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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
What is the basic structural unit of the community?
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
What are family values?
Guided behavior and interactions within society and family unit influenced by cultural background, social norms, education, environment, peers, etc.
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)
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
What is a crisis and what are the two types of 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
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.
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
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
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
What is culture?
LEARNED: a shared system of values, beliefs and behaviors that are seen as appropriate or inappropriate
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
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
What is acculturation?
- Blending of cultures as people have contact with new or different cultures
- May be associated with an increase or a decrease of health habits
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
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
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