CH. 1: Kaakinen – Flashcards
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t or f: health and illness affects all members of families
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t
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t or f: health and illness are family events
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t
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t or f: families influence the process and outcome of health care.
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t
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Families vary in _________, _________, and _________.
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structure function process
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When _________ are considered the unit of care, as opposed to _________, nurses have broader perspectives for approaching health care needs for everyone.
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family individuals
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"Nurses have an ethical and moral obligation to involve families in their health-care practices." is a statement made by the _________ _________ _________ in its publication 'Nursing's Social Policy Statement'.
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American nursing association (ASA)
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What are the three foundational components of family nursing?
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1. Determining how family is defined 2. Understanding the concepts of family health 3. Knowing the current evidence about the elements of a healthy family
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Types of family based on discipline. Relationships through blood ties, adoption, guardianship or marriage.
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legal
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Types of family based on discipline. Genetic biological networks among and between people.
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biological
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Types of family based on discipline. Groups of people living together with or without legal or biological ties.
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Sociological
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Types of family based on discipline. Groups with strong emotional ties.
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psychological
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The current U.S Census Bureau defines 'family' as, _________ or more people living together, who are related by _________, _________, or _________.
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two marriage birth adoption
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This textbook defines 'family' as, two or more individuals who _________ on one another for _________, _________, and _________ support. The members are self-defined.
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depend emotional physical economic
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Definition of _________ by the WHO that can be applied to individuals and families. "A person's characteristics, behaviours, and physical, social and economic environment."
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health
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t or f: "family health" is a term that is interchangeable with either: "family functioning", "healthy families", or "familial health".
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t
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This textbook defines "family health" as: a dynamic, changing state of _________, which includes the _________, _________, _________, _________ and _________ factors of individual members and the who family system.
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well-being biological psychological spiritual sociological cultural
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t or f: the success of marriage depends on the amount of conflict a couple has.
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false
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The success of a marriage depends on what, in regards to conflict?
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how the couple deals with conflict
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4 characteristics of couple interaction that predicts divorce (94% rate of accuracy)
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1. criticism 2. contempt 3. defensiveness 4. stonewalling
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The following is which characteristic that predicts divorce? These are personal attacks that consist of negative comments, to and about each other, that occur over time and that erode the relationship.
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critisim
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The following is which characteristic that predicts divorce? This is the most corrosive of the four characteristics between the couple. It includes comments that convey disgust and disrespect.
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contempt
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The following is which characteristic that predicts divorce? Each partner blames the other in an attempt to deflect a verbal attack.
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Defensiveness
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The following is which characteristic that predicts divorce? One or both of the partners refuse to interact, either verbally or non-verbally (or both).
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stonewalling
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Healthy ways to deal with conflict. Talking out your problems, and expressing a compromise.
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validators
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Healthy ways to deal with conflict. Two partners who view each other as equals, as they engage in loud, passionate, explosive interactions that are balanced by a caring, loving relationship.
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volatiles
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Healthy ways to deal with conflict. Couples that agree to avoid not to engage in conflicts, thus minimizing the corrosive effects of negative conflict resolution.
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avoiders
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What is the crucial point to follow when using the healthy ways to deal with conflict?
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both partners agree to follow a similar style
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Name some Traits of a healthy family. (Page 6. BOX 1-1)
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...
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Figure 1-2. Page 7
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...
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The process of providing for the health care needs of families that are within the scope of nursing practice. This nursing care can be aimed toward the family as context, the family as a whole, the family as a system, or the family as a component of society.
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Family health care nursing
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figure 1-3 & 1-4 page 8
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...
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A nurse has a bachelors degree... Is he a generalist or specialist? What is their level of practice?
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Generalist Novice
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A nurse has a bachelors degree with added experience. Is he a generalist or specialist? What is their level of practice?
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generalist Advanced beginner
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A nurse has their masters degree. Is he a generalist or specialist? What is their level of practice?
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Beginning specialist Competent
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A nurse has their masters degree with added experience. Is he a generalist or specialist? What is their level of practice?
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advanced specialist proficient
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A nurse has their doctoral degree. Is he a generalist or specialist? What is their level of practice?
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advanced specialist expert
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A nurse with which type of education & experience would assist the following types of clients... Individuals in the family context.
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bachelors degree
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A nurse with which type of education & experience would assist the following types of clients... Individuals in the family context. Interpersonal family nursing system. Family unit.
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Bachelors with experience
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A nurse with which type of education & experience would assist the following types of clients... Individuals in the family context. Interpersonal family nursing system. Family unit. Family aggregates
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Master's degree
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A nurse with which type of education & experience would assist the following types of clients... All levels
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Master's degree with experience
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A nurse with which type of education & experience would assist the following types of clients... All levels Family nursing theory development Family nursing research
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Doctoral degree
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t or f : a single person can't be considered a family
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false
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Family health care nursing has been evolving since the early 19____s.
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80
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Family health care nursing incorporates ideas from: family ________ family __________ ________ nursing _________
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therapy social science theory
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.
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.
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t or f: family nursing is strictly directed to family's with an ill member
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false
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family nursing is often offered in settings where people have __________ or __________ problems.
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physiological psychological
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The 4 approaches to care in family nursing... 1. Family as the __________ for individual development. 2. Family as a __________. 3. Family as a __________. 4. Family as a component of __________.
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context client system society
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Family as context for individual development. The (family/ individual) is viewed as the foreground... and the (family/individual) is viewed as the background.
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individual (F) family (B)
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"How will you provide for child care when you have your back surgery?" Is an example of viewing the family as __________.
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context
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Family as a client. The (family/ individual) is viewed as the foreground... and the (family/individual) is viewed as the background.
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Family - foreground Individual - background
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"Who in your family is having the most difficult time with your diagnosis?" Is an example of viewing the ___________ as a client.
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family
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"How has the diagnosis of juvenile diabetes affected the ways in which your family is functioning and getting along with each other?" Is an example of viewing the family as a _________.
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system
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The family serves as context for the individual as either a resource or a stressor to the individuals health and illness... this is ___________ as context.
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family
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Which family nursing approach? When assessing and providing care to all family members, and seeing how they are individually affected by the health event of one family member.
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family as client
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Which family nursing approach? Focusing on the assessment and care of an individual client in which the family is the context.
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Family as context
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Viewing the family as the client is often seen in which context?
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The primary care physician provides care over time to all individuals in a given family
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Ex of where you see care with the approach of the Family as the context.
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pediatrics
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Viewing the family as a whole as the client, where it is more than the sum of its parts.
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family as system
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The emphasis when approaching the family as a system, is on the _____________ between family members.
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interactions
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The four views of family
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System Component Context Client
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Viewing the family as one of many institutions in society, similar to health, educational, religious, or economic institutions.
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family as component of society
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A nurse asks, "What issues has the family been experiencing since you made the school aware of your son's diagnosis of HIV?" This is which approach?
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family as component of society
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A nurse asks, "Have you considered joining a support group for others with mom's who have breast cancer? Other families have found this helpful." This is which approach?
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family as component of society
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figure 1-8. page 13
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...
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Family Nursing Roles 'This nurse teaches about family wellness, illness, relations and parenting... An ongoing process in both formal and informal ways."
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health teacher
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Family Nursing Roles A nurse who gives instructions about diabetes to a newly diagnosed teen and his family.
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health teacher
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Family Nursing Roles 'This nurse coordinates the care that families receive, and collaborates to make a care plan."
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coordinator, collaborator, and liaison
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Family Nursing Roles A family member has been in a traumatic VMA, the nurse would be a key person in helping families to access resources from different care providers and services.
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liaison
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Family Nursing Roles The family nurse either delivers or supervises the care that families receive in various settings.
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Deliverer / supervisor of care and technical expert
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A nurse deliverer/supervisor must be a technical expert in both terms of ____________ and _________.
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knowledge skill
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Family Nursing Roles A nurse goes into a home to consult with the family, as well as help take acre of a child on a respirator.
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Deliverer/ supervisor of care and technical expert
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Family Nursing Roles The nurse advocates for families with whom he works; he empowers members to speak with their own voice, or he speaks out for the family.
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family advocate
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Family Nursing Roles A school nurse is advocating for special education services for a child with ADHD.
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family advocate
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Family Nursing Roles The family nurse serves as a consultant to families or agencies whenever asked or needed.
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consultant
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Family Nursing Roles A nurse is asked to assist the family in finding an appropriate long-term care facility for their sick grandmother.
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consultant
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Family Nursing Roles The family nurse plays a therapeutic role in helping individuals and families solve problems or change behaviour.
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counselor
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Family Nursing Roles A family requires help with coping with a long-term chronic condition.
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counselor
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Family Nursing Roles the family nurse gets involved in case-finding and becomes a tracker of disease.
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case-finder / epidemiologist
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Family Nursing Roles A family member has been diagnosed with HIV. The nurse engages in sleuthing out the sources of the transmission and in helping other sexual contacts to seek treatment.
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case-finder / epidemiologist
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Family Nursing Roles The family nurse consults with families and other health care professionals to modify the environment.
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environmental specialist
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Family Nursing Roles A man with paraplegia is about to be discharged from the hospital to home, this type of nurse assists the family in modifying the home environment to make it wheelchair friendly.
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environmental specialist
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Family Nursing Roles The nurse clarifies and interprets data to families in all settings.
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clarify and interpret
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Family Nursing Roles If a child in the family has a complex disease, this nurse clarifies and interprets information pertaining to diagnosis, tx, and prognosis to the family.
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clarify and interpret
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Family Nursing Roles The family nurse serves by substituting for another person.
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surrogate
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Family Nursing Roles A nurse stands in temporarily as a loving parent to an adolescent who is giving birth to a child by herself in the labour and delivery room.
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surrogate
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Family Nursing Roles The family nurse should identify practice problems and find the best solutions for dealing with these problems through the process of scientific investigation.
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researcher
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Family Nursing Roles A nurse collaborates with a colleague to find a better intervention for helping families cope with incontinent elders living in the home.
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researcher
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Family Nursing Roles the family nurse is continually serving as a role model to other people.
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role model
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Family Nursing Roles A school nurse who demonstrates the right kind of health in personal self-care serves as a role model to parents and children alike.
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role model
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Family Nursing Roles A nurse who coordinates and collaborates between a family and the health care system.
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case manager
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Family Nursing Roles A nurse is working with seniors in the community may become assigned to be the ________ _________ for a patient with Alzheimers disease.
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case manager
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An obstacle in family nursing is that traditionally, the charting system in health care has been orientated to the ____________.
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individual
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_____________ nursing, nurse midwifery, and ___________ nursing initially focused on the quality of family health.
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maternity community
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Mary Breckenridge formed Frontier Nursing Service to provide care for mountain families... Aka _____________
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midwifery
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The first international family nursing conferences were held in the US (___________, __________) in 1986-1989
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Portland, Oregon
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The International Family Nursing Conference begun in the late _____s, and occurs about every ____-____ years.
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80 2-3
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In which era was there strict hierarchy based on your ancestry, and women and children were labelled as property.
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European history
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It is believed that the nuclear ___________ revolution
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industrial
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During the industrial revolution, the state gave fathers the power and authority over their families in exchange for the male giving the state their ___________ and ___________.
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loyalty service
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During which time were women not expected to love their husbands, but rather to obey them?
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industrial
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___________ ___________ families allowed women to have more freedom.
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north American
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In determining the family structure, the needs to identify the following: 1. ___________ who comprise the family. 2. ___________ between them. 3. ___________ between them. 4. ___________ with other social systems.
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individuals relationships interactions interactions
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Types of families "Married couple, no children."
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nuclear dyad
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Types of families Husband, wife, children (may or may not be legally married).
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nuclear
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Types of families Two post divorce families with children as members of both
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binuclear
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Types of families Nuclear family, plus blood relatives.
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extended
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Types of families Husband, wife, and children of previous relationships.
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blended
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Types of families One parent and child(ren)
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single parent
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Types of families Group of men, women, and children.
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commune
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Types of families Unmarried man and woman sharing a household
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cohabitation (domestic partners)
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Types of families Same-gender couple
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homosexual
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Types of families One person in a household
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single person
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The individual and cooperative processes used by developing persons as to dynamically engage one another and their diverse environments over the life course.
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family function
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How each member of the family serves the others
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family function
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Name the 5 family functions
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Reproductive Socialization Affective Economic Health care
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"The average number of children that would be born per woman if all women lived to the end of their childbearing years and bore children according to a given fertility rate at each age."
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fertility rate
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t or f: global fertility rates are increasing
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false... they are declining
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Fertility rate is declining, especially in industrialized countries, like in _________ _________
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western europe
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A family using reproductive technologies may deal with __________ and _________ dilemmas
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financial moral
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Socialization is a family process because this helps the children to fit into _________
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society
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_________ is viewed as having the primary responsibility for teaching kids socialization.
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family
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_________ is the primary way children acquire the social and psychological skills needed to take their place in the adult world.
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socialization
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_________ function has to do with the ways family members relate to one another and those outside the immediate family boundaries.
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affective
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Healthy families protect their _________, but are also given room to negotiate their _________.... this is hard in families with teens.
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boundaries independence
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Families have a function in keeping both _________ and _________ economies viable.
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local global
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economic _________ and _________ related to household consumption and finance are a big part of family economics.
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interactions consumerism
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t or f: financial vulnerability and bankruptcy have increased for middle-class families
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t
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t or f: family members are often the primary health care provider for their members
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t
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Name the family processes
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Coping, Family Roles, Sick role, Role strain, conflict, overload, family communication, family decision making, family rituals and routines.
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An ongoing interaction between family members through which they accomplish their instrumental and expressive tasks
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family processes
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Constantly changing cognitive and behavioural efforts to manage specific external and or internal demands that are appraised as taxing or exceeding the resources of the person.
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coping
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The successful coping of family members under adversity that enables them to flourish with warmth, support and cohesion.
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family resilience
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Name the 8 roles associated with the position of spouse/partner
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Provider Housekeeper Child care Socialization Sexual Therapeutic Recreational Kinship
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t or f: despite advances in gender equality, most families remain gender based
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t
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t or f: 27% of fathers who do not live with their children indicate that they have not been in communication with them in the last year
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t
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Women who work outside the role still perform ____% of the child care and household duties.
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80
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t or f: husbands focus more on childcare rather than play
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false
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t or f: women are the primary health care givers for both their children and husbands
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t
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Any activity undertaken by a person who believes they are healthy... done for the prevention of disease
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health behaviour
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Any activity undertaken by a person who feels ill and to discover a suitable remedy.
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illness behaviour
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Any activity undertaken for the purpose of getting well, by those who consider themselves ill.
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sick-role behaviour
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5 things that cause strain on a family.... 1. Inability to define the __________ 2. Lack of role __________ 3. Lack of role __________ 4. __________ conflict 5. __________ overload
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situation knowledge consensus conflict overload
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An ongoing, complex, changing activity that's done to create, share and regulate meaning.
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communication
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5 features of decision making... 1. Person raising the __________ 2. What's being said about the __________ 3. Supporting __________ 4. __________ of what is being said 5. Responses
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issue issue action Importance
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__________ are associated with formal celebrations
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rituals
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__________ are patterned behaviours or interacting that closely link to daily or regular activities
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routines
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An art and science that has evolved as a way of thinking about and working with families.
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family health care nursing
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A scientific discipline based in theory
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family nursing
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t or f: health and illness are true events
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t
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t or f: the family is who the members say it is
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t
