Unit 1: Family Dynamics and Culture

Question 1

What is the concept of family dynamics?

Answer 1

A family can provide a social network that acts as a potent support system providing practical, emotional, or social support.

Question 2

How are family dynamics relate to 21st-century maternity nursing?

Answer 2

Health-seeking behaviors are based on cultural beliefs and values (usually passed down through family).

The pt family may need to be involved and can provide support for pt. Make sure to ask pt how they want their family involved

Question 3

What is a nuclear family?

Answer 3

Husband, wife, and children live as an independent unit

Question 4

What is extended family?

Answer 4

Grandparents, aunts, uncles, or other related by blood; can provide social, emotional, and financial support

Question 5

What is a multigenerational family?

Answer 5

3+ generations of relatives in a house

Question 6

What is a nonbiologic-parent family?

Answer 6

Children live independently in a foster or kinship care (ex: with grandparent)

Question 7

What is a married-blended family?

Answer 7

Divorced and remarriage

Question 8

What is a cohabiting-parent family?

Answer 8

Two unmarried parents

Question 9

What is a single-parent family?

Answer 9

A parent who is unmarried and may or may not be living with other adults

Question 10

What is a LGBTQIA family?

Answer 10

Same-sex couple

Question 11

How can we understand a pt’s culture better?

Answer 11

ASK!
Try not to assume

Question 12

What is acculturation?

Answer 12

Changes within groups as they interact

Question 13

What is assimilation?

Answer 13

A culture loses identity and becomes a part of the dominate culture.

Question 14

What are cultural beliefs and practices in relation to childbearing and parenting?

Answer 14

Communication
Use of interpreters
Expectations of personal space
Time orientation
Family roles

Question 15

How can a nurse use cultural competence in relation to expanding family roles?

Answer 15

Provide specific education
Point pt and family towards related resources
Emphasis on wellness and empowerment for the family in an appropriate way

Question 16

What are ethnicity cultural beliefs (hispanic, blacks, asian, european, and native american)?

Answer 16

H - maternal, won’t breastfeed w/in first days
B - delay prenatal care; support from women
A - men more hands-off, food preferences, sitting month
E - fathers involved; longer paternal and maternal leave
NA - multigenerational family involvement; newborns not handled as much; herbal supplements used often

Question 17

What are the standards of practice and legal issues in delivery of care?

Answer 17

Joint Commission sets Medicare and Medicaid regulations
Standards of practice: AWHONN, NANN, ACOG, AAP, and INS

Question 18

What is family nursing?

Answer 18

Assisting families with the changes occurring due to the pregnancy
Honoring and respecting each perspective, while listening to the woman

Question 19

What are theoretical approaches to understanding families?

Answer 19

–> Family interview: have therapeutic conversations, inquire about relations in the room, genograms and ecomaps, asking therapeutic questions about expectations, challenges, and concerns, and offering commendment for the family.
–> Calgary FAmily Assessment Model: structural assessment (determine members of family), developmental assessment (what do you enjoy about life?), Functional assessment (reactions to daily living)

Question 20

What are interventions to promote positive family dynamics?

Answer 20

Classes
Media messages
Early exposure to information
Collaboration with familly
Involving expecting parents in identifying teaching needs

Question 21

What is health disparity?

Answer 21

Conditions that disproportionately affect certain racial, ethnic or other groups

Question 22

What are health disparities in maternal nursing?

Answer 22

Lack of access
Race affecting prenatal care
Chronic illness
Incarceration leads to lack of support
Immigrants and refugees
Migrant workers
Rural women - financial and transport
Homelessness

Question 23

What are efforts to reduce health disparities?

Answer 23

Health education programs
Education of older women
Migrants have migrant health centers which are government-funded
Providing a translator

Question 24

What are the 4 categories that disparities are linked to?

Answer 24

Biological, environment, socioeconomics, health behaviors