1. Chapter 34 Family Interventions Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

2.  Ability to provide for safety of members  Quality of resources and support systems  Underlying issues  Cultural concerns  Developmental needs Characteristics of Family Function 2 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

3.  Patterns of behavior and interaction  Responses to stressors  Ability to interact with support services  Parenting skill  Relationships and interactions  Overall flexibility or resilience Characteristics of Family Function (Cont.) 3 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

4.  Nuclear family  Single parent family  Unmarried biological or adoptive family Types of Families in the United States 4 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

5.  Blended family  Cohabitating family  Extended family  “Other” family Types of Families (Cont.) 5 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

6.  Management  Boundaries  Clear  Diffuse or enmeshed  Rigid or disengaged Family Functions 6 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

7.  Communication  Emotional-supportive  Socialization Family Functions (Cont.) 7 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

8.  Insight-oriented family therapy  Focuses on developing increased self, other, and family awareness among family members  Behavioral family therapy  Focuses on changing behaviors of family members to influence overall patterns of family interactions Overview of Family Therapy 8 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

9.  “Identified patient”  Family triangles Concepts Central to Family Therapy 9 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

10.  Family assessment  Assessment tools Constructing a genogram  Other assessment tools  Self assessment Application of the Nursing Process 10 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

11.  Diagnosis (Box 34-3)  Implementation  Counseling and communication techniques Nonjudgmental manner promotes open and flexible communication Perspective of each family member is elicited and heard Nursing Process (Cont.) 11 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

12.  Reduce dysfunctional behavior of individual family members and resolve or reduce conflicts  Mobilize family resources, encourage adaptive family problem-solving behaviors, improve family’s communication skills, heighten awareness and sensitivity to other family members’ emotional needs Outcomes Identification 12 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

13.  Strengthen family’s ability to cope with major life stressors and traumatic events, including chronic physical or psychiatric illness  Improve integration of family system into societal system Outcomes Identification (Cont.) 13 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

14.  Pharmacological interventions  Case management Nursing Process (Cont.) 14 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

15. The family of a child with attention deficit hyperactivity disorder (ADHD) and behavioral problems is referred for family therapy. Select the appropriate goal for family therapy. A.The patient will develop stress reduction techniques. B.The parents will provide structure and limit setting. Question 1 15 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

16. C.The patient will adhere to the medication regimen. D.The patient will be free of aggressive behavior. Question 1 (Cont.) 16 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

17. 1.Psychodynamic, family-of-origin, and experimental-existential therapy are types of A.insight-oriented family therapy. B.behavioral family therapy. C.family system theories. D.triangulation. Audience Response Questions 17 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

18. 2.A genogram should include a minimum of how many generations? A.2 B.3 C.4 D.5 Audience Response Questions 18 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.