflicts the
mediated, with just to be built, and resources to be soft and mobilized.
eco-map
43
The nurse can use this tool for family assessment in families in every healthcare
setting. These tools help increase the nurse’s awareness of the family within the community
and help guide the nurse and the family in the assessment and planning phases of care.
Ecomap
44
as a medium for providing family intervention
-nurse uses general systems and communication concepts to
conceptualize the health needs and families and to access the family’s responses to events
such as birth, retirement, or chronic illness
Family interviewing
45
identify the following critical components of the family interview:
manners, therapeutic
questions and conversations, family genogram (and ecomap when indicated), and
commendations
46
are common social behaviors that set the tone for the interview and begin
the development of the therapeutic relationship
Manners
47
are key questions that the nurse uses to facilitate the interview.
Therapeutic questions
48
The third key element in the interview
Therapeutic conversations
49
constitutes the 4th element. This tool provides essential
information on family structure and is an efficient way to gather information, such as family
composition, background, and basic health status, in a way that engages the family in the
interview process.
Genogram and ecomap
50
The fifth element of the family interview suggest identifying at least two strengths areas and,
during each family interview, sharing them with the family or individua
Commending family or individual strengths
51
As can be seen in the foregoing text, a thorough family assessment yields a large
volume of data. The nurse organizes data into clusters (data synthesis) and sets aside data that
may be considered relevant as this point period seemingly inaccurate or conflicting data are
validated with the family respondent(s).
Family data analysis
52
is done by comparing findings with accepted standards for individual
family members and the family unit. Current information should be compared with previous
information if available. Also, the nurse correlates findings in the different data categories and
checks for significant gaps in the information or the need for more details related to a finding.
Data analysis
53
re reflected in data on household membership
and demographic characteristics, family members living outside the household, family
mobility, and family dynamics (emotional bonding, authority and power structure, the
autonomy of members, division of labor, and patterns of communication, decision
making, and problem and conflict resolution). Data on family structure can be visualized
clearly through graphic tools such as genogram, ecomap, and or family health tree.
Family structure and characteristics
54
include data and social integration (ethnic origin,
languages and or dialect spoken, and social networks), educational experiences and
literacy, work history, financial resources, interests, and cultural influences, including
spirituality or religious affiliation
Socio-economic characteristics
55
refers to the physical environment inside the family's home/
residence and its neighborhood.
The family environment
56
take into account the family's activities of daily
living, self-care, risk behaviors, health history, current health status, and healthcare
resources (home remedies and health services).
Family health and health behavior
57
may be formulated at several levels: individual family members,
a family unit, or the family concerning its environment/community.
nursing diagnosis
58
An alternative tool for nursing diagnosis
e Family Coping Index
59
refers to the family members' mobility and ability to perform
activities of daily living, such as feeding themselves and performing activities necessary for
personal hygiene.
Physical independence
60
is the family's ability to comply with prescribed or
recommended procedures and treatments to be done at home, which includes medications,
dietary recommendations, exercises, application of wound icings, and use of prosthetic
devices and other adaptive appliances such as wheelchairs and walkers.
Therapeutic competence
61
means an understanding of the health condition or
essential of care according to the developmental stages of family members. Examples are the
degree of knowledge of responsible family members in terms of communicability of a disease
and its modes of transmission or that disease is genetically transmitted, as in the case of
diabetes mellitus.
. Knowledge of health conditions
62
includes practice to
general health promotion and recommended preventive measures.
Application of the principle of personal and general hygiene
63
refer to the family’s perception of healthcare in general. This is
observed in the family's degree of responsiveness to promotive, preventive, and curative
efforts of health workers.
Healthcare attitudes
64
is concerned with the degree of emotional maturity of family
members according to their developmental stage. This may be observed in behavior such as
how the family members deal with daily challenges, their ability to sacrifice and think of
others, and acceptance of responsibility.
Emotional competence
65
referred to the interpersonal relationship among family members,
management of family finances, and the type of discipline in the home.
Family living patterns
66
includes home, school, work, and community environment
that may influence the health of family members.
The physical environment
67
is the ability of the family to seek and utilized, as needed
comma what government-run and private health, education, and other community services.
The use of community facilities
68
g involves priority setting, establishing goals and objectives, and determining
appropriate interventions to achieve goals and objectives.
Planning
69
is determining the sequence in dealing with identified family needs
and problems.
is necessary because the nurse cannot possibly deal with all
identified family needs and concerns all at once. To guide the nurse in a priority setting, the
following factors need to be considered:
Priority setting
70
The life-threatening situation is given top priority (Maurer and Smith,
2009). Likewise, the occurrence of communicable disease requires immediate attention
to promote healing and, more importantly, to prevent the spread of communicable
disease to the susceptible members of the household and the community.
Family safety
71
Next to life-threatening emergencies, priorities are given to the need
the family recognizes as the most urgent and /or important period the nurse may strive
toward patient and family education in instances where the family fails to recognize
issues that may affect family safety as incommunicable cases.
Family perception
72
Together with the family, the nurse looks into existing resources and
constraints period are the resources required to address a particular need available to
the nurse and the family? Does the nurse have the necessary competence, how feasible is a referral to another health worker or agency? What are the constraints that the family
and the nurse have to deal with?
Practicality
73
The immediate resolution of a family concern gives the family a sense
of accomplishment and confidence in themselves and the nurse. Providing a clear-cut
intervention during family nurse contact and family level of trust in the nurse. Also, the
nurse thinks of the prospect of preventing serious problems in the future by resolving an
existing family concern.
Projected effects.
74
l is a desired observable family response to plant interventions in response to a
mutually identified family need. The goal is the end that the nurse and the family aim to
achieve.
goal
75
within the limits of their sources of the family, the nurse, and
the health agency is of utmost importance.
Setting realistic goals
76
the objective clearly articulates who is expected to do what, i.e., the family or a
target family member will manifest and particular behavior.
Specific
77
observable, measurable, and whenever possible comma quantifiable
indications of the family's achievement as a result of their efforts toward a goal provide a
concrete basis for monitoring and evaluation
Measurable:
78
the objective has to be realistic and in conformity with available resources,
existing constraints, and family traits, such as style and functioning.
. Attainable:
79
the objective is appropriate for the family need or problem that is intended to
be minimized, alleviated, are resolved.
Relevant:
80
having a specified target time or date helps the family and the nurse in
focusing their attention and efforts toward the attainment of the objective (Doran, 1981).
Time-bound:
81
Depending on the intensified family needs and the goals and objectives
interventions
82
are actions that the nurse performs on behalf of the
family when it is unable to do things for itself, such as providing direct nursing care to a sick
or disabled family member.
Supplemental interventions
83
refer to actions that remove barriers to appropriate health
action, such as assisting the family to avail of maternal and early child care services.
Facilitative interventions
84
are to improve the capacity of the family to provide
for its own health needs, such as guiding the family to make responsible health decisions. This
type of intervention is directed toward family empowerment.
Developmental interventions
85
requires that the nursing care plan fits the unique
situation of a family: its needs, style, strengths, and patterns of functioning. Families with
similar concerns do not necessarily require the same nursing actions, necessarily require the
same manner as another family confronted with a similar situation. A related principle is the
consideration of family values and health care beliefs, which are the basis of family health
behavior
principle of personalization
86
with the other members of the health team and other agencies involved
in the care of the family maximizes resources by preventing the duplication of services. On
the part of the family, harmonizing services also prevents confusion and promotes the
performance of desirable behavior such as availing of early child care services.
Coordination
87
Consists of three generations, which may include married siblings and their families
and/or grandparents.
Extended family
88
. Consisting only of husband and wife, such as newly married couples and “empty nesters”.
Dyad family
89
Statement A: Family meets the needs of society, and meets the needs of individual
family members.
Statement B: Family meets the needs of society through procreation, socialization of
sickly members, status placement, and economic function.
a. Statement A and B are correct
b. Statement A and B are incorrect
c. Only statement A is correct
d. Only statement B is correct
Statement A
90
Statement A: The homosexual family may or may not have children.
Statement B: Family Code of the Philippines (Executive Order No. 209) expressly states
that marriage is a special contract of permanent union between a man and a woman.
Statement C: In the Philippines, same-sex marriage is legally acceptable.
a. Statement A and B are correct
b. Statement B and C are correct
c. Statement A and C are correct
d. None of the statements are correct
a. Statement A and B are correct
91
. This refers to the family member's mobility and ability to perform activities of daily
living, such as feeding themselves and performing activities necessary for personal
hygiene.
Physical independence
92
Referred to the interpersonal relationship among family members, management of
family finances, and the type of discipline in the home.
Family living patterns
93
Well-stated objectives must be except:
a. Relevant
b. Measurable
c. Time-pressured
d. Specific
c. Time-pressured
94
This type of intervention is directed toward family empowerment and to improve the
capacity of the family to provide for its own health needs, such as guiding the family to
make responsible health decisions.
Developmental interventions
95
Statement A: The expected outcomes of interventions are observable changes in the
family.
Statement B: Mutuality means that the family is allowed to decide for itself and how
they can best deal with the health situation.
a. Statement A and B are correct
b. Statement A and B are incorrect
c. Only statement A is correct
d. Only statement B is correct
a. Statement A and B are correct
96
To guide the nurse in a priority setting, the following factors need to be considered
except:
a. Practicality
b. Family safety
c. Family perception
d. Projected disadvantages
Projected disadvantages
