NUR 329- Exam 3 Questions With Correct
Answers
What |happens |to |outcomes |when |family |is |involved |in |care?
Better |outcomes, |which |can |be |due |to |increased |compliance |(family |holds |them |accountable)
What |is |a |family?
-Family |is |complex. |Not |a |simple |definition.
-Two |or |more |persons |who |share |emotional |closeness |and |identify |themselves |as |members |of
|a |family
-Family |is |whoever |the |patient |says |they |are
^what |family |is |& |what |it |looks |like |is |constantly |evolving |and |changing |over |time
-Census |bureau |defines |it |as |people |living |together |that |are |related |by |birth |adoption |or |
marriage
^don't |follow |anymore |because |this |doesn't |include |ppl |who |are |caring |for |your |well-being
^based |more |around |nuclear |family |(mother, |father, |and |children)
What |influences |what |people |consider |to |be |family?
Greatly |influence |and |impacted |by |sociocultural |factors |and |economic |factors
^ex: |in |the |past |year, |there |has |been |a |large |increase |in |multigenerational |households. |This |
could |be |due |to |not |being |able |to |afford |LTC, |wanting |to |be |close |to |families |during |covid, |not |
being |able |to |work |anymore, |and |families |needing |childcare |assistance
^ex: |higher |divorce |and |marriage |rates, |more |people |cohabiting, |diff |parenting |structures, |etc |
changes |what |family |looks |like |and |how |we |care |for |them
What |is |important |to |do |when |caring |for |families?
-Self |assess |how |you |view |family
-Not |to |impose |your |views |of |family
-Not |to |assume |about |family |you |are |caring |for
What |are |the |theoretical |perspectives |of |family?
-Family |systems |theory
-Family |structural-functional |theory
-Family |developmental |theory
,-Theories |describe |how |we |understand |family |and |apply |that |to |care
What |is |included |in |the |family |systems |theory?
-How |families |interact |with |themselves |and |society
-Families |continuously |interacting
-Whole |is |greater |than |it's |parts
-Family |is |a |unit |of |society
What |is |included |in |the |family |structural-functional |theory?
-How |organization/structure |affects |functioning
-Complex |social |system |but |organization |is |key. |
-Structure |of |family |refers |to |roles |in |family, |decision |making |structure, |and |communication |
structure. |
-Relationships |between |family |members |and |outside |social |systems. |
-Helps |family |achieve |function/goals |to |serve |family |members |or |community/society. |
-Strongly |affected |by |cultural |norms. |
-Start |by |identifying |who |are |the |individuals |in |a |family, |what |are |their |relationships |to |
eachother, |and |what |are |their |outwards |relationships. |
-Structure |helps |them |grow
What |is |included |in |the |family |developmental |theory?
-8 |Stages |within |family |lifestyle
-Outdated |definition |of |family
-Runs |on |traditional |views |of |family.
-Based |on |nuclear |heterosexual |view |of |family.
-Starts |with |leaving |home |and |goes |until |death.
What |are |some |of |the |contemporary |family |issues?
-Changes |in |family |life |cycle
-Changes |in |family |structure
^Single-parent |families
^Blended |families
^Cohabitating |couples |and |families
,^Gay |and |lesbian |families
^Homeless |families
What |trends |are |seen |in |children |under |18 |living |with |two |parent |family |homes?
In |2016, |almost |70% |of |children.
-20% |decrease |from |1960
What |trends |are |seen |in |single |parent |families?
-Higher |number |of |single |parent |families
^due |to |widows, |divorced, |or |un-wed |parents
-Higher |number |of |pregnancies |outside |of |marriage.
-Higher |divorce |rates |(in |heterosexual |couples!)
-Most |common |single-parent |are |mothers, |but |fathers |are |increasing
^this |tells |us |we |are |coming |even |more |less |traditional
What |trends |are |seen |in |cohabitating |couples |and |families?
-Marriage |in |population |is |declining
-Increase |in |cohabitating |families
What |trends |are |seen |in |blended |families?
Increase |in |blended |families
What |trends |are |seen |in |gay |and |lesbian |families?
-Marriage |between |same |sex |couples |has |increased.
-In |past |6 |years, |we |have |seen |a |very |large |increase
^can |be |tied |to |the |fact |that |is |wasn't |legal |before |(became |legal |in |2015 |in |all |50 |states).
What |trends |are |seen |in |homeless |families?
-Major |national |problem.
-Highest |percentage |are |young |single |mothers |with |young |children.
^face |unique |circumstances |because |they |have |limited |education
^their |needs |are |great |and |will |highly |vary
-Average |age |of |homeless |person |in |central |Illinois: |10 |years |old
What |defines |homelessness?
-Definition |is |broader |than |what |we |think.
-If |they |do |not |have |a |stable |regular |home, |they |are |experiencing |homelessness.
How |are |families |assessed?
, -Using |Family |Systems |Nursing |(FSN) |framework
-Calgary |Family |Assessment |Model
What |is |Family |Systems |Nursing |(FSN)?
-A |focus |on |the |interaction, |reciprocity, |and |relationships |among |several |systems |levels, |that
|is, |individual, |family, |and |larger |systems
-Different |pieces |interconnected |between |systems |and |subsystems. |
-Families |and |communities |are |systems. |Interactions |between |them |have |large |impact
How |to |we |start |a |family |assessment?
-Calgary |family |assessment |model. |^Based |on |structural |assessment, |functional |assessment, |
and |developmental |assessment
^use |a |Genogram |or |Ecomap
What |is |a |Genogram?
-Family |tree |including |pertinent |info
^shows |relationships, |age, |gender, |birth |other, |marital |status, |mortality
^all |look |a |little |different |but |shows |overall |family |structures |and |within |generation |fam |
structure.
-Clear |structure |of |family.
-Includes |2 |generations |of |family.
-Shows |causes |of |death
-Tracks |family |history |of |disease
^multiple |generations |makes |us |question |if |there |is |a |genetic |link |we |need |to |identify |(this |is |
how |we |noticed |the |BRCA |gene)
What |is |an |ecomap?
-Looks |at |other |environmental, |system, |or |group |influences |on |families.
-What |are |connections |within |families |but |not |just |to |each |other.
-Shows |connections |to |religion, |work, |educational |institutions, |social, |healthcare, |etc.
-Can |be |solid |line, |hatched |line |to |show |how |string |the |connection |is
-Useful |for |community |health |nurse |because |it |can |show |risk |factors, |what |kind |of |cultural |
factors/activities, |how |they |can |strengthen |health, |etc.
-Help |clients |identify |resources |or |things |they |can |use |to |better |their |outcomes |or |deal |with |
whatever |is |going |on.
What |model |is |used |to |create |interventions |for |families?
Answers
What |happens |to |outcomes |when |family |is |involved |in |care?
Better |outcomes, |which |can |be |due |to |increased |compliance |(family |holds |them |accountable)
What |is |a |family?
-Family |is |complex. |Not |a |simple |definition.
-Two |or |more |persons |who |share |emotional |closeness |and |identify |themselves |as |members |of
|a |family
-Family |is |whoever |the |patient |says |they |are
^what |family |is |& |what |it |looks |like |is |constantly |evolving |and |changing |over |time
-Census |bureau |defines |it |as |people |living |together |that |are |related |by |birth |adoption |or |
marriage
^don't |follow |anymore |because |this |doesn't |include |ppl |who |are |caring |for |your |well-being
^based |more |around |nuclear |family |(mother, |father, |and |children)
What |influences |what |people |consider |to |be |family?
Greatly |influence |and |impacted |by |sociocultural |factors |and |economic |factors
^ex: |in |the |past |year, |there |has |been |a |large |increase |in |multigenerational |households. |This |
could |be |due |to |not |being |able |to |afford |LTC, |wanting |to |be |close |to |families |during |covid, |not |
being |able |to |work |anymore, |and |families |needing |childcare |assistance
^ex: |higher |divorce |and |marriage |rates, |more |people |cohabiting, |diff |parenting |structures, |etc |
changes |what |family |looks |like |and |how |we |care |for |them
What |is |important |to |do |when |caring |for |families?
-Self |assess |how |you |view |family
-Not |to |impose |your |views |of |family
-Not |to |assume |about |family |you |are |caring |for
What |are |the |theoretical |perspectives |of |family?
-Family |systems |theory
-Family |structural-functional |theory
-Family |developmental |theory
,-Theories |describe |how |we |understand |family |and |apply |that |to |care
What |is |included |in |the |family |systems |theory?
-How |families |interact |with |themselves |and |society
-Families |continuously |interacting
-Whole |is |greater |than |it's |parts
-Family |is |a |unit |of |society
What |is |included |in |the |family |structural-functional |theory?
-How |organization/structure |affects |functioning
-Complex |social |system |but |organization |is |key. |
-Structure |of |family |refers |to |roles |in |family, |decision |making |structure, |and |communication |
structure. |
-Relationships |between |family |members |and |outside |social |systems. |
-Helps |family |achieve |function/goals |to |serve |family |members |or |community/society. |
-Strongly |affected |by |cultural |norms. |
-Start |by |identifying |who |are |the |individuals |in |a |family, |what |are |their |relationships |to |
eachother, |and |what |are |their |outwards |relationships. |
-Structure |helps |them |grow
What |is |included |in |the |family |developmental |theory?
-8 |Stages |within |family |lifestyle
-Outdated |definition |of |family
-Runs |on |traditional |views |of |family.
-Based |on |nuclear |heterosexual |view |of |family.
-Starts |with |leaving |home |and |goes |until |death.
What |are |some |of |the |contemporary |family |issues?
-Changes |in |family |life |cycle
-Changes |in |family |structure
^Single-parent |families
^Blended |families
^Cohabitating |couples |and |families
,^Gay |and |lesbian |families
^Homeless |families
What |trends |are |seen |in |children |under |18 |living |with |two |parent |family |homes?
In |2016, |almost |70% |of |children.
-20% |decrease |from |1960
What |trends |are |seen |in |single |parent |families?
-Higher |number |of |single |parent |families
^due |to |widows, |divorced, |or |un-wed |parents
-Higher |number |of |pregnancies |outside |of |marriage.
-Higher |divorce |rates |(in |heterosexual |couples!)
-Most |common |single-parent |are |mothers, |but |fathers |are |increasing
^this |tells |us |we |are |coming |even |more |less |traditional
What |trends |are |seen |in |cohabitating |couples |and |families?
-Marriage |in |population |is |declining
-Increase |in |cohabitating |families
What |trends |are |seen |in |blended |families?
Increase |in |blended |families
What |trends |are |seen |in |gay |and |lesbian |families?
-Marriage |between |same |sex |couples |has |increased.
-In |past |6 |years, |we |have |seen |a |very |large |increase
^can |be |tied |to |the |fact |that |is |wasn't |legal |before |(became |legal |in |2015 |in |all |50 |states).
What |trends |are |seen |in |homeless |families?
-Major |national |problem.
-Highest |percentage |are |young |single |mothers |with |young |children.
^face |unique |circumstances |because |they |have |limited |education
^their |needs |are |great |and |will |highly |vary
-Average |age |of |homeless |person |in |central |Illinois: |10 |years |old
What |defines |homelessness?
-Definition |is |broader |than |what |we |think.
-If |they |do |not |have |a |stable |regular |home, |they |are |experiencing |homelessness.
How |are |families |assessed?
, -Using |Family |Systems |Nursing |(FSN) |framework
-Calgary |Family |Assessment |Model
What |is |Family |Systems |Nursing |(FSN)?
-A |focus |on |the |interaction, |reciprocity, |and |relationships |among |several |systems |levels, |that
|is, |individual, |family, |and |larger |systems
-Different |pieces |interconnected |between |systems |and |subsystems. |
-Families |and |communities |are |systems. |Interactions |between |them |have |large |impact
How |to |we |start |a |family |assessment?
-Calgary |family |assessment |model. |^Based |on |structural |assessment, |functional |assessment, |
and |developmental |assessment
^use |a |Genogram |or |Ecomap
What |is |a |Genogram?
-Family |tree |including |pertinent |info
^shows |relationships, |age, |gender, |birth |other, |marital |status, |mortality
^all |look |a |little |different |but |shows |overall |family |structures |and |within |generation |fam |
structure.
-Clear |structure |of |family.
-Includes |2 |generations |of |family.
-Shows |causes |of |death
-Tracks |family |history |of |disease
^multiple |generations |makes |us |question |if |there |is |a |genetic |link |we |need |to |identify |(this |is |
how |we |noticed |the |BRCA |gene)
What |is |an |ecomap?
-Looks |at |other |environmental, |system, |or |group |influences |on |families.
-What |are |connections |within |families |but |not |just |to |each |other.
-Shows |connections |to |religion, |work, |educational |institutions, |social, |healthcare, |etc.
-Can |be |solid |line, |hatched |line |to |show |how |string |the |connection |is
-Useful |for |community |health |nurse |because |it |can |show |risk |factors, |what |kind |of |cultural |
factors/activities, |how |they |can |strengthen |health, |etc.
-Help |clients |identify |resources |or |things |they |can |use |to |better |their |outcomes |or |deal |with |
whatever |is |going |on.
What |model |is |used |to |create |interventions |for |families?
