| Question |
Answer |
| Two or more people living together and related by blood, marriage or adoption is referred to as a _________ family. |
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Nuclear
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| A _________ family is characterized by several nuclear families who may or may not live together that function as one group. |
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Extended family
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| How many generations are implicated in family reactions to past, preset and anticipated future relationships? |
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Three generations
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| When is a family considered dysfunctional? |
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When interactions, decisions or behaviors interfere with positive development of both the family and its individual members.
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| What are the several functions served by a family of an individual with mental illness that are typically not needed by those without mental illness? |
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Providing support, information regarding care and treatment, monitoring the services received by the individual and advocating for services (like residential care).
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| When does a nurse typically conduct a family assessment? |
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When caring for patients and their families for extended periods of time or when a patient has complex mental health problems that requires family support for optimal care.
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| How can a genogram aid in a family assessment? |
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It can facilitate acquiring a family history, be used as a framework for exploring relationships, and patterns of health/illness.
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| Family __________ refers to all the processes connected with the growth of a family including changes associated with work, moving, migration, acculturation and serious illness. |
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Family development
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| Family ______ refers to significant events related to the arrival or departure of members, including births, deaths, children leaving home, retirement and divorce. |
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Family life cycles
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| What is an example of a first order change in a family life cycle? |
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All the children of a stay at home mom are finally attending school allowing the parent to return to work.
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| What is an example of a second order change in a family life cycle? |
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A college age child moves out of the home to attend school.
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| A __________order change in a family life cycle is one in which change in the system itself signals a transition from one stage to the next. For example, giving birth to a baby adds a member to the family. |
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Second order
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| A __________ order change in a family life cycle is one in which rearrangements occur in the family system. For example, a parent accepts a job with a lot of travel. They are still a family member, but aren't at home as often. |
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First order
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| When are family stresses more likely to cause symptoms or dysfunctions? |
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During transition times (periods of addition, substraction or changes in status of a family member).
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| What is a condensed life cycle? |
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A life cycle identified in impoverished African American families in which family members leave home, mate, have children and become grandparents earlier in life than working class or middle class cohorts.
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| What is the impact of a condensed life cycle on the individuals within the family? |
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Members assume new roles and responsibilities before they are developmentally capable of handling them, education becomes a low priority, males cannot differentiate themselves from family or peers and menial employment is often all that is available.
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| What are the characteristics of a female-headed household of the extended-family type, typically seen in impoverished communities? |
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A woman, her children and their children live together without clear delineation of their respective roles.
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| What are the four characteristics of families living in poverty? |
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Condensed life cycles, female-headed household of the extended family type, chronic stress and untimely losses and reliance on institutional supports.
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| What are the priorities of a family assessment? |
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Identifying stressful events and coping mechanisms
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| How can a nurse assess the problem solving skills of a family? |
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Focus on a recent problem the family has experienced and determine how they solved it.
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