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Questions and Answers
What does the family systems theory state?
What does the family systems theory state?
Families are circular rather than linear, recognizing that changes in one member affect the entire family. Family members influence and interact with each other, viewing the family as a unit, while each member is unique and takes on several roles.
How would a nurse provide family-centered care?
How would a nurse provide family-centered care?
Include family members in all aspects of care, prepare parents and siblings for childbirth, involve significant others in the birthing process, allow sibling visitation, and implement strategies to foster family member's attachment to the newborn.
What is a family that consists of a father, mother, and child living together but apart from grandparents?
What is a family that consists of a father, mother, and child living together but apart from grandparents?
Nuclear family.
What is the family type that combines two families with children from one or both families?
What is the family type that combines two families with children from one or both families?
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What is a family that includes grandparents, married siblings, and their families?
What is a family that includes grandparents, married siblings, and their families?
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What defines single-parent families?
What defines single-parent families?
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What is an unmarried couple living together called?
What is an unmarried couple living together called?
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What is a single person or couple with an adoptive child called?
What is a single person or couple with an adoptive child called?
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What describes partners of the same sex with or without children?
What describes partners of the same sex with or without children?
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What is defined in biological terms based on characteristics such as skin color and hair?
What is defined in biological terms based on characteristics such as skin color and hair?
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How is culture defined?
How is culture defined?
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What is ethnicity?
What is ethnicity?
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What is ethnocentrism?
What is ethnocentrism?
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Why is there a need to avoid cultural imposition?
Why is there a need to avoid cultural imposition?
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What is assimilation?
What is assimilation?
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What is acculturation?
What is acculturation?
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What is cultural relativism?
What is cultural relativism?
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What is cultural competence?
What is cultural competence?
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What is health literacy?
What is health literacy?
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How can nurses provide culturally competent care?
How can nurses provide culturally competent care?
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What is the CRASH course in cultural competence?
What is the CRASH course in cultural competence?
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What are the food practices of Hispanic-Americans?
What are the food practices of Hispanic-Americans?
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What communication skills do Hispanic-Americans utilize?
What communication skills do Hispanic-Americans utilize?
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What prenatal care practices do Hispanic-Americans follow?
What prenatal care practices do Hispanic-Americans follow?
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What is observed during labor of a Hispanic-American woman?
What is observed during labor of a Hispanic-American woman?
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What postpartum practices does a Hispanic-American woman do?
What postpartum practices does a Hispanic-American woman do?
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Why do Hispanic-American women delay breastfeeding for three days?
Why do Hispanic-American women delay breastfeeding for three days?
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What communication strategies are used for Asian-Americans?
What communication strategies are used for Asian-Americans?
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What dietary practices are followed by Asian-Americans?
What dietary practices are followed by Asian-Americans?
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Why is it 'forbidden' to go outdoors or shower/bathe in the first 30 days in Asian-American culture?
Why is it 'forbidden' to go outdoors or shower/bathe in the first 30 days in Asian-American culture?
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What is observed in the Asian-American culture during labor?
What is observed in the Asian-American culture during labor?
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What is observed in the Asian-American culture during the postpartum period?
What is observed in the Asian-American culture during the postpartum period?
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What are some reasons why women do not value or attend prenatal care?
What are some reasons why women do not value or attend prenatal care?
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What makes a good medical interpreter?
What makes a good medical interpreter?
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What are the nursing responsibilities when working with an interpreter?
What are the nursing responsibilities when working with an interpreter?
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What is the evil eye?
What is the evil eye?
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What is a breach of taboo?
What is a breach of taboo?
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What is body imbalance?
What is body imbalance?
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What are contraindications of acupuncture?
What are contraindications of acupuncture?
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What is aromatherapy?
What is aromatherapy?
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What are contraindications for using a TENS unit?
What are contraindications for using a TENS unit?
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Study Notes
Family Systems Theory
- Family systems theory emphasizes that families function as a circular system rather than a linear one.
- Changes in one family member can impact the entire family unit.
- Interactions among family members are reciprocal, and each member's unique roles influence the dynamics.
Family-Centered Care
- Nurses should actively involve family members in all aspects of patient care.
- Childbirth preparation includes education for parents and siblings.
- Significant others should take part in the birthing process and sibling visitation is encouraged.
- Strategies should promote attachment of family members to newborns.
Family Types
- Nuclear Family: Comprises a father, mother, and their child living separately from grandparents.
- Reconstituted/Blended Families: Formed when two families combine, including children from either or both families.
- Extended Family: Encompasses grandparents, married siblings, and their families.
- Single-Parent Families: A single parent (due to divorce, widowhood, or never-married) raising at least one child, often facing support challenges.
- Cohabitating: Unmarried couples living together.
- Adoptive Families: Single individuals or couples with an adopted child.
- Gay/Lesbian Families: Same-sex partners with or without children.
Cultural Concepts
- Race: Defined biologically through observable characteristics like skin color and hair.
- Culture: Encompasses the beliefs, values, attitudes, and practices of a group, influencing shared behaviors and experiences.
- Ethnicity: Linked to social identity, integrating family dynamics, religion, language, and lifestyle habits.
- Ethnocentrism: Belief in the superiority of one's cultural group, which necessitates avoiding cultural imposition.
Cultural Adaptation Processes
- Assimilation: Complete cultural identity change to integrate into the dominant culture.
- Acculturation: Adapting to new cultural norms while preserving some original beliefs.
- Cultural Relativism: Understanding a culture's beliefs and practices from its own perspective.
- Cultural Competence: A system’s or professional group's ability to operate effectively in cross-cultural contexts.
Health Literacy and Culturally Competent Care
- Health literacy involves the ability to process health information and effectively communicate needs with healthcare providers.
- Strategies for culturally competent care:
- Self-examine personal cultural beliefs and biases.
- Respect and acknowledge others' values and beliefs.
- Use respectful and updated language regarding different cultures.
- Be informed about rituals and practices of various cultural and ethnic groups.
CRASH Course in Cultural Competence
- C: Culture
- R: Show respect
- A: Assess/affirm differences
- S: Show sensitivity/self-awareness
- H: Conduct interactions with humanity
Cultural Practices and Communication
-
Hispanic-Americans:
- Food Practices: Follow "hot/cold" food theories; may avoid milk during pregnancy.
- Communication Skills: Avoid direct eye contact to respect authority; nonverbal cues are significant.
- Prenatal Care: View pregnancy as normal; may delay care or utilize folk medicine.
- Labor: Accepts expressive pain communication; influenced by family, especially mothers-in-law.
- Postpartum Practices: Rest and avoid baths for extended periods.
- Breastfeeding Beliefs: Delay breastfeeding due to beliefs that colostrum is contaminated.
-
Asian-Americans:
- Communication Strategies: Nodding may indicate politeness, not understanding; silence shows respect.
- Dietary Practices: Avoid cold foods during pregnancy; milk is excluded due to gastrointestinal issues.
- Postpartum Norms: Restrictions on activity, outdoor exposure, and bathing during a 30-day recovery period.
- Labor Environment: Father's role is minimal, with family women present; pain expression is more subdued.
Barriers to Prenatal Care
- Women may not prioritize prenatal care due to:
- Acceptance difficulties regarding pregnancy.
- Discomfort with the care process and perceived staff judgment.
- Challenges in keeping appointments.
Medical Interpreters and Patient Interaction
- Good medical interpreters should share native language, religious background, and cultural understanding, and must maintain confidentiality.
- Nurses' Responsibilities:
- Interpreters serve as communication bridges, not content experts.
- Maintain patience, speak clearly, and avoid jargon.
- Encourage questions and focus on direct communication with the patient.
Cultural Health Beliefs
- Evil Eye: Illness believed to result from malicious looks; protective amulets are commonly worn.
- Breach of Taboo: Illnesses that arise from violating cultural prohibitions.
- Body Imbalance: Health is viewed as a balance between opposing forces, such as yin and yang.
Health Practices
- Acupuncture Contraindications: Should be avoided in patients with bleeding disorders or those on blood thinners.
- Aromatherapy: Improves well-being through emotional responses to pleasant scents, promoting relaxation and reducing stress.
- TENS Unit Contraindications: Should not be used by individuals with uncontrolled epilepsy or implanted medical devices.
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Test your knowledge on family systems theory and family-centered care with these flashcards. Explore key concepts about family dynamics and the role of healthcare providers in including family members in care decisions. Perfect for students in healthcare or family studies.