QUESTIONS AND ANSWERS SURE A+
✔✔Fourth Approach to family nursing - ✔✔4. Family as a Component of Society
The family is seen as one of many social institutions (e.g., schools, churches, health
systems).
The nurse looks at how the family interacts with the larger community and societal
structures.
Focus is on social, cultural, economic, and community influences on families.
✔✔3 categories of CFAM and their components - ✔✔1. Structural Assessment
This examines who is in the family, how they are connected, and the external influences
on them.
A. Internal Structure
Family composition
Gender identity
Sexual orientation
Rank order / birth order
Subsystems (e.g., spousal, sibling, parent-child)
Boundaries (open, closed, rigid, diffuse)
,B. External Structure
Extended family
Larger systems (e.g., work, school, healthcare, church, social services)
C. Context
Ethnicity
Race
Social class
Religion / spirituality
Environment (physical, community, neighbourhood)
2. Developmental Assessment
This focuses on where the family is in its life cycle and the tasks associated with that
stage.
Components
Family developmental stages(e.g., couples, families with young children, families with
adolescents, launching children, retirement/aging)
Developmental tasks(expected responsibilities and transitions at each stage)
Attachments / bonds(emotional connections and relational patterns within the family)
3. Functional Assessment
This examines how the family functions, both in daily living and in their interactions.
A. Instrumental Functioning
Activities of daily living (ADLs)(e.g., feeding, hygiene, meal prep, finances, routines)
B. Expressive Functioning
Includes communication and interaction patterns:
Emotional communication
Verbal communication
Nonverbal communication
Circular communication(interaction cycles, reciprocal influence)
Problem solving
Roles
Power
Beliefs
Alliances and coalitions
✔✔First category of CFAM and their components - ✔✔1. Structural Assessment
This examines who is in the family, how they are connected, and the external influences
on them.
, A. Internal Structure
Family composition
Gender identity
Sexual orientation
Rank order / birth order
Subsystems (e.g., spousal, sibling, parent-child)
Boundaries (open, closed, rigid, diffuse)
B. External Structure
Extended family
Larger systems (e.g., work, school, healthcare, church, social services)
C. Context
Ethnicity
Race
Social class
Religion / spirituality
Environment (physical, community, neighbourhood)
✔✔Second category of CFAM and their components - ✔✔2. Developmental
Assessment
This focuses on where the family is in its life cycle and the tasks associated with that
stage.
Components
Family developmental stages(e.g., couples, families with young children, families with
adolescents, launching children, retirement/aging)
Developmental tasks(expected responsibilities and transitions at each stage)
Attachments / bonds(emotional connections and relational patterns within the family)
✔✔Third category of CFAM and their components - ✔✔3. Functional Assessment
This examines how the family functions, both in daily living and in their interactions.
A. Instrumental Functioning
Activities of daily living (ADLs)(e.g., feeding, hygiene, meal prep, finances, routines)
B. Expressive Functioning
Includes communication and interaction patterns:
Emotional communication
Verbal communication
Nonverbal communication
Circular communication(interaction cycles, reciprocal influence)
Problem solving