Chapter 10 Caring for Families

Question 1

Family durability:

Answer 1

Intrafamilial system of support and structure that may extend beyond the walls of the household

Question 2

Family resiliency

Answer 2

Ability to cope with expected and unexpected stressors

Question 3

Family diversity

Answer 3

Attention to uniqueness

Question 4

The family is defined

Answer 4

biologically, legally, or as a social network with personally constructed ties and ideologies.

Question 5

Family Forms

Answer 5

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

Question 6

Nuclear family:

Answer 6

consists of husband and wife (perhaps children)

Question 7

Extended family:

Answer 7

includes relatives (aunts, uncles, grandparents, cousins) in addition to nuclear family

Question 8

Blended Family:

Answer 8

formed when parents bring unrelated children from prior adoptive or foster parenting relationships into a new, joint living situation

Question 9

Alternative famiy

Answer 9

relationships include multiadult households, “skip-generation” families (grandparents caring for grandbabies), communal groups with kids, “non-families” (adults living alone). cohabiting partners, and homosexual couples

Question 10

Concept of Family

Answer 10

• Families represent more than a set of individuals.
• A family is more than a sum of its individual members.
• Families are diverse

Question 11

Current Trends and New Family Forms:

Answer 11

1. Families are smaller
2. Couples having no kids
3. Remarriage = blended families
4. Homosexual couples are family units
5. Women are delaying child birth
6. Divorce rates have tripled since the 50s
7. Single-parent families are prevalent
8. America is aging

Question 12

Other Current Trends

Answer 12

• Changing Economic Status
• Family Violence
• Homelessness
• Acute or Chronic Illness

Question 13

Absolute homelessness:

Answer 13

people without physical shelter who sleep outdoors, in a vehicle, etc

Question 14

relative homelessness:

Answer 14

have physical shelter, but one that does not meet standards of health and safety

Question 15

Structure is based on

Answer 15

-organization.

Relationships are numerous and complex.

Question 16

Function involves the processes used by

Answer 16

• the family to achieve goals.

- Processes include goal setting, conflict resolution, caregiving, nurturing, and use of resources

Question 17

Family Health System:

Answer 17

A holistic model used to assess and care for families

Question 18

Developmental stages:

Answer 18

Each stage has its own challenges, needs, and resources

Question 19

Family hardiness:

Answer 19

internal strengths and durability of the family unit

Question 20

Family resiliency:

Answer 20

ability to cope with expected and unexpected stressors

Question 21

3 levels of family approaches:

Answer 21

1. Family as context: realistic and practical
2. Patient: when members are involved in daily care
3. System: relational & transactional

Question 22

Family Caregivers:

Answer 22

• Usually a daughter or daughter-in-law
• Conflicting responsibilities for aging parents, children, spouse, and job
• Frequently tries to “do it all”
• May not recognize need for help or request help
• May not focus on own health care

Question 23

Potential Interventions:

Answer 23

Help families establish realistic priorities.
Suggest that family members use family leave plans or obtain some “flex time” from their employer.
Explore resources (e.g., delivery of meals, respite care).

Question 24

Caregiver Role Strain:

Answer 24

• Patient Teaching
• -Teach family members to identify caregiving role strain.
• —-Change in appetite, sleeping, leisure activities
• —–Caregiver is fearful when learning.
• —–Loss of interest in personal appearance
• —–Problems may intensify with status change.
• Interventions
• Evaluation

Question 25

3 Factors organize the family approach to nursing =

Answer 25

1. The nurse views all individuals within their family context
2. Families have an impact on individuals
3. Individuals have an impact on families

Question 26

Reciprocity:

Answer 26

acknowledging the importance of the capability of care recipients to share exchanges that contribute to a caregiver’s perception of self-worth