class one: family dynamics

Question 1

which family dynamic theory did we utilize in class?

Answer 1

Family Life Cycle Theory

Question 2

what are the three componants of the scope of family dynamics?

Answer 2

quality of relationships, roles of family members, evolving complexity

Question 3

what is the role of nursing in family health care? (5 points)

Answer 3

-Working with individuals within the context of their family or with families with the individual as context
-Working with families as patients
-Promote and enhance family health
-Focus on families’ strengths
-Support family and individual growth
-Facilitation of successful life transitions

Question 4

how do we care for families as a nurse? (5 practical things)

Answer 4

-Listen (relational stance)
-Facilitate families understanding of how illness of one member can influence family dynamics
-Educate families about the illness
-Teach families skills so that they can help
-Support and commend family strengths

Question 5

what are the five psychological typology categories of chronic illnesses? (5 qualities of a chronic illness that affects family experience)

Answer 5

Onset (acute or gradual)
Course (progressive, constant, or relapsing/episodic)
Outcome (extent of life limitation - prognosis)
Incapacitation (what aspect of person’s function is taken away and to what degree)
Uncertainty (how predictable)

Question 6

during what part of the chronic illness life cycle does a family need to do meaning-making?

Answer 6

crisis phase

Question 7

During what phase of the chronic illness life cycle does intense grieving occur?

Answer 7

crisis phase

Question 8

During what phase of the chronic illness life cycle does “still working to live well” occur?

Answer 8

terminal phase

Question 9

In the rolland model, match the family elements Inwith illness elements

1.Instrumental style
2. affective style
3. development
4. paradigm
5. transgenerational hx

A) development
B) meaning
c) historical data
D) affective demands
E) practical demands

Answer 9

1) E
2)D
3)A
4)B
5)C

Question 10

special considerations for the family life-cycle theory (3)

Answer 10

• consider if a chronic illness is “out of sync” or “off-time”

Question 11

a client who is planning to move in with their partner, beginning their first job after college, and consulting their parents for career advice but rejecting the worldview they were raised with is completing tasks associated with which stage of the life cycle?

Answer 11

emerging young adults

Question 12

what is the emotional process of transition for the Couple Formation: Joining Families phase?

Answer 12

commitment to new expanded system

Question 13

at what stage does a family “begin to shift toward caring for an older generation”?

Answer 13

families with adolescents

Question 14

when is it usually appropriate for a couple to be dealing with care needs and possibly death of their parents?

Answer 14

during launching children and moving on at midlife

Question 15

what needs to be avoided with circular questioning?

Answer 15

being judgemental, age-inappropriate questions, negatively framed questions, or focus on things that the client can’t chagne

Question 16

Recognizing family caregiver (domain 1)
-key points

Answer 16

Recognize the following:
-family caregivers make trememdnous contributions
-negative impacts on family caregiving are primarily due to extensive demands and limited support “feeling helpless”
-anxiety about the future is common. overwhelmed with all aspects of life

Question 17

key points to know for domain 2: communicating with family caregivers

Answer 17

-sheer volume of tasks
-healthcare professionals need to understand that their role includes communicating with the caregiver as much as the client
- ask what THEY need in their role AND listen attentively
-make notes of caregiver response in pt record
-provide information, resources, assess their functioning
-build strong rapport
-listening, empathizing

Question 18

key points for domain 3: partnering with family caregivers

Answer 18

• get all the information, the whole story by including caregiver
• partner with caregiver as an assessor and provider of care
• include them in problem solving
• mutual appreciation, trust and respect
• they contain key knowledge

Question 19

domain D - fostering resilience key points:

Answer 19

• check in every so often to assess caregiver for signs of burnout
• assessing caregiver needs means supports will be tailored to them
• caregivers deprioritize self-care. we need to educate and advocae on their behalf

Question 20

domain E: nagivating health and social services - key points

Answer 20

• recognize that the system is probably new to them and overwhelming
• help them navigate systems and resources to make caregiver journey more manageable
• share knowledge and care plans between FCG and team members

Question 21

Domain f: enhancing culture of caregiving- key points

Answer 21

• mentorship
• speak up and create awareness of plight of caregivers
• we all have a role to play in promoting a culture of support for caregiver
  -reflect on my experience with caregivers

Question 22

caregiver pathway starting at around 34yo for close family member, represents 6%, can last a total of 35 or so years, usually more than one care recipient by the end

Answer 22

“enduring” pathway”

Question 23

Types of circular questioning questions

Answer 23

-difference - explore difference between people, time, ideas, beliefs
-behavior-effect - behavior of one family member on another
-hypothetical-future oriented -explore options and alternatives