FAMILY Flash Cards

 
log in to manage your card piles
front back revisions lasted changed by history
Horizontal stressors are ______. They can be _____ or _____Give an example 1. developmental.

2.predictable or unpredictable.

3.Predictable: such as families having children/ UNpredictable: like losing a parent.
0 jkoike Wed, 15 Oct 2008 05:45:22 GMT view revision history
Vertical stressors include? (2) 1. family attitudes
2. expectations and secrets brought forward to the present situation of the family which include environmental influences
0 jkoike Wed, 15 Oct 2008 05:45:22 GMT view revision history
what are the 6 stages within the “Family Life Cycle”? 1) Launching of the single young adult, when he/she leaves home and accepts responsibility for self, intimate partner

2) Joining of families through marriage

3) Accepting new members- families with young children-making way for children, realignment to include parenting and grandparenting roles, joining as a team in parenting

4) Families with adolescents- allow independence in teens and dependence in grandparents, midlife marital issues, caring for parents(possibly)

5) Launching children-moving on while developing adult-adult relationships with children, incorporating in-laws, grandchildren, dealing with disabilities or death of parents.

6) Families in later life- shifting of generational roles-maintaining function with declining health, respect of experience of elders, dealing with loss of spouse, peers; reviewing life-prep for death.
0 jkoike Wed, 15 Oct 2008 05:45:22 GMT view revision history
in a ecomap,
1. a very slight attachment is represented as ___line

2. a slight attachment represented as ___line

3.a moderate attachment represented as?

4. strong attachment represented as?
very slight attachment= 1 straight line

slight attachment= 2 straight lines

moderate attachment =3 straight lines

strong attachment= 4 straight lines.
0 jkoike Wed, 15 Oct 2008 05:45:22 GMT view revision history
In an ecomap, a negative attachment is represented as ___ line a convoluted line 0 jkoike Wed, 15 Oct 2008 05:45:22 GMT view revision history
what are 4 things that families need to focus on in assessment? 1.joys
2.hardships
3. Attachments
4. enduring ties
0 jkoike Wed, 15 Oct 2008 05:45:21 GMT view revision history
In gathering information to construct an ecomap the nurse needs to be aware about (2) 1. that information from each person in the family is their “observer perspective”

2. when things in a family do not progress smoothly, this can be viewed as normal
0 jkoike Wed, 15 Oct 2008 05:45:21 GMT view revision history
what does the ecomap describe?

what does it portray?(2)
the connections the family has with the outside world.

portrays
1. overview of the family
2. nature of their relationships
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
what does the genogram describe? describes the family constellation 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
what are 2 tools that are used to assess family structure and relationships? genogram and the ecomap 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
What do nurses need to consider as far as environment for families? GIve an example family and individual perceptions regarding their environment

(since a lot of people in a house may be normal to Filipinos but not Haoles)
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
what is environment shaped by (2) culture and ethnicity 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
How does religion influences external structure? Religion influences beliefs about illness and coping, 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
Assessment of social class serves to? (2) 1. help understand intrafamilial
2. help understand external differences,
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
How does social class affect family? (3) affects how members
1. define themselves.
2. how they organize themselves
3. meet challenges and crises
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
It is important for nurses to validate ___in ethnicity while appreciating ____ and ____ 1. the differences in ethnicity

2. appreciating the forces of humanity that are shared

3. recognizing their ethnic”blind spots”.
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
what are the 5 subcategories of context, which is important in influencing external structure of someone? 1. ethnicity
2. race
3. social class
4. religion
5. environment.
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
what is important to assess in external structure? 1. quantitiy,
2. quality
3. type of contact with extended family members.
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
what does an external structure consist of ? (2) 1. the extended family
2. other larger systems (social agencies, hospitals, clinics that contain persons the family has meaningful contact with)
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
how can boundaries be viewed? (2) 1. physical
2. psychological
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
what are 2 examples of physical boundary? 1. Alzheimers/dementia. They may be physically present but psychologically absent

2. nurse there for pt
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
what is an example of psychological boundary? couple transitioning from infertility to parenthood once conceiving can feel the child there psychologically but not physically 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
Permeable boundaries allow...? (2) 1. flexibility
3. engagement of all members who feel their “voice” may be heard.
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
The more diffuse boundaries are, the.... less differentiated the family system. 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
A family that does everything together and talks to each other constantly, even when not together...what kind of boundary is this? diffuse boundary

This may be seen when a child is parentified or given adult responsibilities or power to make decisions.
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
E.g. power person in the family will be the decision maker and everyone else will “do as told”. ---potential abuser....what kind of boundary is this? rigid boundaries 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
why are there boundaries in families? they are intended to protect the differentiation of the system or subsystem 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
How can boundaries be (3)? Boundaries can be diffuse, rigid or permeable 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
what are boundaries as far as family assessments go? the “rule” that defines
1.who can participate
2. how
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
what do family members need to do as far as their subsystem? needs to be able to adapt to the demands of various subsystem levels 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
What is the nurse's responsibility? 1. To figure out what the family's numerous subsystems are: (e.g sibling subsyst, mother-child syst) 0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
What are 6 things that nurses must assess 1. CHANGES in the composition of the family system
2. UNDERLYING CAUSES of changes in composition of family
3. theSIGNIFICANCE of these changes to each member.
4. ROLES in the family ( DIFFERENCE in parental roles & the EQUALITY of the relationship between the parent figures or couple)
5.SEXUAL ORIENTATION
6. RANK ORDER
0 jkoike Wed, 15 Oct 2008 05:31:44 GMT view revision history
According to Stuart, what are the 5 attributes to the concept of family? 1)the family being a system

2) its members may or may not be related or co-habitate

3) may consist of children.

4) there is commitment and attachment among unit members including future obligations

5) consists of functions include protection, nourishment and socialization of its members
0 jkoike Tue, 14 Oct 2008 20:55:47 GMT view revision history
when examining the internal structure of a family, what is important in examining? 1. the composition of the family
2. the gender beliefs about male and female behavior and experiences)
3. sexual orientation
4. rank order of each subsystem
5. the boundaries
0 jkoike Tue, 14 Oct 2008 20:55:47 GMT view revision history
what does a family assessment consist of? examining three levels
a. the structural
b developmental
c. functional levels
0 jkoike Tue, 14 Oct 2008 20:55:47 GMT view revision history
According to Maturana & Varela
a. the perception of the world is...
b. cognition is...
the perception of the world is what person sees is one that they bring forth with others

cognition is the continual interaction between what we expect and what we actually bring forth through our interactions within the world
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
How does change occur? By means of a “fit” or meshing between the therapeutic (interventions) 0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
What determines whether an intervention is experienced as a alteration/pertubation? It is the family members’ structure 0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what should nurses do in order to facilitate change in family? (2) 1. Nurses should avoid making value judgments

2 Nurses need to keep their level of responsibility for treatment of family problems in check
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what should the nurse know in terms of the speed of enforcing change on a family? that not all members will accept change at the same time 0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what is important for nurses to know about the families solution to a problem?

what is required to bring about a solution
that understanding does not bring a solution

-there needs to be a change in beliefs and patterns
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what should the nurse not do when helping the family impede change? refrain from giving advice 0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what is the nurses role in helping impede change? (3) 1. provision of information requested by the family
2. reflect
3.summarize
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
In order to promote change, what should the nurse help the family to do? (3) 1. develop and practice skills that allow clients and families to come up with their own meaningful solutions

2.help client/family to prioritize their goals and establish a verbal or written contract

3. assisting the client to engage in continuous clarification of their goal
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what are 1 goal that nurses need to do to help families? change or alter the family’s view or beliefs of the problem or illness 0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
What are 7 theories of change? 1. Change is dependent on the perception of the problem(C1 and by structure(C2) and by context(C3).

2. Change is dependent on co-evolving goals for treatment(C4).

3. Understanding alone does not lead to change(C5)

4.Change does not necessarily occur equally in all family members(C6)

5.Facilitating change is the nurse’s responsibility(C7)

6.Change occurs by means of a “fit” or meshing between the therapeutic offerings(interventions) of the nurse and the biopsychosocial-spiritual structures of family members.(C8).

7.Change can have a myriad of causes(C9
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what does the individual present structure specify? (3) what will it trigger? 1. interpersonal, intrapersonal and environmental influences

2.triggers STRUCTURAL CHANGES because of being experienced as perturbations(in a sense motivators to change).
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what is structural determinism each individual’s bio-psychosocial structural uniqueness

-it is the product of genetics and history of interactions over time(these are influenced by the environment).
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what is another problem in dealing with differences in perception? what can this result in? that healthcare providers can differ in their opinions and recommendations for clients and families which may result in conflict between family members

- result in linear blame that is unintended but present
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what is an example of linear blame? certain family members may align with the institutional staff against one member of the family, blaming him for the family’s problems. 0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what is change dependent on? (3) 1. perception of the problem
2. by structure(C2)
3. by context(C3).
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
in order to be effective nurses, nurses need to..... conceptualize both family system interactions and their own interactions with the family. 0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
According to the change theory, change can occur in what 3 areas and what will it result in? 1. occurs in cognitive, affective or behavioral domains

2. change in any domain will affect the others.
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
Give an example of 2nd order change? when a wife abuser was convicted so minor son (Tito) “takes his place” as the “man of the house” and begins to treat his mother Jewel with the respect she deserves. 0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
1. what is 2nd order change?
2. what is it referred to?
3. Is it sudden or slow?
4. what does it change
1. one that changes the whole system

2. is referred to as the “change of change”.

3. radical or sudden or both

4 changes the rules governing the system because the system is moving to another level.
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what is an example of a 1st order change? Jim employing a new restrictive strategy in dealing with his son such as restricting his allowance or computer use 0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what is the 1st order change? What does it describe? 1st order: describes a change in the members or elements of a system while the system itself does not undergo a change.

-This is a change in quantity not quality and describes the use of consistent styles of problem solving which are often rooted in their own childhood
0 jkoike Tue, 14 Oct 2008 20:48:11 GMT view revision history
what does a change in state mean in the change theory? it signifies a compensation for a perturbations in the family system 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
according to the change theory, why do families seek to maintain stability? to recover structure(persistence or stability) that once was but no longer is. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
according to the "Dyadic relationship has varying degrees of symmetry and complementarity( C3)" what should families focus on with their relationship? they need to work toward a balance between complementarity and symmetry when needed. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is a complementarity relationship? - a hierarchical relationship where there is unequal status but the persons involved complement each other or fit together. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is analogic communication? it is the how it is said or the impression behind the msg 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is digital communication referred as? what does it contain? - referred to as verbal communication

- contains facts or a message. It is the “what” that is said.
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
Mrs. K who dosed off after her emphysemic husband wandered is an example of? that non verbal behavior is meaningful 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what are 3 communication theories? THINK NAD Nonverbal communication meaningful(C1)

All communication has two major channels for transmission-digital and analogic(C2).

Dyadic relationship has varying degrees of symmetry and complementarity( C3).
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
according to the law of cybernetics, must be done to change behaviors? “regulatory limits must be adjusted” to allow for a new range of behaviors or behavior pattern to emerge.(p.45). 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
when a mother yells at her child who then cries, the rationale behind the mother's yelling is called? Why? called 2nd order cybernetics

-this higher(past) level of cybernetics acts to recalibrate the lower-order loop(current).
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
when can feedback processes occur? (in cybernetics) Feedback processes can simultaneously occur at several systems levels with families(C2) 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
In cybernetics, how are family syst viewed? viewed as feedback loops and possess self-regulating ability(C1) 'another behavior affects others' 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is cybernetics? what does it focus on? it is the science of communication and control theory.

-focuses on form
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
What must the nurse assume about the interaction between families (2) 1.each person described contributes to both adaptive and maladaptive interactions

2. each individual does not recognize how each person’s behavior influences one another.
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is a triadic question? give an example? Triadic Questions are posed to a third person about the relationship between two other people

When your mother supports you how does your brother feel?
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what does hypothetical questions explore? Give an example explore
1. family options
2. alternative actions
3. meanings in the future-“What do you think will happen….”.
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is an example of a behavior domain question (based on circularity)?

what does behavior question explore?
Behavioral domain- Who is the best person to remind you about doing your blood glucose?

-explore connections between the effect of one member’s behavior on another
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is an example of a cognitive (from circular questions) domain?

what is an example of an affective domain question?
cognitive: "What information would be most helpful to you about managing your diabetes?

affective domain: Who is most worried about how you manage your blood sugar?
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
What are difference questions (from circular questions) framed into? framed in one of the three domains cognitive, affective or behavioral. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what do difference questions from (circular questions) tend to explore? explore differences between people, relations, time, ideas or belief. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what 4 categories do circular questions fall into 1)difference,
2)behavioral effect
3)hypothetical
4)triadic
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is the problem between linear and circular questions? linear questions: closed questions, restrictive

circular question: open ended/probes
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what characteristics do circular question (a affects b) tend to explore? interactional characteristics. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what characteristics do linear questions (a does not affect b) tend to explore? descriptive characteristics 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
What is an example of circularity? - event “B” does affect “A”.

- If a child expresses interest in helping his mom do the dishes “A” , then the mom will show interest and reward the child for helping which in turn is likely to result in the child’s continued interest in “helping”.

-think of a circle
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what does linear casuality mean? GIve an example means that one event causes another in a continuous progression of time. Event “B” does not influence “A”.


-For example, when Johnny hits Suzie(A) it causes his mom (B) to yell at him and lock him in his room but the
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what kind of view do nurses need to observe patterns of behavior for? from a view of circularity rather than linear causality 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is rigid stability? is maintaining some form equilibrium which works for the time being but is not moving the family toward positive balance. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what do nurses need to understand about families concerning stability and change? need to understand that stability may co exist with change because families may be “stuck” in a rut in order to cope with the impact of change. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is an example of a closed boundary? closed boundary is when a family emigrates from the Philippines and stays to themselves and only the Filipino group from their island 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what does it mean to have a too permeable boundary? What is an example? loss of identity, too closed-identity too fixed.

-An example of too much permeability is when a mother listens to every piece of advice on childrearing and changes her ways depending upon who she is with.
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
why must boundaries permeabilities be assessed? must be done to ascertain the level of integrity and identity within the family. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
How do boundaries assis in clarifying what is in or outside the syst? 1. physically(people)
2. conceptually(ideas, beliefs etc.) such as roles that a person might hold( e.g. daughter, wife, mother, teacher).
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
how are syst defined? defined by their boundaries 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
individual subsyst can also be what? physiologic, such as body systems-the heart, lungs etc. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
each individual in the family is ___ and ___ 1. a subsystem(part)
2. independent system(whole) in their own right.
3. part of a relationship subsyst
0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what is an example of a suprasyst? (2) such as a neighborhood, religious organization etc. 0 jkoike Tue, 14 Oct 2008 20:48:10 GMT view revision history
what are the five systems concepts applicable in dealing with families 1. the family system is part of several larger suprasystems(C1)

2.family is seen as a whole, greater than the sum of its parts(C2)

3.a change that is experienced as significant .to one family member does affect other members

4.families can create balance between change and stability(C4)

5. their behaviors are best understood from a view of circular rather than linear causality(C5).
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what do families feel are most important in helping them feel better when they are the caretaker of someone with a chronic illness (3) 1. engaging in conversation with them 2. providing comfort
3. demonstrating trust through establishment of a therapeutic relationship. Creating this setti
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what is a system? a complex of elements in mutual interaction 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
Calgary family intervention model recognizes what 2 things? 1. expertise of family members experiencing illness and the expertise of nurses in managing illness and promoting health”

2. family’s “ fit” for change rather than treatment to change
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what is the calgary family intervention model and what does it help to do? it is an organizing framework for conceptualizing the relationship between families and nurses that helps change to occur and healing to begin. 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what should nursing student do in terms of interventions? pay attention to the interventions as suggestions but not valid and reliable categories of intervention. 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what are 8 interventions that help a family according to Craft? 1. provision of family
2. caregiver and/or sibling support, 3. education
4. maintaining and promoting family process
5. integrity
6. involvement
7. mobilization
8. family therapy
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
According to Feeley, what 5 questions should nurses ask themselves when figuring out if their intervention will effect change> 1. What is the nature of the phenomenon being targeted for change?
2. Does the intervention seek to develop the phenomenon, change or maintain it?
3. Whom are we trying to change?
4. How can we know that the intervention contributed to the observed change?
5. Who will assess the change?
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
How should the interventions client family system responds to because it fits well into the biopsychosocial –spiritual family structure 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what do nursing interventions focus on? (2) 1. nursing behavior
2. client response, with the intent to effect change.
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
In assessing and treating a family, what should the nurse do instead of nursing diagnosis? 1.list strengths and problems of a family

2. recognize that the list is a cross sectional description of the nurse observer’s perspective not the “truth” about the family.
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
according to feminist views, when working with families, women.... appear to take on the illness burden of family members almost single handedly but are able to retain their individual voice rather than be only part of the “collective family voice”( 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
explain the debate about knowledge which is a concept of postmodernism it brings up whether progressive medical knowledge is more valid than the lived experiences of families who have an ill member. 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what is pluralism a belief of “multiplicity… as many ways to understand and experience illness as there are families experiencing it 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what are some concepts of postmodernism? 1. pluralism
2. knowledge debate
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what does the CFAM rest on? (3) 1.postmodernism
2. feminism
3. biology of cognition.
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what is the calvary family assessment model and what does it consist of (3)? The CFAM is “a multidimensional framework consisting of three major categories: structural, developmental and functional.” 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what are 2 contradictions for family intervetions? 1. Resistance on the part of all family members to pursue treatment or family intervention.

2. Agreement to move ahead with family treatment or meetings specified either with or without a particular professional.
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what are 2 contradictions for family assessment? 1. Individuation of an individual might be compromised.

2. The context of the family system permits no leverage.
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
why is face to face important for assessment? gives the family a chance to check the nurse’s competence, skill and ability to establish rapport 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what is the nurse responsible for assessing in all family members (3) 1.suicidality
2. homicidality
3. self injurious potential.
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what are 8 indications for family interventions? Give an example for each? 1. A family member has obvious detrimental impact upon other members causing acting out behaviors or withdrawal. E.g Alzheimers effect-doesn’t remember own kids

2. Family members contribute to a member’s symptoms or problems. E.g. Kids don’t visit Alzheimers parent and they become increasingly confused.

3. A family member’s improvement leads to symptoms or deterioration in another member.
E.g Joey who is learning to give his own insulin elicits positive feedback from mom and envy from younger brother Russ who now feels “dizzy” too.

4. A child or adolescent develops an emotional, behavioral or physical problem in the context of another member’s illness. Dad broke his leg and can’t walk so now mom has to care for him. Joey now wants mom to give him his insulin rather than doing it himself.

5. Initial diagnosis of illness requiring support, reassurance and information.

6. Rapid deterioration of a member’s condition requiring restructuring and intervention. E.g. Hospice care for a terminal cancer patient.

7. A chronically ill member moves from one care setting to another or dies leaving a void in terms of caregiving.

8. An important milestone is delayed or missed. E.g A 20 yr old is diagnosed with skin cancer and can’t go away to school as planned.
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what are 7 indications for family assessment? 1. A family crisis defined as acute illness, injury or death that results in physical, emotional or spiritual distress/disruption in the family .

2. A developmental milestone such as birth, marriage or restructuring due to a child leaving home for college etc.
3. A family requests help due to a crisis or situation that affects the equilibrium of the family.

4. A family identifies a child or adolescent as having difficulties(phobia, fear of treatments etc.)

5. A family is experiencing serious issues that can or have jeopardized relationships between or among members( terminal illness or domestic violence)

6. A family member is going to be admitted for psychiatric treatment or has been newly diagnosed with a psychiatric condition.

7. A child in the family is going to be admitted to the hospital.
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
what is one way to change the reality of a family? How does this help? nurture members to develop new ways of relating within the family system in one of three domains: Cognitive (thinking), Affective (feeling) and behavioral (acting).

-may allow for changes in perception which then influences behavior.
0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
According to Maturana, how can students help their clients? individuals do not construct reality but simply “bring it forth” 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history
According to Keeney, how can students help their clients? students actually responsible for creating the “universe of experience” for their clients 0 jkoike Tue, 14 Oct 2008 10:55:21 GMT view revision history

Study Now
View Users (2)