Ch. 10 Family Dynamics (Week 2)

Question 1

Family durability

Answer 1

system of support and structure within a family that extends beyond the walls of the household

Question 2

Family resiliency

Answer 2

ability of a family to cope with expected and unexpected stressors

Question 3

Family dynamics

Answer 3

interactions between and among family members that are affected by a family’s makeup, structure, function, problem solving and coping capacity

Question 4

What is the goal of family centered nursing

Answer 4

address the comprehensive health care needs of the family as a unit and to advocate, promote, support and provide for the wellbeing and health of the patient

Question 5

Define family

Answer 5

Family is what an individual believes the family to be. It includes a set of interacting individuals who are related through biology or enduring commitments who usually socialize with one another

Question 6

Family forms

Answer 6

patterns of people considered by family members to be included in a family

Question 7

What are some factors that influence family forms - create challenges for families

Answer 7

Family caregiving
Poverty
Homelessness
Domestic violence

Question 8

Family function

Answer 8

What a family does such as how family interacts to socialize younger family members, cooperates to meet economic needs and relates to a larger society

Question 9

What is the goal of family nursing

Answer 9

Help a family and its individual members reach and maintain maximum health throughout and beyond the illness experience

Question 10

What are the three levels of approaches in family nursing

Answer 10

1. Family as context - primary focus is on the health and development of an individual member existing within a specific family environment (each family member)
2. Family as patient - family’s needs, processes and relationships are the primary focus. Focus on family patterns vs. characteristics of the individual members
3. Family as a system - Caring for each family member (context) and the family unit (patient) using all available environmental, social, psychological and community resources

Question 11

What are some family assessment questions

Answer 11

• Family structure - determines members of the family, relationships among family members and context of the family
• Developmental assessment - determines how families adapt during predictable and unpredictable changes and difficult times
• Family functioning - address how individuals behave in relation to one another

Question 12

What are some nursing diagnoses applicable to family care

Answer 12

• conflicting caregiver attitude
• impaired family coping
• risk for caregiver stress
• impaired family process
• risk for impaired parent child attachment
• family able to participate in care planning
• family knowledge of disease

Question 13

What should you focus the nursing process when it comes to the definition of family

Answer 13

Focus the nursing process and nursing care on a patient’s attitude and beliefs rather than on a traditional definition of family