Integral Marking Scheme version
2024/2025
Evidence Based Practice - correct answer problem solving
approach that integrates the BEST research evidence with a
healthcare professional CLINICAL expertise and the clients
VALUES or preferences ***!!
Informed Consent - correct answer formal authorization by
the Childs PARENT or guardian allowing an INVASIVE
procedure to be performed or for participation in research ***!!
Patient Self-Determination Act - correct answer directs
healthcare institutions to INFORM hospitalized patients about
their RIGHTS, which include making advance directives***
FAMILY CENTERED CARE & CULTURAL CONSIDERATIONS -
correct answer
What is a Family? - correct answer 2+ individuals who are
joined together by marriage, birth, adoption, and live together in
same house ***
Self-Identified
-includes "honorary" members
-dynamic
SHARE resources
,-emotional, physical, financial
-guided by common values ***
NONE are typical
FAMILY COMPOSITION: - correct answer Nuclear
Child-free (choice, infertility)
Extended
Extended Kin Network
SINGLE parent
Blended/Reconstituted
Binuclear
Heterosexual Cohabiting **
LGBTQ
Nuclear - correct answer children live in a household with
BOTH biologic parents****
Extended Family - correct answer couple shares household
and child rearing responsibilities with parents, siblings, or other
relatives ***
Extended Kin Network - correct answer specific extended
family-- two NUCLEAR families of primary or unmarried kin live
in proximity to each other ***
,Blended/Reconstituted Family - correct answer Includes
TWO parents with biologic children from a PREVIOUS marriage
or relationship who marry or cohabit ***
Binuclear Family - correct answer POSTdivorce family
which biologic children are members of TWO nuclear households
with coparenting by the father and the mother ***!!
Heterosexual cohabiting family - correct answer a
heterosexual couple who may or may not have children who LIVE
TOGETHER outside of marriage ***
LGBTQ - correct answer Two adults of the SAME gender
live together as domestic partners with or without children, and
those in which a gay or lesbian SINGLE parent rears a child ***
Family Centered Care - correct answer Philosophy of health
care in pediatrics consisting of a MUTUALLY beneficial
partnership between FAMILY and HEALTHCARE team***!!
Mutual RESPECT of knowledge, skills, and experience ***
Parents are PARTNERS in Childs care NOT visitors in healthcare
setting ***!!
cont. - correct answer collaboration between providers and
families promotes BEST OUTCOMES for children ***
IMPROVES outcomes
, INCREASES compliance with recommended therapies !!!!
REDUCES ANXIETY of patients and families
Family Focused Care - correct answer HCP focuses on
family and tries to make them whole again
Family Dynamics - correct answer The patterns of relating,
or interactions, between family members **!!
Each family system and its dynamics are unique -- some
COMMON patterns **
ALL families have some helpful and some unhelpful dynamics
Parenting Styles: Authoritarian - correct answer rigid, sets
RULES** , dictatorial
no warmth
Authoritative - correct answer Sets limits; LISTENS to
children, open discussion
HIGH warmth
Permissive - correct answer NO LIMITS; child sets rules
high warmth
Indifferent - correct answer LITTLE interest in child***