Deck 1: Family-Focused Clinical Practice: Considerations for the Nurse Practitioner

Question 1

Discuss the relationship between a microsystem and a macrosystem in the context of a family unit.

Answer 1

The family microsystem comprises the nuclear family and extended family members, as well as the roles and expectations for each family member. The macrosystem represents the larger world in which the family lives and interacts, and serves as a social framework that has unintentional influences on values, attitudes, and behaviors through time. The macrosystem may impact the family's overall development and well-being across the family lifespan. Components of the macrosystem include social expectations, legal and moral perspectives, and cultural traditions that affect the ways individuals treat and are treated by others.

Question 2

Which step does the nurse practitioner include when applying the structural approach to family unit assessment?

A) Consider normal family changes and experiences over the family members' lifetime
B) Assess both individual family members and families as a whole unit
C) Emphasize dimensions of time and change in the family's membership structure
D) Recognize the cluster of expectations or norms for any family member's status position

Answer 2

Recognize the cluster of expectations or norms for any family member's status position

Question 3

The nurse practitioner considers the combined effects of both normative events and unexpected events on the family unit's health. Which family theory is most congruent with the nurse practitioner's assessment approach?

A) Family stress theory
B) Individual life span theory
C) Family development theory
D) Life course theory

Answer 3

Family stress theory

Question 4

Summarize the basic nature of resilience including behaviors demonstrated by resilient individuals.

Question 5

Individual, family, and social factors that promote resilience include which characteristic?

A) External locus of control
B) Dependency
C) Spirituality
D) Upward social comparison

Question 6

When collecting data related to family structure, which information is needed for assessment of the family constellation?

A) Identification of immediate family members
B) Current level of financial support
C) Strategies used for stress management
D) Eligibility for financial assistance

Question 7

Describe family capacity including strategies that support family capacity-building.

Question 8

Which factor represents a limitation associated with use of a genogram for family health assessment?

A) Data collection requires extensive interviewing.
B) Family members tend to be disengaged from the process.
C) All information must be obtained in one sitting.
D) Cultural assessment data is not included.

Question 9

Compare and contrast the genogram and the family pedigree.

Question 10

Summarize the three general components of a comprehensive prioritized problem list.

Question 11

Develop a three-generation family genogram on a partner and build a comprehensive problem list for one family constellation.

Question 12

Draw your family ecomap, and outline the various family relationships to institutions, leisure activities, and agencies. Define which relationships are stress producing and which foster support. Discuss how the individuals in the family are linked to significant people and how they engage in social support.

Question 13

Consider the family capacity model when reading the case of Dora Roman, and outline family strengths, function, needs, goals, and supports needed to maximize the family potential.