A nurse who works with families uses Duvall's family developmental theory as the core of nursing practice. What action by this nurse takes priority?
A.
Assessing the developmental stage of the family
B.
Determining how the family interacts with society
C.
Observing what roles each family member assumes
D.
Tailoring teaching to the specific needs of the family
ANS: A
Developmental theory has as its core the idea that every person moves through developmental stages with tasks that must be mastered before they can move on to the next stage. Family developmental theory assumes the same progression for families as a unit. Duvall's theory identifies eight family stages. The nurse using Duvall's family developmental theory must first assess the stage the family is in, because teaching and all other interventions must be tailored to that stage. Only tailoring the teaching to specific needs does not necessarily require assessment of the family using a developmental approach. Determining how the family interacts with society is more in line with systems theory. Observing roles is part of structural-functional theory.
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