Family Dynamics

Chapter 10 — Family Dynamics

Potter & Perry Fundamentals of Nursing • Knowt study flashcards

1. The family

Flashcard 1 — What is a family? A group of interacting individuals connected through biology or enduring commitments who usually socialize and function together.

Flashcard 2 — What is family durability? A system of support and structure within a family that continues through time and lifestyle changes.

Flashcard 3 — What is family resiliency? The ability of a family to cope with expected and unexpected stressors and adapt to changes or crises.

Flashcard 4 — What is family diversity? The uniqueness of each family unit, including its members, needs, strengths, and characteristics.

Flashcard 5 — What are family dynamics? Interactions among family members affected by family structure, function, problem solving, and coping capacity.

Flashcard 6 — What is the goal of family-centered nursing care? Address the health care needs of the family as a unit and promote the health and well-being of the patient and family members.

2. Family forms and current trends

Flashcard 7 — What are family forms? Patterns of people considered by family members to belong to the family.

Flashcard 8 — What is a nuclear family? Two adults, sometimes with one or more children.

Flashcard 9 — What is an extended family? A nuclear family that also includes relatives such as grandparents, aunts, uncles, and cousins.

Flashcard 10 — What is a single-parent family? A family with one parent raising a child because of death, divorce, desertion, or a decision to have or adopt a child.

Flashcard 11 — What is a blended family? Parents bringing children from previous marriages or parenting relationships into a new family.

Flashcard 12 — What is an alternative family? Family arrangements such as multiadult households, grandparents raising grandchildren, cohabiting partners, or adults living alone.

Flashcard 13 — What is the sandwich generation? Middle-aged adults caring for their children and aging family members while meeting their own needs.

3. Factors influencing family forms

Flashcard 14 — What is family caregiving? Providing physical care, emotional support, decision-making assistance, and daily living support to a family member.

Flashcard 15 — What is caregiver burden? Physical, emotional, social, or financial strain caused by caregiving responsibilities.

Flashcard 16 — How does poverty affect family health? Poverty limits financial resources and access to health care, insurance, and other basic needs.

Flashcard 17 — What is chronic homelessness? Using homeless shelters for long-term housing needs.

Flashcard 18 — What is transitional episodic homelessness? Needing shelter for one stay and a short period of time.

Flashcard 19 — What is domestic violence? Emotional, physical, or sexual abuse involving partners or family members, including children and older adults.

4. Family structure and function

Flashcard 20 — What is family structure? The ongoing membership of a family and the pattern of relationships among its members.

Flashcard 21 — What is a rigid family structure? A structure with fixed roles and tasks, making it difficult for other members to take over responsibilities.

Flashcard 22 — What is an extremely flexible family structure? A structure lacking stability, which can make responding to crises or rapid changes difficult.

Flashcard 23 — What is family function? What a family does and the processes used to achieve its goals, including communication, caregiving, and conflict resolution.

5. Family nursing

Flashcard 24 — What is the goal of family nursing? Help the family and individual members reach and maintain maximum health during and beyond illness.

Flashcard 25 — What is family as context? The nurse focuses on an individual patient while considering how the family meets that patient's physical and psychological needs.

Flashcard 26 — What is family as patient? The nurse focuses on the needs, relationships, and functioning of the entire family.

Flashcard 27 — What is family as a system? The nurse cares for individual family members and the family unit, using available resources.

Flashcard 28 — What is the main difference between the three family nursing approaches? Context focuses on the individual; patient focuses on the family unit; system combines both.

6. Family and health

Flashcard 29 — How does family influence health? Family beliefs, values, practices, communication, and roles influence health promotion and disease prevention.

Flashcard 30 — What is a crisis-proof family? An effective family that balances stability with growth and change and can adapt to stressors.

Flashcard 31 — What is a crisis-prone family? An ineffective family that lacks, or believes it lacks, control over its environment.

Flashcard 32 — What is family hardiness? The internal strengths and durability that help a family manage stressful events and see challenges as opportunities for growth.

Flashcard 33 — What are genetic factors? Heredity or genetic susceptibility to diseases that may or may not develop.

Flashcard 34 — How do acute and chronic illnesses affect families? They affect family roles, relationships, finances, emotions, schedules, and coping resources.

Flashcard 35 — How does trauma affect family functioning? Sudden, sometimes life-threatening events create stress, anxiety, financial burdens, and difficulty making decisions.

Flashcard 36 — What is the nurse's role in end-of-life family care? Provide information, emotional support, therapeutic communication, shared decision-making, and referrals such as hospice and grief support.

7. Family-centered care and the nursing process

Flashcard 37 — How is the nursing process used in family-centered care? Use assessment, diagnosis, planning, implementation, and evaluation while considering the family's needs and preferences.

Flashcard 38 — What is a family assessment? Collecting information about family structure, development, functioning, health needs, and available resources.

Flashcard 39 — What are the three main areas of family assessment? Family structure, developmental assessment, and family functioning.

Flashcard 40 — What is a family structure assessment? Identifying family members, their relationships, and the family's context.

Flashcard 41 — What is a developmental family assessment? Determining how a family adapts to expected and unexpected changes and difficult times.

Flashcard 42 — What is a family functioning assessment? Assessing how members interact, communicate, solve problems, perform daily activities, and fulfill roles.

Flashcard 43 — What are instrumental aspects of family functioning? Routine activities such as preparing meals and doing laundry.

Flashcard 44 — What are expressive aspects of family functioning? Communication, problem solving, roles, influence, power, and beliefs.

Flashcard 45 — Why are cultural aspects important in family assessment? Culture influences family structure, function, health beliefs, values, and practices.

Flashcard 46 — When should discharge planning begin? At the initiation of care, with the family included in planning.

8. Nursing diagnoses and planning

Flashcard 47 — What do family nursing diagnoses commonly focus on? Family coping, caregiver stress, changes in family processes, and family roles.

Flashcard 48 — What are examples of family nursing diagnoses? Impaired Family Coping, Risk for Caregiver Stress, and Impaired Family Process.

Flashcard 49 — What is important when planning family-centered care? Develop realistic, mutually agreed-upon outcomes that fit the family's needs, lifestyle, and developmental stages.

9. Implementing family-centered care

Flashcard 50 — What is the goal of family health promotion? Improve or maintain the family's physical, social, emotional, and spiritual well-being.

Flashcard 51 — What are examples of family strengths? Clear communication, adaptability, support, nurturing, commitment, cohesiveness, and spirituality.

Flashcard 52 — What is the Synergy Model? A model in which nurses use their knowledge, skills, experiences, and attitudes to meet patient and family needs for optimal outcomes.

Flashcard 53 — Why is communication important in acute family care? It helps families understand medical information, treatment decisions, and expected outcomes.

Flashcard 54 — What is the goal of restorative and continuing family care? Maintain functional abilities and help patients and families manage care at home.

Flashcard 55 — How can nurses support family caregivers? Teach care skills, provide emotional support, arrange respite, and connect caregivers with community resources.

Flashcard 56 — What are signs of caregiver role strain? Changes in sleep or appetite, social withdrawal, irritability, anger, exhaustion, and loss of interest in personal appearance.

Flashcard 57 — What are community resources for family caregivers? Support groups, respite care, transportation, food services, home care, hospice, and mental health services.

10. Evaluating family-centered care

Flashcard 58 — How does a nurse evaluate family-centered care? Compare patient and family responses with planned outcomes and determine whether their needs were met.

Flashcard 59 — How is evaluation different when the family is the patient? Evaluate changes in family functioning and satisfaction with the new level of functioning.

Flashcard 60 — How is evaluation different when the family is a system? Evaluate how nursing interventions affect the entire family, including extended family members.