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ABSN Cohort 19 > Family Exam2 > Flashcards

Family Exam2 Flashcards

1
Q

Cultural Factors that Contribute to Health Status (7)

A 
Values
Beliefs
Rules/Laws
Language
Roles
Traditions
History
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2
Q

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

A

Definition of Health
Definition of Illness & Disease
Health Practices

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3
Q

Socioeconomic factors that affect health (3) and their Fx

A

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

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4
Q

(4) Genetic Conditions and Fx

A

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

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5
Q

Mendelian/Single-Gene disorder example

A

Huntington’s

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6
Q

What is a Gene

A

The basic physical unit of inheritance

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7
Q

Autosomal Recessive Genetic Disorder
Autosomal Dominant Pattern
X-linked Patterns

A

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.

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8
Q

(3) Ethical Considerations of Genetic Diseases

A

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

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9
Q

Models of Family Health Promotion (3)

A

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

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10
Q

Family Health Promotion Model - (3) General Influences

A

Family Systems Patterns
Demographic Characteristics
Biological Characteristics

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11
Q

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

A

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

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12
Q

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

A 
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
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13
Q

Developmental Model of Health and Nursing Goals and Fx

A

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

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14
Q

Developmental Model of Health and Nursing (4) Nursing Roles

A

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

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15
Q

Model of Health-Promoting Family (2) Fx

A

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

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16
Q

External Societal vs Community Factors

A

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

17
Q

Internal Ecocultural vs. HP Practice

A

Ecocultural - values, needs, goals

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

18
Q

Empowerment

A

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

19
Q

Neural Tube Defect

A

Birth defect of CNS within 1st month of pregnancy

20
Q

How to prevent Neural Tube Defects

A

↑ folic acid (400mg QD) and VitB.

21
Q

Family Rituals
What are their fx’s?

Nurses job r/t?

A

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

22
Q

Types of Family HP Routines (6)

A 
Self-Care
Safety/Prevention
Mental HP
Family Care - rituals, fun, pets
Illness Care
Member Care
23
Q

(3) Health Family Traits & 2 determinants ea.

A

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

24
Q

How to use Genetic Knowledge (5)

A

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

25
Q

Types of Genetic Testing (6) and Defs.

A

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

26
Q

What’s a genome?

A

3.1 billion bases of DNA sequence, unique to each person

27
Q

What is Family Health Promotion

A

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

28
Q

Procedure to promote Family Health (5)

A 
Focus on strengths
Be logical and systematic
Empower and guide around rituals
Partner/Advocate ↑HP Goals
Know your policies
29
Q

Family Health Model

A

Complex process-over-time that determines HP behaviors

Emphasized on holistic approach.

30
Q

Normalization Fx and (5) attributes

A

When families lens out parts of life made difficulty by chronic conditions

Acknowledge
View management
Engage behaviors
Develop Tx
Interact with family to evaulate
31
Q

Sibling Reactions (7)

A 
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
32
Q

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

A
  1. ↑ access to safe water
  2. ↓ waterborne dz outbreaks
  3. ↑ conservation
  4. ↓ surface water health risks
33
Q

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

A
  1. ↓ blood lead levels
  2. ↓ risks b/c hazardous sites
  3. ↓ pesticide exposure
  4. ↓ pollutants in environment
34
Q

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

A 
13. ↓ indoor allergens
14/15. ↑ tested homes for radon
16. ↑ school policy against envio. hazards
17/18 - ↑ lead paint testing
19 - ↓ substandard occupied housing
35
Q

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

A

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

36
Q

Healthy People 2020 Environmental Goals - Media

A

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

37
Q

What is Child Obesity, it’s “cause,” and “How to Stop”

A

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

38
Q

Areas of Education in Palliative/EOL Care

A

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

ABSN Cohort 19 (28 decks)

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