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NURS 233 MIDTERM EXAM QUESTIONS AND VERIFIED DETAILED ANSWERS
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NURS 233 MIDTERM EXAM QUESTIONS ANDVERIFIED DETAILED ANSWERS
what are the foundational lenses of family nursing - ANSWER - relational inquiry (RI)
- strengths-based nursing (SBN)
- person- and family-centered care (PFCC)
- trauma- and violence-informed care (TVIC)
- anti-racism and anti-oppression
what is relational inquiry - ANSWER an inquiry guided by conscious participation with
persons using relational skills including listening, questioning, empathy, mutuality,
reciprocity, self-observation, reflection, and sensitivity to emotional contexts
relational inquiry requires - ANSWER - knowledge
- inquiry
- Clinical skills- judgement and decision-making and competencies
Particular way of being
2 essential components of relational inquiry - ANSWER 1. relational consciousness
2. inquiry as action
what is relational consciousness - ANSWER - Relational consciousness - persons are
relational beings situated and constituted through social, cultural, political and
historical processes and communities
intrapersonal, interpersonal and contextual levels
Relationships matter
There are varying kinds of relationships
,Inquiry as Action - ANSWER - the "how to" of relational consciousness
- enter into each nursing situation inquiring into the relational experiences of people
[including ourselves, contexts, knowledge, meaningful purposes, excellence in practice,
and effective outcomes
- the way that you work as a nurse with relational consciousness
ex: COVID-19 doesn't allow partner/family in room during birth (how does this affect
their experience as a health event?)
what are the 3 approaches to family nursing - ANSWER 1. "all nursing in family nursing"
2. "family nursing"
3. "family"
what is family as context - ANSWER - individual care in context of family
- not enough emphasis on family as an entire unit
- one person is center of care, parent is supporting/a resource but NOT the center of
care
EX: usually just focus on baby or mum, but no bed available for partner
what is family as client - ANSWER - each family member a client
- a whole family is considered a client to 1 care provider (family doctor), but each
member is an individual client
what is family systems - ANSWER - individuals AND family unit a focus of care
individual focus on parent and baby but also holistic view of whole family and how it is
doing
everyone in family is experiencing one member's illness in different way
what is family as a component of society ANSWER family a social institution
, family is a very important high-level concept
what family looks like in north america is different than south africa
define family nursing using relational inquiry ANSWER focuses on relational experience
of connectedness and support (moves away from family as a literal configuration of
people)
-grounded in an attitude and way of relating, being, and proceeding (not a prescriptive
framework, transcends any assessment model of area of nursing practice)
-does not attempt to limit/define specific people/families or situations as "family nursing
situations"
all nursing situations are family nursing situations
ri involves pragmatic inquiry into people, situations, knowledge, and action
purposively question the adequacy of our knowledge and action
family nursing an embodied reflexive process of responsive action
relational inquiry questions for working with families - ANSWER - how is family
RELEVANT to this situation?
who do i need to INCLUDE in my care?
how should i EXTEND
- what's the most effective and responsive action?
Trauma definitions-ANSWER-trauma is not what happens to you; it's what happens
inside you as a result of what happened to you
Makes you feel less flexible, more rigid, less feeling, and more defended
Inability to inhabit one's body without being possessed by its defenses and the
emotional numbing that shuts down all experience
Anything that happens too much, too fast, too soon, too long coupled with not enough of
what should have happened
3 common aspects of trauma - ANSWER 1. exposure: to harmful/overwhelming
event(s)/circumstances
2. experience: of these events (which vary from individual to individual)
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