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Nurs 327 > Week 6- family dynamics > Flashcards

Week 6- family dynamics Flashcards

(52 cards)

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1
Q

transference

A

having similar experiences as patients and relation

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2
Q

family systems theory

A

interactions among family members, between family and illness
- the whole is more than the sum of its parts
- individuals live in relation to others

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3
Q

why families matter in mental health

A
  • health and illness occur within
  • primary unit of support systems are based on
  • develops how people tihnk about themselves and how they relate to others
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4
Q

internal factors affecting mental health and influences on family

A

important to focus on these as we cannot manage external factors
- thoughts/behaviors, values, beliefs

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5
Q

every family has these 4 things

A
  • roles
  • structure
  • rules
  • beliefs
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6
Q

intervention for health and wellbeing of carers

A

social supports

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7
Q

intervention for minimizing financial burden on carers

A

grants and insurance

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8
Q

intervention for access to education and information

A

online and in person resources

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9
Q

intervention for flexible work/education settings

A

policy and intersectoral

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10
Q

intervention for research to inform evidence based decisions

A

leadership to impact policy and legislation

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11
Q

care planning with families

A

learn about structure, function, relationships, values, beliefs, and strengths

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12
Q

ecomaps and genograms

purpose

A

outline family internal and external structures

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13
Q

ecological map

A

identify relevant systems at play in an individuals life along with stressors, strengths, and culture

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14
Q

attacment

A

extent to which caregiver is consistently accessible and responsive to child
- at an early age more is better because it refines neuro-emotional system

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15
Q

emotional regulation as a learned behavior

A

first 3 years of life are most important for lifelong mental health
- synapses are strengthened through repetitive positive experiences

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16
Q

adverse childhood experiences

A

traumatic events that can have negative lasting effects on health and wellbeing

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17
Q

impact of childhood trauma on cognition

A

delays in learning, concentration and achievement

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18
Q

impact of childhood trauma on physical health

A

shorter life span due to sleep, heart, and eating disorders

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19
Q

impact of childhood trauma on emotions

A

difficulty regulating, recognizing, and coping

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20
Q

impact of childhood trauma on relationships

A

attachment issues and difficulty with social situations

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21
Q

impact of childhood trauma on behavior

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A

poor regulation, impulse, and substance misuse

22
Q

impact of childhood trauma on brain development

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A

decreased size and processing

23
Q

neurobiological changes with trauma

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A

relate to dysregulation such as increased reactivity, avoidance, numbness, and disassociation

24
Q

effects of trauma on family

4

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A
  • change in boundaries
  • cahnge in responsibilty
  • diminished caregiver responsiveness
  • difficulty learning due to chaotic environment
25
post traumatic growth occurs through | 3
change in self image, interpersonal relations, and philosophy
26
nursing interventions | for post traumatic growth
- safety - skills for affect regulation - self reflection - strategies and strength for survival
27
supporting traumatized parents
- help establish role/boundaries - teach about attachment - provide supports to distribute responsibilities
28
children mental health
complex because child relies on family making it a family concern - requires intersectoral collaboration
29
interventions for child mental health
- support advocacy - self care - care of siblings - screening
30
personality is composed of
perception, feelings, thoughts, coping, behaviors
31
personality disorders occur due to
- biological disposition - psychological experiences - environmental situations
32
cluster A
odd thinking and eccentric behavior
33
cluster B
dramatic and erratic behavior
34
cluster C
severe anxiety and fear
35
common features of personality disorders | 4
impaired metacognition, maladaptive emotional response, impaired interpersonal functioning, impulsivity and destructive behavior
36
BPD (borderline personality disorder)
- affective instability: erratic and intense shifts - identity disturbances: feelings of emptiness - unstable relationships due to fear of abandonment, devaluing, and overstepping boundaries - cognitive dysfunction: disorganized thinking
37
nursing interventions BPD
prevent harm, medication effectiveness, sleep routines, teach positive social skills, increase sense of value and hopefulness, assist with identification of fears/triggers, teach emotional regulation
38
psychological nursing interventions BPD
problem solving/coping, dichotomous thinking, DBT
39
ASPD (antisocial personality disorder)
disregard or violation of the rights and safety of self or others; cannot be diagnosed until 18 - exaggeration of importance or power - often described as inflated, arrogant, cocky - often use etoh excessively | related to psychopathy
40
nursing interventions ASPD
- identify dysfunctional thinking patterns - develop new problem solving skills - anger management skills - hold person responsible - boundary setting
41
protection for persons in care
protection for people in publicly funded beds
42
freedom of information and protecting privacy
protection of privacy
43
adult guardianship trusteeship
legal decision for when someone is deemed incompetent to make decisions
44
protection against family violence act
emergency protection order preventing contact of the abuser
45
MAID
only physician or nurse practitioner can assess eligibility
46
SLUMS tool
detects but does not diagnose cognitive decline - score over 27 is considered normal
47
pluralistic | family communication pattern
lots of conversation with little conformity
48
laissez faire | family communication pattern
low conversation and low conformity - doing what you want with no regard for others
49
consensual | family communication pattern
high conversation and high conformity
50
protective | family communication pattern
low conversation and high conformity
51
steps in family assessment | 5
1. role clarity/purpose/assessment 2. fill in gaps of knowledge 3. mental health specific strategies 4. client centered 5. action and intervention
52
what is considered private information
- fact that client is or has been in treatment - communications by the client during treatment - obervations by interdisciplinary team - diagnoses - medications

Nurs 327 (8 decks)

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