Families

Question 1

Physiologic Needs (Maslow’s Hierarchy)

Answer 1

Must be met at least minimally to maintain life:
Oxygen, water, food
Balance between intake and elimination of fluids
Elimination
Temperature
Sexuality
Physical activity
Rest

Question 2

Safety and Security Needs (Maslow’s Hierarchy)

Answer 2

Second in priority
Have both physical and emotional components
Being protected from potential or actual harm
Examples of interventions to meet these needs:
Using proper hand hygiene to prevent infection
Using electrical equipment properly
Administering medications knowledgeably
Skillfully moving and ambulating patients

Question 3

Love and Belonging Needs (Maslow’s Hierarchy)

Answer 3

Third in priority; often called higher-level needs
Understanding and acceptance of others in both giving and receiving love
The feeling of belonging to groups such as families, peers, friends, a neighborhood, and a community
Unmet needs produce loneliness and isolation
Example of interventions to meet these needs:
Including family and friends in care of a patient
Establishing a trusting nurse–patient relationship

Question 4

Self-Esteem Needs (Maslow’s Hierarchy)

Answer 4

Need for a person to feel good about oneself, to feel pride and a sense of accomplishment, and to believe that others also respect and appreciate those accomplishments
Positive self-esteem facilitates the person’s confidence and independence
Factors affecting self-esteem:
Role changes
Body image changes

Question 5

Self-Actualization Needs (Maslow’s Hierarchy)

Answer 5

Highest level on the hierarchy
Acceptance of self and others as they are
Focus of interest on problems outside oneself
Ability to be objective
Feelings of happiness and affection for others
Respect for all people
Ability to discriminate between good and evil
Creativity as a guideline for solving problems and pursuing interests

Question 6

Discuss the concepts of family

Answer 6

Family: any group of people who live together and depend on one another for physical, emotional, and financial support
Nuclear family: traditional family; two parents and their children
Extended family: includes aunts, uncles, and grandparents
Blended family: two parents and their unrelated children from previous relationships
Single-parent family: may be separated, divorced, widowed, or never married
Cohabitating adults: unmarried adults; communal or group marriages

Question 7

Discuss the concepts of family

Answer 7

Family functions occur in five major areas. Physically, the family provides a safe, comfortable environment necessary for growth, development, and rest or recuperation. Economically, the family provides financial aid to family members and also helps meet society’s needs. The reproductive function of many families is to have and raise children. The affective and coping functions of the family provide emotional comfort to family members and help members establish their identity and maintain it in times of stress. Lastly, through socialization, the family teaches; transmits beliefs, values, attitudes, and coping mechanisms, provides feedback, and guides problem-solving.

Question 8

Create a care plan: Readiness for enhanced family processes

Answer 8

A care plan for readiness for enhanced family processes consists of many components. First, let’s see what the family structure is. This is the stage of the family. Second, we want to see what the tasks are within the family. For example, a younger family may plan to have more children, whereas an older family may be discussing retirement. Third, we can assess risk factors that need to be reviewed. So, assess the lifestyle, psychosocial, environmental, developmental, and biologic risks. And fourth, we as nurses will need to make interventions/referrals based on the family’s specific needs.