Chapter 5 Flashcards
(34 cards)
Balanced Families (p.603)
Balanced families have the ability to allow family members to be independent from the family yet remain connected to the family as a whole, which is termed family cohesion.
Bioecological Systems Theory (p.606)
The bioecological systems theory was developed by Urie Bronfenbrenner to describe how environments and systems outside of the family influence the development of a child over time. Even though this theory was designed around
how both nature and nurture shape the development of a child, the same underlying principles can be applied when the client
is the family. This theory is very useful for public health nurses since it helps identify the stresses and potential resources that
can affect family adaptation.
Capacity Building Model (p.608)
In a capacity building model nurses assume the family has the most knowledge about how their health issues affect the family, supports family decision making, empowers
the family to act, and facilitates actions for and with the family. The goal of family nursing is to focus care, interventions, and
services to optimize the self-care capabilities of families and to achieve the best possible outcomes.
Chronosystems (p.608)
refer to time-related contexts in which
changes that have occurred over time may influence any or all of the other levels/systems. Examples include the death of a young parent, a divorce, and remarriage, war, or natural disasters.
Cohabitation (p.600)
A couple living together who are having a sexual relationship without being
married.
Dysfunctional Families (p.603)
also called noncompliant, resistant, or
unmotivated—phrases that label families who are not functioning well with each other or in their communities.
Ecomap (p.613)
A visual diagram of the family unit in relation
to other units or subsystems in the community. The ecomap serves as a tool to organize and present factual information and
thus allows the nurse to have a more holistic and integrated perception of the family situation. The ecomap shows the
nature of the relationships among family members, and between family members and the community; it is an overview of the
family, picturing both the important nurturing and the important stress-producing connections between the family and its
environment.
Exosystems (p.608)
External environments that have an indirect
influence on the family. For example, some of these systems could be the economic system, local and state political systems,
religious system, the school board, community/health and welfare services, the social security office, or protective services.
Family (p.596)
Family, as defined and implemented in the health care system, continues to be based on the legal notions of relationships such as biological/genetic blood ties and contractual relationships such as adoption, guardianship, or marriage. However, the family system and family nurses use the following broader definition of family: “Family refers to two or more individuals who depend on one another for emotional, physical, and/or financial support. The members of the family are self-defined”
Family as a Component of Society (p.605)
The family as a component of society is seen as one of many institutions in society, along with health, education, and religious
and financial institutions. The family is a basic or primary unit of society, as are all the other units, and they are all a part of the larger system of society. The family as a whole interacts with other institutions to receive, exchange, or give services.
Family as a system (p.605)
This approach focuses on individual members and the family as a whole at the same time. The interactions among family members become the target for nursing interventions. The systems approach to families always implies that when something happens to one family member, the other members of the family system also are
affected, and vice versa.
Family as a Client (p.605)
When the nurse views the family as client the family is the primary focus and individual family members are secondary. The family is seen as the sum of individual family members. The focus is concentrated on how the family as a whole is reacting to the event when a family member experiences a health
issue. In addition, the nurse looks to see how each family member is affected by the health event.
Family as Context 9 (p.603)
Serves as either a strength or a stressor to individual health and illness issues. The
nurse is most interested in the individual and realizes that the family influences the health of the individual.
Family as Cohesion (p.603)
Balanced families have the ability to allow family members to be independent from the family yet remain connected to the family as a whole, which is termed family cohesion.
Family Demographics (p.599)
Historically, family demographics can be analyzed by looking at data about the families and household structures and the events that alter these structures. Recent trends in family demographics show that there has been a quieting of the rapid
changes that were found in family structure and living arrangements in the twenty-first century. Nurses draw on family demographic
data to forecast and predict family community needs, such as family developmental changes, stresses, and ethnic issues affecting family health, as they formulate possible solutions to identified family community problems.
Family Developmental and Life Cycle Theory (p.606)
Family developmental and life cycle theory provides a framework for understanding normal predicted stresses that families
experience as they change and transition over time. In the original theory of family development by Duvall and Miller (1985)
they applied the principles of individual development to the family as a unit. The stages of family development are based on
the age of the eldest child. Overall family tasks are identified that need to be accomplished for each stage of family development.
Family Flexibility (p.603)
The most recent concept described in the family literature pertains to ways families function across the family life cycle.
Balanced families are those that have the ability to adapt to situations; therefore, they demonstrate family flexibility in leadership,
relationships, rules, control, discipline, negotiation, and role sharing.
Family Functions (p.598)
Family functions are the ways in which families meet the needs of (1) each family member, (2) the family as a whole, and
(3) their relationship to society.
Family Health (p.603)
The meaning of family health is not precise and lacks consensus, despite the increased focus on family health within the nursing
profession. The term family health is often used interchangeably with the concepts of family functioning, healthy families, and familial health. Hanson (2005, p. 7) defines family health as “a dynamic changing relative state of well-being which includes the biological, psychological, spiritual, sociological, and cultural factors of the family system.”
Family Health Literacy (p.613)
Family health literacy is necessary for the family or its members to be actively involved in their care. Family health literacy includes the ability to understand information in order to make appropriate health care decisions, accurately carry out plans of action, and successfully advocate for the family in the complex health care systems in which they receive care.
Family Nursing (p.595)
Is a philosophy and a science that is based
on the following assumptions: health and illness are family events; what affects one family member affects the whole family;
and health care practices, decisions, and behaviors are made within the context of the family.
Family Nursing Theory (p.605)
Family, nursing theory is an evolving synthesis of the scholarship from three different traditions: family social science, family therapy, and nursing.
Family Policy (p.616)
Is government actions that have a
direct or indirect effect on families. The range of social policy decisions that affect families is vast, such as health care access and coverage, low-income housing, social security, welfare, food stamps, pension plans, affirmative action, and education. Although all government polices affect families in both negative and positive ways, the United States has little overall explicit family policy.
Family Structure (p.598)
Refers to the characteristics and demographics (e.g., sex, age, number) of individual members who make up family units. More specifically, the structure of a family defines the roles and the positions of family members.
