Module 9

Question 1

Calgary Family Assessment Model

Answer 1

Family Assessment tool used by nurses to assess health, functionality and context of families

divided into three main categories and various subcategories. not all subcategories will be applicable to all families

Question 2

Three Main CFAM Categories

Answer 2

Structural
Developmental
Functional

Question 3

Structural Categories

Answer 3

internal - who is in the immediate family
external - relationships outside of the immediate family
context - relevant situation/background

Question 4

Internal subcategories

Answer 4

composition
gender
sexual orientation
rank order
subsystems
boundaries

Question 5

External subcategories

Answer 5

extended family

larger subsystems

Question 6

Context

Answer 6

ethnicity
race
social class
religion/spirituality
environment

Question 7

Structural assessment tools

Answer 7

ecomaps
genograms

used when nurses interact with clients longer than one day

Question 8

Genogram

Answer 8

visual illustration of a persons’ genealogy + relevant family info
family tree

Question 9

Ecomap

Answer 9

sketch of family’s contact with persons’ outside the family

family forms the center of the map

Question 10

Developmental

Answer 10

Tasks
Stages
Attachments

Question 11

Family life cycle stages

Answer 11

leaving home; single young adults
joining of families through marriage; new couple
families with young children
families with adolescents
launching children & moving on
families in later life

Question 12

Functional

Answer 12

Instrumental - IADLs, ADLs

Expressive - communication

Question 13

Types of communication

Answer 13

emotional
verbal
nonverbal
circular
problem-solving
roles
influence 
beliefs
alliances/coalitions

Question 14

Four Family Theories

Answer 14

Structural-Functional
Systems
Interactional
Developmental

Question 15

Structure-Function Theory

Answer 15

family = social system
each member has a role within the family
family changes affect a family’s functionality

Question 16

Systems

Answer 16

families represent a closed system
changes to one family member will affect all other members –> reciprocal
studies the interactions between family members

Question 17

Developmental

Answer 17

families go through developmental stages as well (different from life cycles)
family relationships go through transitions at different developmental stages

Question 18

Interactional/Stress

Answer 18

family = interacting members
how do family members relate to one another?
role expectations

Question 19

Four Family Approaches

Answer 19

family as context (individual focus)
family as client (family focus)
family systems (families + individual focus)
family as component of society

Question 20

Family Forms

Answer 20

Traditional Nuclear
Extended Family –> relatives outside family of origin
Blended Family –> both parents bring children from a previous relationship
Step-Family –> at least one child is from a previous relationship
Lone-Parent
Other

Question 21

Attributes of Healthy Families

Answer 21

hardiness

resilience

Question 22

Hardiness

Answer 22

internal strength and durability
internal locus of control
positive view on change
active response to stress

Question 23

Resilience

Answer 23

adaptive ability in response to stress/adversity
coping skills
influencing factors: positive outlook, cohesiveness, spirituality, clear communication, flexibility, financial management, shared family involvement, support networks

Question 24

Older Adult Factors

Answer 24

Caregiver strain
Psychosocial changes
Declining physical health
Developmental tasks
Senior abuse

Question 25

Relational Inquiry Family Approaches

Answer 25

``` Entering into a relation with Family (Engagement) Collaborative Relation Inquiry into Family Health/Healing Follow Lead of Families Listen to/for Self-Observation Letting be/Change Collaborative Knowledge Development Pattern Recognition Naming/Supporting Capacity Emancipatory Action ```

Question 26

Fastest growing age group in Canada

Answer 26

80+

Question 27

Genogram info

Answer 27

``` age occupation schooling religion ethnicity current health status ```

Question 28

Family as Context

Answer 28

focus: individual family = external environment that influences individual family can be seen as a resource or a stressor

Question 29

Family as Client

Answer 29

focus: entire family unit | how does each member affect the family?

Question 30

Family as System

Answer 30

focus: entire family unit | family is a system where emphasis is placed on the interactions/interrelationships of family members

Question 31

Family as Component of Society

Answer 31

family is a social institution that interacts with other institutions (health, education, religion, financial) basic unit of society

Question 32

Consequences of Caregiving

Answer 32

``` depression anxiety lower self-reported physical health compromised immunity higher mortality financial strain ```

Question 33

Structural definition of family

Answer 33

who is in the family

Question 34

Functional definition of family

Answer 34

what the family provides/does

Question 35

Who is the client in family nursing

Answer 35

The entire family unit is considered the client | recognize the interrelationship between family members and how illness affects all individuals

Question 36

When is family assessment required

Answer 36

when the patient is a child/adolescent | when the family is dealing with several emotional turmoil due to a developmental/situational crisis