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Chn > Chap 4 > Flashcards

Chap 4 Flashcards

1
Q
  • the basic unit of society, shared by all forces that
    surround it (values, beliefs, and customs of society
    influence the role and function of the family.)
A

The Family

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2
Q
  • a family refers to two or more persons who are joined
    together by bonds of sharing emotional closeness
    and who identifies themselves as being part of the
    family.
A

Family Nursing

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3
Q

TYPES OF FAMILIES IN THE COMMUNITIES

A

A. According to Structure
B. Types of Functional Families
C. Types of Families Based on Authorities
D. Based on Decent
E. Based on Residence: for “newlyweds couple”

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4
Q

A. According to Structure

A
  1. Nuclear
  2. Extended
  3. Single-parent
  4. Binuclear/Blended/Reconstituted
  5. Step Family
  6. Compound
  7. Cohabitation
  8. Nuclear Dyad
  9. Homosexual
  10. Communal
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5
Q

consist of two parents and children (either
adopted or biological)

A

Nuclear

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6
Q

consist of the nuclear with other relatives

A

Extended

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7
Q

single with children and either male
or female

A

Single parent

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8
Q
  • extended
    family consisting of 2 or more separate household
    from separated or divorced parents with children.
A

Binuclear/Blended/Reconstituted

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9
Q
  • remarriage of widowed person with
    children
A

Step Family

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10
Q
  • one man/woman with several spouses
A

Compound

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11
Q
  • lived-in unmarried couple
A

Cohabitation

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12
Q
  • husband and wife without children
A

Nuclear Dyad

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13
Q
  • persons at the same sex living
    together as “marital partners.”
A

Homosexual

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14
Q
  • household of more than one
    monogamous couple with children, sharing common
    facilities, resources, and experiences.
A

Communal

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15
Q

B. Types of Functional Families

A

Family of Procreation
Family of Orientation

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16
Q

– the family you created.

A

Family of Procreation

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17
Q

– the family where you come
from.

A

Family of Orientation

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18
Q

C. Types of Families Based on Authorities

A
  1. Patriarchal
  2. Matriarchal
  3. Egalitarian
  4. Democratic
  5. Autocratic
  6. Laissez-faire
  7. Matricentric
  8. Patricentric
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19
Q

full authority on the father or any male
member of the family (grandfather, father, eldest
son).

A

Patriarchal

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20
Q

– full authority on the mother or any
female member of the family (grandmother, mother,
eldest sister).

A

Matriarchal

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21
Q
  • husband and wife exercise a more or
    less amount of authority, father and mother decides.
A

Egalitarian

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22
Q

– everybody is involved in decision-
making

A

Democratic

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23
Q

– the decision is final whoever does the
decision.

A

Autocratic

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24
Q

– “full autonomy” , everyone can
decide on their own without the other family
members questioning that decision.

A

Laissez-faire

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25
Q

– the mother decides or takes change
in the absence of the father.

A

Matricentric

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26
Q

– the mother decides or take charge in
the absence of the mother.

A

Patricentric

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27
Q

D. Based on Decent

A
  1. Patrilineal
  2. Matrilineal
  3. Bilateral
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28
Q
  • Cultural norms, affiliation of a person with a particular
    group of kinsmen for certain social purposes.
A

D. Based on decent

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29
Q

– affiliates a person with a group of
relatives who are related to him through his father.

A

Patrilineal

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30
Q

affiliates a person with a group of
relatives who are related to him through her mother.

A

Matrilineal

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31
Q

affiliates a person with a group of
relatives who are related to him through his father or her mother

A
  1. Bilateral
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32
Q

E. Based on Residence: for “newlyweds couple”

A
  1. Patrilocal
  2. Matrilocal
  3. Bilocal/Ambilocal
  4. Avunculocal
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33
Q

– resides or stays with or near domicile of
the parents of the husband.

A

Patrilocal

34
Q

– resides or stays with or near domicile of
the parents of the wife.

A

Matrilocal

35
Q
  • chooses either of the
    household, depends on factors like wealth, status of
    families, wishes of parents, certain personal
    preference of the couple.
A

Bilocal/Ambilocal

36
Q

– with near the maternal uncle of the
groom

A

Avunculocal

37
Q

II. STAGES OF A FAMILY DEVELOPMENT

A

A. Initial/Establishment Stage
Courtship

B. Expectant Stage (pregnancy)
Developmental crisis

C. Parenthood/Expansion Stage: birth/adoption
1. Anticipatory
2. Honeymoon
3. Plateau/Consolidation
4. Disengagement/Contraction stage

38
Q
  • Partner selection
  • Autonomy/independence
  • Preparation for marriage
  • Free of parental domination
A

A. Initial/Establishment Stage
Courtship

39
Q
  • New roles of being a mother/father
  • Think as a family, not just pair
  • Learn practices in childbearing, family task, home
    setting, budget, etc.
  • Pregnancy role and responsibilities.
A

B. Expectant Stage (pregnancy)
Developmental crisis

40
Q

C. Parenthood/Expansion Stage: birth/adoption

A
  1. Anticipatory
  2. Honeymoon
  3. Plateau/Consolidation
  4. Disengagement/Contraction stage
41
Q

– couple earns new roles and
perceptions associated with pregnancy

A

Anticipatory

42
Q

– immediately after childbirth, parent-
child attachment is formed.

A

Honeymoon

43
Q

– entire period of child
development = parenting roles
- Family planning, socialization, child education,
participation in the community organizations.

A
  1. Plateau/Consolidation
44
Q

– parent-child
family unit terminates as the last child marries or
leaves home permanently.
- Parent give up their childbearing responsibilities to
allow their children to become independent.

A
  1. Disengagement/Contraction stage
45
Q

III. FUNCTIONS OF THE FAMILY (ACKERMAN)

A

a. Physical functions

b. Affectional function
c. Social functions

46
Q

Functions of the family are met through
parents providing food, clothing and shelter,
protection against danger provision for bodily repairs
after fatigue or illness, and through reproduction

A

a. Physical functions

47
Q

– function in the family is the primary unit
in which the child tests his emotional reactions.

A

b. Affectional function

48
Q

–this function include providing social
togetherness, fostering self-esteem and a personal
identity tied to family identity, providing opportunity
for observing and learning social and sexual roles
accepting responsibility for behavior and supporting
individual creativity and initiative.

A

c. Social functions

49
Q

IV. THE FAMILY AS A BASIC UNIT OF CARE

A
  1. The family is considered the natural and fundamental
    unit of society.
  2. The family as a group generates, prevents, tolerates,
    and corrects health problems within its membership.
  3. The health problems of the family members are
    interlocking.
  4. The family is the most frequent focus of health
    decisions and action in personal care.
  5. The family is an effective and available channel for
    much of the effort of the health worker.
50
Q

V. THE FAMILY AS A CLIENT
Characteristics of a family as a client

A
  1. The family is a product of time and place.
  2. The family develops its own lifestyle.
  3. The family operates as a group
  4. The Family accommodates the needs of the
    individual members.
  5. The family relates to the community.
  6. The family has a growth cycle.
51
Q
  • A family is different from others family who lives in
    another location in many ways.
  • A family who lived in the past is different from another
    family who lives of present in many ways.
A
  1. The family is a product of time and place.
52
Q
  • Develop its own patterns behavior and its own style
    in life.
  • Develops their own power system which either be:
    • Balance – the parents and children have
    their own areas of decisions and control.
    • Strongly Bias
A
  1. The family develops its own lifestyle.
53
Q
  • A family is a unit in which the cation of any member
    may set of a whole series of reaction within a group,
    and entity whose inner strength may be its greatest
    single supportive factor when one of its members is
    stricken with illness or death.
A
  1. The family operates as a group
54
Q
  • An individual is unique human being who needs to
    assert his or herself in a way that allows him to grow
    and develop.
  • Sometimes, individual needs and group needs seem
    to find a natural balance:
    i. The need for self-expression does not over
    shadow consideration for others.
    ii. Power is equitably distributed
    iii. Independence id permitted to flourish
A
  1. The Family accommodates the needs of the
    individual members.
55
Q

Family develops a stance with respect to the community:
- The relationship between the families is wholesome
and reciprocal the family utilizes the community
resources and in turn, contributes to the
improvement of the community.
- There are families who feel a sense of isolation from
the community.
i. Families who maintain proud. “we keep to
ourselves” attitude.
ii. Families who are entirely passive taking the
benefits from the community without either
contributing to it or demanding changes to it.

A
  1. The family relates to the community
56
Q
  1. The family has a growth cycle.
A

Stage 1. Marriage & the Family
Stage 2: Early Childbearing Family

Stage 3: Family with Pre-School Children

Stage 4: Family with School Age Children

Stage 5: Family with Adolescent Children

Stage 6: The Launching Center Family

Stage 7: Family of Middle Years

Stage 8: Family in Retirement/Older Age
Stage 9: Period from Retirement to Death of both spouses

57
Q
  • Involves merging of values brought into the
    relationship from the families of orientation.
  • Includes adjustments to each other’s routines
    (sleeping, eating, chores, etc.) sexual and economic
    aspects.
  • Members work to achieve 3 separate identifiable
    tasks:
    i. Establish a mutually satisfying relationship
    ii. Learn to relate well to their families of orientation
    iii. If applicable engage in reproductive life
    planning.
A

Stage 1. Marriage & the Family

58
Q
  • Birth or adoption of a first child which requires
    economic and social changes
  • Oldest child: 2-1/2 years
A

Stage 2: Early Childbearing Family

59
Q
  • This is a busy family because children at this stage
    demand a great deal of time related to growth and
    development needs and safety considerations.
A

Stage 3: Family with Pre-School Children

60
Q
  • Parents at this stage have important responsibility at
    preparing their children to be able to function in a
    complex world while at the same time maintaining
    their own satisfying marriage relationships.
A

Stage 4: Family with School Age Children

61
Q
  • A family allows the adolescent more freedom and
    prepare them for their own life as technology
    advances gap between generations increases.
  • Oldest: 12-20 years old
A

Stage 5: Family with Adolescent Children

62
Q
  • Stage where children leave to set their own
    household-appears to represent the breaking of the
    family
  • Empty nests – begins when your first child leaves
    home
A

Stage 6: The Launching Center Family

63
Q
  • Family returns to two partners nuclear unit
  • Period from empty nest to retirement
A

Stage 7: Family of Middle Years

64
Q

VI. 12 BEHAVIORS INDICATING A WELL
FAMILY

A

Able to provide for physical, emotional, and spiritual
needs of family members.
2. Able to be sensitive to the needs of the family
members.
3. Able to communicate thoughts and feelings
effectively.
4. Able to provide support, security and
encouragement.
5. Able to initiate and maintain growth producing
relationship.
6. Maintain and create constructive and responsible
community relationship.
7. Able to grow with and through children.
8. Ability to perform family roles flexibly.
9. Able to help oneself and to accept help when
appropriate.
10. Demonstrate mutual respect for the individuality of
family members.
11. Demonstrate concern of family unity, loyalty, and
interfamily cooperation.
12. Demonstrate concern of family, unity, loyalty and interfamily

65
Q
  • Differs in degrees from family to family
  • A task is a function but with work or labor overtures
    assigned or demanded of the person
    .
A

VII. FAMILY HEALTH TASK

66
Q

5 Family Health Task (Maglaya, et al. 20043)

A
  1. Recognizing interruptions of health development
    (wellness states, health condition or problem).
  2. Making decisions about taking an appropriate health
    action to maintain wellness or manage health
    problem.
  3. Providing care to all members of the family (well,
    sick, disabled, dependent, at risk member).
  4. Maintaining a home environment conducive to
    health, maintenance and personal development.
  5. Utilize community health resources for healthcare
67
Q

VIII. FAMILY ROLES

A
  1. Nurturing figure
  2. Provider
  3. Decision maker
  4. Problem-solver
  5. Health manager
  6. Gate keeper
68
Q

– primary caregivers to children or
any dependent member.

A

Nurturing figure

69
Q

– provides the family’s basic needs.

A

Provider

70
Q

– makes decision particularly in
areas such as finance, resolution of conflicts, use of
leisure time etc.

A

Decision maker

71
Q

– resolves family problems to
maintain unity and solidarity.

A

Problem-solver

72
Q

– monitors the health and ensures
that members return to health appointments.

A

Health manager

73
Q

– determines what information will be
released from the family or what new information can
be introduced

A

Gate keeper

74
Q

IX. FAMILY THEORIES AND MODELS

A

A. Family
Systems
Theory
B. Developmental Stage Theory
C. Structural–Functional Theory
D. Interaction Theory
E. Role Theory
F. Crisis Theory

75
Q
  • Qualitatively measure family functioning
  • A 10-15-minute paper and pencil technique that elicit the
    patient’s perception and level of satisfaction on the current
    state of her family members’ relationship.

This 5-item questionnaire serves as a rapid screening
instruments for family dysfunction.

A

Family Apgar Questionnaire (SMILKESTEIN, 1978)

76
Q

The capability of the family to
utilize and share resources.

A

ADAPTATION

77
Q

Measures the satisfaction
attained in solving problems
through communications.

A

PARTNERSHIP

78
Q

How nurturing is shared or the
members satisfaction with the
freedom available within the
family to change roles and
attain physical and emotional
growth or maturation.

A

GROWTH

79
Q

How emotional experiences are
shared or the member’s
satisfaction with the intimacy
and emotional interaction that
exists in the family.

A

AFFECTION

80
Q

How time (space and money) is
shared or the member’s
satisfaction with the time
commitment that has been
made to the family by its
members.

A

RESOLVE

81
Q

When to use APGAR:

A
  1. When the family will be directly involved in caring for the
    patient.
  2. When treating a new patient in order to get information in
    order to serve as the general view of the family function.
  3. When treating a patient whose family is in crisis.
  4. When a patient’s behavior makes you suspect a
    psychosocial problem possibly due to family dysfunction.
82
Q

Scoring:

A

7 – 10 = suggest a highly functional family
4 – 6 =moderately dysfunctional family
0 – 3 = severely dysfunctional family

Chn (2 decks)

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