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Nurs 327 > Week 6- family dynamics > Flashcards

Week 6- family dynamics Flashcards

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

A

poor regulation, impulse, and substance misuse

22
Q

impact of childhood trauma on brain development

A

decreased size and processing

23
Q

neurobiological changes with trauma

A

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

24
Q

effects of trauma on family

4

A
  • change in boundaries
  • cahnge in responsibilty
  • diminished caregiver responsiveness
  • difficulty learning due to chaotic environment
25
Q

post traumatic growth occurs through

3

A

change in self image, interpersonal relations, and philosophy

26
Q

nursing interventions

for post traumatic growth

A
  • safety
  • skills for affect regulation
  • self reflection
  • strategies and strength for survival
27
Q

supporting traumatized parents

A
  • help establish role/boundaries
  • teach about attachment
  • provide supports to distribute responsibilities
28
Q

children mental health

A

complex because child relies on family making it a family concern
- requires intersectoral collaboration

29
Q

interventions for child mental health

A
  • support advocacy
  • self care
  • care of siblings
  • screening
30
Q

personality is composed of

A

perception, feelings, thoughts, coping, behaviors

31
Q

personality disorders occur due to

A
  • biological disposition
  • psychological experiences
  • environmental situations
32
Q

cluster A

A

odd thinking and eccentric behavior

33
Q

cluster B

A

dramatic and erratic behavior

34
Q

cluster C

A

severe anxiety and fear

35
Q

common features of personality disorders

4

A

impaired metacognition, maladaptive emotional response, impaired interpersonal functioning, impulsivity and destructive behavior

36
Q

BPD (borderline personality disorder)

A
  • 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
Q

nursing interventions BPD

A

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
Q

psychological nursing interventions BPD

A

problem solving/coping, dichotomous thinking, DBT

39
Q

ASPD (antisocial personality disorder)

A

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
Q

nursing interventions ASPD

A
  • identify dysfunctional thinking patterns
  • develop new problem solving skills
  • anger management skills
  • hold person responsible
  • boundary setting
41
Q

protection for persons in care

A

protection for people in publicly funded beds

42
Q

freedom of information and protecting privacy

A

protection of privacy

43
Q

adult guardianship trusteeship

A

legal decision for when someone is deemed incompetent to make decisions

44
Q

protection against family violence act

A

emergency protection order preventing contact of the abuser

45
Q

MAID

A

only physician or nurse practitioner can assess eligibility

46
Q

SLUMS tool

A

detects but does not diagnose cognitive decline
- score over 27 is considered normal

47
Q

pluralistic

family communication pattern

A

lots of conversation with little conformity

48
Q

laissez faire

family communication pattern

A

low conversation and low conformity
- doing what you want with no regard for others

49
Q

consensual

family communication pattern

A

high conversation and high conformity

50
Q

protective

family communication pattern

A

low conversation and high conformity

51
Q

steps in family assessment

5

A
  1. role clarity/purpose/assessment
  2. fill in gaps of knowledge
  3. mental health specific strategies
  4. client centered
  5. action and intervention
52
Q

what is considered private information

A
  • 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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