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Family/DV TAS
Family and Domestic Violence NP1, Test 4
| Question | Answer |
|---|---|
| Give two definitions for interrupted family processes. | 1. A change in family relationships 2. A change in family functioning |
| What is disabled family coping? | Behavior of significant person that disables his/her ability to address daily tasks necessary for personal adaptation or health. |
| A caregiver is having difficulty performing in their expected role, or is feeling vulnerable for felt difficulty in performing the family caregiver role. What are possible nursing diagnoses? | 1. Caregiver Role Strain 2. Risk for Caregiver Role Strain |
| How does Neuman define family? | The primary system responsible for the transmission of social values, psychological growth, and spiritual strength of the members who reside within system. |
| There is only one acceptable definition for family. T or F? | False. There are NUMEROUS acceptable definitions for family. |
| When a nurse works with a patient, the family is not an influence on the patient's health. T or F? | False. The patient is an integral part of a family that can influence recovery positively or negatively. |
| What six factors determine how a patient's illness will affect the family? | 1. Nature of the illness 2. Duration of the illness 3. Residual effects of the illness 4. Meaning and significance of the illness to the family system 5. Financial impact of the illness 6. Effects of illness on future family |
| Nuclear Family | Parents and offspring |
| Extended Family | Relatives of nuclear family, such as grandparents or uncles |
| Traditional Family | Family where both parents reside in the home and mother is sole nurturer |
| Nuclear Dyad | Husband and Wife |
| Adolescent Family | Family consisting of young parents and their children, or several young people living together. |
| Blended Family | Existing family units who join together to form new families. |
| Intragenerational Family | Family consisting of three or more generations. |
| Communes | People of different ages living together, may not be blood related. |
| Six approaches to understanding families | 1. Systems theory 2. Structure and function 3. Developmental 4. Communication 5. Role theory 6. Family strengths |
| Name the family approach: Any change in one part of the system requires a change in the other parts of the system. | Systems Theory |
| Name the family approach: Each person in the family plays a part in the whole system. | Systems Theory |
| Name the family approach: How open is the family to new ideas or changes in family members? | Systems Theory |
| Name the family approach: Name the family approach: How much contact do family members have with each other and the environment? | Systems Theory |
| Name the family approach: Closed and rigid families are as detrimental to the family members as too much openess/flexibility. | Systems Theory |
| Name the family approach: How is the family organized? Who is included in the family? Who performs which tasks/roles? who makes which decisions? What are the boundaries? | Family Structure |
| Name the family approach: Meets basic needs of members and Helps members understand their roles | Family Functions |
| Name the family approach: Enables members to learn control and solve problems of dominance vs. submission and of autonomy vs. dependence | Family Functions |
| Name the family approach: Gains acceptance within and outside the family and develops a support system in the kin network/extended family | Family Functions |
| Name the family approach: Resolves conflict of flexibility vs. rigidity, allocates family resources and socializes among family members | Family Functions |
| Name the family approach: Produces new members, adds members to the family through marriage or choice, release family members to start new families, and places family members in the larger society | Family Functions |
| Name the family approach: Just as individuals go through predictable stages of growth, the family has developmental stages with predictable tasks at each level | Family Developmental Theory |
| 1. Unattached young adults 2. Joining of families/young adults 3. Family with young children 4. Family with adolescents 5. Launching children and moving on 6. Accepting parent-offspring separation | Family Developmental Theory STAGES 1-6 |
| 7. Commitment to new system 8. Accepting new generation of members in system 9. Increasing flexibility/boundaries 10. Accepting exits and entries 11. Accepting shifts in generational roles | Family Developmental Theory STAGES 7-11 |
| The Communication Family Approach includes: | 1. Constant flow of verbal and non-verbal messages 2. Effective communication as a key role in development of self esteem |
| When observing a family using the communication approach, what six things should a nurse look for? | 1. Who talks for the family? 2. Who is silent? 3. How are disagreements handled? 4. How well do members listen to each other? 5. Are all members encouraged to participate? 6. What nonverbal cues give a sense of what family members are feeling? |
| What is a family role? | The set of expectations about how a person occupying a certain role behaves. |
| What two parts make up the Family Role Approach to family? | 1. By establishing roles, the family determines how to accomplish the family developmental tasks 2. Roles are assigned according to family rules and the positions of members in relation to one another |
| Name the family approach: Relationships encourage problem solving and conflict management, celebration of special events, good money management | Family Strengths Approach |
| Name the family approach: Physical and mental health, commitment to the family, belief that members have control over their own lives, shared leisure activities | Family Strengths Approach |
| Name the family approach: Social support network of family and friends, acceptance of each member's personality and behavior, shared routines, traditions carried down through generations | Family Strengths Approach |
| Functional or Dysfunctional? Completes important life tasks and has capacity to tolerate conflict and adapt | Functional |
| Functional or Dysfunctional? Emotional contact is maintained. and distance is not used to solve problems | Functional |
| Functional or Dysfunctional? Problems are resolved between twosomes, and third person is NOT brought in to settle disputes | Functional |
| Functional or Dysfunctional? Differences between family members are encouraged and children are expected to achieve age-appropriate privileges | Functional |
| Positive emotional climate, and spouses can selectively function in their respective roles | Functional |
| Functional or Dysfunctional? Behavior is called bad, not the person | Functional |
| Functional or Dysfunctional? Overprotective or distant parent | Dysfunctional |
| Functional or Dysfunctional? Super parent or passive parent | Dysfunctional |
| Functional or Dysfunctional? Maintain peace at any price | Dysfunctional |
| Functional or Dysfunctional? poor peer relationships | Dysfunctional |
| Functional or Dysfunctional? Children attempt to parent younger siblings | Dysfunctional |
| Functional or Dysfunctional? No definition of lines of authority or generational identity | Dysfunctional |
| Functional or Dysfunctional? Child acts out due to ineffective limit setting | Dysfunctional |
| Functional or Dysfunctional? Substance abuse among members | Dysfunctional |
| Functional or Dysfunctional? Abuse | Dysfunctional |
| Coping mechanisms are defined as... | an innate or acquired way of responding to a changing environment or a specific problem or situation |
| What is the basic function that helps the family meet demands imposed from within and without? | Coping Mechanism |
| T or F, The variety of coping mechanism strengthens the lines of defense? | True. More is better. |
| What are two important aspects of assessing a family's coping ability? | 1. What internal resources are available? 2. Is there an external support system? |
| Give five examples of internal family resources that encourage healthy coping. | 1. Knowledge 2. Skills 3. Effective communication 4. Sense of mutuality and purpose 5. Use of problem solving process |
| Give six examples of external support services that encourage family coping. | 1. Extended family 2. Friends 3. Religious affiliations 4. Health care professionals 5. Insurance 6. Social services |
| What family stressors affect natural lines of defense? | Developmental crises |
| Name two developmental crises | 1. Marriage 2. Entry of children into the system |
| What family stressors penetrate the flexible lines of defense AND the natural lines of defense? | Unemployment, acute physical illness, disasters, death, marital conflict |
| What family stressors affect the lines of resistance? | Substance abuse, chronic physical/mental illness, divorce |
| Name seven possible nursing diagnoses pertaining to family. | 1. Interrupted family processes 2. Disabled family coping 3. Caregiver role strain 4. Impaired parenting 5. Impaired home maintenance 6. Readiness for enhanced family processes 7. Readiness for enhanced family coping |
| What three situations have clear reporting laws? | 1. child abuse 2. elder abuse 3. maltreatment of disabled |
| What area of abuse is unclear when it comes to reporting? | Domestic abuse |
| What is the first line possibility of help concerning domestic violence? | Health Care Professionals |
| Name common characteristics of violent families... | autocratic and hierarchic family government, rigid role assignment, strict disciplinary beliefs, social isolation, role modeling of abusive parenting, Hx of insecure living conditions, resistance to change, role reversal |
| Common characteristics of an abuse victim... | social isolation, poor self esteem, traditional gender role beliefs, learned or actual helplessness, unable to meet expectations of others |
| Who is more at risk to being the victim of domestic abuse? | young adults that are divorced or separated, low income, low education |
| What are the two main factors of violence? | 1. power 2. control |
| Common characteristics of a perpetrator... | poor self esteem/self control, isolated;inadequate social skills, weak coping skills, immature motivation for marriage/childbearing, pathological jealousy |
| Cycle of violence | 1. Tension building phase 2. Battering phase 3. Honeymoon phase |
| The goal of intervention by a health care professional is... | Remove the victim from the abusive situation |
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tiffiny090180
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