Family, Social, Cultural and Religious Influences on Child Health Promotion

Question 1

Definition of family

Answer 1

-Defined in terms of individual’s own frame of reference, values, or discipline
-No universal definition
-Integrating concepts: biology, psychology, economics, sociology
-Relationships: consanguineous, affinal, family of origin, household
-Types: consanguineous (blood),l affinal (marital), family of origin (family unit person is born into)

Question 2

Family theories

Answer 2

-How family responds to events within and outside of family
-Family systems (Bowen)
-Family stress
-Developmental stages (Duvall)

Question 3

Family systems theory

Answer 3

-Change in any part of family system that affects all other parts
-Periods of rapid growth and periods of relative stability

Question 4

Family stress theory

Answer 4

-Encounters normative expected stressors and unexpected situational stressors
-Stress has cumulative effect on family

Question 5

Developmental theory

Answer 5

-Must perform certain tasks set by themselves
-Performance at one stage of life cycle influences behavioral options at next stage
-Tends to be in a state of equilibrium when entering new life cycle and strives toward homeostasis

Question 6

Duvall’s developmental stages

Answer 6

1) marriage and independent home
2) families w/ infant
3) families w/ preschoolers
4) families w/ schoolchildren
5) families w/ teenagers
6) families as launching careers
7) middle-aged families
8) aging families

Question 7

Family nursing interventions

Answer 7

-Behavior modification
-Case management and coordination
-Collaborative strategies
-Contracting
-Counseling, including support, cognitive reappraisal and reframing
-Empowering families
-Family advocacy
-Environmental modification
-Family crisis intervention
-Networking, including support groups
-Role modeling
-Role supplementation
-Teaching strategies

Question 8

Family concepts

Answer 8

-Strengths and functioning style –> quality interactions/relationships of members
-Roles and relationships –> position/status in family and plays culturally and defined roles in interactions w/ family
-Strong family ties, social control is effective
-Parental roles –> socially sanctioned roles which have been defined: prescribe appropriate sexual behavior and childrearing responsibilities

Question 9

Qualities of strong families

Answer 9

-Commitment
-Appreciation
-Encouragement
-Time spent
-Purpose
-Congruence
-Communication
-Family rules, values, beliefs
-Coping strategies
-Problem-solving
-Positive
-Adaptability
-Balance

Question 10

Family structure

Answer 10

-Traditional
-Nuclear
-Blended or household
-Extended or household
-Single parent
-Binuclear
-Polygamous
-Communal
-LGBTQIA

Question 11

Role learning

Answer 11

-Learned thru socialization
-Basic determinants of parenting
-Consistent measurements
-Culturally appropriate role behaviors
-Role structuring occurs within family unit
-Response to life situations thru reciprocal transactions
-Older siblings have stronger influence on younger ones

Question 12

Cultural humility and healthcare providers’ contributions

Answer 12

-Address significance of equity, fairness, caring
-Culturally competent care thru teaching and training
-Culture includes social class

Question 13

Attributes of cultural humility

Answer 13

-Openness, self-awareness, egolessness, supportive interactions, self-reflection and critique
-Use of transformational learning environments

Question 14

Parenting styles

Answer 14

-Authoritarian: controlling, strict rules, withdrawal of love and approval, children tend to be shy and honest
-Permissive: no control, inconsistent discipline, no punishment
-Authoritative: combines both, control is focused on issue, not on withdrawal of love or fear of punishment (inner-directedness)