Podcast
Questions and Answers
What is considered the traditional role of the family?
What is considered the traditional role of the family?
Which of these factors have been most influential in affecting changes in family structures?
Which of these factors have been most influential in affecting changes in family structures?
Which of these is a fundamental component of the definition of a family?
Which of these is a fundamental component of the definition of a family?
What does the statement 'A family is who they say they are' emphasize?
What does the statement 'A family is who they say they are' emphasize?
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What does the term 'Family dynamics' refer to?
What does the term 'Family dynamics' refer to?
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In healthcare, what is now considered an important role of family?
In healthcare, what is now considered an important role of family?
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How are family dynamics perceived in nursing?
How are family dynamics perceived in nursing?
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Which of these is NOT an attribute of a family?
Which of these is NOT an attribute of a family?
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Family dynamics are best described as:
Family dynamics are best described as:
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Which of these is NOT identified as a factor that influences family dynamics?
Which of these is NOT identified as a factor that influences family dynamics?
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A family with a positive and healthy dynamic generally exhibits:
A family with a positive and healthy dynamic generally exhibits:
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Dysfunctional family dynamics may include all of the following EXCEPT:
Dysfunctional family dynamics may include all of the following EXCEPT:
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What is a significant factor to consider when examining family dynamics?
What is a significant factor to consider when examining family dynamics?
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How do family roles affect family dynamics?
How do family roles affect family dynamics?
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What is a significant change in family dynamics when a first child is born?
What is a significant change in family dynamics when a first child is born?
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Which scenario BEST illustrates role changes within a family?
Which scenario BEST illustrates role changes within a family?
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What can lead to negative and dysfunctional family communication patterns?
What can lead to negative and dysfunctional family communication patterns?
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What might families do during times of illness and stress?
What might families do during times of illness and stress?
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What is the term for families who fail to support the well-being of its members?
What is the term for families who fail to support the well-being of its members?
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Why is it important to observe family dynamics across the lifespan in nursing?
Why is it important to observe family dynamics across the lifespan in nursing?
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What is an example of 'triangulation' within a dysfunctional family?
What is an example of 'triangulation' within a dysfunctional family?
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Which of these factors can contribute to a change in a family dynamic?
Which of these factors can contribute to a change in a family dynamic?
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How can family members increase understanding and decrease resentment within the family?
How can family members increase understanding and decrease resentment within the family?
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Which of the following is NOT a defining attribute of family dynamics?
Which of the following is NOT a defining attribute of family dynamics?
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What is the effect of increased family members on interaction and communication?
What is the effect of increased family members on interaction and communication?
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In family dynamics, what is the result of positive interactions and communication?
In family dynamics, what is the result of positive interactions and communication?
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What perspective does family systems theory take when examining family dynamics?
What perspective does family systems theory take when examining family dynamics?
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According to the family systems theory, what happens when one family member changes?
According to the family systems theory, what happens when one family member changes?
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What does the concept of circular causality mean in family systems theory?
What does the concept of circular causality mean in family systems theory?
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What is considered the primary value of a family, according to the text?
What is considered the primary value of a family, according to the text?
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Which perspective does structural-functional theory apply when studying the family?
Which perspective does structural-functional theory apply when studying the family?
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What is the primary factor necessitating adjustments within a family?
What is the primary factor necessitating adjustments within a family?
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According to structural-functional theory, what is one way families maintain equilibrium?
According to structural-functional theory, what is one way families maintain equilibrium?
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What happens to relationship complexity as a family grows?
What happens to relationship complexity as a family grows?
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What is NOT specifically mentioned as a focus of the family stress theory?
What is NOT specifically mentioned as a focus of the family stress theory?
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What is the main concept behind family-centered care in healthcare?
What is the main concept behind family-centered care in healthcare?
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What are the two contexts of stress that can be studied in the family stress theory?
What are the two contexts of stress that can be studied in the family stress theory?
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When do role reversals most commonly occur within a family?
When do role reversals most commonly occur within a family?
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Which aspect is considered part of a family's internal context according to the text?
Which aspect is considered part of a family's internal context according to the text?
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Which of the following is most likely to be a risk factor for family dysfunction?
Which of the following is most likely to be a risk factor for family dysfunction?
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What is an example of an external context that families have no control over, according to the text?
What is an example of an external context that families have no control over, according to the text?
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What does the Calgary Family Assessment Model (CFAM) primarily aim to do?
What does the Calgary Family Assessment Model (CFAM) primarily aim to do?
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What is the premise of the Family Life Cycle Theory?
What is the premise of the Family Life Cycle Theory?
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What should nurses understand when utilizing tools for family assessment?
What should nurses understand when utilizing tools for family assessment?
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Which of the following describes the type of boundaries a family has if it keeps outsiders away?
Which of the following describes the type of boundaries a family has if it keeps outsiders away?
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What are some of the dimensions of the Circumplex Model?
What are some of the dimensions of the Circumplex Model?
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Which of the following family dynamics leads to dysfunction?
Which of the following family dynamics leads to dysfunction?
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Which tool is used to assess family functioning specifically among Chinese populations?
Which tool is used to assess family functioning specifically among Chinese populations?
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Which of these is defined as the emotional bonding that couple and family members have toward one another?
Which of these is defined as the emotional bonding that couple and family members have toward one another?
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What does the Family Adaptability and Cohesion Evaluation Scales (FACES IV) assess?
What does the Family Adaptability and Cohesion Evaluation Scales (FACES IV) assess?
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What happens when a family member violates the trust of another family member?
What happens when a family member violates the trust of another family member?
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What is being assessed when using the Dyadic Adjustment Scale tool?
What is being assessed when using the Dyadic Adjustment Scale tool?
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What is one impact that a family might endure when a member experiences a severe illness?
What is one impact that a family might endure when a member experiences a severe illness?
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The Family Dynamics Measure II (FDM II) is based on how many bipolar dimensions of Barnhill?
The Family Dynamics Measure II (FDM II) is based on how many bipolar dimensions of Barnhill?
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Which of the following is NOT one of the six bipolar dimensions included in the FDM II?
Which of the following is NOT one of the six bipolar dimensions included in the FDM II?
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Which tool is used to visually depict family members' personal relationships and social interactions?
Which tool is used to visually depict family members' personal relationships and social interactions?
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What does a structural assessment of a family primarily focus on?
What does a structural assessment of a family primarily focus on?
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Which of the following best describes the focus of a developmental assessment in family care?
Which of the following best describes the focus of a developmental assessment in family care?
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What are the two basic aspects of family functioning addressed in a functional assessment?
What are the two basic aspects of family functioning addressed in a functional assessment?
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What is one of the main goals when conducting a family assessment?
What is one of the main goals when conducting a family assessment?
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What is one of the main components of expressive aspects of family functioning?
What is one of the main components of expressive aspects of family functioning?
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What is a primary consideration when determining interventions for a family?
What is a primary consideration when determining interventions for a family?
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What is the primary purpose of evaluating a family’s plan of care?
What is the primary purpose of evaluating a family’s plan of care?
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Which factor influences a family's openness to interventions?
Which factor influences a family's openness to interventions?
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Which of the following is NOT considered a core intervention in family care?
Which of the following is NOT considered a core intervention in family care?
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What is one purpose of using genograms and ecomaps?
What is one purpose of using genograms and ecomaps?
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Which of the following best describes the concept of family life cycle?
Which of the following best describes the concept of family life cycle?
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The CFAM encompasses how many major categories?
The CFAM encompasses how many major categories?
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What is a core intervention that nurses should offer families?
What is a core intervention that nurses should offer families?
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What is essential for effective family interventions?
What is essential for effective family interventions?
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Which type of question is used to gather additional information about a family's problems?
Which type of question is used to gather additional information about a family's problems?
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What do circular questions aim to uncover in family dynamics?
What do circular questions aim to uncover in family dynamics?
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Which of the following is not a common mistake when working with families?
Which of the following is not a common mistake when working with families?
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What must advanced interventions typically involve?
What must advanced interventions typically involve?
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What is a fundamental purpose of a family?
What is a fundamental purpose of a family?
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Which approach should healthcare providers take when asking interventive questions?
Which approach should healthcare providers take when asking interventive questions?
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Which of the following is considered an advanced intervention?
Which of the following is considered an advanced intervention?
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What is important for nurses to avoid when interacting with families?
What is important for nurses to avoid when interacting with families?
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What does the Calgary Family Intervention Model emphasize?
What does the Calgary Family Intervention Model emphasize?
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Which of these is a core competence related to family dynamics?
Which of these is a core competence related to family dynamics?
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What can affect family dynamics as children grow and leave home?
What can affect family dynamics as children grow and leave home?
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What is essential for recognizing when additional expertise is needed in family care?
What is essential for recognizing when additional expertise is needed in family care?
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What can lead to resentment and dysfunction within a family?
What can lead to resentment and dysfunction within a family?
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Which of the following conditions can create stress in a family?
Which of the following conditions can create stress in a family?
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How can effective coping within a family affect a member experiencing stress?
How can effective coping within a family affect a member experiencing stress?
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What is a key component of Person-Centered Care?
What is a key component of Person-Centered Care?
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Which family structure change involves the adoption or birth of a child?
Which family structure change involves the adoption or birth of a child?
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What can be a consequence of child abuse?
What can be a consequence of child abuse?
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Sibling rivalry is characterized by what type of behavior?
Sibling rivalry is characterized by what type of behavior?
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Intimate partner violence can include which of the following?
Intimate partner violence can include which of the following?
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What is codependency?
What is codependency?
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What role does culture play in family dynamics?
What role does culture play in family dynamics?
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What is a primary concern for Erin as a single parent?
What is a primary concern for Erin as a single parent?
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Respite care is designed to provide support for whom?
Respite care is designed to provide support for whom?
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Which of the following dynamics is indicative of Erin's family situation?
Which of the following dynamics is indicative of Erin's family situation?
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What can be an effect of aging in family members?
What can be an effect of aging in family members?
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What does Erin's situation reveal about her coping mechanisms?
What does Erin's situation reveal about her coping mechanisms?
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Which is an example of negative family dynamics?
Which is an example of negative family dynamics?
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What incident raises a concern for Erin about her children's safety?
What incident raises a concern for Erin about her children's safety?
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What can result from lack of effective support within a family?
What can result from lack of effective support within a family?
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How does Erin perceive her parents' treatment of her in comparison to her brother?
How does Erin perceive her parents' treatment of her in comparison to her brother?
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Which factor significantly affects Erin's ability to pursue further education?
Which factor significantly affects Erin's ability to pursue further education?
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How often does Andrew see his daughters?
How often does Andrew see his daughters?
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What impact does the death of family members typically have on families?
What impact does the death of family members typically have on families?
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What behavior does Erin's partner Andrew exhibit towards parenting?
What behavior does Erin's partner Andrew exhibit towards parenting?
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What is a consequence of Erin dropping out of high school?
What is a consequence of Erin dropping out of high school?
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What emotion does Erin display when discussing her life situation at the clinic?
What emotion does Erin display when discussing her life situation at the clinic?
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What might influence how families respond to the death of a member?
What might influence how families respond to the death of a member?
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Which aspect of Erin's life is contributing to her stress?
Which aspect of Erin's life is contributing to her stress?
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Which statement best summarizes Erin's relationship with her ex-husband Andrew?
Which statement best summarizes Erin's relationship with her ex-husband Andrew?
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Flashcards
Family
Family
A group of people related by blood, marriage, or living together, who rely on each other for emotional, physical, and financial support. They define themselves as a family.
Family Dynamics
Family Dynamics
The ways family members interact and behave with each other, including communication patterns, roles, and relationships.
Nuclear Family
Nuclear Family
Traditional family structure with two parents and their biological children.
Extended Family
Extended Family
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Blended Family
Blended Family
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Cohabiting-Parent Family
Cohabiting-Parent Family
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Single-Parent Family
Single-Parent Family
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LGBT Families
LGBT Families
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Family Configuration
Family Configuration
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Parental Relationship
Parental Relationship
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Family Culture
Family Culture
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Family Roles
Family Roles
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Family Adaptability
Family Adaptability
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Evolving Complexity
Evolving Complexity
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Healthy Family Dynamics
Healthy Family Dynamics
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Dysfunctional Family Dynamics
Dysfunctional Family Dynamics
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Faulty Communication
Faulty Communication
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Family Roles
Family Roles
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Role Adaptability
Role Adaptability
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Family Growth and Development
Family Growth and Development
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Life Events and Family Dynamics
Life Events and Family Dynamics
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Generational Differences
Generational Differences
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What are family dynamics?
What are family dynamics?
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What defines family dynamics?
What defines family dynamics?
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Family Systems Theory: Subsystems
Family Systems Theory: Subsystems
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Family Systems Theory: Whole is Greater Than Sum of Parts
Family Systems Theory: Whole is Greater Than Sum of Parts
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Family Systems Theory: Balance of Change and Stability
Family Systems Theory: Balance of Change and Stability
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Family Systems Theory: Circular Causality
Family Systems Theory: Circular Causality
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Structural-Functional Theory: Society as a System
Structural-Functional Theory: Society as a System
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Structural-Functional Theory: Family Roles
Structural-Functional Theory: Family Roles
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Structural-Functional Theory: Equilibrium and Complementary Roles
Structural-Functional Theory: Equilibrium and Complementary Roles
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Structural-Functional Theory: Boundary Management
Structural-Functional Theory: Boundary Management
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Family Stress Theory: Adapting to Stress
Family Stress Theory: Adapting to Stress
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Family Stress Theory: Factors Affecting Response
Family Stress Theory: Factors Affecting Response
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Family Stress Theory: Internal Context
Family Stress Theory: Internal Context
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Family Stress Theory: External Context
Family Stress Theory: External Context
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Family Life Cycle Theory
Family Life Cycle Theory
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Core Interventions
Core Interventions
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Advanced Interventions
Advanced Interventions
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Intervening Questions
Intervening Questions
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Linear Questions
Linear Questions
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Circular Questions
Circular Questions
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Engaging with the Family
Engaging with the Family
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Acknowledge Attitudes
Acknowledge Attitudes
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Multiple Theoretical Foundations
Multiple Theoretical Foundations
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Family Assessment
Family Assessment
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Dysfunctional Dynamics
Dysfunctional Dynamics
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Plan of Care
Plan of Care
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Additional Expertise
Additional Expertise
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Reproduction
Reproduction
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Family Adaptation
Family Adaptation
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Infertility
Infertility
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Family Dysfunction
Family Dysfunction
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Genogram
Genogram
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Ecomap
Ecomap
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Family Life-Cycle Transitions
Family Life-Cycle Transitions
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Family-Centered Care
Family-Centered Care
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Circumplex Model of Family Assessment (CFAM)
Circumplex Model of Family Assessment (CFAM)
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Family Influence on Health
Family Influence on Health
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Structural Assessment
Structural Assessment
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Developmental Assessment
Developmental Assessment
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Functional Assessment
Functional Assessment
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Risk Factors for Family Dysfunction
Risk Factors for Family Dysfunction
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Calgary Family Assessment Model (CFAM)
Calgary Family Assessment Model (CFAM)
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Instrumental Aspects of Family Functioning
Instrumental Aspects of Family Functioning
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Expressive Aspects of Family Functioning
Expressive Aspects of Family Functioning
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Circumplex Model
Circumplex Model
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FACES IV
FACES IV
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Dyadic Adjustment Scale
Dyadic Adjustment Scale
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Family-Centered Interventions
Family-Centered Interventions
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Influences on Nurse Interventions
Influences on Nurse Interventions
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Chinese Family Assessment Instrument (C-FAI)
Chinese Family Assessment Instrument (C-FAI)
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Violation of Trust
Violation of Trust
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Nurse's Role in Family Assessment and Intervention
Nurse's Role in Family Assessment and Intervention
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Loss of Financial Stability
Loss of Financial Stability
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Family's Openness to Interventions
Family's Openness to Interventions
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Family's Perception of Health
Family's Perception of Health
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Substance Use and Addiction
Substance Use and Addiction
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Resentment in Families
Resentment in Families
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Family Stress
Family Stress
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Effective Family Coping
Effective Family Coping
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Person-Centered Care
Person-Centered Care
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Family Influence on Healthcare
Family Influence on Healthcare
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Cultural Influence on Family Dynamics
Cultural Influence on Family Dynamics
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Generational Differences in Family Dynamics
Generational Differences in Family Dynamics
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Cultural Influence on Health Behaviors
Cultural Influence on Health Behaviors
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Changes in Family Dynamics
Changes in Family Dynamics
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Expanding Family Dynamics
Expanding Family Dynamics
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Sibling Rivalry
Sibling Rivalry
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Intimate Partner Violence
Intimate Partner Violence
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Child Abuse
Child Abuse
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Codependency
Codependency
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What makes a family?
What makes a family?
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How did lack of family support affect Erin's life?
How did lack of family support affect Erin's life?
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How does Andrew contribute to dysfunctional family dynamics?
How does Andrew contribute to dysfunctional family dynamics?
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How is Erin's relationship with her parents?
How is Erin's relationship with her parents?
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How does Erin's situation affect the children?
How does Erin's situation affect the children?
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What should the nurse do for Erin?
What should the nurse do for Erin?
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Why is the nurse's role crucial in Erin's case?
Why is the nurse's role crucial in Erin's case?
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How might you describe Erin's family dynamics?
How might you describe Erin's family dynamics?
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Why is identifying dysfunctional family dynamics important?
Why is identifying dysfunctional family dynamics important?
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How does Erin's situation contribute to stress?
How does Erin's situation contribute to stress?
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What is important to understand about Erin's situation?
What is important to understand about Erin's situation?
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What is the focus for helping families like Erin's?
What is the focus for helping families like Erin's?
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How can families like Erin's be supported?
How can families like Erin's be supported?
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Study Notes
Family Dynamics in Nursing
- Family is traditionally the primary unit of socialization, but configurations and functions have changed dramatically due to economic, demographic, sociocultural, and technological trends.
- A family is defined as two or more individuals who depend on each other for emotional, physical, and economic support, self-defined.
- Family configurations vary widely and include nuclear, married-parent, extended, blended, cohabiting-parent, single-parent, foster-parent, no-parent, LGBT, and childless families.
- Family dynamics encompasses the interrelationships and interactions within a family, impacting individual behaviors and perceptions.
Scope of Family Dynamics
- Nursing emphasizes wellness-oriented family-centered care, empowering families.
- Nurses work with families across the lifespan, observing family dynamics, which range from positive/healthy to negative/dysfunctional.
- Positive family dynamics feature balanced communication, support, respect, trust, shared responsibilities, rituals, traditions, a strong moral compass, playfulness, and shared leisure.
- Dysfunctional family dynamics involve dysfunctional behaviors (e.g., blame, criticism, manipulation), emotions (e.g., anger, fear, mistrust), and relationships (e.g., disrupted roles, neglect).
Variables Influencing Family Dynamics
- Quality of Relationships: Healthy families are characterized by love, respect, support, nurturance, and unity. Negative interactions arise from social isolation, inaccurate perceptions, and faulty interpretations.
- Roles of Family Members: Family members assume or are assigned various roles (e.g., spouse, parent, child, sibling), adapting to changes over time.
- Evolving Complexity of the Family: Family dynamics become more complex with each new addition (child, stepchild, extended family), divorce, remarriage, etc.
Attributes of Family Dynamics
- Involves a family unit, regardless of the definition.
- Family members have relational obligations.
- Family members communicate verbally and nonverbally.
- Family interactions are fluid, flexible, and changeable.
- Family reacts to the external world.
- Communication and interactions are influenced by the number of family members, producing positive or negative effects.
Theoretical Links
- Family systems theory views the family as a unit interacting with illness/problems, focusing on member interactions. Key characteristics include interdependence, interconnectedness, and circular causality.
- Structural-functional theory sees the family as a complex system, with roles, boundaries, and functions promoting stability.
- Family stress theory examines how families respond to stress, considering individual and family resilience, resources, and perception of stressors.
- Family life cycle theory focuses on predictable transitions in family relationships throughout stages (e.g., dating, marriage, children, aging).
Family Dynamics in Nursing and Health Care
- Family influences nursing care due to their role in patient health.
- Family-centered care emphasizes collaboration and shared decision-making between patients, families, and care providers.
- Understanding family dynamics and their impact on patient health, positive or negative, is critical for effective nursing care.
- Nurses should be skilled at family assessments and risk recognition to tailor care plans.
Core and Advanced Interventions
- Core interventions (education, facilitated conversation, validation) support families.
- Advanced interventions (family counseling, therapy) are used when family dynamics are dysfunctional, requiring specialized expertise.
- Intervening questions, both linear and circular, help understand family issues and promote change.
Core Competencies for Family Dynamics with Nurses
- Create caring & respectful relationships with families.
- Acknowledge personal attitudes towards diverse families.
- Use theoretical frameworks to analyze family dynamics.
- Employ evidence-based tools for assessments.
- Detect potential dysfunction.
- Develop support plans.
- Recognize needs for additional expertise for interventions.
Interrelated Concepts (with Family Dynamics)
- Reproduction—family growth leads to complexity.
- Development—family members change and family relationships evolve.
- Functional Ability—impairments place stress on family members.
- Stress and Coping—families face various stressors.
- Person-Centered Care—involves active collaboration with patients and families.
- Culture—affects family dynamics and health behaviors.
Clinical Exemplars
- Positive & negative family dynamics, including expanding families, caregiver roles, chronic illnesses, aging, death, etc.
- Examples include child abuse, intimate partner violence, sibling rivalry, codependency, respite care, aging. Negative examples may include family dynamics causing violence, illness in members, lack of support, or stressors in the family.
- Case analysis highlights recognizing dysfunctional family dynamics and appropriate nursing responses.
Studying That Suits You
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Description
Explore the traditional roles, definitions, and dynamics of family in this quiz. Understand the factors that influence family structures and how these dynamics are perceived within healthcare. Test your knowledge on the fundamental components and attributes that characterize families.