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NRSG 477 > Foster care > Flashcards

Foster care Flashcards

1
Q

Common characteristics of foster care

A

Frequently moving schools, separation from siblings, high-risk behaviors

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2
Q

Foster care: Risk factors

A

History
Inconsistent management- irregular timely care
Education- r/f lower education, outcomes
Needs- child welfare, mental health, legal educational support

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3
Q

No matter how vulnerable a person is they have what?

A

STRENGTHS

-Choose to adopt a strength based practice

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4
Q

ACE’s and foster care

A
  • Both + and - shape our brain and physiology- Neuroendocrine
    ACEs include but are not limited too:
  • Divorce
  • Household substance, sexual, emotional abuse
  • Incarceration of family member
  • Spouse violence
  • Frequent moods
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5
Q

Stress becomes toxic when?

A

Toxic when there is “strong, frequent, prolonged activation of the body’s stress response in the absence of the buffering protection of a supportive, adult relationship”

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6
Q

T/F ACES: effects cannot be magnified through generations even if not addressed

A

False; effects can be magnified through generations if not addressed

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7
Q

ACES: Incarceration impacts on families

A

Financial cost to individuals and family, $$$$

-Multifactorial

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8
Q

T/F Toxic stress negatively impacts brain development

A

True

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9
Q

Traumatic stress

A

Effects multiply when trauma continues
Neglect (almost always chronic)
Exposure can begin early ( even during prenatal period)

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10
Q

T/F Effects of traumatic stress are severe when it involves the primary care giver**

A

True

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11
Q

Using trauma informed care to better address:

A

Take a step back and look at S/Sx of signs of stress, rather than focus on pathology.

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12
Q

Toxic stress can present as:

A

Attention deficits
Emotional dysregulation
Oppositional behaviors
(some of these can show roots of early abuse)

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13
Q

T/F in regards to toxic stress: Assessment is not necessary to appropriately understand the causes of a child’s symptoms.

A

False; We HAVE to assess appropriately to understand the causes of a child’s symptoms

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14
Q

Toxic stress: What do we ASK?***

A

What HAPPENED to you? rather than, what is the matter with you?

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15
Q

Brain development

A

The brain is not structurally complete at birth
Structural development is guided by: Environmental cues; physical & emotional environment which influence brain development

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16
Q

Effective stimulation/brain development requires….

A

Interaction with other people

**Caregivers must be consistent and predictable

17
Q

T/F Consistency and predictability of caregivers is non-essential

A

FALSE; caregivers MUST be consistent and predictable

18
Q

Brain development** A hidden aspect of human potential

A

Both + and - influence

19
Q

T/F infants need at least 2 secure caregiver attachments

A

False; Infants need at least 1 secure caregiver attachment

20
Q

T/F Gene expression determines neuroendocrine structure and is strongly influenced by experience

A

True

21
Q

Epigenetic modifications

A

Cause changes in brain and can change development

22
Q

Brain development cont.

A

The body’s systems are mutually interactive

–The more emotionally charged a learning situation is, the more likely it is to result in long-term modifications

23
Q

T/F The more emotionally charged a learning situation is, the more likely it is to result in long-term modifications

A

True

24
Q

Effect of trauma on parenting ability

A
  • Adults who experienced ACE’s in their early years can exhibit maladaptive responses to parenting.
  • ACEs increase the change of risk factors; abuse, risky behaviors
  • All of these can affect parenting in a negative way and perpetuate a continuing exposure to ACEs across generations by transmission of epigenetic changes to the genome.
25
Q

Nursing approaches: Common concerns

A

Enuresis, encopresis, sleep problems, attention issues, Sx PTSD, mental health issues

26
Q

Nursing approaches: Foster resilience

A

Counterbalance ACEs with protective factors

27
Q

Proving a “medical home” for children in foster care

A

All kids have some special needs we need to address

28
Q

Nursing approaches in foster care

A 
Common concerns
Fostering resilience
Home visiting
Language
Special needs
Be knowledgeable about the impact of trauma
Provide support and guidance
Know available resources
Develop relationships with other service providers
29
Q

Protective factors

A

Helping parents, connect families with addition tx, support services at school

30
Q

When is crucial to provide additional support?

A

During times of transition and crisis

31
Q

How to we want to ask questions?**

A

Alternate triggering and calm questions.

  • Promote and teach self regulation skills
  • Help to decrease power of stressors, help identify triggers
32
Q

Nursing approaches: Medical records

A

Medical records- Keep complete and accurate

33
Q

Nursing approaches: Scheduling visits

A

Schedule at critical times. When school is starting, anniversaries, birthdays, court dates

34
Q

Nursing approaches: Review school performance

A

Schedule visit and appointments to minimize school absences

35
Q

Nursing approaches: Referrals

A

Refer to child development specialists, vision

36
Q

Focus on STRENGTH when?

A

at EACH encounter

- encourage normalizing behaviors

37
Q

T/F we want to encourage teens to develop relationships with adult mentors

A

True

38
Q

AAP-Trauma informed care

A

Mirrors prevention

39
Q

THE 4 R’s***

A

Realize wide impact
Recognize s/s of trauma
Respond- fully integrated knowledge and policy
Resist retraumatization

NRSG 477 (11 decks)

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