CNUR 300 Key Revision Questions And Answers
Verified 100% Correct
Setting up family appointments: - answers 1. Intro self
2. State purpose (inc who referred you and agency)
3. Do NOT apologize for the meeting
4. Be factual about the need for a meeting but do not provide details
5. Offer several possible times for the meeting, including late afternoon and
evening
6. Confirm date, time, place, and directions
LACK OF TIME is identified as - answers the primary barrier to engaging
families
"ad hoc family interpreters": - answers bilingual family or friends - MAJOR
PROB - they tend to buffer the situation, change the context, or make a decision
for the person whom they are interpreting as well as interfering with confidentiality
issues
*CORE PRINICPALS OF FCC (family centered care) (4) - answers -respect and
dignity -information sharing
-participation
-collaboration
Family Assessment and Intervention Model and the Family Stressor-Strength
Theory (FS3I) - answers -quantitative and qualitative
-identifies current stressors and builds interventions based on family
strengths -used in inpatient setting unlike others
-uses all units of analysis (family as context, client, system, and
component) -short
-easy
Friedman Family Assessment - answers - only qualitative
,-looks at families in the larger community that they are embedded
-family as a client and component of society
Calgary Family Assessment and Intervention Model - answers -only qualitative
-look at fit among family functioning, affective, and behavioral
aspects -family as a system
Family Structure - answers how family is organized and how the parts relate to
each other and the whole
Family Function - answers how families go about meeting the needs of the
individuals and meeting the purposes of broader society (what a family does)
What are specific family functions - answers Family functions:
-pass on culture/religion/ethnicity
-socialize young people for next generation (eg to be good citizens)
-exist for sexual satisfaction and reproduction
-provide economic security
-serve as a protective mechanism for family members against outside
forces -provide closer human contact and relations
The family genoram is a format for drawing a *family tree* that records
*information* about family members and their *relationships* over AT LEAST __
GENERATIONS. - answers 3
The family ecomap - answers provides information about systems outside the
immediate nuclear family that are sources of social support or that are stressors to
the family (visual representation of family in relation to larger community)
Key: bold, plain line = strong relationship, dotted = weak, line with lines through (-
l-l-l-l-l-) means tense, and arrows explain the direction of flow (which way the
resources are headed)
, Family health literacy: - answers ability to use health information to make informed
decisions A nursing diagnosis is defined as - answers a clinical judgment about
individuals, families, or community responses to potential health problems/life
processes; link information to planning; provide the basis for selecting nursing
interventions to help achieve outcomes.
NANDA - - answers north American nurses diagnosis association: the most
global nursing classification system
Patient/parent Involvement Information Assessment Tool (PINT) - - answers
survey for facilitating and targeting information for communication between the
healthcare team and the family. The questions are "what level of information
would you prefer to receive" and "what decision making role do you want to
assume"
Shared decision making consists of the following steps - answers -family and hcp
must define and agree on the health problem
-options are discussed in a way that invites family questions
- family an hcp weigh pros and cons
-values, preferences, and expectations discussed
-discuss ability to follow steps required
-clarify understanding of info
-follow up meeting
Final step is family reflection - 2 purposes - answers has two purposes: facilitate
evaluation of progress and increase expertise of the nurse.
childbearing nursing focuses on ___ as the client - answers family (as opposed to
regular obstetrical nursing which focuses on pt as client)
Families in ICU are at significant risk of devloping ____ - answers PTSD
10 family needs in ICU - answers 1. Hope
2. Health care provider caring about pt
, 3. Having a waiting room near pt
4. Being called at home for a change in pt status
5. Knowing about prognosis
6. Having questions answersed honestly
7. Knowing specific facts about prognosis
8. Receiving information about pt OD
9. Having explanations in understandable terms
10. Seeing pt frequently
Family nursing is the provision of care to the entire family unit and is an integral
aspect of care provided by nurses in adult acute care settings.
-families fluctuate between ________ and _______; _________ is a way to help
them manage these feelings.
-families hunger for information to help them make sense of what is happening and
described themselves as _________
-families want authentic relationships with nurses, and communication is the center
of family experiences in the ICU. - answers families fluctuate between HOPE and
DESPAIR; INFORMATION is a way to manage these feelings
Described as HYPERVIGILENT
Family worries include - answers information
ambiguity uncertain prognosis fear of death role
changes financial concerns
disruption of normal routines
Strategies nurses could use to invite families into partnership and shared decision
making: - answers 1. Use we language that demonstrates a team approach.
2. Request specific help from a family member.
3. Encourage the family members to let the nurse know when they are confused by
test results or what they are seeing.
4. Use whiteboards in the patient rooms that include who is in the room, phone
numbers, and a place for family questions.
5. Give the family a journal in which to keep notes or write experiences.
Verified 100% Correct
Setting up family appointments: - answers 1. Intro self
2. State purpose (inc who referred you and agency)
3. Do NOT apologize for the meeting
4. Be factual about the need for a meeting but do not provide details
5. Offer several possible times for the meeting, including late afternoon and
evening
6. Confirm date, time, place, and directions
LACK OF TIME is identified as - answers the primary barrier to engaging
families
"ad hoc family interpreters": - answers bilingual family or friends - MAJOR
PROB - they tend to buffer the situation, change the context, or make a decision
for the person whom they are interpreting as well as interfering with confidentiality
issues
*CORE PRINICPALS OF FCC (family centered care) (4) - answers -respect and
dignity -information sharing
-participation
-collaboration
Family Assessment and Intervention Model and the Family Stressor-Strength
Theory (FS3I) - answers -quantitative and qualitative
-identifies current stressors and builds interventions based on family
strengths -used in inpatient setting unlike others
-uses all units of analysis (family as context, client, system, and
component) -short
-easy
Friedman Family Assessment - answers - only qualitative
,-looks at families in the larger community that they are embedded
-family as a client and component of society
Calgary Family Assessment and Intervention Model - answers -only qualitative
-look at fit among family functioning, affective, and behavioral
aspects -family as a system
Family Structure - answers how family is organized and how the parts relate to
each other and the whole
Family Function - answers how families go about meeting the needs of the
individuals and meeting the purposes of broader society (what a family does)
What are specific family functions - answers Family functions:
-pass on culture/religion/ethnicity
-socialize young people for next generation (eg to be good citizens)
-exist for sexual satisfaction and reproduction
-provide economic security
-serve as a protective mechanism for family members against outside
forces -provide closer human contact and relations
The family genoram is a format for drawing a *family tree* that records
*information* about family members and their *relationships* over AT LEAST __
GENERATIONS. - answers 3
The family ecomap - answers provides information about systems outside the
immediate nuclear family that are sources of social support or that are stressors to
the family (visual representation of family in relation to larger community)
Key: bold, plain line = strong relationship, dotted = weak, line with lines through (-
l-l-l-l-l-) means tense, and arrows explain the direction of flow (which way the
resources are headed)
, Family health literacy: - answers ability to use health information to make informed
decisions A nursing diagnosis is defined as - answers a clinical judgment about
individuals, families, or community responses to potential health problems/life
processes; link information to planning; provide the basis for selecting nursing
interventions to help achieve outcomes.
NANDA - - answers north American nurses diagnosis association: the most
global nursing classification system
Patient/parent Involvement Information Assessment Tool (PINT) - - answers
survey for facilitating and targeting information for communication between the
healthcare team and the family. The questions are "what level of information
would you prefer to receive" and "what decision making role do you want to
assume"
Shared decision making consists of the following steps - answers -family and hcp
must define and agree on the health problem
-options are discussed in a way that invites family questions
- family an hcp weigh pros and cons
-values, preferences, and expectations discussed
-discuss ability to follow steps required
-clarify understanding of info
-follow up meeting
Final step is family reflection - 2 purposes - answers has two purposes: facilitate
evaluation of progress and increase expertise of the nurse.
childbearing nursing focuses on ___ as the client - answers family (as opposed to
regular obstetrical nursing which focuses on pt as client)
Families in ICU are at significant risk of devloping ____ - answers PTSD
10 family needs in ICU - answers 1. Hope
2. Health care provider caring about pt
, 3. Having a waiting room near pt
4. Being called at home for a change in pt status
5. Knowing about prognosis
6. Having questions answersed honestly
7. Knowing specific facts about prognosis
8. Receiving information about pt OD
9. Having explanations in understandable terms
10. Seeing pt frequently
Family nursing is the provision of care to the entire family unit and is an integral
aspect of care provided by nurses in adult acute care settings.
-families fluctuate between ________ and _______; _________ is a way to help
them manage these feelings.
-families hunger for information to help them make sense of what is happening and
described themselves as _________
-families want authentic relationships with nurses, and communication is the center
of family experiences in the ICU. - answers families fluctuate between HOPE and
DESPAIR; INFORMATION is a way to manage these feelings
Described as HYPERVIGILENT
Family worries include - answers information
ambiguity uncertain prognosis fear of death role
changes financial concerns
disruption of normal routines
Strategies nurses could use to invite families into partnership and shared decision
making: - answers 1. Use we language that demonstrates a team approach.
2. Request specific help from a family member.
3. Encourage the family members to let the nurse know when they are confused by
test results or what they are seeing.
4. Use whiteboards in the patient rooms that include who is in the room, phone
numbers, and a place for family questions.
5. Give the family a journal in which to keep notes or write experiences.
