NU 131 EXAM 4 - Family, Theories of
Development, Health Promotion and
Patient Education Graded 2026
Family
Individuals who care for and support one another
Family shapes......
- Values, relationships, communication
- Cultural and ethnic identity
Functions of families:
- Physical maintenance
- protection & nurturance
- socialization & education
- reproduction & recreation
- emotional support
What does person-centered care include?
The family as part of the care process.
How should providers share information with families?
Appropriately, within HIPAA limits.
What is the role of families in patient care decisions?
To be involved in decisions that align with the patient's best interests.
What should providers respect regarding families?
Family values and communication styles.
Nuclear family
One or two parents with child(ren)
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Extended family
Parents, children, grandparents, and other relatives
Step family
One parent, child(ren), and a new partner
Blended family
Parents with children from previous relationships
Single parent family
One parent raising child(ren)
Partner family
Same-gender parents, children by birth, adoption, or insemination
Cohabitation family
Unmarried partners living together with children
Foster parent
Temporary caregivers for children in transition
Adopted family
Legal guardians (includes grandparent adoption)
What are risk factors for divorce?
- Age under 20
- low income
- cohabitation before marriage
- premarital pregnancy
- children from previous marriages
- prior divorce
- short relationship before marriage
- lack of education
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- no or conflicting religious beliefs
- divorced parents.
What is the divorce rate for first marriages?
40-50%.
What is the divorce rate for second marriages?
60-67%.
What impact does divorce have on children?
Children may feel guilt, confusion, or loss of trust.
What impact does divorce have on adults?
Adults may experience emotional distress, poverty, or isolation.
How can extended family be affected by divorce?
Extended family may be affected, such as grandparents' access to grandchildren.
Theories of development
Explanations of how people grow and change over time in thinking, behavior,
personality, and social skills
Key theorists:
• Erik Erikson - 8 psychosocial stages
• Jean Piaget - 4 stages of cognitive development
• Lawrence Kohlberg - 3 levels of moral development
• Maslow's Hierarchy of Needs
Erikson's 8 Psychosocial Stages
• Trust vs. Mistrust
• Autonomy vs. Shame and Doubt
• Initiative vs Guilt
• Industry vs. Inferiority
• Identity vs. Role Confusion
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