Family Quiz 3

Front 1

Which model works well for families and responding to acute illness?

Back 1

ABCX Mccubbins and Mccubbins

Front 2

What is the ABCX model?

Back 2

a=event
b=family resources
c=the family's definition or perception of the event
x=crisis

Front 3

What is the goal of crisis interventions for the family?

Back 3

to strengthen the adaptive and problem solving capabilities of the family

Front 4

What are crisis interventions focused on influencing?

Back 4

the course or development of a crisis through providing support and guidance

Front 5

What are 4 crisis interventions?

Back 5

1.clarifying aspects of hospitalization
2. problem solving
3.referral to other health care professionals
4.providing information

Front 6

What are the 4 aspects of nursing support with families (nswf) model

Back 6

spiritual, emotional instrumental, and informational

Front 7

What are nursing interventions of the emotional dimension?

Back 7

listening, show concern, respect, touch(as appropriate), demonstrate trustworthiness through reassurance, explaining your role and procedures

Front 8

interventions for instrumental support dimension?

Back 8

promote comfort(access to phone, blankets, food, sleep, bathe, etc), comfortable chairs at bedside, allow family to be close to family member, providing an inviting atmosphere for questions, refer to S.W. if family has financial issues

Front 9

interventions for informational support?

Back 9

promote understanding(providing answers to questions), promote control(allow fam to participate in care, meetings), enhance self-confidence for referring to support group AND praising them for care provided and fostering non-threatening environment

Front 10

interventions for spiritual support?

Back 10

promoting hope by providing realistic appraisal of pt.'s condition, display hopeful/honest demeanor, promote pray by clergy referrals AND allowing time/place for prayer; promote understanding of WHY by listening and discussing(to some degree) possibility of death

Front 11

acknowledging what can assist the family in crisis toward adaptive coping?

Back 11

the role of the family and importance in addressing and meeting the family member's needs

Front 12

acknowledging the role of family and importance in addressing/meeting family member's needs can in turn help the family to do what?

Back 12

better support the acutely ill family member

Front 13

Molter's descriptive study of families in the ICU found the top 5 needs which are what?

Back 13

1. to feel there's hope
2. to feel hospital personnel cared about the pt.
3. to have a waiting room near pt.
4. to be called @ home about changes in condition
5. to know pt.'s progress

Front 14

LOOK AT NOTES 1ST LECTURE pg 2-3 FOR MORE IMPORTANT FAMILY NEEDS

Back 14

:)

Front 15

What are Leske's Five categories of family needs?

Back 15

1. information
2. assurance
3. proximity
4. comfort
5. support

Front 16

What are 5 interventions for family needs in critical care?

Back 16

1. flexible/open visiting hours
2. written materials about care
3. family support care
4. education/orientation session
5. calling fam @ home to report pt. changes

Front 17

What has always been a top priority for families in critical care?

Back 17

INFORMATION! :)

Front 18

What should information given to families ALWAYS include (4)

Back 18

1. Dx
2. Tx (planned)
3. prognosis
4. likely outcomes

Front 19

What can meeting the needs for information in a timely manner prevent?

Back 19

adverse family occurrences like increased stress or altered coping

Front 20

How is D. Aguilera's crisis intervention model primarily based?

Back 20

primarily individually based

Front 21

What are the balancing factors of Aguilera's crisis intervention model?

Back 21

perception of the event, sources of support, and coping behaviors

Front 22

What are 3 other strategies for families in critical care?

Back 22

1. help pt. recognize presence of stress
2. i.d. coping behaviors
3. minimize environmental related stress

Front 23

How can humor be used?

Back 23

brings ppl together, acknowledges the pain, is an energetic activity, said to reduce catecholamines and hormonal measures of SNS activation, presumed to enhance immune function(reduction in stress and associated hormones).

Front 24

What are 3 ASSUMPTIONS about acute illness in the family?

Back 24

1. illness is always a stressor
2.moms/wives are primary caretaker and sole influence
3. adolescents respond to illness like adults

Front 25

What is family policy?

Back 25

a coherent set of principles and practices that have direct consequences on family life

Front 26

Families are a part of what system?

Back 26

supra system or environment

all policies inherent in that greater system that affect helth, social, and economic indictors affects families

entitlements include housing and nutrition

Front 27

What are some significant health and social policies in the US?

Back 27

social security, food stamp, medicaid, family and medical leave, child health insurance plan, deadbeat parents act

Front 28

What does NCFR's family policy activities provide?

Back 28

research and educational info to policy makers/those working w/ them.

Front 29

What does NCFR do?

Back 29

works with other organizations and coalitions to formulate fam-friendly policies

Front 30

What is NCFR and advocate for?

Back 30

sound family policies and programs at local, fed, and international levels



provide well-formulated family policies to empower family members to perform their functions & to meet their individual & fam needs.

Front 31

LOOK AT THE STEMENT CONCERNING FAMILIES AND FAMILY POLICY 1st lecture pg 5

Back 31

YAY :) :)

Front 32

What is a key family health policy issue?

Back 32

ever-rising cost of healthcare.

managed care was one attempt to control costs but doesn't always work

Front 33

FAMILIES AND CHRONIC ILLNESS

Back 33

LECTURE 2: WOOO HOOO!

Front 34

What is Marie Luis Friedemann's theory on system change?

Back 34

the family system goes through a process of change that often imposes limitations on the functioning of one or more family members

Front 35

How many family members does chronic illness impact?

what aspects of life does it affect?

Back 35

-more than one

-all aspects

Front 36

The onset of a chronic condition can be: (3)

Back 36

1. sudden as in acute illness
2. as the result of an accident
3. gradual with long term health conditions

Front 37

What does the "shock" of the diagnosis signify?

Back 37

a change in what they may have thought the future held for them

an acknowledgement of the impact

Front 38

What will the stress or stressor be for the family dealing with chronic illness?

Back 38

loss of physical functioning or emotional well being

Front 39

Patient's adjustment to these losses can be viewed as a _____

Back 39

coping process

Front 40

According to Cohen, a patient will survive longer if they actively what?

Back 40

actively deal with their disease and express their anger

Front 41

Who is the ability to actively deal with disease dependent on?

Back 41

the family/support

Front 42

How does a person who experiences an illness grow?

Back 42

grow by owning, living, and taking full responsibility for health

Front 43

What will the outcome of acceptance of illness be?

Back 43

congruence, low anxiety, and quality of life

Front 44

What are the emotional aspects of acceptance?

Back 44

a search for meaning which many feel comes best from connectedness and a sense of belonging

Front 45

Without acceptance how may a chronically ill person view the disease?

Back 45

as an enemy to be fought with bitterness, hatred, and anger

Front 46

What happens if the health care provider is paternalistic?

Back 46

the patient is left without a chance to directly deal with the open challenge

pt.s and fams can often be at odds about how to deal w/ the prob

Front 47

What should the healthcare provider do?

Back 47

enhance/promote coping by asking family to share feelings

Front 48

With reality negotiation, Ersek noted that families accommodate to what?

Back 48

the effects of chronic illness on their children

Front 49

When a family doesn't comply with prescribed tx, this means the fam is doing what?

Back 49

contretely testing the reality of the incurable Dx by experiencing the replapse

Front 50

What may cause a family to accommodate to reality?

Back 50

exposure to reality i.e. a child's asthma flares up

Front 51

When giving long-term care, who is most likely to become the caregiver? why?

Back 51

-the person in the fam who normally is the caregiver, nurturer

-it's hard to differentiate caregiver roles/values/behaviors; easier for them to take on the tasks of making appointments, providing care, cheering up loved one

Front 52

What are society's caregiving values?(3)

Back 52

take advice; try to get better/adjust; family should jump in and help

Front 53

What is the societal expectation?

Back 53

informal caregiving

Front 54

Families who fulfill the societal expectations of informal family caregiving are offered what?

Back 54

assistance by external care systems

Front 55

Caregiving operates well when what is happening with family and medical/societal expectations?

Back 55

all's values are in agreement

Front 56

Healthy caregiving requires what?

Back 56

a healthy family

Front 57

Is the health of a caregiving system constant/uniform?

Back 57

NO - changes over time

Front 58

Most families at times reach...
(health of caregiving system)

Back 58

...a limit with their capacity for compassion
(health of caregiving system)

Front 59

hours of harmony are followed by...
(health of caregiving system)

Back 59

...times of self pity and anger about the losses
(health of caregiving system)

Front 60

With caregiving in a family crisis, who is usually very committed?

Back 60

spouses

Front 61

Nurses must be aware of what issue when dealing with a family in chronic illness with no spouse?

Back 61

the issue of the complexity of who is to be the caregiver; varies by culture and nature of caregiving tasks

Front 62

Caregiving is more stressful/burdensome with the caregiver is who?

Back 62

the spouse rather than the adult child

Front 63

Caregiver spouses are more likely to what? (5)

Back 63

1. have lower level of well-being
2. likely to be lonely
3. experience depression
4. have financial worries
5. have low live satisfaction

Front 64

Who as a caregiver tends to get more distressed only when heavy caregiving demands interfere with social and personal lives?

Back 64

daughter caregivers

Front 65

What 2 factors is caregiver role strain dependent on?

Back 65

1. amount of time the care requires
2. employment status or work hours of care giver

Front 66

What are the 3 states of a caregiving career?

Back 66

1.encounter stage 2. middle enduring stage 3. final exit stage

Front 67

What adaptions are required during the encounter stage of caregiving career?

Back 67

adjusting to the impact of Dx, learn new skills and make lifestyle changes

Front 68

What changes does the caregiver go through during the middle enduring stage?

Back 68

heavy work, disruption of routine work; sense of hopelessness, frustration, and loss

Front 69

What changes does the caregiver experience during the final exit stage?

Back 69

relinquishing caregiver role either d/t death or institutionalization

Front 70

What positive experiences are reported with caregiving?

Back 70

expression of affection and appreciation from care receivers

Front 71

Experiencing the caregiving roles does what for most families?

Back 71

brings them closer

Front 72

What needs to be done for the family experiencing caregiving/chronic illness?

Back 72

meet their needs so that they can meet the needs of the individual; link them with outside resources, encourage them to take care of their own health; assess the roles in the families, recognize variables that affect these roles; help with interventions to manage role problems (role train/transition)

Front 73

Who is often over looked in a family with a chronically ill child

Back 73

siblings

Front 74

Families dealing with chronic illness need to be what? (3)

Back 74

1. helped to maintain control
2. be involved in care
3. builing alliances with health care team

Front 75

The nurse of the chronically ill pt. should be: (3)

Back 75

1.insightful 2. nonjudgemental 3. geared to specific family needs

Front 76

What may a lack in family involvement be based on?

Back 76

a history of emotional distance longstanding interpersonal difficulties, old wounds that have never healed

Front 77

Who is the core of rehabilitation when dealing with a chronic illness

Back 77

FAMILY OR PARENTS! yay :)

Front 78

Nurses serves as what 5 roles for a family dealing with chronic illness?

Back 78

1. soncultants
2.collaborators
3. resources
4. anticipatory guidance
5. case management

Front 79

What are the family (2) needs who are dealing with chronic illness?

Back 79

1.information
2.support network

Front 80

What information will the family need?

Back 80

long term complications of Tx; community resources

Front 81

What support networks will the family need?

Back 81

within the fam
community groups/support groups
respite care
finances/insurance agencies

Front 82

How can nurses support families' adjustment to chronic illness?

Back 82

by conducting family workshops that discuss issues, sibs, burdens, developmental state progression

Working with the fam to create new routines to accommodate disease/continue with fam life

Front 83

NEW LECTURE!! HIGH RISK FAMILIES! :) :)

Back 83

HIP HIP HOORAY!!