NUR 110 Exam 4
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NUR 110 EXAM 4
What is a family?
two or more people related by blood, marriage, or adoption residing in the same
household; may or may not be blood related
What are the typical functions of a family?
Provide a safe, comfortable home; Communicate cultural values and beliefs; Provide
emotional support; Secure adequate income
traditional nuclear family
a family unit consisting of a wife/mother, a husband/father, and their dependent child
or children
What are examples of family structures?
Nuclear family; Grandparent families; Dual-earner families; Single-parent families;
Blended families; Extended families; Sandwich families
It is important for the nurse to understand the structure of the client's family
so that he/she can:
A. Address the various family members correctly
B. Tailor visiting hours to the families needs
C. Avoid embarrassing moments during intervention
D. Develop a holistic plan that includes the whole family
D. Develop a holistic plan that includes the whole family
You are caring for a 22-year old female client admitted with complaints of
headache. She was accompanied by her roommate, her best friend since age
5, who confidentially confides that the patient is a victim of dating violence.
Whats the nurse's best response?
A. "I can only take a history from the client."
B. "Thank you. I will pass the information to the provider."
C. "Tell me more and how this relates to her headaches."
D. "What is his name and how have you tried to help get out of the
relationship?"
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C. "Tell me more and how this relates to her headaches."
Three perspective of family nursing
Family as a context (Focus on one indv.); family as a unit of care (provide
assessment and care all members); Family as a system (focus on family as a whole)
General Systems Theory
theory that organizations are a system composed of many subsystems and
embedded in larger systems, and that organizations should develop communication
strategies that serve both
structural functional theory
Family is a social system and each member has a specific role
Family interactional theory
views the family as a unit of interacting personalities, the major emphasis is on family
roles
Developmental Theories in Families
11 stages:
Beginning Family
Childbearing family
No children
Family with preschool children
Mature family with no children
Family with school aged children
Family with teens/young adults
Family with launching young adults
Post-parental family
Middle-aged couple w/ no children
Aging family w/ no children
Health risk factors for childless and childbearing couples
Adapting to new roles creates stress, can lead to maladaptive coping
Health risk factors for families with young children
Experience financial difficulties; illness and injuries create risks to family health; loss
of energy and privacy for parents
Health risk factors for families and adolescents/young adults
Risk taking behaviors; Dealing with aging grandparents; Life transitions between
dependence and independence
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Health Risk Factors for families with middle-aged adults
Role fulfillment; midlife crisis; onset of health problems
Health risk factors for families with older adults
Falls and trauma risks; risk for social isolation, depression, and malnutrition
Challenges to Family Health
-Poverty and unemployment
-Infectious disease
-Chronic illness and disability
-Homelessness
-Family violence and neglect
Family Health Assessment
Identifying data
Family composition
Family history and developmental stage
Environmental data
Family structure
Family functions
Health beliefs, values, and behaviors
Family stressors and coping
Abuse and violence within family
Family communication patterns
Caregiver role strain
Social isolation
Promoting Family Wellness
Interventions when a family member is ill
Interventions for caregiver strain
Interventions when there is a death in the family
Which nursing intervention would be effective when dealing with the family
members of a critically ill client?
A. Involve the family members in care conferences about the client's care
B. Complete all of the client's care so the family is not inconvenienced
C. Select the eldest child to involve in care conferences
D. Invite the family member with better coping skills to the care conference