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Psych Family AssessmentsPsychiatric Nursing: Contemporary Practice

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Two or more people living together and related by blood, marriage or adoption is referred to as a _________ family.
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Nuclear
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
How many generations are implicated in family reactions to past, preset and anticipated future relationships?
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Three generations
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.
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).
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.
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.
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
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
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.
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
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
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).
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.
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.
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.
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.
What are the priorities of a family assessment?
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Identifying stressful events and coping mechanisms
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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