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Family Assessment Flashcards

Exam 3

1
Q

FAMILY: What is it?

A

Two or more persons who share emotional closeness and identify themselves as members of a family (DeMarco & Healey-Walsh, 2020).

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2
Q

Promoting FAMILY HEALTH

Most theorists agree that a family consists of:

A

Two or more individuals who share a residence or live near one another

Possess some common emotional bond

Engage in interrelated social positions, roles, and tasks

Share a sense of affection and belonging

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3
Q

FAMILY Structures

What are different types?

A

Nuclear families

Single parent families

Cohabitating couples and families

Childless families

Blended families

LGBTQ families

Homeless families

Grandparent families

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4
Q

Contemporary Family issues

A

Changes in family life cycle

Changes in family structure

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5
Q

Contemporary Family issues

Changes in family structure: What does this mean?

A

Single-parent families

Blended families

Cohabitating couples and families

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6
Q

Theoretical Perspective of family

include:

A

Family systems theory

Family structural-functional theory

Family developmental theory

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7
Q

Theoretical Perspective of family

include: Family systems theory

A

Explains internal and external interactions within the family and with the community.

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8
Q

Theoretical Perspective of family

include: Family structural-functional theory

A

Family structural-functional theory – Family serves as basic unit of society, order/structure of relationships.

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9
Q

Theoretical Perspective of family

include: Family developmental theory

A

Family developmental theory – Families progress through typical stages - Life cycle

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10
Q

Promoting Family Health

A

Nursing care directed at improving the potential health of a family or any of its members consists of:

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11
Q

Promoting Family Health

Nursing care directed at improving the potential health of a family or any of its members consists of:

Assessing what?

A

Assessing individual and family health needs and strengths

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12
Q

Promoting Family Health

Nursing care directed at improving the potential health of a family or any of its members consists of:

Identifying what?

A

Identifying problems influencing the health care of the family as a whole and those influencing the individual members

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13
Q

Promoting Family Health

Nursing care directed at improving the potential health of a family or any of its members consists of:

Using what?

A

Using family resources through teaching and counseling

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14
Q

Promoting Family Health

Nursing care directed at improving the potential health of a family or any of its members consists of:

Evaluating what?

A

Evaluating progress toward stated goals

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15
Q

Family Characteristics

Vary by what?

A

Vary by organization, culture, and individual

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16
Q

Family Characteristics

How is every family?

A

Every family is a small social system.

Every family moves through stages in its life cycle

Every family has its own cultural values and rules

Every family has structure.

Every family has certain basic functions.

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17
Q

Family HISTORY includes what?

A

Sociodemographic details of the family

Type of the family

Family size

Consanguinity

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18
Q

Family Constellation

Who is included?

A

Father, Mother, Spouse, Children, Siblings

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19
Q

Family Constellation

What is included?

A

Age
Marital status
Educational status
Occupation
Income
Health status
Any other significant family history

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20
Q

Family Development Stage

aka?

A

The family life cycle (Duvall, 1977)

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21
Q

Family Development Stage

The stages are based on what? How many stafes are there?

A

The stages from their work are based on the traditional, nuclear, heterosexual middle-class family experience, which was the predominant and widely accepted family structure at the time.

The theorists identified eight stages within the family life cycle.

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22
Q

Family Development Stage: What are they?

A

Married couples without children.

Childbearing families – oldest child from birth to 30 months.

Families with pre school children – oldest child 21/2 to 6 years.

Families with school children – oldest child – 6 to 13 years.

Families with teenagers – oldest child 13 to 20 years.

Families launching young adults – from first child’s to last
child’s leaving house.
Middle aged parents – empty nest to retirement. 8. Aging family members – retirement to death of both spouses.

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23
Q

Family Life Cycle: /how many stages?

A

Two broad stages

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24
Q

Family Life Cycle:

Two broad stages

A

Expansion

Contraction

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25
Family Life Cycle: Two broad stages: Expansion
Adding of new members Increase in relationships
26
Family Life Cycle: Two broad stages: Contraction
Leaving of members Starting own lives or dying
27
Family Life Cycle Two broad stages: More specific phases within each stage
More specific phases within each stage, that is, launching of children, retirement of parents
28
Family Developmental Tasks Life cycle progression dependent on what?
Life cycle progression dependent on developmental tasks; ongoing throughout life cycle
29
Family Developmental Tasks include:
Establishing a mutually satisfying relationship Adjusting to pregnancy and parenthood Fitting into kin network Adapting to critical needs of children at all stages Fitting into the community Balancing freedom with responsibility Releasing young adults into work Adjusting to retirement Husband and wife as marital partners Father and mother as parents Parent and children Children as siblings Significant others
30
FAMILIES AS SOCIAL SYSTEMS Families are what?
Families are interdependent. Families are adaptive. Families are goal oriented.
31
FAMILIES AS SOCIAL SYSTEMS Families maintain what? Exchange what?
Families maintain boundaries. Families exchange energy with their environments.
32
Sub-systems: What are they?
A subsystem is one element of the total system. It comprises a single person or several persons joined together by common membership criteria such as: age, sex or shared purpose
33
Sub-systems include?
parent sub system sibling subsystem parent child sub system grand parent and grand child subsystem
34
Boundaries: How are families?
Families are open systems that have permeable boundaries.
35
Boundaries: System boundaries occur where?
System boundaries occur where two or more systems or subsystems interact or come together.
36
Boundaries: What are the different types?
Clear/open Diffuse Closed/rigid
37
Boundaries: Clear/open –
well defined enough to allow subsystem members to carry out their functions without undue interference but still allow contact between members of the subsystem and others.
38
Boundaries: Diffuse –
where distance decreases and boundaries are blurred. The extreme sensitivity of its individual members to each other and to their primary subsystem.
39
Boundaries: Closed/rigid -
Closed/rigid - prevent the individual the individual members from having meaningful contact with each other.
40
Family Patterns
Cohesion Enmeshed
41
Family Patterns Cohesion
exhibits commitment & intimacy- family rituals, ‘we’ feeling, dependence independence, activities (social, emotional, personal). expressed in terms of commitment and the degree of intimacy in the interpersonal dimension.
42
Family Patterns Enmeshed
refers to families in which there is extreme sensitivity among the individual members to each other and to their primary subsystem
43
ROLE STRUCTURE AND FUNCTIONING
Role structure and functioning refers to covert and overt processes and behavior of the self and others.
44
ROLE STRUCTURE AND FUNCTIONING Role expectation -
Role expectation - a concept held about a behavior likely to be exhibited by a person in each situation.
45
ROLE STRUCTURE AND FUNCTIONING Role performance -
Role performance - how well a person performs a role relative to the expectation for the role.
46
ROLE STRUCTURE AND FUNCTIONING Role conflict -
Role conflict - a felt difficulty in fulfilling role obligations any situation in which the person in a given position perceives that he is confronted with incompatible expectations.
47
ROLE STRUCTURE AND FUNCTIONING Role diffusion -
Role diffusion - more than one person being ascribed the same role.
48
ROLE STRUCTURE AND FUNCTIONING Role ambiguity
- lack of clarity, certainty and/or predictability one might have expected with regards to behavior
49
ROLE STRUCTURE AND FUNCTIONING Role prescription
- behavior which is socially assigned and defined on a normative basis.
50
ROLE STRUCTURE AND FUNCTIONING Role acceptance -
duly acknowledging and accepting the ascribed role
51
ROLE STRUCTURE AND FUNCTIONING Instrumental role
Instrumental role – disciplinarian and decision maker
52
ROLE STRUCTURE AND FUNCTIONING Expressive role -
mediator conciliator of the family, the person who smooths over disputes, resolves hostilities in the family.
53
Alignment: What does it consist of?
Consists of coalitions and alliances
54
Coalition -
Coalition - when alignments stand in opposition to another part of the system.
55
Alignment Coalition: Detouring; Scapegoating
Detouring - attacking Scapegoating - blaming
56
Alliance -
Alliance - the joining together of two or more members. It popularly designates a positive affinity between two units of a system.
57
Triangulation -
Triangulation - cross-generational alliance
58
FAMILY CULTURE
The acquired knowledge that family members use to interpret their experiences and to generate behaviors that influence family structure and function:
59
FAMILY CULTURE: What does it determine?
A family’s culture determines its distribution and use of power.
60
FAMILY CULTURE How are certain roles? Family members share what?
Certain roles are prescribed and defined for family members. Family members share certain values that affect family behavior.
61
Leadership pATTERNS Power structure: What is it specific to?
Gender and/or authority specific
62
Leadership pATTERNS Power structure: Gender and/or authority specific
Acceptance Nominal Functional
63
Decision making process
Firmness Self assurance Domination of others
64
Decision making process: Democratic
Responsiveness, Participation, Mutual interaction
65
Decision making process: Chaotic:
Chaotic: (Participants Implementation )
66
Communication WITHIN FAMILIES Switchboard communication -
Switchboard communication - when communication is through third parties as a means of avoiding confrontation. The risk is that the message will be distorted in the process.
67
Affective communication
welfare feelings (love, joy) emergency feelings (fear, anger)
68
FAMILY NURSING THEORY 1 What are the two groups?
Family Systems Nursing (FSN) Family assessment:
69
Family Systems Nursing (FSN)
Nurses focus on the family as a unit, include family in care planning, and view family as a partner.
70
Family assessment:
Calgary Family Assessment Model
71
Calgary Family Assessment Model
Genogram Ecomaps
72
Nursing assessment TOOL GENOGRAM
A graphic representation of a family tree that displays detailed data on relationships among individuals.
73
Nursing assessment TOOL GENOGRAM

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