Exam (elaborations)
NURS 388 Midterm #2.
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- 388 Midterm review
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- 388 Midterm Review
NURS 388 Midterm #2.
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NURS 388 Midterm #2What are 6 strategies for power sharing? - ANS-1. Use language that conveys the idea
of partnership (address person by full name)
2. Explain the collaborative partnership approach and its benefits
3. Actively elicit the person's opinions or perspectives (appropriate questions or
statements; use strategies that can amplify, elaborate and interpret the information; get
in touch with feelings and ideas and verbalize them)
4. Actively share your opinions or perspective (carefully consider the timing of when to
share perspectives)
5. Invite the person to share in the control of the flow of information
6. Invite the person to share in the control of the pace and timing of the work (foster the
person's involvement determining scheduling of encounters or contact)
What are 4 strategies for conveying openness and respect? - ANS-1. Acknowledge
verbally and nonverbally what people are feeling (without passing judgment; validates
person's emotional response)
2. Identify and comment on the person's strengths (be specific and descriptive)
3. Explain and convey the nurses availability (offer to be available)
4. Periodically inquire about the person and how they are doing (check in regarding
particular issues - creates a climate of openness and conveys the nurse's ongoing
interest)
What are the 4 approaches to family nursing? - ANS-1. Context - individual as
foreground, family as background; focuses in the assessment and the care of the
individual; family focused or family centered care
2. Client - Family as foreground, individual as background; centered on the assessment
of all family members; interested in the way the members are affected by the health of
one individual
3. System - interactional system in which the whole is more important than the sum of
its parts; focus is the interactions between family members; views the family as a
system and focus is on them as a whole; functioning of the family
4. Component of society- looks at family within the society; where family is viewed as
one of many institutions, family as a whole interact with different institutions; looks at
connections between families and community agencies
When would we do a family assessment? - ANS-Palliative care - coping of family
members
Emotional, physical or spiritual suffering if the family due to crisis
,Significant change - new baby
In maternity
Indications for interventions with families - ANS-- Illness of one family member has an
effect on others
- Behaviour of a family member contributes to the problems of another
- Whenever there's a development of behavioural, emotional or physical problem in the
context of the family
What is the Calgary family assessment model (CFAM)? - ANS-Engaging families in their
care
- Look at families in their context and their story
- Assessment begins as the very first moment the family is referred to the RN
What are the assessment categories for CFAM? - ANS-FAMILY STRUCTURE
- Internal (family composition; gender, sexual orientation; rank order; subsystems;
boundaries
- External (extended family; larger systems)
- Context (ethnicity; race; social class; religion; environment)
FAMILY DEVELOPMENT
- Stages, tasks and attachments
FAMILY FUNCTIONING
- Instrumental (ADL's)
- Expressive (emotional, verbal, nonverbal and circular communication; problem solving;
roles; influence and power; beliefs; alliances/coalitions
What is family composition? - ANS-Definitions of family that are who they say they are;
family forms
What role does gender play in the internal structure of a family assessment? - ANS--
Difference in how men and women experience the world is significant
- Important role in family health care
- Problems described between men and women are often unspoken in the context of
societal beliefs, cultural and religious and gender views
What is rank order in the internal structure of a family assessment? - ANS-Position of
the children in the family with respect to age and gender
- How many children and their ages (who is the oldest)
- Any spontaneous abortions
- Birth order, gender and distance in age between sibling
, - The influence of brith order on motivation, achievement and vocational choice
What are the role of realistic expectations in boundaries? - ANS-Unrealistic
expectations cause more problems: discouraged, frustrated, may give up when
expectations are too high
What are things to consider in the context of a structural assessment? - ANS-- Ethnicity
- Race
- Social class
- Religion
- Environment (community, neighbourhood, their home)
What is a genogram? - ANS-Multigenerational schematic diagram that lists family
members and their relationships
- A framework for exploring relationships and patterns of health
- Includes ages, dates of marriage, deaths and geographic locations
What is an ecomap? - ANS-Diagram of the families contact with others outside the
immediate nuclear family that are sources of social support or stressors to the family
- Illustrates important nurturing of conflict-laden connections between the family and the
world
What are the CFAM 6 family life cycles? - ANS-1. Middle-class, North American Family
Life cycles
2. Divorce and Post divorce family life cycle
3. Remarried family life cycle
4. Low-income family life cycle
5. Adoptive family life cycle
6/ Gay, lesbian, bisexual, queer, inter-sexed, transgendered, spirited family life cycles
(LGBQITT)
What are the 6 developmental stages of a middle-class family life cycle? - ANS-1.
Single youth adult (form a separate identity, financial independence, accept
responsibility)
2. Newly married couple (integrate contrasting issues and commitments to the system;
establishing new identity as a couple; incorporating individual cultural traditions;
decisions regarding parenthood)
3. Family with young children (accept members into the system; adjustment to meet
child needs; integrate extended family)
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