Family assessment tools

Question 1

Represents the composite individual developmental changes of family members;

Answer 1

family Life cycle

Question 2

Physician’s Role Across the Stages

Answer 2

Anticipatory Guidance → Reassurance → Assitance in Difficult Adjustment

Question 3

have a systematic way of
understanding the family and to aid them in evaluating the impact of illness on a person and on his/her role in the family

Answer 3

FAMILY ASSESSMENT TOOLS

Question 4

The five basic functions performed by all families

Answer 4

Families provide support to each other
Families establish autonomy and independence for each
person in the system, which enhance personal growth of
individuals within the family.
Families create rules that govern the conduct of the family and
of the individuals within the family
Families adapt to change in the environment
Families communicate with each other

Question 5

is defined as a family with chronic inability to respond to the
needs of the members or to cope with changes and stresses
in the environment.
* Imbalances from basic function of families

Answer 5

Dysfunctional Family

Question 6

quick overview of the interrelationships between family members
of looking at the family medical and psychosocial
problems
and as a tool for understanding the multigenerational family
systems
-a graphic representation of the following components of a family

Answer 6

Family Genogram

Question 7

This gives a more dynamic image of the family, especially of
relationship of members.
* It allows one to judge the totality of the family unit, its strengths
(as in strong bond between the husband and wife) and
weaknesses (as in the presence of marital discord or
separation of the parents) and its ability to withstand future
stressful situations

Answer 7

Functional Chart

Question 8

is a rapid screening instrument for family
dysfunction.

Answer 8

FAMILY APGAR

Question 9

It has adequate reliability and validity to measure the individual’s level of satisfaction about family relationships

Answer 9

FAMILY APGAR

Question 10

Also, it helps the family physician to decide which families need
more careful assessment.

Answer 10

FAMILY APGAR

Question 11

FAMILY APGAR: is the capability of the family to utilize and share
inherent resources, which are either Intra-familial or extrafamilial

Answer 11

Adaptation

Question 12

FAMILY APGAR: is the sharing of decision-making. This
measures the satisfaction attained in solving problems by
communicating.

Answer 12

• Partnership

Question 13

FAMILY APGAR: refers to both physical and emotional growth. This
measures the satisfaction of the available freedom to change.

Answer 13

growth

Question 14

FAMILY APGAR: is how, emotions like love, anger, and hatred are
shared between members. This measures the members’
satisfaction with the intimacy and emotional interaction that
exist in the family.

Answer 14

Affection

Question 15

FAMILY APGAR: refers to how time, space, money are shared. This
measures the members’ satisfaction with the commitment
made by other members of the family.

Answer 15

Resolve

Question 16

4 basic situations where the Family APGAR is needed

Answer 16

When the family will be directly involved in caring for
the patient.

Question 17

Family APGAR is also valuable in the following
conditions or situations:

Answer 17

Difficult patients
* Drug or alcohol abuse
* Marital or sexual difficulties
* Multiple presentations by multiple family members
* Evidence of sexual and physical abuse on wife or a child
* Symptoms that manifest themselves as psychosomatic
disorders.
* Multiple presentations of a family member - “The thick file
syndrome”

Question 18

I am satisfied with the way
my family and I share time
together

Answer 18

resolve

Question 19

I am satisfied with the way
my family expresses
affection and responds to
my emotions, such as
anger, sorrow, and love

Answer 19

affection

Question 20

I am satisfied that my family
accepts and supports my
wishes to take on new
activities or directions

Answer 20

growth

Question 21

I am satisfied with the way
my family talks over things
with me and shares
problems with me

Answer 21

partnership

Question 22

I am satisfied that I can turn
to my family for help when
something is troubling me

Answer 22

adaptation

Question 23

This is a brief, graphic method for disclosing, gathering and
discussing family dynamics as discussed by one or more family
members

Answer 23

THE FAMILY CIRCLE

Question 24

A disadvantage of this tool is the difficulty one encounters in
standardizing and interpreting this particular assessment
instrument.

Answer 24

THE FAMILY CIRCLE

Question 25

Through this tool one can assess openness, boundaries, support, function, triangulation and interdependence in the family.

Answer 25

THE FAMILY CIRCLE

Question 26

Very important in the assessment of the family as to its capacity to participate in provision of health care or to cope with crisis

Answer 26

SCREEM

Question 27

It is commonly used when the need for care is long or lasts a lifetime such as in the case of chronically-ill, terminally-ill, and hospice care patients.

Answer 27

SCREEM

Question 28

It can also be used to assess resources of difficult and noncompliant patients.

Answer 28

SCREEM

Question 29

A tool that summarizes the history of the family’s significant experiences over a period of time in a chronologicallysequenced manner

Answer 29

FAMILY LIFELINE

Question 30

Useful when anticipating a long-term illness, the presence of difficult caregiving, non-adherence to treatment strategies

Answer 30

FAMILY LIFELINE

Question 31

It helps process how flexible a family is when dealing with these changes

Answer 31

FAMILY LIFELINE

Question 32

This tool facilitates the communication of information about the family system and its dynamics in order to address psychosocial issues.

Answer 32

MINUCHINS FAMILY MAP

Question 33

characterizes a system in which members have few interpersonal boundaries, limited individual autonomy, and a high degree of emotional reactivity

Answer 33

enmeshment

Question 34

isolated from each other or have little emotional response from each other.

Answer 34

Disengagement

Question 35

characterizes a family system in which members are emotionally distant and unresponsive to each other

Answer 35

Disengagement

Question 36

family members talk directly to each other about personal matters. o occurs when a third person is drawn into a two-person system in order to diffuse anxiety or intimacy conflicts in the two-person system

Answer 36

Triangulation

Question 37

one has to explore whether one member of the family is siding with another member.

Answer 37

coalition

Question 38

Pictorial representation of the elements of patients’ environment and of the nature and quality of the interactions between elements * Highlights the supports and conflict

Answer 38

FAMILY ECO-MAP

Question 39

A tool designed to reflect family relationships and interaction patterns

Answer 39

FAMILY ECO-MAP

Question 40

Important for the physician in obtaining therapeutic ally for the delivery of care

Answer 40

FAMILY ECO-MAP

Question 41

Schematic description whom to ask for assistance in making decisions for the patient

Answer 41

FAMILY ECO-MAP