When performing an admission assessment on a client, the nurse asks about sibling position based on the knowledge that sibling position can shape relationships and influence a person's expression of behavioral characteristics
. The concept that each sibling position has its own strengths and weaknesses is based on the work of:
a. Murray Bowen.
b. Walter Toman.
c. Medalie & Cole-Kelly.
d. McCubbin & McCubbin.
ANS: B
Sibling position, a concept originally developed by Walter Toman (1992), refers to a belief that sibling positions shape relationships and influence a person's expression of behavioral characteristics. Each sibling position has its own strengths and weaknesses. This concept helps explain why siblings in the same family can exhibit very different characteristics. Murray Bowen's family systems theory conceptualizes the family as an interactive emotional unit. Bowen believed that family members assume reciprocal family roles, develop automatic communication patterns, and react to each other in predictable, connected ways, particularly when family anxiety is high. Medalie and Cole-Kelly describe the course of chronic illness as being a series of crises with relatively stable times in between McCubbin & McCubbin's Resiliency Model of Family Stress, Adjustment, and Adaptation is considered the most extensively studied model of family coping with traumatic and chronic illness. In this model, A (an event) interacts with B (resources) and with C (family's perception of the event) to produce X (the crisis).
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