Family

Question 1

Health care systems have been organized predominantly around the needs of

Answer 1

• Health professionals

- Individual patients

Question 2

Involving family members in health care

Answer 2

• Shortened length of hospital stay requires more direct care (both technical and emotional care) to be provided by family members during early recovery at home
• Treatment decisions often have an impact on other family members
• Family members can be a valuable resource to the health care team

Question 3

Family members expect and want

Answer 3

• Recognition that they are a part of what is happening to the patient
• To be able to communicate with health care professionals about the patient’s condition
• Information & training to prepare them to feel confident about care that family members will provide
• To be able to trust that the patient will be given good care & treated compassionately

Question 4

Family nursing

Answer 4

Those supportive and interventive relational practices which

• Involve family members in health care encounters
• Respond to the concerns of family members
• Provide family members with information
• Offer emotional support

Question 5

Relational stance

Answer 5

- Refers to the assumptions, beliefs,
and practices which situate the nurse
in relationship with others
- Is based on choosing a preferred 
way of engaging others

Question 6

The relationship itself is an intervention

Answer 6

• Curious listener
• Compassionate stranger
• Non-judgmental collaborator
• Mirror for family strengths

Question 7

Relational stance in collaborative partnership

Answer 7

• Person actively shares responsibility for managing health/illness, and brings knowledge and capabilities.
• Nurse brings expertise that helps people more fully use their strengths and resources.
• Relationship is reciprocal & mutual, with goals jointly determined, implemented, and evaluated

Question 8

Essential ingredients of a collaborative partnership

Answer 8

• Power sharing
• Being open and respectful
• Being nonjudgmental and accepting
• Living with ambiguity
• Being self-aware and reflective

Question 9

At the beginning (engagement)

Answer 9

• Set the stage for mutual trust and cooperation with the family;
• Address all family members who are present;
• Demonstrate interest & curiosity about family opinions & perspectives;
• Seek understanding of relationships influencing the family’s health situation

Question 10

CFAM & CFIM

Answer 10

• A conceptual framework or theory that helps us to organize our thinking about nursing of families
• An example of “borrowed theory”, nursing application of family concepts that evolved in other disciplines: psychology, sociology, family science, family therapy

Question 11

CFAM - family structure

Answer 11

• Who is in the family?
• What are the connections among family members?
• What elements of the family’s context are relevant?
• Genograms and ecomaps

Question 12

CFAM - family development

Answer 12

• Family developmental life cycles reflect fluid and iterative transitions through stages and tasks that are distinct from individual developmental markers
• Variations in family structure (eg. divorced, blended, LGBQT) will pose unique developmental features

Question 13

CFAM - family functioning

Answer 13

• Instrumental routine activities of daily living are especially important in relation to health maintenance and illness management
• Expressive functioning includes patterns of communication, problem solving, roles, and beliefs

Question 14

CFAM - family structure cont’d

Answer 14

• Internal (family composition; gender; sexual orientation; rank order; subsystems; boundaries)
• External (extended family; larger systems)
• Context (ethnicity; race; social class; religion; environment)

Question 15

CFAM - family development cont’d

Answer 15

• Stages
• Tasks
• Attachments

Question 16

CFAM - family functioning cont’d

Answer 16

• Instrumental (activities of daily living)
• Expressive (emotional, verbal, nonverbal & circular communication; problem solving; roles; influence and power’ beliefs; alliances/coalitions)

Question 17

CFAM is NOT

Answer 17

• A data checklist

- An interview instrument

Question 18

CFAM does:

Answer 18

• Orient the nurse to pay attention to various aspects of the family
• Require judgement and discretion to explore and highlight those aspects which are relevant: family situation, practice setting, your purpose in meeting with the family

Question 19

Interventions offered by the nurse impact domains of family functioning

Answer 19

Cognitive, affective and behavioral
↓ ↓ ↓
“Fit” or effectiveness