1 - Family Centered Nursing Care Flashcards
Families are groups that should remain _____ in children’s lives.
constant`
How is family defined?
As what an individual considers it to be
Is family only considered to be blood/marital/adoptive relatives?
No, can also include individuals who have a strong emotional bond and commitment to one another
What is another word often used interchangeably with family?
household
Positive family relationships are characterized by ____-____ interactions that show mutual ____ and ____.
parent-child
warmth
respect
T/F: Family-centered nursing care includes…
Agreed upon partnerships between families of children, nurses, and providers, in which the families and children benefit.
True
T/F: Family-centered nursing care includes…
Ignoring cultural diversity, and excluding cultural views in the plan of care.
False
RESPECTING cultural diversity and
INCORPORATING cultural views in the plan of care
T/F: Family-centered nursing care includes…
Understanding growth and developmental needs of children and their families.
True
T/F: Family-centered nursing care includes…
Treating children and their families as clients.
True
T/F: Family-centered nursing care includes…
Working with only certain types of families.
False
Working with ALL TYPES of families
T/F: Family-centered nursing care includes…
Collaborating with families regarding hospitalization, home, and community resources.
True
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.
True
Nurses should perform _____ family assessments to identify _____ and _____.
comprehensive
strengths
weaknesses
List 9 characteristics of a healthy family:
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
Should children’s opinions be considered when providing care?
Yes!
What are the 3 family theories?
1) Family Systems
2) Family Stress
3) Developmental
Describe the “Family Systems” theory:
- 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
Family Systems:
The family is viewed as a ____ ____, not ____ members.
whole system
individual
Family Systems:
A change to one ____ affects the ____ system.
member
entire
Family Systems:
The system can both ____ and ____ to change.
initiate
react
Family Systems:
Too much or too little change can lead to _____.
dysfunction
Describe the “Family Stress” theory:
- 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
Family Stress:
Describes stress as _____.
inevitable
Family Stress:
Stressors can be ____ or ____.
expected or unexpected
Family Stress:
Explains the _____ of a family to _____ events.
reaction
stressful
Family Stress:
Offers ____ for ____ to stress.
guidance
adapting
Describe the “Developmental” theory:
- 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
Developmental:
Views families as a ____ ____ that interacts with the larger ____ system.
small group
social
Developmental:
Emphasizes ____ and ____ in how families develop and change.
similarities
consistencies
Developmental:
Uses ____ family life cycle stages to describe the ____ a family goes through over time.
Duvall’s
changes
Developmental:
How the family functions in one ____ has a direct effect on how the family will function in the next ____.
stage
stage
Name the 9 types of family composition:
1) Traditional nuclear
2) Nuclear
3) Single-parent
4) Blended (aka Reconstituted)
5) Extended
6) Gay/lesbian
7) Foster
8) Binuclear
9) Communal
Married couple and their biologic children (only full brothers and sisters):
Traditional nuclear family
Two parents and their children (biologic, adoptive, step, foster):
Nuclear family
One parent and one or more children:
Single-parent family
At least one stepparent, stepsibling, or half-sibling:
Blended/Reconstituted family
At least one parent, one child, and other individuals either related or not:
Extended family
Two members of the same sex who have children and a legal or common-law tie:
Gay/lesbian family
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.
Foster family
Parents who have terminated spousal roles but continue their parenting roles.
Binuclear family
Individuals who share common ownership of property and goods and exchange services without monetary consideration.
Communal family
What are 6 changes that occur with the birth (or adoption) of the first child?
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
Name the 4 types of parenting styles:
1) Dictatorial or Authoritarian
2) Permissive
3) Democratic or Authoritative
4) Passive
Name the parenting style: Parents try to control the child’s behaviors and attitudes through unquestioned rules and expectations.
Dictatorial or Authoritarian
Name the parenting style: Parents exert little or no control over the child’s behaviors, and consult the child when making decisions.
Permissive
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.
Democratic or Authoritative
Name the parenting style: Parents are uninvolved, indifferent, and emotionally removed.
Passive
What are 5 positive parental influences?
- 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
4 guidelines for promoting acceptable behavior in children:
- 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
What should a nurse look at during the family assessment? (There are 7)
1) History
2) Structure
3) Developmental tasks
4) Family characteristics
5) Family stressors
6) Environment
7) Family support systems
History:
Medical history for parents, siblings, and grandparents
Structure:
Family members (mother, father, son)
Developmental tasks:
Tasks a family works on as the child grows (parents with a school-age child helping her to develop peer relations)
Family characteristics:
Cultural, religious, and economic influences on behavior, attitudes, and actions
Family stressors:
Expected (birth of a child) and unexpected (illness of a child, divorce, disability, or death of a family member) events that cause stress
Environment:
Availability of and family interactions with community resources
Family support systems:
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
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
D. The nurse should include that the developmental theory defines consistencies in how families change
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. 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.
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
B
D
E
