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What is a family?
bottom line: patient decides who the family is
may be related by birth, marriage, reciprocal affection or other
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What is the basic structural unit of the community?
FAMILY
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What are the different types of families?
- Nuclear family
- Dual Career/Dual Earner Family
- Child-less Family (Nuclear Dyad)
- Extended Family (3gen or more)
- Communal Family (like the Amish)
- Single Parent Family
- Step-parent Family
- Blended Family
- Binuclear Family
- Homosexual Family
- Cohabitating Family
- Adoptive Family
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What are family values?
Guided behavior and interactions within society and family unit influenced by cultural background, social norms, education, environment, peers, etc.
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What are the five functions of a family?
- 1. Reproductive (reproduction, child rearing)
- 2. Economic (earn money, allocate resources)
- 3. Health care (food, clothing,shelter, medical)
- 4. Affective (provides environment that promotes personality development and ability to form ties outside family)
- 5. Socialization (transfer of values, beliefs, tradition, language, culture, skills, knowledge and family is sensitive to the varying social needs of the children according to age and personality)
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What are the eight stages of the family life cycle and which way is growth headed?
- 1. Beginning Families
- 2. Childbearing Families
- 3. Families with preschool children
- 4. Families with school age children
- 5. Families with teenagers
- 6. Families launching young adults
- 7. Middle Aged Parents
- 8. Retirement and old age
*growth is moving from dependence to active independence to interdependence
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What is a crisis and what are the two types of crisis?
Crisis: a disturbance of habit or a disruption in a family or individuals usual means of maintaining control over a situation
- 2 Types of Crisis:
- 1. Maturational: through the normal growth process
- 2. Situational: unexpected situation
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Describe maturational crisis and give an example
- It is part of the normal growth process usually involving change over time
- Involves a change in role status
- Examples: birth (becoming a parent!), adolescence, etc.
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Describe situational crisis and give an example
- Develops as a result of a threat and threatens a person's sense of integrity
- Can cause anxiety and depression
- Examples: preterm birth, illness, loss of job
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A client's response to a crisis depends on what 3 components?
- 1. Client's perception of the crisis
- 2. Client's coping mechanisms
- 3. Client's support system
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What are some nursing actions to facilitate adaptation to pregnancy?
- Perform psychosocial assessment at first visit
- Assess adaptation at every prenatal visit
- Assess Support system
- Discuss expectations for pregnancy, birth and newborn
- Identify areas of concern
- Establish Trust
- Refer to appropriate member of the health care team
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What is culture?
LEARNED: a shared system of values, beliefs and behaviors that are seen as appropriate or inappropriate
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What is ethnicity?
- A social identity: social, cultural and politically constructed group of individuals that hold a common set of characteristics not shared by other with whom its members come in contact
- Not always defined by physical characteristics such as skin color
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What is the difference between culture and ethnicity?
The main difference is that culture is learned (behaviors, values, etc) while ethnicity is a group that you identify with
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What is acculturation?
- Blending of cultures as people have contact with new or different cultures
- Assimilation
- May be associated with an increase or a decrease of health habits
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What are some barriers to culturally sensitive care?
- Ethnocentrism: the belief that the customs and values of the dominant culture are preferred or superior
- Sterteotyping: the assumption that everyone in a group is the same as everyone else in the groups
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How can you give culturally competent care?
- Respect all people
- Develop self awareness of own cultural beliefs
- Adapt clinical skills and practices as necessary
- Complete a cultural assessment
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How can you give spiritually sensitive care?
- Do not assume clients believes in a higher being
- Assess religious/spiritual history and beliefs
- Accommodate beliefs when medically appropriate
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