Chap 4 Flashcards
1
Q
- the basic unit of society, shared by all forces that
surround it (values, beliefs, and customs of society
influence the role and function of the family.)
A
The Family
2
Q
- a family refers to two or more persons who are joined
together by bonds of sharing emotional closeness
and who identifies themselves as being part of the
family.
A
Family Nursing
3
Q
TYPES OF FAMILIES IN THE COMMUNITIES
A
A. According to Structure
B. Types of Functional Families
C. Types of Families Based on Authorities
D. Based on Decent
E. Based on Residence: for “newlyweds couple”
4
Q
A. According to Structure
A
- Nuclear
- Extended
- Single-parent
- Binuclear/Blended/Reconstituted
- Step Family
- Compound
- Cohabitation
- Nuclear Dyad
- Homosexual
- Communal
5
Q
consist of two parents and children (either
adopted or biological)
A
Nuclear
6
Q
consist of the nuclear with other relatives
A
Extended
7
Q
single with children and either male
or female
A
Single parent
8
Q
- extended
family consisting of 2 or more separate household
from separated or divorced parents with children.
A
Binuclear/Blended/Reconstituted
9
Q
- remarriage of widowed person with
children
A
Step Family
10
Q
- one man/woman with several spouses
A
Compound
11
Q
- lived-in unmarried couple
A
Cohabitation
12
Q
- husband and wife without children
A
Nuclear Dyad
13
Q
- persons at the same sex living
together as “marital partners.”
A
Homosexual
14
Q
- household of more than one
monogamous couple with children, sharing common
facilities, resources, and experiences.
A
Communal
15
Q
B. Types of Functional Families
A
Family of Procreation
Family of Orientation
16
Q
– the family you created.
A
Family of Procreation
17
Q
– the family where you come
from.
A
Family of Orientation
18
Q
C. Types of Families Based on Authorities
A
- Patriarchal
- Matriarchal
- Egalitarian
- Democratic
- Autocratic
- Laissez-faire
- Matricentric
- Patricentric
19
Q
full authority on the father or any male
member of the family (grandfather, father, eldest
son).
A
Patriarchal
20
Q
– full authority on the mother or any
female member of the family (grandmother, mother,
eldest sister).
A
Matriarchal
21
Q
- husband and wife exercise a more or
less amount of authority, father and mother decides.
A
Egalitarian
22
Q
– everybody is involved in decision-
making
A
Democratic
23
Q
– the decision is final whoever does the
decision.
A
Autocratic
24
Q
– “full autonomy” , everyone can
decide on their own without the other family
members questioning that decision.
A
Laissez-faire
25
– the mother decides or takes change
in the absence of the father.
Matricentric
26
– the mother decides or take charge in
the absence of the mother.
Patricentric
27
D. Based on Decent
1. Patrilineal
2. Matrilineal
3. Bilateral
28
- Cultural norms, affiliation of a person with a particular
group of kinsmen for certain social purposes.
D. Based on decent
29
– affiliates a person with a group of
relatives who are related to him through his father.
Patrilineal
30
affiliates a person with a group of
relatives who are related to him through her mother.
Matrilineal
31
affiliates a person with a group of
relatives who are related to him through his father or her mother
3. Bilateral
32
E. Based on Residence: for “newlyweds couple”
1. Patrilocal
2. Matrilocal
3. Bilocal/Ambilocal
4. Avunculocal
33
– resides or stays with or near domicile of
the parents of the husband.
Patrilocal
34
– resides or stays with or near domicile of
the parents of the wife.
Matrilocal
35
- chooses either of the
household, depends on factors like wealth, status of
families, wishes of parents, certain personal
preference of the couple.
Bilocal/Ambilocal
36
– with near the maternal uncle of the
groom
Avunculocal
37
II. STAGES OF A FAMILY DEVELOPMENT
A. Initial/Establishment Stage
Courtship
B. Expectant Stage (pregnancy)
Developmental crisis
C. Parenthood/Expansion Stage: birth/adoption
1. Anticipatory
2. Honeymoon
3. Plateau/Consolidation
4. Disengagement/Contraction stage
38
- Partner selection
- Autonomy/independence
- Preparation for marriage
- Free of parental domination
A. Initial/Establishment Stage
Courtship
39
- New roles of being a mother/father
- Think as a family, not just pair
- Learn practices in childbearing, family task, home
setting, budget, etc.
- Pregnancy role and responsibilities.
B. Expectant Stage (pregnancy)
Developmental crisis
40
C. Parenthood/Expansion Stage: birth/adoption
1. Anticipatory
2. Honeymoon
3. Plateau/Consolidation
4. Disengagement/Contraction stage
41
– couple earns new roles and
perceptions associated with pregnancy
Anticipatory
42
– immediately after childbirth, parent-
child attachment is formed.
Honeymoon
43
– entire period of child
development = parenting roles
- Family planning, socialization, child education,
participation in the community organizations.
3. Plateau/Consolidation
44
– parent-child
family unit terminates as the last child marries or
leaves home permanently.
- Parent give up their childbearing responsibilities to
allow their children to become independent.
4. Disengagement/Contraction stage
45
III. FUNCTIONS OF THE FAMILY (ACKERMAN)
a. Physical functions
b. Affectional function
c. Social functions
46
Functions of the family are met through
parents providing food, clothing and shelter,
protection against danger provision for bodily repairs
after fatigue or illness, and through reproduction
a. Physical functions
47
– function in the family is the primary unit
in which the child tests his emotional reactions.
b. Affectional function
48
–this function include providing social
togetherness, fostering self-esteem and a personal
identity tied to family identity, providing opportunity
for observing and learning social and sexual roles
accepting responsibility for behavior and supporting
individual creativity and initiative.
c. Social functions
49
IV. THE FAMILY AS A BASIC UNIT OF CARE
1. The family is considered the natural and fundamental
unit of society.
2. The family as a group generates, prevents, tolerates,
and corrects health problems within its membership.
3. The health problems of the family members are
interlocking.
4. The family is the most frequent focus of health
decisions and action in personal care.
5. The family is an effective and available channel for
much of the effort of the health worker.
50
V. THE FAMILY AS A CLIENT
Characteristics of a family as a client
1. The family is a product of time and place.
2. The family develops its own lifestyle.
3. The family operates as a group
4. The Family accommodates the needs of the
individual members.
5. The family relates to the community.
6. The family has a growth cycle.
51
- A family is different from others family who lives in
another location in many ways.
- A family who lived in the past is different from another
family who lives of present in many ways.
1. The family is a product of time and place.
52
- Develop its own patterns behavior and its own style
in life.
- Develops their own power system which either be:
• Balance – the parents and children have
their own areas of decisions and control.
• Strongly Bias
2. The family develops its own lifestyle.
53
- A family is a unit in which the cation of any member
may set of a whole series of reaction within a group,
and entity whose inner strength may be its greatest
single supportive factor when one of its members is
stricken with illness or death.
3. The family operates as a group
54
- An individual is unique human being who needs to
assert his or herself in a way that allows him to grow
and develop.
- Sometimes, individual needs and group needs seem
to find a natural balance:
i. The need for self-expression does not over
shadow consideration for others.
ii. Power is equitably distributed
iii. Independence id permitted to flourish
4. The Family accommodates the needs of the
individual members.
55
Family develops a stance with respect to the community:
- The relationship between the families is wholesome
and reciprocal the family utilizes the community
resources and in turn, contributes to the
improvement of the community.
- There are families who feel a sense of isolation from
the community.
i. Families who maintain proud. “we keep to
ourselves” attitude.
ii. Families who are entirely passive taking the
benefits from the community without either
contributing to it or demanding changes to it.
5. The family relates to the community
56
6. The family has a growth cycle.
Stage 1. Marriage & the Family
Stage 2: Early Childbearing Family
Stage 3: Family with Pre-School Children
Stage 4: Family with School Age Children
Stage 5: Family with Adolescent Children
Stage 6: The Launching Center Family
Stage 7: Family of Middle Years
Stage 8: Family in Retirement/Older Age
Stage 9: Period from Retirement to Death of both spouses
57
- Involves merging of values brought into the
relationship from the families of orientation.
- Includes adjustments to each other’s routines
(sleeping, eating, chores, etc.) sexual and economic
aspects.
- Members work to achieve 3 separate identifiable
tasks:
i. Establish a mutually satisfying relationship
ii. Learn to relate well to their families of orientation
iii. If applicable engage in reproductive life
planning.
Stage 1. Marriage & the Family
58
- Birth or adoption of a first child which requires
economic and social changes
- Oldest child: 2-1/2 years
Stage 2: Early Childbearing Family
59
- This is a busy family because children at this stage
demand a great deal of time related to growth and
development needs and safety considerations.
Stage 3: Family with Pre-School Children
60
- Parents at this stage have important responsibility at
preparing their children to be able to function in a
complex world while at the same time maintaining
their own satisfying marriage relationships.
Stage 4: Family with School Age Children
61
- A family allows the adolescent more freedom and
prepare them for their own life as technology
advances gap between generations increases.
- Oldest: 12-20 years old
Stage 5: Family with Adolescent Children
62
- Stage where children leave to set their own
household-appears to represent the breaking of the
family
- Empty nests – begins when your first child leaves
home
Stage 6: The Launching Center Family
63
- Family returns to two partners nuclear unit
- Period from empty nest to retirement
Stage 7: Family of Middle Years
64
VI. 12 BEHAVIORS INDICATING A WELL
FAMILY
Able to provide for physical, emotional, and spiritual
needs of family members.
2. Able to be sensitive to the needs of the family
members.
3. Able to communicate thoughts and feelings
effectively.
4. Able to provide support, security and
encouragement.
5. Able to initiate and maintain growth producing
relationship.
6. Maintain and create constructive and responsible
community relationship.
7. Able to grow with and through children.
8. Ability to perform family roles flexibly.
9. Able to help oneself and to accept help when
appropriate.
10. Demonstrate mutual respect for the individuality of
family members.
11. Demonstrate concern of family unity, loyalty, and
interfamily cooperation.
12. Demonstrate concern of family, unity, loyalty and interfamily
65
- Differs in degrees from family to family
- A task is a function but with work or labor overtures
assigned or demanded of the person
.
VII. FAMILY HEALTH TASK
66
5 Family Health Task (Maglaya, et al. 20043)
1. Recognizing interruptions of health development
(wellness states, health condition or problem).
2. Making decisions about taking an appropriate health
action to maintain wellness or manage health
problem.
3. Providing care to all members of the family (well,
sick, disabled, dependent, at risk member).
4. Maintaining a home environment conducive to
health, maintenance and personal development.
5. Utilize community health resources for healthcare
67
VIII. FAMILY ROLES
1. Nurturing figure
2. Provider
3. Decision maker
4. Problem-solver
5. Health manager
6. Gate keeper
68
– primary caregivers to children or
any dependent member.
Nurturing figure
69
– provides the family’s basic needs.
Provider
70
– makes decision particularly in
areas such as finance, resolution of conflicts, use of
leisure time etc.
Decision maker
71
– resolves family problems to
maintain unity and solidarity.
Problem-solver
72
– monitors the health and ensures
that members return to health appointments.
Health manager
73
– determines what information will be
released from the family or what new information can
be introduced
Gate keeper
74
IX. FAMILY THEORIES AND MODELS
A. Family
Systems
Theory
B. Developmental Stage Theory
C. Structural–Functional Theory
D. Interaction Theory
E. Role Theory
F. Crisis Theory
75
- Qualitatively measure family functioning
- A 10-15-minute paper and pencil technique that elicit the
patient’s perception and level of satisfaction on the current
state of her family members’ relationship.
This 5-item questionnaire serves as a rapid screening
instruments for family dysfunction.
Family Apgar Questionnaire (SMILKESTEIN, 1978)
76
The capability of the family to
utilize and share resources.
ADAPTATION
77
Measures the satisfaction
attained in solving problems
through communications.
PARTNERSHIP
78
How nurturing is shared or the
members satisfaction with the
freedom available within the
family to change roles and
attain physical and emotional
growth or maturation.
GROWTH
79
How emotional experiences are
shared or the member’s
satisfaction with the intimacy
and emotional interaction that
exists in the family.
AFFECTION
80
How time (space and money) is
shared or the member’s
satisfaction with the time
commitment that has been
made to the family by its
members.
RESOLVE
81
When to use APGAR:
1. When the family will be directly involved in caring for the
patient.
2. When treating a new patient in order to get information in
order to serve as the general view of the family function.
3. When treating a patient whose family is in crisis.
4. When a patient’s behavior makes you suspect a
psychosocial problem possibly due to family dysfunction.
82
Scoring:
7 – 10 = suggest a highly functional family
4 – 6 =moderately dysfunctional family
0 – 3 = severely dysfunctional family
