NURS 345 Family Centered Care Test 1

As a nurse, what do you need to ask yourself about dealing with children/families with different parenting styles?

"how am I going to change my communication with the child and how I deliver my care?"

What can you say to the child of permissive parents who is misbehaving in hospital?

"you might be able to do that at home, but you can't do that here."

There are four family assessment tools we need to know the names of. What are they?

1. Ecomap 2. Family APGAR 3. HOME Inventory (Home Observation for Measurement of the Environment) 4. FFAM (Friedman Family Assessment Tool)

What are the two family theories nurses use in their work with families? What is the concept behind each?

1. The Family Systems theory--concept: system and changes 2. The Resiliency Model of Family Stress, Adjustment, and Adaptation--concept: families have specific strengths and capabilities

What are the names of the four parenting styles? (a, a, p, i) How does each rate in terms of level of warmth/control?

1. authoritarian-high control/low warmth 2. authoritative-moderately high control/high warmth 3. permissive-low control/high warmth 4. indifferent-low control/low warmth

Research has confirmed that parental presence and involvement in the healthcare of their children has four benefits, which are what? (3 decreases, 1 increase)

1. decreased anxiety 2. decreased need for pain meds 3. improved coping and adjustment 4. getting out of hospital sooner

What are some (four) special family considerations the nurse needs to pay attention to? (hint: family structures)

1. divorce 2. stop-parenting 3. foster parenting 4. adoption

What four things about families do family theories help nurses in their work with families to understand?

1. family functioning 2. family-environment interaction 3. family changes over time 4. family response to health and illness

What are the two goals of family-centered care?

1. to empower parents 2. to address the priorities and needs of the family

Which decades were parental presence and involvement observed to make children happier, quieter, and recover sooner?

60s and 70s

What is the concept behind the Resiliency Model of Family Stress, Adjustment, and Adaptation? How is it applied when working with families (what is it used for)?

Concept--Families have specific strengths and capabilities. Application--To identify how families adjust and adapt to stressful situations and plan interventions accordingly

What are the concepts behind the Family Systems Theory? What are the two applications for working with families (what is it used for)?

Concepts--system & change Applications-- 1. to assess and intervene upon the effects of illness or injury on the entire family system 2. to assess and intervene upon the relationships between & among family members

Family-centered care can be described as a p___ of h___ in which m___ beneficial p___ develops between f___, the n___, and other h___ p___.

Family-centered care is a philosophy of healthcare in which mutually beneficial partnership develops between families, the nurse, and other health professionals.

In family-centered care, there is family-professional c___ and c___. The c__ differences and c__ differences of the family are respected. P__ support and special s__ are provided.

In family-centered care, there is family-professional collaboration and communication. The cultural differences and coping differences of the family are respected. Peer support and special services are provided.

One of the family theories has two phases. Which one is it? What is each phase in this family theory called? What is the difference between the phases?

The Resiliency Model of Family Stress, Adjustment, and Adaptation has two phases. The phases are 1. adjustment and 2. adaptation. 1. adjustment phase--the acute phase; parent faced w realization that the dreams they had for their child might be affected 2. adaptation phase--if the family gets stuck, the nurse may be able to help them adapt

Which style of parenting sets reasonable limits on behavior, accepts and encourages growing autonomy of the child, has open communication with the child, and has flexible rules?

authoritative parenting style

To provide culturally sensitive family care, the nurse needs to recognize who in the family is the d___ m___. Also not to make light of m___ families b___ might have c___ illness.

decision maker; not to make light of myths families believe might have caused illness

Prior for family-centered care, the philosophy of care was called f__-f__ care. who made the decisions about treatment in this model?

family-focused care; health professionals made the decisions.

What two main things does the ecomap show you about a family dealing with a child's illness?

how relationships will be affected and what resources are available

Children of which parenting style would you expect to show high expression of destructive impulses and delinquent behavior?

indifferent parenting style

What is the purpose of family assessment tools?

to systematically collect information about the family

What is the application of family assessment tools? (Hint: to work with the family to develop h__ m__ and h__ p__ strategies that are consistent with the family's p__ & r__.

to work with the family to develop health maintenance and health promotion strategies that are consistent with the family's philosophy and resources