Family Exam2

Question 1

Cultural Factors that Contribute to Health Status (7)

Answer 1

Values
Beliefs
Rules/Laws
Language
Roles
Traditions
History

Question 2

Cultural Factors contribute to cultural differences in (3) definitions.

Answer 2

Definition of Health
Definition of Illness & Disease
Health Practices

Question 3

Socioeconomic factors that affect health (3) and their Fx

Answer 3

Income - inf. emotional well being/resources
Education - inf. activities that ↓ illness and ↑ health/curing acute illness
Resources - inf. family space, recreation, & leisure

Question 4

(4) Genetic Conditions and Fx

Answer 4

Huntington’s Dz - b/c ▲ in particular gene, neurodegeneration
Cystic Fibrosis - thick mucus in lungs
Sickle Cell Anemia -d/figured RBG = ↓ O2
Familial Hypercholesterolemia - Hx ↑cholesterol

Question 5

Mendelian/Single-Gene disorder example

Answer 5

Huntington’s

Question 6

What is a Gene

Answer 6

The basic physical unit of inheritance

Question 7

Autosomal Recessive Genetic Disorder
Autosomal Dominant Pattern
X-linked Patterns

Answer 7

ARGD - Carrier for gene dz (such as Sickle/Cystic)
ADP - Family hx and common environment r/in ↑ risk for having similar specific illnesses
XLP - ↑ affect on male relatives. Ø evidence of male 2 male transmission.

Question 8

(3) Ethical Considerations of Genetic Diseases

Answer 8

Aware of own cultural values vs family’s to tailor practice to meet needs (may r/in difficulty)
Unethical to influence family decisions based on own views
Conflicts occur when opinion w/in family vary

Question 9

Models of Family Health Promotion (3)

Answer 9

Family Health Promotion Model
Developmental Model of Health and Nursing
Model of Health-Promoting Family

Question 10

Family Health Promotion Model - (3) General Influences

Answer 10

Family Systems Patterns
Demographic Characteristics
Biological Characteristics

Question 11

Family Health Promotion Model - (3) Health-Related Influences

Answer 11

Family Health Socialization Patterns
Family Definition of “Health”
Perceived Family Health Status

Question 12

Family Health Promotion Model - (7) Behavior-Specific Influences

Answer 12

Perceived barriers to ↑HP behavior
Perceived benefits to↑HP behavior
Prior behavior
Family norms of ↑HP behavior
Intersystem support for behavior
Situational Influence
Internal/Environmental Cues

Question 13

Developmental Model of Health and Nursing Goals and Fx

Answer 13

Goal: ↑ capacity of family’s health promotion in everyday life situation
Fx: emphasize health as a process and max family capacity in ▲

Question 14

Developmental Model of Health and Nursing (4) Nursing Roles

Answer 14

Focuser, stimulator, end resource producer - involves clients and clarifies concerns r/t learning style
Integrator/Awareness raisers - assists in analyzing, identifying, and seeking solutions
Role model, instructor, coach, etc. - encourage decisions and new behaviors
Reinforcer - review and evaluate outcome w/ client

Question 15

Model of Health-Promoting Family (2) Fx

Answer 15

Draws on contemporary social science (focus on ecocultural pathway of family to ↑HP)
Divided into External/Internal Factors

Question 16

External Societal vs Community Factors

Answer 16

Societal - material base for family (income, resource, ethnicity)
Community - social spheres (school, daycare, peers)

Question 17

Internal Ecocultural vs. HP Practice

Answer 17

Ecocultural - values, needs, goals

HP Practice - behaviors that influence HP (smoking, care)

Question 18

Empowerment

Answer 18

When nurse provides information, encouragement, and strategies to help family make lifestyle changes

Question 19

Neural Tube Defect

Answer 19

Birth defect of CNS within 1st month of pregnancy

Question 20

How to prevent Neural Tube Defects

Answer 20

↑ folic acid (400mg QD) and VitB.

Question 21

Family Rituals
What are their fx’s?

Nurses job r/t?

Answer 21

Receptive behaviors and patterns in r/x to a specific event (bye hugs and bedtime stories)
Provide meaningful clarity and ↑HP outcomes

Asses in r/t management of chronic illness

Question 22

Types of Family HP Routines (6)

Answer 22

Self-Care
Safety/Prevention
Mental HP
Family Care - rituals, fun, pets
Illness Care
Member Care

Question 23

(3) Health Family Traits & 2 determinants ea.

Answer 23

Unity - commitment/time together
Flexibility - deal w/ stress, +spiritual well-being
Communication - +communication, appreciation/affection

Question 24

How to use Genetic Knowledge (5)

Answer 24

Be competent in area of knowledge and be able to explain so you can…
↑ pt knowledge
provide psychosocial support
provide individual care

Question 25

Types of Genetic Testing (6) and Defs.

Answer 25

Diagnostic - when S/S present Carrier - Detects via autosomal/X-links Predictive/PreSymptomatic - on health people Prenatal - on fetus Pharmacogenetic - genes rx to drugs Direct - marketed directly to public Ø req. HP professional

Question 26

What's a genome?

Answer 26

3.1 billion bases of DNA sequence, unique to each person

Question 27

What is Family Health Promotion

Answer 27

Family activities that ↑ fam strength that inf. bio, emo, phys, and spiritual realms of all members.

Question 28

Procedure to promote Family Health (5)

Answer 28

``` Focus on strengths Be logical and systematic Empower and guide around rituals Partner/Advocate ↑HP Goals Know your policies ```

Question 29

Family Health Model

Answer 29

Complex process-over-time that determines HP behaviors | Emphasized on holistic approach.

Question 30

Normalization Fx and (5) attributes

Answer 30

When families lens out parts of life made difficulty by chronic conditions ``` Acknowledge View management Engage behaviors Develop Tx Interact with family to evaulate ```

Question 31

Sibling Reactions (7)

Answer 31

``` Guilt to cause/spare condition Guilty r/t own abilities/success Pressure to be good Resentment to ↑ attention of other Loss/Isolation Shame r/t embarrassment of other's appearance/behavior Frustration w/ ↑ responsibilities ```

Question 32

Healthy People 2020 Environmental Goals - Water Quality (#4 - 7)

Answer 32

4. ↑ access to safe water 5. ↓ waterborne dz outbreaks 6. ↑ conservation 7. ↓ surface water health risks

Question 33

Healthy People 2020 Environmental Goals - Toxics/Wastes (#8 - 11)

Answer 33

8. ↓ blood lead levels 9. ↓ risks b/c hazardous sites 10. ↓ pesticide exposure 11. ↓ pollutants in environment

Question 34

Healthy People 2020 Environmental Goals - Homes & Communities (#13 - 19)

Answer 34

``` 13. ↓ indoor allergens 14/15. ↑ tested homes for radon 16. ↑ school policy against envio. hazards 17/18 - ↑ lead paint testing 19 - ↓ substandard occupied housing ```

Question 35

Healthy People 2020 Environmental Goals - Children Specfiic (#24-2a, TU11 and 14)

Answer 35

24-2a. ↓ asthma hospitalizations for ↓5 y/o TU11. ↓non-smokers xp2 2ndhandsmoke TU14. ↑smoke free homes

Question 36

Healthy People 2020 Environmental Goals - Media

Answer 36

↓ adolescents/Yadults (grade 6 - 12) exposed to tobacco advertisements

Question 37

What is Child Obesity, it's "cause," and "How to Stop"

Answer 37

Overnutrition Societal/Family ▲ of 21st century Education and Physical Activity

Question 38

Areas of Education in Palliative/EOL Care

Answer 38

Dying is normal Assess for +Greiving and Coping Advocate +decision making and + communication Interprofessional practice (clergy, leaders, funeral directors)