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NURSING LEVEL 2 > CHN: Chapter 2 and 3 > Flashcards

CHN: Chapter 2 and 3 Flashcards

1
Q

This defined as a group of people living together composed of the head and its members related by blood, marriage, or adoption (NSCB, 2008).

A

Family

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2
Q

Sociologists tend to define family in terms of a:

A

“social unit interacting with a larger society”

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3
Q

Defined as “the family of marriage, parenthood, or
procreation; composed of a husband, wife, and their immediate children – natural, adopted or both (Friedman et al., 2003)

A

Nuclear family

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4
Q

Consisting only of husband and wife, such as newly married couples and “empty nesters”;

A

Dyad family

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5
Q

Consisting of three generations or more than one family, which may include married siblings and their families and/or
grandparents

A

Extended family

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6
Q

From a union where one or both spouses bring a child or children from previous marriage into a new living arrangement

A

Blended family results

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7
Q

Where a man has more than one spouse

A

Compound family

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8
Q

This is commonly known as live-in arrangement between an unmarried couple who are called common-law husband/wife
and their child or children from such an arrangement

A

Cohabiting family

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9
Q

Results from the death of a spouse from the death of
spouse, separation or pregnancy outside of wedlock

A

Single parent family

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10
Q

is made up of a cohabiting couple of same sex (homosexual) in a sexual relationship

A

Gay/lesbian family

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11
Q

It must be viewed as an important unit of health care

A

Family as a Client

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12
Q

It interacts with larger units outside the family and with smaller unit inside
the family

A

Family as a System

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13
Q

Is a function of the family which remained the universally accepted institution for reproductive function and child rearing

A

Procreation

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14
Q

Is a function of a family which involves the transmission of the culture of a social group. The family is the “first teacher” instructing the children in societal rules.

A

Socialization of family member

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15
Q

Is a function of a family which confers its societal rank on the children (social class).

A

Status placement

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16
Q

It is an economical function of a family in which whole family works as a team
participating in farming, fishing, or cottage industries

A

Rural family is a unit of production

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17
Q

It is an economical function of a family in which economically productive
members work separately to earn salaries or wages

A

Urban family is more a unit of consumption

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18
Q

Function of a family in which the family provides for survival needs (food, shelter & clothing)

A

Physical Maintenance

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19
Q

Family supports spouses or partners by providing companionship & meeting affective, sexual & socioeconomic needs

A

Welfare & Protection

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20
Q

What are the stages of the family life cycle?

A
  1. Marriage: Joining of families
  2. Families with young children
  3. Families with adolescents
  4. Families as launching centers
  5. Aging families
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21
Q

A stage in the family life cycle in which there is a:
-Formation of identity as a couple
-Inclusion of spouse in realignment of relationships with extended families
-Parenthood: making decisions

A

Marriage: Joining of families

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22
Q

A stage in the family life cycle in which there is a:
-Integration of children into family unit
-Adjustment of tasks: child rearing, financial and household
-Accommodation of new parenting and grandparenting roles

A

Families with young children

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23
Q

A stage in the family life cycle in which there is a:
-Development of increasing autonomy for adolescents
-Midlife reexamination of marital and career issues
-Initial shift towards concern for the older generation

A

Families with adolescents

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24
Q

A stage in the family life cycle in which there is a:
-Establishment of independent identities for parents and grown children
-Renegotiation of marital relationship
-Readjustment of relationships to include in-laws and grandchildren
-Dealing with disabilities and death of older generation

A

Families as launching centers

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25
A stage in the family life cycle in which there is a: -Maintaining couple and individual functioning while adapting to the aging process -Support role of middle generation -Support and autonomy of older generation -Preparation for own death and dealing with the loss of spouse and/or siblings and other peers
Aging families
26
The family carries out several tasks and one of which is the health task. An important responsibility of the community health nurse is to
Develop the family’s capability in performing health tasks
27
The following are the health tasks of the family, according to Freeman and Heinrich (1981):
1. Providing its members with means for health promotion and disease prevention (e.g. breastfeeding an infant, healthy diet for older family members) 2. Recognizing interruptions of health or development. 3. Seeking health care. 4. Managing health and non-health crises. 5. Providing nursing care to sick, disabled or dependent members of the family. 6. Maintaining a home environment conducive to good health and health and personal development. 7. Maintaining a reciprocal relationship with the community and its health institutions.
28
What are the characteristics of a healthy family?
1. Members interact with each other 2. Can establish priorities 3. Healthy families affirm, support and respect each other. 4. Members engage in flexible role relationships, share power, respond to change, support the growth and autonomy of others, and engage in decision making that affects them; 5. Teaches family and societal values and beliefs and shares spiritual core; 6. Foster responsibility and value service to others; 7. Have a sense of play and humor and share leisure time; 8. Have the ability to cope with stress and crisis and grow from problems.
29
This helps practitioners identify the health status of individual members of the family and aspects of family composition, function and process
Family Health Assessment
30
What are the principles of bag technique?:
1. Performing the bag technique will minimize, if not, prevent the spread of any infection. 2. It saves time and effort in the performance of nursing procedures. 3. The bag technique can be performed in a variety of ways depending on the agency’s policy, the home situation, or as long as principles of avoiding transfer of infection is always observed.
31
Types of Family-Nurse Contacts:
a. Clinic Visit b. Home Visit c. Group Conference d. Telephone calls (landline or mobile/cell) e. Written Communication
32
This takes place in a private clinic, health center, barangay health station, or in an ambulatory clinic during a community outreach activity.
Clinic Visit
33
Advantages of clinic visit:
o Family member takes the initiative of visiting the professional health worker, usually indicating the family’s readiness to participate in the health care process. o Allows the nurse to maximize resources o Distractions are lessened because the nurse has greater control over the environment
34
Disadvantages of clinic visits:
Family is unable to transport the family member requiring nursing care. o Family may feel less confident to discuss family health concerns because the nurse is in control of the situation
35
A professional, purposeful interaction that takes place in the family’s residence aimed at promoting, maintaining, or restoring the health of the family or its members.
Home Visit
36
Advantages of home visits
o It allows firsthand assessment of the home situation o The nurse is able to seek out previously unidentified needs. o It gives the nurse an opportunity to adapt interventions according to family resources. o It promotes family participation and focuses on the family as a unit. o Teaching family members in the home is made easier. o The personalized nature of a home visit gives the family a sense of confidence in themselves and in the agency.
37
Disadvantages of home visits:
o Cost in terms of time and effort o More distractions at home since the nurse is unable to control the environment o Nurse’s safety
38
Phases of Home Visit
A. Pre-visit Phase B. In-home Phase C. Post-visit Phase
39
The nurse contacts the family, determines the family’s willingness for a home visit, and sets an appointment with them. A plan for the home visit is formulated during this phase.
Pre-visit Phase
40
Principles in planning for a home visit
1. The home visit should have a purpose. 2. Use information about the family collected from all possible sources, such as records, other personnel and/or agency, or previous contacts with the family 3. The home visit plan focuses on identified family needs, particularly needs recognized by the family as requiring urgent attention. 4. The client and the family should actively participate in planning for continuing care. 5. The plan should be practical and adaptable.
41
The nurse seeks permission to enter and lasts until he or she leaves the family’s home.
In-home Phase
42
Concepts under In-home Phase:
a. Initiation b. Implementation c. Termination
43
Steps in initiation:
 Knock or ring the doorbell and say in a loud but not threatening voice.  On entering the home, acknowledge the family members with a greeting and introduce self and the agency he or she represents.  Start to observe the environment for own safety and sit as the family directs to sit.  To establish rapport, initiate a short social conversation, then state the purpose of the visit and the source of information
44
This is a part of in-home phase in which it involves the application of the nursing process – assessment, provision of direct nursing care as needed, and evaluation.
Implementation
45
Consists of techniques such as interview, physical examination, and simple diagnostic examinations that can be done at home (Capillary blood glucose determination). It includes observation of family dynamics and the family’s physical environment (use Family Assessment Form as a guide).
Assessment
46
Steps in the implementation phase:
 Assessment  Physical care, health teachings and counseling are provided to the family as needed or according to plan.  Evaluate with the family what has been accomplished during the visit
47
Consists of summarizing with the family the events during the home visit and setting a subsequent home visit or another form of nurse patient contact such as a clinic visit.
Termination
48
A phase of home visit in which it takes place when the nurse has returned to the health facility.
Post-visit Phase
49
Provides opportunity for initial contact between the nurse and target families of the community
Group Conference
50
Used to give specific information to families, such as instructions given to parents through school children.
Written Communication
51
A tool that helps the nurse outline the family’s structure. It is a way to diagram the family. Generally, three generations of family members are included in a family tree, with symbols denoting genealogy.
Genogram
52
Provides mechanism for recording the family’s medical and health histories.
Family Health Tree
53
Components of family health tree:
a. Causes of death of deceased family members b. Genetically linked diseases c. Environmental and occupational diseases d. Psychosocial problems, such as mental illness and obesity e. Infectious diseases f. Familial risk factors from health problems g. Risk factors associated with the family’s methods of illness prevention h. Lifestyle-related risk factors
54
A tool that is used to depict a family’s linkages to its supra systems
Ecomap
55
Components of Initial Data Base
A. Family Structure, Characteristics and Dynamics B. Socio-economic and cultural characteristics C. Home and Environment D. Health Status of each Family Member E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention
56
Risk factor assessment indicating presence of major and contributing modifiable risk factors for specific life style disease
HPN physical inactivity, sedentary life style obesity diabetes mellitus inadequate fiber intake stress alcohol drinking substance abuse.
57
Purpose of family coping index
To provide a basis for estimating the nursing needs of a particular family
58
A family health care need is present when:
1. The family has a health problem with which they are unable to cope. 2. There is a reasonable likelihood that nursing will make a difference in the in the family’s ability to cope.
59
May be defined as dealing with problems associated with health care with reasonable success.
Coping
60
When the family is unable to cope with one or another aspect of health care it may be said to have a:
Coping deficit
61
Two parts of the Coping index:
1. A point on the scale 2. A justification statement
62
Enables you to place the family in relation to their ability to cope with the nine areas of family nursing at the time observed and as you would expect it to be in 3 months or at the time of discharge if nursing care were provided
A point on the scale
63
Consists of brief statement or phrases that explain why you have rated the family as you have.
A justification statement
64
General considerations of the coping index:
1. It is the coping capacity and not the underlying problem that is being rated. 2. It is the family and not the individual that is being rated. 3. Rating should be done after 2-3 home visits when the nurse is more acquainted with the family. 4. The scale is as follows:  0-2 or no competence  3-5 coping in some fashion but poorly  6-8 moderately competent  9 fairly competent 5. Justification 6. Terminal rating is done at the end of the given period of time.
65
A brief statement that explains why you have rated the family as you have.
Justification
66
Is done at the end of the given period of time. This enables the nurse to see progress the family has made in their competence; whether the prognosis was reasonable; and whether the family needs further nursing service and where emphasis should be placed.
Terminal rating
67
Areas to be assessed in the coping index:
1. Physical independence 2. Therapeutic Competence 3. Knowledge of Health Condition 4. Application of the Principles of General Hygiene 5. Health Attitudes 6. Emotional Competence 7. Family Living 8. Physical Environment 9. Use of Community Facilities
68
This category is concerned with the ability to move about to get out of bed, to take care of daily grooming, walking and other things which involves the daily activities.
Physical independence
69
This category includes all the procedures or treatment prescribed for the care of ill, such as giving medication, dressings, exercise and relaxation, special diets, use of prosthetic devices and other adaptive appliances such as wheelchairs and walker.
Therapeutic Competence
70
This system is concerned with understanding of the health condition or essentials of care according to the developmental stages of family members
Knowledge of Health Condition
71
This is concerned with the family action in relation to maintaining family nutrition, securing adequate rest and relaxation for family members, carrying out accepted preventive measures, such as immunization
Application of the Principles of General Hygiene
72
This category is concerned with the way the family feels about health care in general, including preventive services, care of illness and public health measures
Health Attitudes
73
This category has to do with the maturity and integrity with which the members of the family are able to meet the usual stresses and problems of life, and to plan for happy and fruitful living
Emotional Competence
74
This category is concerned largely with the interpersonal or group aspects of family life
74
This category is concerned largely with the interpersonal or group aspects of family life
Family Living
75
This is concerned with the home, school, work and the community and the work environment as it affects family health.
Physical Environment
76
This is the ability of the family to seek and utilize, as needed, both government-run and private health, education, and other community services.
Use of Community Facilities
77
The nurse organizes data into clusters (data synthesis) and sets aside data that may be considered irrelevant. Seemingly inaccurate or conflicting data are validated with the family respondent.
Family Data Analysis
78
Are reflected in data on household membership and demographic characteristics, family members living outside the household, family mobility, and family dynamics
Family Structure and Characteristics
79
Include data on social integration, educational experiences and literacy, work history, financial resources, leisure time interests, and cultural influences, including spirituality or religious affiliation
Socioeconomic Characteristics
80
Refers to the physical environment inside the family’s home/residence and its neighborhood
Family Environment
81
Take into account the family’s activities of daily living, self-care, risk behaviors, health history, current health status, and health care resources
Family Health and Health Behavior

NURSING LEVEL 2 (2 decks)

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