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Flashcards in Theoretical Foundations of CFAM Deck (64):
1

The six theoretical models that inform the CFAM are:

PoMo
Systems
Cybernetics
Change
Communication
BoC

2

In this model, Pluralism is a key focus.

Postmodernism

3

Postmodernism, simply put, is a...

Debate about knowledge

4

Pluralism refers to:

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"

5

Postmodernism is partly a reaction to the modernist claim that:

Knowledge emerges primarily from science & technology.

6

In practice now more emphasis is given to:

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

7

This (illness narratives & experience) invites...

Collaboration and consultation between nurses & family members

8

Offshoots of Postmodernism include:

Constructive/Social Constructivism
BoC (Bring Forthism)

9

W&L find which offshoot most beneficial?

BoC

10

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

System

11

Hierarchy of systems include..

Suprasystem
Family System
Individual System

12

In addition, nurses must pay attention to:

Boundaries

13

T/F Systems are arbitrarily defined by their boundaries.

TRUE

14

In assessing boundaries attention must be paid to their:

Permeability

15

In family systems the boundaries must be..

Permeable and limiting

16

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

Technology - social networking

17

Common analogy to visualize systems theory

Mobile

18

From a systems perspective, the whole is...

Greater than all of the parts

19

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

A change in one family member affects all family members

20

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

Family Interventions

21

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

True

22

We now understand that the family is able to...

Create a balance between change and stability

23

The concept of change and stability is perhaps the most...

Difficult concept of systems theory

24

The 5 Concepts of Systems Theory

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

25

Linear causality means...

One event causes another (doesn't affect initial)

26

Circular causality occurs when..

Second event affects first event

27

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

Interactional, Reciprocal & Systemic View

28

The science of communication and control theory:

Cybernetics

29

2 Concepts of Cybernetics:

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

30

The difference between cybernetics & systems theory?

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

31

Different levels where feedback processes can occur? (3)

Individual
Family
Family & Community

32

Theory based in studying communication..

Communication Theory

33

Concept 1- All nonverbal communication is...

Meaningful

34

In understanding NVC it is important to consider the..

Context

35

Concept 2 - Communication has two major channels..

Digital
Analog

36

Verbal communication=

Digital

37

NVC=

Analog

38

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

Levels
Message
Meta-message

39

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

Analog

40

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

Symmetry
Complementarity

41

A relationship of unequal status?

Complementary - one giving, one receiving
(Mother & Infant)

42

A relationship between two who behave as equals?

Symmetrical - competitive
(Adolescent Peers)

43

To reach a healthy relationship, relationships must be:

Symmetrical & Complementary

44

Concept 4- All communication has two levels:

Content & Relationship

45

What is being said..

Content

46

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

Relationship

47

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

Persistence & Change

48

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

First Order Change

49

First order change refers to using the same...

Problem solving strategies over & over again. Mechanical

50

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

Second order change

51

Second order change represents a...

Quantum jump in system to different level of functioning

52

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

Spontaneous Change

53

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

Across time

54

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

Perception of problem
Context
Coevolving treatment goals

Structure

55

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

Numerous
Understanding
Equally

56

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

Nurses
Fit between interventions
Structures

57

Objectivity & objectivity in parentheses are representative of which theory>

BoC

58

BoC is based not on philosophy but on...

Biology & Phyisology

59

Objectivity assumes that one.,

Ultimate domain of references exists for explaining the world

60

Objectivity in parentheses means that there are..

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

61

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

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

62

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

Sin of certainty

63

We bring forth our realities through:
I WOOT

Interacting with the
World
Ourselves
Others
Through language

64

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

What people expect to see
What they bring forth