Family Dynamics and Structures Quiz

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Questions and Answers

What is considered the traditional role of the family?

  • The primary unit of socialization and basic community structure. (correct)
  • A flexible social construct that adapts to societal trends.
  • A group that determines health outcomes based on inherited traits.
  • A source of economic support, providing for the household income.

Which of these factors have been most influential in affecting changes in family structures?

  • Economic, demographic, sociocultural and technological trends. (correct)
  • Weather patterns, natural disasters and climate change.
  • Changes in legal structures, taxation and international trade.
  • Political unrest, government regulations and new laws.

Which of these is a fundamental component of the definition of a family?

  • A group connected by legal documentation with shared financial assets.
  • A group of people living in the same geographical location.
  • A group that has a clear generational structure or hierarchy.
  • A group who depends on one another for emotional, physical and economic support. (correct)

What does the statement 'A family is who they say they are' emphasize?

<p>The individuals in the group should be the ones defining their family structure. (A)</p> Signup and view all the answers

What does the term 'Family dynamics' refer to?

<p>How the family members communicate and behave with each other. (C)</p> Signup and view all the answers

In healthcare, what is now considered an important role of family?

<p>To be integrated in decision making, education and providing support. (C)</p> Signup and view all the answers

How are family dynamics perceived in nursing?

<p>As something that can either act as a support or demonstrate lack thereof. (D)</p> Signup and view all the answers

Which of these is NOT an attribute of a family?

<p>Having a clear, established legal definition by society. (A)</p> Signup and view all the answers

Family dynamics are best described as:

<p>The relationships and interactions within a family. (C)</p> Signup and view all the answers

Which of these is NOT identified as a factor that influences family dynamics?

<p>Individual's preferred music. (B)</p> Signup and view all the answers

A family with a positive and healthy dynamic generally exhibits:

<p>Support, respect, and trust among members. (A)</p> Signup and view all the answers

Dysfunctional family dynamics may include all of the following EXCEPT:

<p>Open communication and problem solving. (B)</p> Signup and view all the answers

What is a significant factor to consider when examining family dynamics?

<p>The ages and history of family members. (D)</p> Signup and view all the answers

How do family roles affect family dynamics?

<p>Changes in roles can cause stress, but they can also foster understanding. (B)</p> Signup and view all the answers

What is a significant change in family dynamics when a first child is born?

<p>The dynamics of family relationships become more complex. (D)</p> Signup and view all the answers

Which scenario BEST illustrates role changes within a family?

<p>An older child starts taking on more household responsibilities as they grow. (B)</p> Signup and view all the answers

What can lead to negative and dysfunctional family communication patterns?

<p>Faulty personal interpretations of information. (D)</p> Signup and view all the answers

What might families do during times of illness and stress?

<p>Offer support, and resolve old conflicts. (A)</p> Signup and view all the answers

What is the term for families who fail to support the well-being of its members?

<p>Dysfunctional family. (A)</p> Signup and view all the answers

Why is it important to observe family dynamics across the lifespan in nursing?

<p>To provide wellness-oriented family-centered care. (C)</p> Signup and view all the answers

What is an example of 'triangulation' within a dysfunctional family?

<p>A parent involving a child in their conflict with the other parent. (B)</p> Signup and view all the answers

Which of these factors can contribute to a change in a family dynamic?

<p>Divorce and remarriage. (A)</p> Signup and view all the answers

How can family members increase understanding and decrease resentment within the family?

<p>By exchanging roles to gain a new perspective on each other's positions. (D)</p> Signup and view all the answers

Which of the following is NOT a defining attribute of family dynamics?

<p>Static and unchanging interactions (A)</p> Signup and view all the answers

What is the effect of increased family members on interaction and communication?

<p>Increases the complexity of interaction and communication (B)</p> Signup and view all the answers

In family dynamics, what is the result of positive interactions and communication?

<p>Growth and cohesion (C)</p> Signup and view all the answers

What perspective does family systems theory take when examining family dynamics?

<p>Viewing the family as a unit with interactions among members (D)</p> Signup and view all the answers

According to the family systems theory, what happens when one family member changes?

<p>All family members are affected (B)</p> Signup and view all the answers

What does the concept of circular causality mean in family systems theory?

<p>Changes occur between the family members and there is a continuous interaction between them (C)</p> Signup and view all the answers

What is considered the primary value of a family, according to the text?

<p>Nurturing irreplaceable relationships (A)</p> Signup and view all the answers

Which perspective does structural-functional theory apply when studying the family?

<p>It views society as a complex system with working parts (B)</p> Signup and view all the answers

What is the primary factor necessitating adjustments within a family?

<p>Developmental changes inherent in the family lifecycle (D)</p> Signup and view all the answers

According to structural-functional theory, what is one way families maintain equilibrium?

<p>Through an appropriate balance of family dynamics (B)</p> Signup and view all the answers

What happens to relationship complexity as a family grows?

<p>It increases exponentially with family members being added. (C)</p> Signup and view all the answers

What is NOT specifically mentioned as a focus of the family stress theory?

<p>How specific demographics are impacted by stress (B)</p> Signup and view all the answers

What is the main concept behind family-centered care in healthcare?

<p>Recognizing family members as partners in their patient's care. (C)</p> Signup and view all the answers

What are the two contexts of stress that can be studied in the family stress theory?

<p>Internal and external (A)</p> Signup and view all the answers

When do role reversals most commonly occur within a family?

<p>As parents age and require care from their children. (B)</p> Signup and view all the answers

Which aspect is considered part of a family's internal context according to the text?

<p>Psychological defenses (B)</p> Signup and view all the answers

Which of the following is most likely to be a risk factor for family dysfunction?

<p>Substance use and addictions within the family (A)</p> Signup and view all the answers

What is an example of an external context that families have no control over, according to the text?

<p>Economic conditions of society (D)</p> Signup and view all the answers

What does the Calgary Family Assessment Model (CFAM) primarily aim to do?

<p>Provide a guide to assess family dynamics from the nurse’s perspective (A)</p> Signup and view all the answers

What is the premise of the Family Life Cycle Theory?

<p>Families pass through predictable and sequential stages (C)</p> Signup and view all the answers

What should nurses understand when utilizing tools for family assessment?

<p>That the assessment represents one perspective, that of the nurse. (C)</p> Signup and view all the answers

Which of the following describes the type of boundaries a family has if it keeps outsiders away?

<p>Rigid boundaries (A)</p> Signup and view all the answers

What are some of the dimensions of the Circumplex Model?

<p>Cohesion, flexibility, and communication (B)</p> Signup and view all the answers

Which of the following family dynamics leads to dysfunction?

<p>Negative communication (C)</p> Signup and view all the answers

Which tool is used to assess family functioning specifically among Chinese populations?

<p>The Chinese Family Assessment Instrument (C-FAI) (D)</p> Signup and view all the answers

Which of these is defined as the emotional bonding that couple and family members have toward one another?

<p>Cohesion (D)</p> Signup and view all the answers

What does the Family Adaptability and Cohesion Evaluation Scales (FACES IV) assess?

<p>A full range of cohesion and flexibility dimensions. (B)</p> Signup and view all the answers

What happens when a family member violates the trust of another family member?

<p>It poses as a risk for family dysfunction. (B)</p> Signup and view all the answers

What is being assessed when using the Dyadic Adjustment Scale tool?

<p>The different aspects of the relationship between two people. (C)</p> Signup and view all the answers

What is one impact that a family might endure when a member experiences a severe illness?

<p>Changes in family roles and obligations (D)</p> Signup and view all the answers

The Family Dynamics Measure II (FDM II) is based on how many bipolar dimensions of Barnhill?

<p>Eight (B)</p> Signup and view all the answers

Which of the following is NOT one of the six bipolar dimensions included in the FDM II?

<p>Control versus chaos (C)</p> Signup and view all the answers

Which tool is used to visually depict family members' personal relationships and social interactions?

<p>Ecomap (A)</p> Signup and view all the answers

What does a structural assessment of a family primarily focus on?

<p>The family's composition and relationships (A)</p> Signup and view all the answers

Which of the following best describes the focus of a developmental assessment in family care?

<p>Evaluating changes within the family over time, considering both predictable and unpredictable events (C)</p> Signup and view all the answers

What are the two basic aspects of family functioning addressed in a functional assessment?

<p>Instrumental and expressive (C)</p> Signup and view all the answers

What is one of the main goals when conducting a family assessment?

<p>To support positive family dynamics and identify dysfunctional patterns (A)</p> Signup and view all the answers

What is one of the main components of expressive aspects of family functioning?

<p>Problem-solving (D)</p> Signup and view all the answers

What is a primary consideration when determining interventions for a family?

<p>The nurse's scope of practice, context of the practice setting, complexity of issues, and nurse's experience (B)</p> Signup and view all the answers

What is the primary purpose of evaluating a family’s plan of care?

<p>To make adjustments as needed based on family dynamics (B)</p> Signup and view all the answers

Which factor influences a family's openness to interventions?

<p>The relationship and level of trust between the family members and the healthcare professionals (A)</p> Signup and view all the answers

Which of the following is NOT considered a core intervention in family care?

<p>Diagnosing underlying medical conditions (C)</p> Signup and view all the answers

What is one purpose of using genograms and ecomaps?

<p>To outline a family's internal and external structures. (C)</p> Signup and view all the answers

Which of the following best describes the concept of family life cycle?

<p>It describes the typical trajectory followed by most families. (A)</p> Signup and view all the answers

The CFAM encompasses how many major categories?

<p>Three (C)</p> Signup and view all the answers

What is a core intervention that nurses should offer families?

<p>Offering education (D)</p> Signup and view all the answers

What is essential for effective family interventions?

<p>Trust and rapport with the family (B)</p> Signup and view all the answers

Which type of question is used to gather additional information about a family's problems?

<p>Linear questions (B)</p> Signup and view all the answers

What do circular questions aim to uncover in family dynamics?

<p>Family routines and interactions (D)</p> Signup and view all the answers

Which of the following is not a common mistake when working with families?

<p>Creating a context for change (C)</p> Signup and view all the answers

What must advanced interventions typically involve?

<p>Healthcare professionals with expertise (A)</p> Signup and view all the answers

What is a fundamental purpose of a family?

<p>Reproduction (B)</p> Signup and view all the answers

Which approach should healthcare providers take when asking interventive questions?

<p>Use a collaborative approach (C)</p> Signup and view all the answers

Which of the following is considered an advanced intervention?

<p>Family therapy (B)</p> Signup and view all the answers

What is important for nurses to avoid when interacting with families?

<p>Assuming they know what is best (A)</p> Signup and view all the answers

What does the Calgary Family Intervention Model emphasize?

<p>Asking questions with intent to elicit change (C)</p> Signup and view all the answers

Which of these is a core competence related to family dynamics?

<p>Using theoretical foundations to assess family dynamics (A)</p> Signup and view all the answers

What can affect family dynamics as children grow and leave home?

<p>Developmental changes (C)</p> Signup and view all the answers

What is essential for recognizing when additional expertise is needed in family care?

<p>Understanding the family's challenges (D)</p> Signup and view all the answers

What can lead to resentment and dysfunction within a family?

<p>Lack of assistance (B)</p> Signup and view all the answers

Which of the following conditions can create stress in a family?

<p>Temporary illness (D)</p> Signup and view all the answers

How can effective coping within a family affect a member experiencing stress?

<p>It may provide support or add to the stress. (B)</p> Signup and view all the answers

What is a key component of Person-Centered Care?

<p>Patient and family involvement in decisions (D)</p> Signup and view all the answers

Which family structure change involves the adoption or birth of a child?

<p>Expanding family (A)</p> Signup and view all the answers

What can be a consequence of child abuse?

<p>Disability or death (B)</p> Signup and view all the answers

Sibling rivalry is characterized by what type of behavior?

<p>Competition and animosity (A)</p> Signup and view all the answers

Intimate partner violence can include which of the following?

<p>Emotional or psychological abuse (C)</p> Signup and view all the answers

What is codependency?

<p>Manipulation by a person with an illness or addiction (A)</p> Signup and view all the answers

What role does culture play in family dynamics?

<p>It determines health behaviors and relationships. (A)</p> Signup and view all the answers

What is a primary concern for Erin as a single parent?

<p>Affording child care and rent (D)</p> Signup and view all the answers

Respite care is designed to provide support for whom?

<p>The caregiver (C)</p> Signup and view all the answers

Which of the following dynamics is indicative of Erin's family situation?

<p>A history of conflict and criticism (C)</p> Signup and view all the answers

What can be an effect of aging in family members?

<p>Retention of mental and physical capacities (A)</p> Signup and view all the answers

What does Erin's situation reveal about her coping mechanisms?

<p>She actively seeks community support services. (A)</p> Signup and view all the answers

Which is an example of negative family dynamics?

<p>Child abuse (C)</p> Signup and view all the answers

What incident raises a concern for Erin about her children's safety?

<p>Monica's bruises after visiting their father (D)</p> Signup and view all the answers

What can result from lack of effective support within a family?

<p>Overwhelming feelings of care burden (C)</p> Signup and view all the answers

How does Erin perceive her parents' treatment of her in comparison to her brother?

<p>She feels they show a preference for her brother. (B)</p> Signup and view all the answers

Which factor significantly affects Erin's ability to pursue further education?

<p>Insufficient time and resources (B)</p> Signup and view all the answers

How often does Andrew see his daughters?

<p>Only when Erin asks him to babysit (A)</p> Signup and view all the answers

What impact does the death of family members typically have on families?

<p>The cycle of grief can last a significant length of time. (D)</p> Signup and view all the answers

What behavior does Erin's partner Andrew exhibit towards parenting?

<p>He sees parenting as an obligation he dislikes. (A)</p> Signup and view all the answers

What is a consequence of Erin dropping out of high school?

<p>She has limited job opportunities and income. (B)</p> Signup and view all the answers

What emotion does Erin display when discussing her life situation at the clinic?

<p>Despair leading her to cry (B)</p> Signup and view all the answers

What might influence how families respond to the death of a member?

<p>Tradition, culture, and spiritual beliefs (D)</p> Signup and view all the answers

Which aspect of Erin's life is contributing to her stress?

<p>Her lack of sufficient financial support (B)</p> Signup and view all the answers

Which statement best summarizes Erin's relationship with her ex-husband Andrew?

<p>There is tension and a lack of communication regarding parenting. (B)</p> Signup and view all the answers

Flashcards

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

The ways family members interact and behave with each other, including communication patterns, roles, and relationships.

Nuclear Family

Traditional family structure with two parents and their biological children.

Extended Family

Family that includes relatives beyond immediate parents and children, like grandparents, aunts, uncles, and cousins.

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Blended Family

Families where one or both parents are from previous relationships, blending children from different families.

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Cohabiting-Parent Family

Families where unmarried couples live together and have children.

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Single-Parent Family

Families where one parent raises children alone.

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LGBT Families

Families where the parents identify as lesbian, gay, bisexual, or transgender.

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Family Configuration

The structure of a family, including the number of parents, children, and extended family members.

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Parental Relationship

The impact of the parents' relationship on the family dynamics.

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Family Culture

The influence of a family's cultural background on their norms and values.

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Family Roles

The role each member plays in the family, which can change over time.

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Family Adaptability

The ability of a family to adapt to changes and challenges.

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Evolving Complexity

The complexity of family dynamics increases as the number of members grows.

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Healthy Family Dynamics

Positive communication, support, and shared values contribute to healthy family dynamics.

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Dysfunctional Family Dynamics

Unhealthy patterns of communication and behavior that can lead to dysfunction within the family.

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Faulty Communication

When family members are unable to communicate effectively, leading to misunderstandings and conflict.

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Family Roles

The roles family members take on, such as parent, child, sibling, or caregiver, which can be assigned or assumed.

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Role Adaptability

The ability of families to adjust to changes in roles and responsibilities.

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Family Growth and Development

The increased complexity of family dynamics as family members grow and develop.

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Life Events and Family Dynamics

The impact of life events, such as illness, divorce, or death, on family dynamics.

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Generational Differences

The importance of understanding and respecting different perspectives within the family, such as those of different generations.

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What are family dynamics?

Family dynamics encompass the patterns of interaction, communication, and relationships within a family unit.

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What defines family dynamics?

Defining attributes of family dynamics involve the family unit, relational obligations, communication, dynamic interactions, and responses to external world.

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Family Systems Theory: Subsystems

The family is a system composed of subsystems (individuals, couples, parent-child units) that interact and influence each other.

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Family Systems Theory: Whole is Greater Than Sum of Parts

Changes in one family member affect all other members, leading to shifts in family dynamics.

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Family Systems Theory: Balance of Change and Stability

Families strive to maintain a balance between stability (keeping things familiar) and change (adapting to new situations).

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Family Systems Theory: Circular Causality

Behaviors are a product of circular causality, meaning actions of one member influence the actions of others, creating a continuous loop of interactions.

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Structural-Functional Theory: Society as a System

Structural-functional theory views society as a system with interrelated working parts to maintain stability.

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Structural-Functional Theory: Family Roles

Family members have distinct roles, such as mother, father, child, which contribute to the family unit’s function.

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Structural-Functional Theory: Equilibrium and Complementary Roles

Maintaining equilibrium between complementary roles enhances the family's function within itself and society.

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Structural-Functional Theory: Boundary Management

Boundary management in families refers to how families interact with the outside world (e.g., accepting or limiting external help).

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Family Stress Theory: Adapting to Stress

Family Stress Theory focuses on how families adapt to stressful events.

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Family Stress Theory: Factors Affecting Response

Factors influencing family response to stress include perception of the stressor, resilience, commitment, and available resources.

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Family Stress Theory: Internal Context

Family Stress Theory: Internal context refers to factors within the family's control (e.g., structure, values).

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Family Stress Theory: External Context

Family Stress Theory: External context refers to factors outside the family's control (e.g., culture, economic state).

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Family Life Cycle Theory

Family Life Cycle Theory: Families go through developmental stages, each with unique tasks and challenges.

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Core Interventions

Nurses providing basic support to families, regardless of their specialty. This involves engaging with family members, understanding their needs, and collaboratively setting goals.

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Advanced Interventions

Interventions aimed at addressing complex family dynamics, often requiring specialized knowledge and skills. Examples include family counseling, therapy, and support groups.

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Intervening Questions

Questions strategically used to understand a family's perspective and encourage reflection. They can focus on gathering information or uncovering family dynamics.

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Linear Questions

Intervening questions that gather information directly from the family, aiming to understand their specific challenges. They often focus on cause and effect.

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Circular Questions

Questions that explore family dynamics and interpretations of a situation. They aim to understand relationships and shared meaning.

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Engaging with the Family

The process of building trust and rapport with a family, acknowledging their values and respecting their autonomy.

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Acknowledge Attitudes

The capacity to recognize and overcome personal biases when working with families from diverse backgrounds. It encourages cultural sensitivity and open-mindedness.

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Multiple Theoretical Foundations

Applying various theories to analyze a family's structure, patterns, and communication. This helps understand the family's unique context.

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Family Assessment

Using evidence-based tools and models to assess a family's needs and dynamics. This helps create a tailored plan of care.

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Dysfunctional Dynamics

Identifying complex interactions within a family system, where patterns of communication or behavior might negatively affect individual well-being or family functioning.

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Plan of Care

Developing a customized plan to support healthy family interactions and promote positive family dynamics.

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Additional Expertise

Recognizing when a situation requires additional expertise and knowledge to effectively address the family's needs.

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Reproduction

The biological process of creating a new life. This can be a source of joy and stress within a family.

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Family Adaptation

The process of adapting to changes that occur within a family over time. This includes adjusting to new roles, relationships, living arrangements, finances, and priorities.

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Infertility

The challenges and emotions associated with the inability to conceive a child. This can have a significant impact on family dynamics.

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Family Dysfunction

A disruption in family functioning that can negatively impact relationships, well-being, and overall family health.

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Genogram

A tool used to visualize a family's internal structure (e.g., family composition, rank order) and external relationships with extended family and social systems.

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Ecomap

A tool used to visually depict the personal relationships of family members as well as their social interactions outside the family. It shows who provides support to the family.

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Family Life-Cycle Transitions

Changes that occur within a family as members grow, develop, and move through life stages. These changes can affect roles, relationships, and overall family structure.

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Family-Centered Care

A standard approach to healthcare that recognizes the important role family plays in the patient's well-being. It involves working with the patient and their family to ensure quality and safe care.

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Circumplex Model of Family Assessment (CFAM)

A framework for understanding family dynamics focusing on the family's structure, development, and function.

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Family Influence on Health

The influence of family on the patient's health and vice versa. This includes both positive and negative impacts.

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Structural Assessment

A structural assessment of the family focuses on who makes up the family, the relationships within the family, and how the family interacts with the outside world.

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Developmental Assessment

A family assessment category that considers the changing circumstances of living with both predictable and unpredictable events. It's not just about the individual development of family members.

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Functional Assessment

A functional assessment of the family addresses how individuals behave in relation to each other. It examines both the routine and the expressive aspects.

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Risk Factors for Family Dysfunction

Situations that increase the risk of family dysfunction. These can include financial instability, abuse, substance use, illness, death, and other significant changes.

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Calgary Family Assessment Model (CFAM)

The Calgary Family Assessment Model (CFAM) is a framework used by nurses to assess families. It considers the family's structure, developmental stage, and functional abilities.

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Instrumental Aspects of Family Functioning

Routine activities of daily living, such as preparing meals, doing laundry, and changing dressings.

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Expressive Aspects of Family Functioning

Communication (verbal, non-verbal, and circular), problem solving, roles, influence and power, beliefs, and alliances and coalitions within the family.

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Circumplex Model

The Circumplex Model of Marital & Family Systems is a framework that examines family cohesion, or the closeness of relationships, adaptability, or the family's ability to change, and communication.

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FACES IV

The Family Adaptability and Cohesion Evaluation Scales (FACES IV) is a self-report measurement tool used to assess the cohesion and adaptability of families.

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Dyadic Adjustment Scale

The Dyadic Adjustment Scale is a questionnaire specifically for couples that measures their level of agreement, satisfaction, affection, and cohesion.

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Family-Centered Interventions

Interventions are tailored to support positive family dynamics and address dysfunctional patterns. This can include education, facilitating conversations, enhancing understanding, sharing observations, and validating feelings.

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Influences on Nurse Interventions

The nurse's professional scope of practice, the context of the practice setting, the complexities of the identified issues, and the nurse's experience with family-centered care will influence the interventions offered.

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Chinese Family Assessment Instrument (C-FAI)

The Chinese Family Assessment Instrument (C-FAI) is a self-report measure for Chinese families that assesses their functioning across five dimensions: mutuality, communication, conflict, parental concern, and control.

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Violation of Trust

Violation of trust within a family can arise from various actions such as deceit, betrayal, or dishonesty. It can significantly damage family relationships.

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Nurse's Role in Family Assessment and Intervention

The nurse's role in providing care involves educating the family, facilitating open communication, sharing observations, and validating their experiences.

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Loss of Financial Stability

Loss of financial stability can put stress on family relationships. This can stem from job loss, medical debt, or other financial challenges.

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Family's Openness to Interventions

The family's openness to interventions provided by the nurse or other healthcare providers is influenced by the level of trust and relationship between the family, the nurse, and other healthcare professionals.

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Family's Perception of Health

A family's judgment about whether they are functioning well is crucial, and nurses are encouraged to use the family's view of health rather than imposing their own.

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Substance Use and Addiction

Substance use and addiction can have a profound impact on family dynamics, creating conflict, tension, and instability.

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Resentment in Families

Resentment can arise in families when assistance isn't offered or accepted.

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Family Stress

Stress experienced within a family due to challenges faced by one or more members.

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Effective Family Coping

The ability of a family to manage and adapt to stress effectively, providing support and resilience.

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Person-Centered Care

An approach to healthcare emphasizing collaboration, shared decision-making, and a focus on individual patient needs.

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Family Influence on Healthcare

The impact of family structure, values, communication, culture, and socioeconomic factors on the patient's health.

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Cultural Influence on Family Dynamics

The transmission of cultural beliefs, values, and practices across generations, shaping family relationships.

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Generational Differences in Family Dynamics

Differences in values and customs between generations within a family.

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Cultural Influence on Health Behaviors

The direct impact of cultural beliefs on health behaviors, including illness perception, healthcare seeking, and response to treatment.

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Changes in Family Dynamics

A significant event or situation that alters the dynamics of a family structure.

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Expanding Family Dynamics

The birth or adoption of a child, blending families through marriage or cohabitation, or incorporating extended members.

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Sibling Rivalry

Competition or animosity among siblings, often arising from the need for parental attention.

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Intimate Partner Violence

Physical, sexual, emotional, or psychological abuse within a romantic relationship, involving social isolation, emotional distress, and safety concerns.

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Child Abuse

Intentional physical or emotional abuse, neglect, or sexual abuse of a child, often by an adult.

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Codependency

A dysfunctional relationship where one person is controlled or manipulated by another struggling with illness or addiction.

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What makes a family?

A family can include biological parents, step-parents, same-sex partners, adopted children, foster children, and relatives living together.

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How did lack of family support affect Erin's life?

Erin's parents were unhappy about her marriage and choices, creating distance and lack of support. This impacts Erin's current situation as she struggles alone.

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How does Andrew contribute to dysfunctional family dynamics?

Andrew's lack of responsibility towards Erin and the children, including physical abuse, highlights dysfunctional family dynamics.

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How is Erin's relationship with her parents?

Erin's relationship with her parents is strained, with limited communication and support.

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How does Erin's situation affect the children?

Erin's challenging circumstances, including a lack of financial resources, inadequate housing, and Andrew's absence, significantly impact the children's well-being.

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What should the nurse do for Erin?

The nurse's role is to listen empathetically, provide necessary support and referrals, and assess the situation for any legal intervention regarding child abuse.

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Why is the nurse's role crucial in Erin's case?

Recognizing potential child abuse, the nurse's ethical responsibility is to protect the child's safety and well-being.

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How might you describe Erin's family dynamics?

Erin's family dynamics are complex, juggling her role as a single mother, dealing with her ex-husband, and managing her relationship with distant parents.

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Why is identifying dysfunctional family dynamics important?

Identifying dysfunctional family dynamics is critical for assisting the family with resolving conflict, improving communication, and promoting healthier relationships within the family.

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How does Erin's situation contribute to stress?

Erin's limited resources, lack of support, and difficult circumstances can contribute to stress and the potential for unhealthy coping mechanisms.

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What is important to understand about Erin's situation?

Erin's experience is common for parents who struggle with limited resources and complex family dynamics. Understanding her situation is essential for providing adequate support and services.

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What is the focus for helping families like Erin's?

Identifying the specific needs and challenges faced by families like Erin's is essential for providing effective interventions and support.

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How can families like Erin's be supported?

Supporting families like Erin's requires a multifaceted approach that addresses both immediate needs and long-term goals.

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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.
  • 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.

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