Family Centered Nursing Care

Question 1

Family Centered Care– Components of Care

Answer 1

1. Agreed upon partnership between families of children , nurses, and providers, in which the families and children benefit.
2. respecting cultural diversity, and incorporating cultural views in the plan of care.
3. understanding growth and development needs of children and their families
4. treating children and their families as clients
5. working with all kinds of families
6. collaborating with families regarding hospitalization, home, and community resources
7. allowing families to serve as experts regarding their children’s health conditions, usual behaviors in different situations, and routine needs.

Question 2

Promoting Family Centered Care

Answer 2

RNs should preform comprehensive family assessments to identify strengths and weaknesses

Question 3

Characteristics of healthy families

Answer 3

1. members communicate well and listen to each other
2. there is affirmation and support for all members
3. there is a clear set of family rules, beliefs, and values,
4. members teach respect for others
5. there is a sense of trust
6. members play and share humor together
7. members interact with one another
8. there is a shared sense of responsibility
9. there are traditions and rituals
10. there is adaptability and flexibility in roles
11. members seek help for their problems

Question 4

Considerations with promoting family centered care

Answer 4

Nurses should pay close attention when family members state that a child “isn’t acting right” or has other concerns.
Children’s options should be considered when providing care.

Question 5

Family Systems

Answer 5

Family is viewed as a whole system instead of individual members
A change in one members affects the entire system.
The system can both initiate and react to change.
Too much and too little change can lead to dysfunction.

Question 6

Family Stress

Answer 6

Describes stress as inevitable.
Stressors can be unexpected or expected.
Explains the reaction of the family to stressful events.
Offers guidance for adapting to stress.

Question 7

Developmental

Answer 7

Views family as small groups that interact with the larger social system.
Emphasizes similarities and consistencies in how families develop and change
Uses Duvall’s family life cycle stages to describe the changes a family goes through over time.
How the family functions in one stage has a direct effect on how the family will function in the next stage.

Question 8

Traditional Nuclear Family

Answer 8

married couple and their biological children (only full brothers and sisters)

Question 9

Nuclear Family

Answer 9

two parents and their children (biological, adoptive, step, foster)

Question 10

Single-Parent Family

Answer 10

one parent and one or more children

Question 11

Blended Family

Answer 11

aka: reconstituted

At least one stepparent, step sibling, or half-sibling

Question 12

Extended Family

Answer 12

at least one parent, one or more children, and other individuals (might not be related)

Question 13

Gay/lesbian Family

Answer 13

two members of the same sex who have children and a legal or common-law tie

Question 14

Foster Family

Answer 14

a child or children who have been place in an approved living environment away from the family of origin, usually with one or two parents

Question 15

Binuclear Family

Answer 15

parents who have terminated spousal role but continue their parenting roles

Question 16

Communal Family

Answer 16

individuals who share common ownership of property and goods, and exchange services without monetary consideration

Question 17

Changes that occur with the birth (or adoption) of the first child.

Answer 17

1. Parents sense of self as they transition to new parental role
2. division of labor and roles within the relationships of couples
3. relationships with grandparents
4. work relationships
5. increased financial responsibility and possible loss of income
6. necessary sleep habit change

Question 18

Dictatorial or Authoritarian Patenting

Answer 18

Parents try to control the child’s behaviors and attitudes through unquestioned rules and expectations
Ex: the child is never allowed to watch television on school nights

Question 19

Permissive Parenting

Answer 19

Parents exert little or no control over they child’s behaviors, and consult the child when making decisions
EX: the child assists with deciding whether he will watch television

Question 20

Democratic or Authoritative Parenting

Answer 20

Patents direct the child’s behavior by setting rules and explaining the reason for each rule setting.
EX: the child can watch TV for 1 hour on school nights after completing all of his homework and chores.

Patents negatively reinforce deviations from the rules.
EX: the privilege is taken away but later reinstated based on new guidance.

Question 21

Passive Parenting

Answer 21

Parents are uninvolved, indifferent, and emotionally removed

EX: the child may watch TV whenever he wants to.

Question 22

Guideline for promoting acceptable behavior in children

Answer 22

1. set clear and realistic limits and expectations based on the developmental level of the child.
2. validate the child’s feelings and offer sympathetic explanations
3. provide role modeling and reinforcement for appropriate behaviors
4. focus on the child’s behavior when disciplining the child

Question 23

History

Answer 23

Medical history for parents, siblings, and grandparents

Question 24

Structure

Answer 24

family members (mother, father, son)

Question 25

Developmental Tasks

Answer 25

tasks a family works on as the child grows (parents with school aged kids helping her develop peer reltionships)

Question 26

Family Characteristics

Answer 26

cultural, religious, and economic influences on behavior, attitudes, and actions

Question 27

Family Stressors

Answer 27

Expected (birth of a child) and unexpected (illness, divorce, disability, or death of a family member) events that cause stress

Question 28

Environment

Answer 28

availability of and family interactions with community resources

Question 29

Family Support System

Answer 29

availability of extended family, work and peer relationships, as well as social systems and community resources to assist the family in meeting needs or adapting to a stressor.