Maternal Child Exam 1 (module 1 & 2)
• Family types o Nuclear (male partner, female
partner, their children)
o Extended (family unit plus other
... [Show More] family member in the same household)
o Married-blended (post death/divorce o Commune (group of men,
women, and children living together) o Cohabitation (unmarried man
and woman living together) o No-parent (children living independent, in
foster care, or with close relative)
• Family Systems Theory o Changes that occur in
one member affect the entire family o Sum of the
parts is greater than the whole o Balance and
homeostasis (strive to return to “normal” state) o
Subsystems
➢ Spouses
➢ Children
➢ Girls or boys
➢ Mother/child
• Duvall’s Family Developmental Theory o
Each stage has certain tasks that need to be
accomplished before moving on to next stage
➢ Beginning (just married)
➢ Childbearing (new child)
➢ Preschool (child’s life becomes parent’s life)
➢ School age (personal values are shaped and clarified)
➢ Adolescent/teenage (teaching about sex, drugs, and health
promotion)
➢ Launching (empty nest)
➢ Middle age (more socialization)
➢ Retiremento
• Structural-Functional Theory o Functioning of
the family and the roles assumed by each
member
Roles include: provider, housekeeper, child caregiver, socializer, sexual
partner, therapist, recreational organizer, and kinship (social
etiquette/moral teacher)
• Community Theory
o Emotional problems result from the way people interact with each other
in the context of the family
o Unhealthy families give mixed or double-binding messages, nonverbal
expressions that are inconsistent and incongruent with the verbal
message. o Healthy families have clear rules and communication is
clear and congruent and nonverbal cues match what is being said.
• Group Theory
o Norms (rules of conduct), roles, goals, and power structure o Division
of household chores, expectations of homework, and curfew
enforcement
o Stages of groups:
➢ Forming (through marriage or cohabitation)
➢ Storming (disordered time of confusion or chaos)
➢ Norming (adjust to members by applying rules that everyone
agrees to)
➢ Performing (accomplishes their goals and produces results)
➢ Adjourning/terminating (when member dies, divorce, or leaves the
family)
• Bowen Family Systems Theory o Views the
family as an emotional unit and uses systems
thinking to describe the complex interactions
within the family unit
o Useful when identifying family problems or challenges that are rooted in
communication, connecting between members, and teaching values
o Views birth order as a predictor of certain patterns of behavior o
Triangulation occurs when the dyad diverts attention away from its own
conflict by focusing on a third person such as the child, teacher of theo
problem child, or police officer who comes into a domestic disturbance.
o The multigenerational transmission process describes how one learnsor
transmits family emotional systems across generations.
o Family projection process is how and what children are taught
• Family Assessment o Family size and structure
Parenting style
➢ Authoritarian (dictatorial)
➢ Laissez-faire (permissive)
➢ Authoritative (democratic) o Religious, cultural, and
social-economical orientation
• Tools to facilitate the family assessment o
Qualitative and quantitative surveys
o Genogram or ecomap
o Strengths and problems list
• Components of the family assessment o
Communication patterns o Roles and
relationships o Family developmental stage o
Family rituals o Triangulation
o Presence of dyads and other subsystems
• Examples of Family Nursing Diagnoses o
Altered Family Process o Caregiver Role Strain
(actual and risk for) o Dysfunctional Family
Processes: Alcoholism o Family Coping:
Compromised Family Coping: Disabled o
Impaired Parenting (actual and risk for) o
Ineffective Family Therapeutic Regimen
Management o Readiness for Enhanced Family
Coping o Readiness for Enhanced Parenting o
Risk for Parent-Infant-Child Attachment o
Social Isolation
o Spiritual Distresso [Show Less]