Chapter 1

Question 1

The most significant publication about family nursing…

Answer 1

The Family Nurse: Frameworks for Practice

Question 2

It is most important for nurses to assess the ______ of illness on the family and the influence of ________ __________ on the ______, _______, and _____ of illness.

Answer 2

Impact
Family Interaction
Cause, Course & Cure

Question 3

Boldest and most ambitious study by the WHO

Answer 3

FHN

Family Health Nurse Multinational Study

Question 4

Providing education on family assessment and interventions facilitates the transition from thinking in an ____________ manner to thinking __________ , thus thinking family.

Answer 4

Individualistic

Interactionally

Question 5

Use of a family assessment framework assists in 2 ways:

Answer 5

Organizing massive amount of data

Provide a focus for intervention

Question 6

T/F Nurses who embrace belief that illness needs to be treated as a family affair can more efficiently lean the knowledge and clinical skills required to conduct family interviews.

Answer 6

TRUE

Question 7

The reciprocal relationship between nurses and families is also a significant component of both: (2)

Answer 7

Softening suffering

Enhancing healing

Question 8

T/F No one assessment model explains all family phenomena.

Answer 8

TRUE

Question 9

The CFAM is a multidimensional framework consisting of three major categories (3)

Answer 9

Structural
Developmental
Functional

Question 10

CFAM is based on a theory foundation involving (4)

Answer 10

Systems
Cybernetics
Change
Communication

Question 11

Indications for family assessment include experiencing emotional, physical or spiritual suffering caused by (2)

Answer 11

Family Crisis

Developmental Milestone

Question 12

Other indications for assessment include (2) when the family defines or identifies…

Answer 12

Defines an illness or problem as family issue

Identifies a child or adolescent as having diff.

Question 13

2 other indications for assessment include when a family member or child are being…

Answer 13

Admitted to hospital for psych/MH trtmt (family)

Child admitted to hospital

Question 14

Another indication for family assessment is when the family is experiencing…

Answer 14

Issues that jeopardize family relationships

Question 15

Contraindications for family assessment include (2)

Answer 15

Compromises individuation of a family member

Context permits little or no leverage

Question 16

T/F Conducting a family assessment absolves nurses from assessing serious risks such as suicide, homicide or serious illness.

Answer 16

FALSE

Question 17

In initially engaging with clients nurses must explicitly present…

Answer 17

The rational for family asessment

Question 18

The identification of a patient’s problems that a nurse can treat

Answer 18

Nursing Diagnosis

Question 19

Wright & Leahy believe a nursing dx consist of:

Answer 19

List of family strengths & problems

Question 20

Any treatment based upon clinical judgment that a nurse performs to enhance patient outcomes.

Answer 20

Nursing Interventions

Question 21

W&L list of strengths and problem is viewed as…

Answer 21

Not the ‘truth’ but the opinion from one persons perspective

Question 22

Wright & Bell believe an intervention usually implies a…

Answer 22

One time act w/ clear boundaries, frequently offering or doing something to someone else

Question 23

Interventions are linear. T/F

Answer 23

Not linear, circular! Not just the first thing you do but the responses as well

Question 24

Interventions also include an action or response of clinician including:
They occur in:
In order to:
Most importantly, the clinician is _______ accountable.

Answer 24

• including clinician actions, responses
• occurs in therapeutic relationship
• to effect client functioning
• clinician is accountable

Question 25

All nursing interventions are...

Answer 25

Interactional

Question 26

The intent of interventions is to..

Answer 26

Effect change

Question 27

Effective interventions are those that occur because of the "fit" the -

Answer 27

Meshing of intervention and biopsychosocial-spiritual structure of family

Question 28

Interventions begin with...*most important in working with families*

Answer 28

Engagement

Question 29

What is 'real' to nurses is a direct consequence of their..

Answer 29

Construction of the world - as it is with families

Question 30

In order to change the 'reality' of families we must..

Answer 30

Assist in developing new ways of interacting within their reality

Question 31

We do this by using interventions that focus on the:

Answer 31

Behavioural Cognitive Affective domains

Question 32

Behaviours change when _______ change

Answer 32

Perceptions

Question 33

In research it is shown that when persons engage in individual, marital & family counselling...

Answer 33

There is a significant redux in use of HC services

Question 34

After assessment a nurse must decide if intervention is necessary. These are all indications in RT illness: (5)

Answer 34

* Member’s illness has impact on other members * Child develops problem in context of member’s illness * Illness is first diagnosed in a family member * Marked deterioration in a member’s condition * Chronically ill member returns to community * Chronically ill patient dies

Question 35

Other indications for intervention include: (3) | MOI

Answer 35

Members contribute to individual symptoms One member’s improvement leads to deterioration in another Important milestone missed or delayed

Question 36

Contraindications for intervention include (2)

Answer 36

* All members do not wish to pursue | * Members would prefer to work with another professional

Question 37

Interventions with families include: | 5 - Family SPIIM

Answer 37

* Family support * Family process maintenance * Family integrity promotion * Family involvement * Family mobilization

Question 38

Other interventions include (CSP)

Answer 38

* Caregiver support * Sibling support * Parent education

Question 39

Two stages of the therapeutic change process:

Answer 39

Creating the circumstances for change | Moving beyond and overcoming problems

Question 40

In creating circumstance for change we (2)

Answer 40

Bring family together to engage in new convos | Establish ther relationship

Question 41

In moving beyond & overcoming w (4) | InPP

Answer 41

Invite meaningful convo Notice & distinguish strengths/resources Pay careful attention to/explore concerns Put illness & problems in place!

Question 42

The three levels of practice:

Answer 42

• Family as context: undergrad focus • Family as client: family systems nursing ○ grad focus • Family Therapy: a distinct discipline

Question 43

In addition to the CFAM we have the

Answer 43

CFIM | -resilience & strength-based, collaborative non-hierarchical model

Question 44

The CFIM is rooted in notions of:

Answer 44

Postmodernism & BoC

Question 45

Nursing practice with families is directed by whether the concept of family is viewed as..

Answer 45

Family as context | Family as client