Community Health Nursing: Cultural Assessment

10 Questions

What is a characteristic of a healthy family in terms of community involvement?

They participate regularly in external groups and activities

What is a goal of family-focused interventions at the primary prevention level?

To promote health education and availability of services

How do healthy families approach divergent ideas?

They respect and accept divergent ideas

What is a key aspect of family-focused interventions at the aggregate level?

Advocating for environmental protection and social justice

What is a characteristic of healthy families in terms of individual expression?

They allow members to express their individuality in dress and decorating

What is a goal of primary prevention in family-focused interventions?

To promote health education and illness prevention

What is a way healthy families engage with the broader community?

They participate regularly in external groups and activities

What is a key aspect of family-focused interventions at the primary prevention level?

Teaching effective hygiene and referring for immunizations

What do healthy families show an interest in?

Current events and significant social issues

What is a benefit of family-focused interventions at the aggregate level?

Improved health education and availability of services

Study Notes

Cultural Assessment

Includes family's definition of health and illness, approach to health maintenance and disease prevention, beliefs regarding illness-cure treatment, cultural preferences related to food, and degree of identification with cultural group
Also assesses family functioning, child-rearing practices, and community health nursing

External Structure/Environment

Consists of internal environment (home and space), external environment (neighborhood, industry, crime rate, and sanitation)
Also includes extended family structure, including family of origin and family of procreation, as well as present generation and step-relatives

Structural Assessment Tools

Genograms: diagrams showing the structure of intergenerational relationships
Ecomaps: diagrams of the family's contact with others outside of the immediate family, picturing important connections between the family and the world

Family Functional Assessment

Instrumental functioning: daily living tasks such as eating, sleeping, preparing meals, changing, and dressing
Expressive functioning: emotional communication, verbal and non-verbal, circular problem-solving, roles, control, and beliefs

Emotional Communication

Range and type of emotions expressed, with a wide range indicating healthy emotional communication
Problem-solving patterns, including who identifies the problem, family solutions, and resources relied upon for help

Family Roles

Established patterns of behavior for family members, including formal and informal roles
Role conflict vs. role strain, with role strain involving tension between roles of one status and role conflict involving conflict between roles of two or more statuses

Healthy Family Environment

Structured role relationships that meet changing family needs over time
Active coping efforts to overcome life problems and issues
Creation of safe and hygienic living conditions, with a positive and supportive emotional climate
Demonstration of caring, encouragement of expression of feelings, and respect for divergent ideas

Primary Prevention Family-focused Interventions

Family-level health promotion and protection, including education on safety, nutrition, physical activity, and rest
Illness prevention through teaching effective hygiene and referrals for immunizations
Aggregate-level advocacy for environmental protection, social justice, and availability of health promotion and illness prevention services