Exam 1: Family Theory Caring Tapestry Flashcards
How would you define family?
biologically, legally, and as a social network; it varies depending on the patient.
What are some various forms of a family?
nuclear, extended, single-parent, blended(divorce & remarriage), stepparent, childless, dual-career/dual-earner, binuclear-coparenting, cohabitating, gay/lesbian
How would you describe family as context?
individual is in the center
How would you describe family as patient?
concerns with everyone
How would you describe family as system?
what happens to patient affects others
How would you describe family as component of society?
the environment in which they live reflects on the family
What are the some factors that are used to define family and describe them?
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.
What do developmental frameworks give?
direction for examining, describing, appreciating human development.
True or False: Change is required to proceed from one stage to next stage(developmental level).
true
What is Duvall’s Family Development stages(8)?
- Beginning family(marriage)
- Early childbearing family
- Preschool children
- school-age children
- teenage children
- launching family
- middle-age family
- aging family
What are some tasks for the childbearing family to accomplish?
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.
What are the three phase of mother attachment(Reva Rubin)?
Taking in phase, taking-hold phase, and letting go phase
What maternal attachment phase deals with taking care of baby and self as a unit, usually occurs day 2 or 3?
taking hold phase
What maternal attachment phase deals with talking about self and delivery, needs others for help, and talks about who the baby looks like?
taking in phase
What does the maternal attachment letting go phase consist of?
builds relationships with others; parent role.
What is the development of strong affection over time known as?
attachment
Describe the three stages of attachment?
proximity: touching/near baby
reciprocity: reactions from both parent and baby
commitment: takes on parent role
Describe engrossment.
when mom and dad are looking at the baby describing who the baby looks like, etc. They gain confidence and claim the baby.
Ramona Mercer talked about?
Transition to parenthood
When transitioning to parenthood what is the acquaintance phase known as?
learning to care for infant; reading more and trying new things
When do you usually achieve transition to parenthood?
by 4 months
What are the two words used to describe mother role attainment?
maternicity: emotional attachment
mothering: physical attachment: changing diapers, bathing, etc.
What did the systems theory tell us?
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).
True or False: the systems theory states that a change of one part affects other parts and the total system.
true
What type of development did Freud deal with?
psychosexual development: each stage concerned with sexual pleasure in parts of the body.
What stage occurred during infancy(birth to 18 months)for Freud?
oral stage( sucking/oral satisfaction)
What stage occurred during early childhood/toddler(18 months- 3yrs) for Freud?
Anal stage; toilet training.
What stage occurred during Preschool (3-5 yrs) for Freud?
Phallic stage: exploring their genitals; girls closer to opposite sex.
What stage occurred during middle childhood(6-12 yrs) for Freud?
Latent stage: socially acceptable; into sports and educational activities.
What stage occurred during Adolescence(12-19 yrs) for Freud?
Genital Stage: intimacy, sexual urges resurface, adult personality.
What are the 3 stages of human personality Freud believed in?
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.
What form of development did Erikson deal with?
Psychosocial development
Erikson stage of development for age 0 to 1?
Trust vs. Mistrust
Erikson stage of development for age 2 to 3?
Autonomy vs. Doubt
Erikson stage of development for age 4 to 5?
Initiative vs. guilt
Erikson stage of development for age 6 to puberty?
Industry vs. Inferiority
Erikson stage of development for age adolescence?
Identity vs. confusion
Erikson stage of development for age early adulthood?
Intimacy vs. isolation
Erikson stage of development for age middle adulthood?
generativity vs. self-absorption
Erikson stage of development for age late adulthood?
integrity vs. despair
What is the favorable outcome for trust vs. mistrust?
trust and optimism
What is the favorable outcome for autonomy vs. doubt?
sense of autonomy and self-esteem
What is the favorable outcome for initiative vs. guilt?
self direction and purpose
What is the favorable outcome for industry vs. inferiority?
sense of competence and achievement
What is the favorable outcome for identity vs. confusion?
integrated self-image
What is the favorable outcome for intimacy vs. isolation?
ability to experience love and commitment.
What is the favorable outcome for generativity vs. self-absorption?
concern for family, society and future generations.
What is the favorable outcome for integrity vs. despair?
sense of satisfaction; acceptance of death.
What form of development does Piaget deal with?
cognitive/moral development.
Which period of Piagets development deals with progress from reflex activity to simple repetitive actions?
Sensorimotor period( Birth- 2 yrs).
Which period of Piagets development deals with object permanence?
Sensorimotor period: can’t see object but know its there.
What are the two adaptive processes that Piaget was concerned with?
assimilation and accommodation.
What is the process of absorbing new information into existing cognitive structures? ex: see a zebra and you call it a horse.
assimilation
What is the process of modifying existing cognitive structures In response to new information?
Accommodation
What period of Piaget’s development deals with thinking in symbols; egocentric(can only see things in their perspective), can’t grasp conservation?
Preoperational Period (ages 2-7yrs)
Describe Piagets Concrete operations period(ages 7-12)
able to perform mental operations; reversibility is one primary development; logical thinking, understand conservation and cause and effect.
Describe Piagets final stage of development: Formal operations period( ages 12- adulthood.)
self consciousness, believe invulnerable: lead to risk taking; abstract thinking develops: can think of the future, can reason about situations not personally experienced.
Kohlberg focused on development of what?
moral reasoning
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” ?
Preconventional level
Describe Kohlberg’s Conventional Reasoning level.
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.
Describe Kohlberg’s final level of moral reasoning: Postconventional reasoning.
Stage 5: social contract orientation: you have your own morals but your not certain so you negotiate them.
stage 6: universal ethical principle orientation.
What are the 6 words that describe Caring Tapestry?
Commitment, Compassion, Conduct, Competence, Conscience, Confidence
Why were the standards of care made?
to protect the public and judge the quality of care.
What does the following acronyms stand for:
AWHONN; ACNM; MANA; AORN; NANN; CCNE; NLNAC
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.
What caring tapestry word would you use to describe: dedication, quality & safe care, EBP.
Commitment
What caring tapestry word would you use to describe: service, sensitivity/empathy, human dignity?
Compassion
What caring tapestry word would you use to describe: altruism, advocacy, ethical, autonomy, accountability?
Conscience
What caring tapestry word would you use to describe: leadership, management, adaptability?
confidence
What caring tapestry word would you use to describe: knowledge, judgment, nursing process, EBP, prioritization?
Competence
What caring tapestry word would you use to describe: professionalism/leadership, accountability, pride/enthusiasm, role modeling?
Conduct
