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ABSN Cohort 19 > Family Exam1 > Flashcards

Family Exam1 Flashcards

1
Q

13 New Topics for Healthy People 2020 (13, lol)

ABDE
GGHH
LOPSS

Overall GOAL?!

A 
Adolescent Health
Blood Dz/Safety
Dementia + Alcheimers
Early/Middle childhood
Genomics
Global Health
Health Related to QoL & WB
Healthcare-Associated Infx
LGBT HP
Older Adults
Preparedness
Sleep Health
Social Determinants of Health

↑ HPliteracy

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2
Q

Leading Health Indicators (LHI’s)

HPEI
TripleMental
NPO
ORSS

A

Health Care
Preventative Service
Environmental Quality
Injury/Violence

Maternal, Infant, Child, and Mental Health
Nutrition
Physical Activity
Obesity

Oral Health
Reproductive/Sexual Health

Social Determinants
Substance Abuse/Tobacco Use

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3
Q

Purpose of LHI’s (3)

A

Provide guides for national health assessments, interventions, and benchmarks for measuring

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4
Q

Theory vs. Framework

A

Theory - abstract, general ideas of concepts and relations to make sense of complex phenomenon using patterns (example: Family Nursing)
Framework - Models to provide foundation of nursing problems which r/in disciplines (example family social science, therapy, and nursing)

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5
Q

Inductive vs. Deductive Reasoning

A

Ind. parts create whole
Symptoms -> Dz
Ded. whole breakdown into parts
Dz -> Symptoms

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6
Q

▲’s of traditional families (3)

A

↑ single/unmarried parents
↓ “family households” or 2 parent house holds
↑ variety of living arrangements for young adults (roommates, parents, alone, partnerships)

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7
Q

▲ Yadults (3)

A

↑ debt, ↑w/out HPinsurance, ↑ cohabitation 50% before marriage, 34% with children

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8
Q

Definition of family? (5)

A

> NO universal definition
2 or more individuals who depend on each other emotionally, physically, and economically (self-defined)
Differ r/t discipline (legal, biological, social, psychological)
U.S Census says: family = 2+ people living together r/t birth, marriage, adoption
Dependent on “Social norms”

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9
Q

Social Norms “Family” (5)

A 
Married/remarried w/ bio/adopt children
Cohabitating gay people
Single w/ children
Kinship care (2 sisters or brothers)
Grandparents raising children Ø parents
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10
Q

4 Family views (4)

A

Family as…
Context (Traditional) - pt then fam
Client (Family Centered) - whole fam first!
System (Family therapy) - fam is pt
Component of Society (Community HP) - as name states

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11
Q

Family Health?

A

dynamic state of well-being

All HP interconnected and fx each other

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12
Q

Traits of a Health Family (15)

A 
Communicates
Table Time
Affirms
Teaches respect, right from wrong
Develops trust
Play and Humor
Balance Interaction
Shares leisure time
Share responsibility
Share religion
Abounds rituals/tradition
Respects privacy
Values service
Admits problems/seeks help
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13
Q

Health Teacher
Coordinator/Liason
Deliverer
Advocate

A

Teaches family
Coordinates care
Delivers or supervises care
Advocates for and empowers family

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14
Q

Consultant
Counselor
Case-finder/Epidemiologist
Environmental Specialist

A

Consult when asked
Therapeutic problem-solving
Involved in tracking dz
Modifies environment

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15
Q 
Clarify/Interpreter
Surrogate
Researcher
Role Model
Case Manager
A

Interprets data to families in all settings
Substitutes for fam. member
Identify problems and find solutions
as name states
Temporary: coordinates between family and HPc sys.

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16
Q

Genogram Specs. (4)

And what is it not?

A

3 generations
Helps nurse/fam systematically think
Addresses impact of structure, fx, and processes
Must be universal to avoid misunderstanding

Ø a genetic pedigree

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17
Q

Ecomap Specs (4)

A

Information of sys. outside nuclear family
Visualization of family in communty
Overview includes extended family
Involves diagnostic language

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18
Q

Family Clinical Reasoning Web (Nursing Process PPT) (4)

A

Clusters individual pieces of data
Pull from structure function, developmental, stress, and HP promotion theroy
Includes MANY family factors such as communication, roles, and beliefs

19
Q

Termination Phase (5)

A 
Work through grief
Let it go
Help w/ decisions
Each fam is diff.
Generate identity
20
Q

Family Assessment/Intervention Model (3)

A

Develops by Berkey/Hanson
Stress and rx to stress
All of sys must be protected or it ceases to exist

21
Q

Line of Defense vs. Resistance

A

normal response to environment vs. fx to stabilize

22
Q

3 areas of FAIM

A

Wellness promotion
Family Rx/Instability
Restoration of fx/stability

23
Q

FIAM 2 types of info & 3 Types of prevention

A

Qualitative and Quantitative
Primary - ↑ health and prevention
Secondary - attain stability post-stressed
Tertiary - maintain stability once stability achieved

24
Q

Universal Stressors (5)

A

Physio, psycho, sociocultural, developmental, and spiritual

25
Q

Effective Communication.
2 People
3 Events

A

Transmitter/Recipient

Question asked… info given/understood… comfort provided

26
Q

Culturally Sensitive Care Steps (4)

A

Know self as starting point
Identify bias
Find neutrality
Use curiosity to understand culture/family

27
Q

Smallest unit of culture

A

FAMILY HEE HAA

28
Q

Cultural Sensitivity is more about being…

A

OPEN rather than understanding

29
Q

Nurse traits for culturally sensitive work (4)

A

Aware
Sensitive
Competent
Listening

30
Q

Home vs. Clinic Visits Pros/Cons

A

Home vs Clinic Pros
Home - more family inclusion
Clinic - easier access to services and formal discussion

Home vs. Clinic Cons
Home - violate sanctuary and may have difficult social tone
Clinic - ↑ social gap b2n family and nurse

31
Q

Social Policy.
What is
4 Factors impacting.

A

Course of action developed by disparities promoting SJW.

Impacted by:
Hx
Current beliefs and laws
Social obligation/support

32
Q

3 growing disparities

A

Elder - day cares?
Women - abortion and birth? 47 states can deny birth services
Gay - ↑ stigma, suicide, delay HPc, EtOH/tobacco, violence. delayed HPc

33
Q

Gay facts (6)

A 
Ø legal in all states
↑ Egalitarian but Ø genderless
imba childwork and housework
♀♀ ↑% parents than ♂♂
↑% adoption
Parenting style > ♂♀
34
Q

Language barriers, ad-hocs vs, certified, and phones

A

Barriers complicate pt are
Ad-hoc = family member or non-certified person who can screw it up b/c bias and etc.
Certified = use whenever possible!
Phone is great but Ø non-verbal comms and +another ALIEN! Usually double phone is used.

35
Q

Health literacy

A

Ability to read, understand, and ACT upon HPinfo.

“Degree ppl can obtain, process, and understand basic HPinfp” National Network of Libraries and Medicine

36
Q

2003 National Assessment statistics (4)

Info normally gained from…?

A

14% below basic
21% basic
53% intermediate
12% proficient

Tele or Radio

37
Q

Quantitative Literacy.
What is?
2 Stats.

A

Skill req. for understanding written med info.
20-30% med prescriptions are never filled
50% prescribed for chronic dz not taken as prescribed

38
Q

Medical Jargon?

A

Think family!

39
Q

Trends of HPc today (Affordable Care Act)

A

↑ HPinsurance
↓ HPdisparities
Will take time

40
Q

Medicare age, # covered

A

65+, covers 50m ppl

41
Q

Medicaid fx

A

Federal-state program for low-income, managed by state

42
Q

State Child Health Insurance Program (SCHIP) fx

A

address ↓ HPinsur. for children

43
Q

Children Health Insurance Program Reauthorization Act (CHIPRA) fx, # covered

A

provides resource/option to ↑ HPconveracy for children on Medical and SCHIP. covers 40m children

44
Q

Prenatal Care Assistance Program (PCAP) fx

A

pregnant care up to 2 months post delivery, infant care for 1 year

ABSN Cohort 19 (28 decks)

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