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ATI Peds > 1 - Family Centered Nursing Care > Flashcards

1 - Family Centered Nursing Care Flashcards

1
Q

Families are groups that should remain _____ in children’s lives.

A

constant`

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2
Q

How is family defined?

A

As what an individual considers it to be

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3
Q

Is family only considered to be blood/marital/adoptive relatives?

A

No, can also include individuals who have a strong emotional bond and commitment to one another

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4
Q

What is another word often used interchangeably with family?

A

household

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5
Q

Positive family relationships are characterized by ____-____ interactions that show mutual ____ and ____.

A

parent-child
warmth
respect

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6
Q

T/F: Family-centered nursing care includes…
Agreed upon partnerships between families of children, nurses, and providers, in which the families and children benefit.

A

True

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7
Q

T/F: Family-centered nursing care includes…

Ignoring cultural diversity, and excluding cultural views in the plan of care.

A

False
RESPECTING cultural diversity and
INCORPORATING cultural views in the plan of care

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8
Q

T/F: Family-centered nursing care includes…

Understanding growth and developmental needs of children and their families.

A

True

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9
Q

T/F: Family-centered nursing care includes…

Treating children and their families as clients.

A

True

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10
Q

T/F: Family-centered nursing care includes…

Working with only certain types of families.

A

False

Working with ALL TYPES of families

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11
Q

T/F: Family-centered nursing care includes…

Collaborating with families regarding hospitalization, home, and community resources.

A

True

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12
Q

T/F: Family-centered nursing care includes…
Allowing families to serve as experts regarding their children’s health conditions, usual behaviors in different situations, and routine needs.

A

True

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13
Q

Nurses should perform _____ family assessments to identify _____ and _____.

A

comprehensive
strengths
weaknesses

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14
Q

List 9 characteristics of a healthy family:

A

1) communication
2) affirmation & support
3) respect
4) trust
5) play & share humor
6) interaction
7) shared sense of responsibility
8) traditions & rituals
9) help with problems

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15
Q

Should children’s opinions be considered when providing care?

A

Yes!

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16
Q

What are the 3 family theories?

A

1) Family Systems
2) Family Stress
3) Developmental

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17
Q

Describe the “Family Systems” theory:

A
  • Family is viewed as a whole system, not individual members
  • A change to one member affects the entire system
  • The system can both initiate and react to change
  • Too much or too little change can lead to dysfunction
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18
Q

Family Systems:

The family is viewed as a ____ ____, not ____ members.

A

whole system

individual

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19
Q

Family Systems:

A change to one ____ affects the ____ system.

A

member

entire

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20
Q

Family Systems:

The system can both ____ and ____ to change.

A

initiate

react

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21
Q

Family Systems:

Too much or too little change can lead to _____.

A

dysfunction

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22
Q

Describe the “Family Stress” theory:

A
  • Describes stress as inevitable
  • Stressors can be expected or unexpected
  • Explains the reaction of a family to stressful events
  • Offers guidance for adapting to stress
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23
Q

Family Stress:

Describes stress as _____.

A

inevitable

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24
Q

Family Stress:

Stressors can be ____ or ____.

A

expected or unexpected

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25
Q

Family Stress:

Explains the _____ of a family to _____ events.

A

reaction

stressful

26
Q

Family Stress:

Offers ____ for ____ to stress.

A

guidance

adapting

27
Q

Describe the “Developmental” theory:

A
  • Views families as a small group that interacts with the larger social system
  • Emphasizes similarities and consistencies in how families develop and change
  • Uses Duvall’s family life cycle stages to describe the changes a family goes through over time
  • How the family functions in one stage has a direct effect on how the family will function in the next stage
28
Q

Developmental:

Views families as a ____ ____ that interacts with the larger ____ system.

A

small group

social

29
Q

Developmental:

Emphasizes ____ and ____ in how families develop and change.

A

similarities

consistencies

30
Q

Developmental:

Uses ____ family life cycle stages to describe the ____ a family goes through over time.

A

Duvall’s

changes

31
Q

Developmental:

How the family functions in one ____ has a direct effect on how the family will function in the next ____.

A

stage

stage

32
Q

Name the 9 types of family composition:

A

1) Traditional nuclear
2) Nuclear
3) Single-parent
4) Blended (aka Reconstituted)
5) Extended
6) Gay/lesbian
7) Foster
8) Binuclear
9) Communal

33
Q

Married couple and their biologic children (only full brothers and sisters):

A

Traditional nuclear family

34
Q

Two parents and their children (biologic, adoptive, step, foster):

A

Nuclear family

35
Q

One parent and one or more children:

A

Single-parent family

36
Q

At least one stepparent, stepsibling, or half-sibling:

A

Blended/Reconstituted family

37
Q

At least one parent, one child, and other individuals either related or not:

A

Extended family

38
Q

Two members of the same sex who have children and a legal or common-law tie:

A

Gay/lesbian family

39
Q

A child or children who have been placed in an approved living environment away from the family of origin - usually with one or two parents.

A

Foster family

40
Q

Parents who have terminated spousal roles but continue their parenting roles.

A

Binuclear family

41
Q

Individuals who share common ownership of property and goods and exchange services without monetary consideration.

A

Communal family

42
Q

What are 6 changes that occur with the birth (or adoption) of the first child?

A

1) Parent’s SENSE OF SELF as they transition to the new parental role.
2) Division of LABOR AND ROLES within the relationships of couples
3) Relationships with GRANDPARENTS
4) WORK relationships
5) Increased FINANCIAL responsibilities and possible loss of income
6) Necessary SLEEP habit changes

43
Q

Name the 4 types of parenting styles:

A

1) Dictatorial or Authoritarian
2) Permissive
3) Democratic or Authoritative
4) Passive

44
Q

Name the parenting style: Parents try to control the child’s behaviors and attitudes through unquestioned rules and expectations.

A

Dictatorial or Authoritarian

45
Q

Name the parenting style: Parents exert little or no control over the child’s behaviors, and consult the child when making decisions.

A

Permissive

46
Q

Name the parenting style: Parents direct the child’s behavior by setting rules and explaining the reason for each rule setting. Parents negatively reinforce deviations from the rules.

A

Democratic or Authoritative

47
Q

Name the parenting style: Parents are uninvolved, indifferent, and emotionally removed.

A

Passive

48
Q

What are 5 positive parental influences?

A
  • parents have good MENTAL HEALTH
  • STRUCTURE AND ROUTINE is maintained in the household
  • parents engage in ACTIVITIES with the child
  • there is COMMUNICATES that validates the child’s feelings
  • the child is monitored for SAFETY with special consideration for her developmental needs
49
Q

4 guidelines for promoting acceptable behavior in children:

A
  • Set clear and realistic LIMITS and EXPECTATIONS based on the developmental level of child
  • Validate the child’s FEELINGS and offer sympathetic explanations
  • Provide ROLE MODELING and REINFORCEMENT for appropriate behavior
  • Focus on the child’s BEHAVIOR when disciplining the child
50
Q

What should a nurse look at during the family assessment? (There are 7)

A

1) History
2) Structure
3) Developmental tasks
4) Family characteristics
5) Family stressors
6) Environment
7) Family support systems

51
Q

History:

A

Medical history for parents, siblings, and grandparents

52
Q

Structure:

A

Family members (mother, father, son)

53
Q

Developmental tasks:

A

Tasks a family works on as the child grows (parents with a school-age child helping her to develop peer relations)

54
Q

Family characteristics:

A

Cultural, religious, and economic influences on behavior, attitudes, and actions

55
Q

Family stressors:

A

Expected (birth of a child) and unexpected (illness of a child, divorce, disability, or death of a family member) events that cause stress

56
Q

Environment:

A

Availability of and family interactions with community resources

57
Q

Family support systems:

A

Availability of extended family, work and peer relationships, as well as social systems and community resources to assist the family in meetings needs or adapting to a stressor

58
Q

A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory?

A. Describes that stress is inevitable
B. Emphasizes that change with one member affects the entire family
C. Provides guidance to assist families adapting to stress
D. Defines consistencies in how families change

A

D. The nurse should include that the developmental theory defines consistencies in how families change

59
Q

A nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nurse hears one parent state, “My son knows he better do what I say.” Which of the following parenting styles is the parent exhibiting?

A. Authoritarian
B. Permissive
C. Authoritative
D. Passive

A

A. This parent is exhibiting an authoritarian parenting style. Using this style, the parent controls the adolescent’s behavior and attitudes through unquestioned rules and expectations.

60
Q

A nurse is performing family assessment. Which of the following should the nurse include? (Select all that apply.)

A. Medical history
B. Parents' educational level
C. Child's physical growth
D. Support systems
E. Stressors
A

A
B
D
E

ATI Peds (4 decks)

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