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Chapter 12,13,14,23 Family perspectives and violence in society
Terms in this set (82)
Why a Family Perspective?
Family thinking gives
-a broader perspective
-assumes a crucial role in maintaining health
Dysfunction in one member may be related to?
disturbances in the family
Dysfunction in one member may lead to?
added stress and depletion of resources for the family
Family and intimate relationships are important for tracking ?
What are the nice goals of family nursing?
individual health, supportive, interpersonal relationships, and an effective family unit
What is Family Nursing?
the practice of nursing directed toward maximizing the health and well being of all individuals within a family system
Family may be unit of care or?
as in context in which an individual lives.
What Is A Family?
"An open and developing system of many personalities with a structure and process enacted in relationships among individual members, regulated by resources and , and existing within the larger community stressors"
What is structure?
who is the family made up of?
What is the role?
how does each member function?
What is cohesiveness?
How do the family members relate with each other?
Disengaged Separated Connected Enmeshed
What is adaptability?
How does the family cope with stress/crises? Rigid or flexible?
What are the needs?
How well are each family member's human needs being met?
What are the 5 Common n needs of families?
1. Issues dealing with normal growth and development
2.Coping with illness or loss
3. Dealing with external stressors
4. Inadequate resources or support
5. Disturbances in organization
What is the objective of a family interview?
Seek family communicator & leader
Identify family needs
Identify individual's needs
Assess family subsystems
Whats a family map?
Diagram spatial and relationship qualities of a family system
What is a genograms?
A format for drawing a family tree with information about three generations
What does a genogram do?
Mapping the family structure
Recording family information
Delineating family relationships
What are the three assessments that assess the family as a unit?
and eco-map to discover
Wha are the things that need to be discovered?
Patterns of energy into & outside of the family.
Relationships with community resources, activities, & agencies.
What data needs to analyzed?
Family needs/areas of concern
Family style & strengths
Targets of care
Priorities of identified needs
What is a multi problem family?
Family with problems in several areas simultaneouslyFamilies undergoing stress have little capacity for health promotion
What are examples of multi-problem families?
Homelessness, substance abuse, mental illness, poverty
What are vulnerable families?
Intensity & clustering of stressors with life events
Chronic illnesses, Down syndrome, alcoholism
Events: Assault, teen pregnancy, sexual abuse
What are families at risk?
When we talk about families at risk, we mean families who, for whatever reason, may find it difficult to keep their children safe. Unemployment, poverty, addiction, violence and mental health issues are major risk factors associated with child abuse and neglect.
What are family of promise?
non profit organization that helps homeless and low-income families achieve sustainable independence.
What are the two different types of multi problem families?
Families that experience crisis & families with chronic problems
What are families in crisis?
Continuous disruption, disorganization, or incapacitation of the family social system
State of crisis or adaptation based on stressor, resources, & appraisal of the event
Perception is an important factor
What are families in poverty?
Faced with multiple and chronic stressors such as Health problems; unemployment
Lack of power
What are families with negative choices?
Solutions have negative implications
What helps relive anxiety?
Triangling (social worker, police, or nurse)
What are family resources?
Strengths & coping abilities
Personal assets, intelligence, sense of humor
System resources, communication, & problem-solving ability
What are nursing considerations?
Identify stressors, reframe appraisals, locate resources, consider alternatives.
What is resiliency?
Rebound & deal with stress. Family can emerge more strengthened than before the stressful situation arose.
What pro of having realistic goals?
Reduce stressors, strengthen support system, improve family organization, alter the environment, introduce more adaptive coping mechanisms.
What should be assessed as well as he family?
examines ones own values
What are the assessment of multi problem families?
Three-generational time frame
Needs, strengths, styles, coping patterns
Number & duration of stressors over time
Tools (family inventory, genogram, eco-map)
Individual level: Working with a mother
Interpersonal level: Mother-child bonding
Family as a unit
Macro or environmental level: Includes housing, work, safety
What should be done after all the data has been gathered?
Plan: Identify strengths & resources
Build trust & strength
Mutual goal setting
Determine the level of intervention
Participation & choice
What is violence?
Non-accidental acts that result in physical or emotional injury
Which age group has the highest rates as victims or perpetrators of violence?
Young black men experience more violence than who?
young white men
What are the 2020 healthy objectives?
Reduce homicides to 5.5 per 100,000 population
Reduce maltreatment of children to 8.5 per 1000 younger than 17 years
Reduce physical assaults to 14.7 per 1000 persons ages 12 years and older
Reduce to 24.8% physical fighting among adolescents
What factors influence use of violence?
external and internal factors influence
Children learn to respond with violence as a result of?
role modeling and seeing violent problem solving in the media
Many Adolescents have?
What is bullying?
Being repeatedly the target of negative actions by one's peers
Pattern of physical, verbal, or nonverbal behaviors directed by one child to another child intended to inflict harm: physical, emotional, or verbal
Where is bullying most common?
What type of bullying are boys subject to?
What type of bullying are girls subject to?
Who can screen for bullying?
school nurses should do what?
Encourage children to tell a parent/adult
increased in absenteeism and lower grade point average is related to what?
high expose to violence /
Gangs bring a sense of what?
Gang violence increases the risk for what?
drug trafficking and illegal activities
What is the second leading cause of death in ages 10-19?
What has Little impact on reducing firearm violence?
U.S. is more ?
lenient than other developed countries
What is intergenerational transmission?
Exposure to violence in families of origin (parent-child or parent-parent) related to parent-child abuse & partner abuse
What is Inequality of family members?
Climate of tolerating violence in family; "family matter" where others do not intervene
Who is more likely to abuse or neglect a child?
Greatest risk from family members
Children with disabilities: More likely to be abused
What are the 4 types of child abuse?
physical, neglect, sexual, emotional
What are the Behaviors of the abuser/neglecter?
vagueness or contraindications about cause of injuries; delays in seeking treatment; focuses on clumsiness of the victim; blames rather than shows remorse.
What are theBehaviors of the abused/neglected?
self-blame; poor grooming; story about injury seems rehearsed; vague psychosomatic complaints; children may seem detached from parent/caregiver or cling to healthcare provider
What are the Observations of injuries?
inconsistencies with description of occurrence' multiple or bilateral bruise pattern of same size and shape; twist injuries of long bones; presence of varying stages of healing bruises; old scars or injuries
What are the child abuse laws?
Child Abuse Prevention and Treatment Act (CAPTA):
Child Protective Services (CPS):
What does CAPTA do?
Defines child abuse and neglect; federal funds for prevention, investigation, prosecution, & treatment
What does CPS do?
Investigates reports of neglect/abuse in each state
Which gender is more at risk for battering?
What are the characteristics of abusers and victims?
Abusers: Jealous, controlling
Cycle of violence: Tension-building, battering, apologetic
Blaming the victim
What does restraining orders do ?
Is stalking a crime?
yes in 50 states
What is Violence Against Women Act?
Transitional housing, training providers, crisis services
Who is responsible for reporting suspected abuse?
No national mandatory reporting requirements in suspected cases of partner abuse
Laws protect health care professionals from legal action if?
the charges are unproved - "Good faith reporting"
What are the primary prevention?
includes education to transform attitudes about child/partner violence; identify and assist at-risk individuals/families; anticipatory guidance, organize parenting classes and parent support groups, referral to community resources to prevent abuse
What is secondary and tertiary prevention
includes screening and assessment for physical, sexual, and emotional abuse; ensuring safety of the victim, referral to community resources
What is elder abuse?
physical, emotional, financial
Often abused by caregiver - family, paid caregiver, nursing
What is the most common form of elder abuse?
What is neglect?
Failure to provide goods or ervices necessary to avoid physical harm, mental anguish, or illness
What are some nursing considerations for neglect?
Identification of suspected cases of elder abuse
Reduction of risk and maintenance of independence
Oversight, supervision, and encouragement of caregivers
Development of support groups for caretakers
Nurses can act as counselors and resource directors for families at risk for elder abuse.
Nurses can act as counselors and ?
resource directors for families at risk for elder abuse.
Recommend community resources, support groups, respite care, stress reduction techniques
Recommended textbook explanations
Myers' Psychology for AP
David G Myers
Myers' Psychology for AP
David G Myers
Myers' Psychology for the AP Course
David G Myers
Psychology: Principles in Practice
Spencer A. Rathus
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