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Nursing 3800: Pediatrics > Exam 1: Family Theory Caring Tapestry > Flashcards

Exam 1: Family Theory Caring Tapestry Flashcards

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1
Q

How would you define family?

A

biologically, legally, and as a social network; it varies depending on the patient.

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2
Q

What are some various forms of a family?

A

nuclear, extended, single-parent, blended(divorce & remarriage), stepparent, childless, dual-career/dual-earner, binuclear-coparenting, cohabitating, gay/lesbian

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3
Q

How would you describe family as context?

A

individual is in the center

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4
Q

How would you describe family as patient?

A

concerns with everyone

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5
Q

How would you describe family as system?

A

what happens to patient affects others

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6
Q

How would you describe family as component of society?

A

the environment in which they live reflects on the family

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7
Q

What are the some factors that are used to define family and describe them?

A

Values: ideas, attitudes, beliefs about the worth of an entity; guides behavior and interactions.
Power/decision-making: potential or ability to change the behavior of other members.
Roles: the set of behaviors that are expected from members such as mom and dad.
Culture: beliefs, values, attitudes, practices accepted and passed on.
more factors: employment trends; economic trends; health of family members; marriage rate & marital trends.

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8
Q

What do developmental frameworks give?

A

direction for examining, describing, appreciating human development.

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9
Q

True or False: Change is required to proceed from one stage to next stage(developmental level).

A

true

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10
Q

What is Duvall’s Family Development stages(8)?

A
  1. Beginning family(marriage)
  2. Early childbearing family
  3. Preschool children
  4. school-age children
  5. teenage children
  6. launching family
  7. middle-age family
  8. aging family
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11
Q

What are some tasks for the childbearing family to accomplish?

A

prior to birth, arrange for newborn; when infant is born, ID responsibility, accountability, role functions; adjust to family relationship changes, communicate effectively; accomplish psychological adjustment & attachment.

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12
Q

What are the three phase of mother attachment(Reva Rubin)?

A

Taking in phase, taking-hold phase, and letting go phase

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13
Q

What maternal attachment phase deals with taking care of baby and self as a unit, usually occurs day 2 or 3?

A

taking hold phase

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14
Q

What maternal attachment phase deals with talking about self and delivery, needs others for help, and talks about who the baby looks like?

A

taking in phase

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15
Q

What does the maternal attachment letting go phase consist of?

A

builds relationships with others; parent role.

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16
Q

What is the development of strong affection over time known as?

A

attachment

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17
Q

Describe the three stages of attachment?

A

proximity: touching/near baby
reciprocity: reactions from both parent and baby
commitment: takes on parent role

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18
Q

Describe engrossment.

A

when mom and dad are looking at the baby describing who the baby looks like, etc. They gain confidence and claim the baby.

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19
Q

Ramona Mercer talked about?

A

Transition to parenthood

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20
Q

When transitioning to parenthood what is the acquaintance phase known as?

A

learning to care for infant; reading more and trying new things

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21
Q

When do you usually achieve transition to parenthood?

A

by 4 months

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22
Q

What are the two words used to describe mother role attainment?

A

maternicity: emotional attachment
mothering: physical attachment: changing diapers, bathing, etc.

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23
Q

What did the systems theory tell us?

A

it is best to talk to the family as a whole(everyone present); families have boundaries some are open(reading newspapers, calling doc with someone is sick, interacting with others) and some are closed(don’t call the doc, try to handle things themselves).

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24
Q

True or False: the systems theory states that a change of one part affects other parts and the total system.

A

true

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25
Q

What type of development did Freud deal with?

A

psychosexual development: each stage concerned with sexual pleasure in parts of the body.

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26
Q

What stage occurred during infancy(birth to 18 months)for Freud?

A

oral stage( sucking/oral satisfaction)

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27
Q

What stage occurred during early childhood/toddler(18 months- 3yrs) for Freud?

A

Anal stage; toilet training.

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28
Q

What stage occurred during Preschool (3-5 yrs) for Freud?

A

Phallic stage: exploring their genitals; girls closer to opposite sex.

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29
Q

What stage occurred during middle childhood(6-12 yrs) for Freud?

A

Latent stage: socially acceptable; into sports and educational activities.

30
Q

What stage occurred during Adolescence(12-19 yrs) for Freud?

A

Genital Stage: intimacy, sexual urges resurface, adult personality.

31
Q

What are the 3 stages of human personality Freud believed in?

A

ID: most primitive part of personality; infancy period.
EGO: reality component; mediates conflicts between reality & urges of ID. (controls impulses & judges reality).
Superego: conscience, influenced by standards of outside social forces.

32
Q

What form of development did Erikson deal with?

A

Psychosocial development

33
Q

Erikson stage of development for age 0 to 1?

A

Trust vs. Mistrust

34
Q

Erikson stage of development for age 2 to 3?

A

Autonomy vs. Doubt

35
Q

Erikson stage of development for age 4 to 5?

A

Initiative vs. guilt

36
Q

Erikson stage of development for age 6 to puberty?

A

Industry vs. Inferiority

37
Q

Erikson stage of development for age adolescence?

A

Identity vs. confusion

38
Q

Erikson stage of development for age early adulthood?

A

Intimacy vs. isolation

39
Q

Erikson stage of development for age middle adulthood?

A

generativity vs. self-absorption

40
Q

Erikson stage of development for age late adulthood?

A

integrity vs. despair

41
Q

What is the favorable outcome for trust vs. mistrust?

A

trust and optimism

42
Q

What is the favorable outcome for autonomy vs. doubt?

A

sense of autonomy and self-esteem

43
Q

What is the favorable outcome for initiative vs. guilt?

A

self direction and purpose

44
Q

What is the favorable outcome for industry vs. inferiority?

A

sense of competence and achievement

45
Q

What is the favorable outcome for identity vs. confusion?

A

integrated self-image

46
Q

What is the favorable outcome for intimacy vs. isolation?

A

ability to experience love and commitment.

47
Q

What is the favorable outcome for generativity vs. self-absorption?

A

concern for family, society and future generations.

48
Q

What is the favorable outcome for integrity vs. despair?

A

sense of satisfaction; acceptance of death.

49
Q

What form of development does Piaget deal with?

A

cognitive/moral development.

50
Q

Which period of Piagets development deals with progress from reflex activity to simple repetitive actions?

A

Sensorimotor period( Birth- 2 yrs).

51
Q

Which period of Piagets development deals with object permanence?

A

Sensorimotor period: can’t see object but know its there.

52
Q

What are the two adaptive processes that Piaget was concerned with?

A

assimilation and accommodation.

53
Q

What is the process of absorbing new information into existing cognitive structures? ex: see a zebra and you call it a horse.

A

assimilation

54
Q

What is the process of modifying existing cognitive structures In response to new information?

A

Accommodation

55
Q

What period of Piaget’s development deals with thinking in symbols; egocentric(can only see things in their perspective), can’t grasp conservation?

A

Preoperational Period (ages 2-7yrs)

56
Q

Describe Piagets Concrete operations period(ages 7-12)

A

able to perform mental operations; reversibility is one primary development; logical thinking, understand conservation and cause and effect.

57
Q

Describe Piagets final stage of development: Formal operations period( ages 12- adulthood.)

A

self consciousness, believe invulnerable: lead to risk taking; abstract thinking develops: can think of the future, can reason about situations not personally experienced.

58
Q

Kohlberg focused on development of what?

A

moral reasoning

59
Q

What level of Kohlbergs moral reasoning dealt with stage 1: punishment(obedience orientation): small children cant understand whats right and wrong; stage 2: premoral(instrumental orientation): bribe children; they will listen if they get something good in return. “reward” ?

A

Preconventional level

60
Q

Describe Kohlberg’s Conventional Reasoning level.

A

Stage 3: “good boy, nice girl” : they do what the group does in order to fit in. (peer pressure)
stage 4: society-maintaining orientation: decisions are made according to law; break law you are bad.

61
Q

Describe Kohlberg’s final level of moral reasoning: Postconventional reasoning.

A

Stage 5: social contract orientation: you have your own morals but your not certain so you negotiate them.
stage 6: universal ethical principle orientation.

62
Q

What are the 6 words that describe Caring Tapestry?

A

Commitment, Compassion, Conduct, Competence, Conscience, Confidence

63
Q

Why were the standards of care made?

A

to protect the public and judge the quality of care.

64
Q

What does the following acronyms stand for:

AWHONN; ACNM; MANA; AORN; NANN; CCNE; NLNAC

A

Association of Womens Health, Obstetric, & Neonatal Nurses.
American College of Nurse Midwives
Midwives Alliance of North America(no masters degree)
Association of Operating Room Nurses
National Association of Neonatal Nurses.
Commission on Colleges of Nursing Education
National League for Nursing Accrediting Commission.

65
Q

What caring tapestry word would you use to describe: dedication, quality & safe care, EBP.

A

Commitment

66
Q

What caring tapestry word would you use to describe: service, sensitivity/empathy, human dignity?

A

Compassion

67
Q

What caring tapestry word would you use to describe: altruism, advocacy, ethical, autonomy, accountability?

A

Conscience

68
Q

What caring tapestry word would you use to describe: leadership, management, adaptability?

A

confidence

69
Q

What caring tapestry word would you use to describe: knowledge, judgment, nursing process, EBP, prioritization?

A

Competence

70
Q

What caring tapestry word would you use to describe: professionalism/leadership, accountability, pride/enthusiasm, role modeling?

A

Conduct

Nursing 3800: Pediatrics (14 decks)

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