Theoretical Foundations of CFAM

Question 1

The six theoretical models that inform the CFAM are:

Answer 1

PoMo
Systems
Cybernetics
Change
Communication
BoC

Question 2

In this model, Pluralism is a key focus.

Answer 2

Postmodernism

Question 3

Postmodernism, simply put, is a…

Answer 3

Debate about knowledge

Question 4

Pluralism refers to:

Answer 4

That there are multiple POV’s and ways to see things. No one great narrative that explains it all.
“There are as many ways to understand and experience the world as there are people who experience it”

Question 5

Postmodernism is partly a reaction to the modernist claim that:

Answer 5

Knowledge emerges primarily from science & technology.

Question 6

In practice now more emphasis is given to:

Answer 6

Illness narratives & experience of family members not just to medical narratives.

Question 7

This (illness narratives & experience) invites…

Answer 7

Collaboration and consultation between nurses & family members

Question 8

Offshoots of Postmodernism include:

Answer 8

Constructive/Social Constructivism

BoC (Bring Forthism)

Question 9

W&L find which offshoot most beneficial?

Answer 9

BoC

Question 10

This is defined as a complex of elements in mutual interaction.

Answer 10

System

Question 11

Hierarchy of systems include..

Answer 11

Suprasystem
Family System
Individual System

Question 12

In addition, nurses must pay attention to:

Answer 12

Boundaries

Question 13

T/F Systems are arbitrarily defined by their boundaries.

Answer 13

TRUE

Question 14

In assessing boundaries attention must be paid to their:

Answer 14

Permeability

Question 15

In family systems the boundaries must be..

Answer 15

Permeable and limiting

Question 16

What has dramatically changed the permeability of boundaries in the last decade?

Answer 16

Technology - social networking

Question 17

Common analogy to visualize systems theory

Answer 17

Mobile

Question 18

From a systems perspective, the whole is…

Answer 18

Greater than all of the parts

Question 19

In considering the impact of illness on families we acknowledge this concept of systems theory:

Answer 19

A change in one family member affects all family members

Question 20

This concept can also be used to understand how a nurse can change the family system by implementing..

Answer 20

Family Interventions

Question 21

T/F Over the past few years there has been a shift away from the belief that families tend toward maintaining equilibrium.

Answer 21

True

Question 22

We now understand that the family is able to…

Answer 22

Create a balance between change and stability

Question 23

The concept of change and stability is perhaps the most…

Answer 23

Difficult concept of systems theory

Question 24

The 5 Concepts of Systems Theory

Answer 24

Whole is greater than sum of parts
Family is made up of suprasystem & subsystems
Change in one member affects all
Family creates balance between change & stability
Behaviours are best understood from view of circular rather than linear causality

Question 25

Linear causality means...

Answer 25

One event causes another (doesn't affect initial)

Question 26

Circular causality occurs when..

Answer 26

Second event affects first event

Question 27

Families normally need help to move from a linear perspective to a more..

Answer 27

Interactional, Reciprocal & Systemic View

Question 28

The science of communication and control theory:

Answer 28

Cybernetics

Question 29

2 Concepts of Cybernetics:

Answer 29

Family systems have self-regulating ability | Feedback processes can occur simultaneously at sever system levels with families

Question 30

The difference between cybernetics & systems theory?

Answer 30

Systems-changing focus from parts to wholes | Cybernetic-changing focus from substance to form

Question 31

Different levels where feedback processes can occur? (3)

Answer 31

Individual Family Family & Community

Question 32

Theory based in studying communication..

Answer 32

Communication Theory

Question 33

Concept 1- All nonverbal communication is...

Answer 33

Meaningful

Question 34

In understanding NVC it is important to consider the..

Answer 34

Context

Question 35

Concept 2 - Communication has two major channels..

Answer 35

Digital | Analog

Question 36

Verbal communication=

Answer 36

Digital

Question 37

NVC=

Answer 37

Analog

Question 38

In understanding Analog & Digital communication we must consider the _______ which include _______ & __________.

Answer 38

Levels Message Meta-message

Question 39

If there is discrepancy between digital and analog, attention should be paid to the:

Answer 39

Analog

Question 40

Concept 3 - A dyadic relationship has varying degrees of _______________ & ______________.

Answer 40

Symmetry | Complementarity

Question 41

A relationship of unequal status?

Answer 41

Complementary - one giving, one receiving | Mother & Infant

Question 42

A relationship between two who behave as equals?

Answer 42

Symmetrical - competitive | Adolescent Peers

Question 43

To reach a healthy relationship, relationships must be:

Answer 43

Symmetrical & Complementary

Question 44

Concept 4- All communication has two levels:

Answer 44

Content & Relationship

Question 45

What is being said..

Answer 45

Content

Question 46

What you're saying & how it's occurring..

Answer 46

Relationship

Question 47

The more something changes, the more it stays the same. Nurses must understand the paradoxical relationship between...

Answer 47

Persistence & Change

Question 48

A change within a system where the system itself remains unchanged.

Answer 48

First Order Change

Question 49

First order change refers to using the same...

Answer 49

Problem solving strategies over & over again. Mechanical

Question 50

Change that changes the system itself. Can be sudden or radical, unknown to person.

Answer 50

Second order change

Question 51

Second order change represents a...

Answer 51

Quantum jump in system to different level of functioning

Question 52

Most obvious type of change, happens without any professionals or sophisticated theories.

Answer 52

Spontaneous Change

Question 53

Change can be perceived as a difference which occurs...

Answer 53

Across time

Question 54

Change is Dependent on (3) & Determined by:• Change is Determined by structure

Answer 54

Perception of problem Context Coevolving treatment goals Structure

Question 55

• Change Can have _______causes & is not based on _________ alone. It does not occur ______ in all members.

Answer 55

Numerous Understanding Equally

Question 56

Facilitating change is the _____ responsibility & occurs through ___ ____ ___________and family members’ _________

Answer 56

Nurses Fit between interventions Structures

Question 57

Objectivity & objectivity in parentheses are representative of which theory>

Answer 57

BoC

Question 58

BoC is based not on philosophy but on...

Answer 58

Biology & Phyisology

Question 59

Objectivity assumes that one.,

Answer 59

Ultimate domain of references exists for explaining the world

Question 60

Objectivity in parentheses means that there are..

Answer 60

Many POV's and all are important to explain the world

Question 61

It is the nurses responsibility to help family members drift towards...

Answer 61

Objectivity in parentheses, and avoid the 'sin of certainty'

Question 62

The notion that there is only one true way to manage health, illness or disability.

Answer 62

Sin of certainty

Question 63

We bring forth our realities through: | I WOOT

Answer 63

``` Interacting with the World Ourselves Others Through language ```

Question 64

BoC suggests that it is best to think of cognition as a continual interaction between...

Answer 64

What people expect to see | What they bring forth