1 CHN 1 Module 3 Reviewer

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CHN 1 MODULE 3

Family is a unit of our society. The family that is the main focus of the delivery of healthcare in
the community and source of healthcare needs that the community health nurse must respond to. 

Learning outputs:
• Assess with the individual and family one's health status/competence.
• Be able to integrate the knowledge on family terminologies on the assessment of individual
family

Types of family:
1. Nuclear family
• Nuclear family is also known as conjugal, elementary, or traditional family.
• A family consisting of only a couple (Mother and Father) and their children
2. Extended Family
• The term joint family defines a family that extends beyond the nuclear family.
• It consist of grandparents, aunts, uncles & cousins all living nearby or in a same household

TYPES OF FAMILY 

A. STRUCTURE

1. NUCLEAR- a father, a mother with child/children living together but apart from both
sets of parents and other relatives.
2. EXTENDED- composed of two or more nuclear families economically and socially
related to each other. Multigenerational, including married brothers and sisters, and the
families.
3. SINGLE PARENT- divorced or separated, unmarried or widowed male or female with
at least one child.
4. BLENDED/RECONSTITUTED- a combination of two families with children from
both families and sometimes children of the newly married couple. It is also a remarriage
with children from previous marriage. 
5. COMPOUND- one man/woman with several spouses
6. COMMUNAL- more than one monogamous couple sharing resources
7. COHABITING/LIVE-IN- unmarried couple living together DYAD-husband and wife
or other couple living alone without children
8. GAY/LESBIAN- homosexual couple living together with or without children
9. NO-KIN- a group of at least two people sharing a relationship and exchange support who
have no legal or blood tie to each other 
10. FOSTER- substitute family for children whose parents are unable to care for them

B. FUNCTIONAL TYPE

1. FAMILY OF PROCREATION- refers to the family you yourself created.


2. FAMILY OF ORIENTATION- refers to the family where you came from or grows up
in.

C. DECISIONS IN THE FAMILY (AUTHORITY)


1. PATRIARCHAL - full authority on the father or any male member of the family e.g.
eldest son, grandfather
2. MATRIARCHAL- full authority of the mother or any female member of the family, e.g.
eldest sister, grandmother
3. EGALITARIAN- husband and wife exercise a more or less amount of authority, father
and mother decides
4. DEMOCRATIC- everybody is involve in decision making
5. AUTHOCRATIC- one or both parents rule the family with absolute authority.
6. LAISSEZ-FAIRE- "full autonomy"
7. MATRICENTRIC- the mother decides takes charge in absence of the father (e.g. father
is working overseas)
8. PATRICENTIC- the father decides/takes charge in absence of the mother

D. DECENT (cultural norms, which affiliate a person with a particular group of kinsman for
certain social purposes)
1. PATRILINEAL - Affiliates a person with a group of relatives who are related to him
though his father 
2. BILATERAL- both parents
3. MATRILINEAL- related through mother

E. RESIDENCE

1. PATRILOCAL- family resides/stays with/near domicile of the parents of the husband


2. MATRILOCAL- live near the domicile of the parents of the wife
FAMILY DEVELOPMENT STAGE

Family Developmental Tasks


 Life cycle progression depends on developmental tasks; ongoing throughout life cycle
 Establishing a mutually satisfying relationship
 Adjusting to pregnancy and parenthood
 Fitting into kin network
 Adapting to critical needs of children at all stages
 Fitting into the community
 Balancing freedom with responsibility
 Releasing young adults into work
 Adjusting to retirement

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