Community Nursing and Family Assessment
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Questions and Answers

What best describes the presence of a wellness condition?

  • Judgment based solely on past health data
  • Inability to recognize health preferences
  • Explicit expression of client’s desire to improve health
  • Clinical judgment about enhancing wellness without explicit expression (correct)

    • What are considered health threats?

  • Lifestyle choices leading to improved health
  • Financial constraints impacting nutrition (correct)
  • Regular physical activity and balanced diet
  • Transitioning to a state of wellness

    • Which of the following is an example of a health deficit?

  • Diagnosed chronic illness (correct)
  • Successful weight maintenance
  • A balanced lifestyle with no health issues
  • Effective management of personal health

    • What describes stress points or foreseeable crisis situations?

    <p>Predictable times of excessive demand on family resources</p> Signup and view all the answers

    Which statement about second level assessment is accurate?

    <p>It focuses on recognizing current and potential health problems</p> Signup and view all the answers

    Which is NOT an example of a health threat?

    <p>Regular health check-ups</p> Signup and view all the answers

    What challenge is indicated by the presence of health deficits?

    <p>Failure to maintain health regardless of diagnosis</p> Signup and view all the answers

    Which of these is a factor influencing foreseeable crisis situations?

    <p>Life transitions like marriage or job loss</p> Signup and view all the answers

    What is the primary purpose of the Family Nursing Care Plan (FNCP)?

    <p>To provide strategies for solving health-related problems of the family as a whole</p> Signup and view all the answers

    Which step comes first in the Family Nursing Care Plan process?

    <p>Assessment</p> Signup and view all the answers

    During the evaluation step of the FNCP, what is a key action taken by the nurse?

    <p>Determining if the goals and objectives have been met</p> Signup and view all the answers

    What is essential for the prioritization of health problems in family nursing?

    <p>Identifying both actual and potential client health problems</p> Signup and view all the answers

    Which of the following actions is NOT typically included in the interventions during the FNCP?

    <p>Personal judgment interventions</p> Signup and view all the answers

    What does first level assessment in family nursing focus on?

    <p>Capability of family in maintaining wellness</p> Signup and view all the answers

    Why is documentation crucial in the evaluation phase of the FNCP?

    <p>To facilitate tracking of care given and client progress</p> Signup and view all the answers

    How should health management decisions be approached in family nursing?

    <p>By encouraging families to make their own health management decisions</p> Signup and view all the answers

    What is primarily causing the inability to decide on appropriate health action among family members?

    <p>Inadequate understanding of the health issue</p> Signup and view all the answers

    What is identified as a health threat due to family size?

    <p>Inability to provide adequate nursing care</p> Signup and view all the answers

    What is a consequence of the family's limited financial resources?

    <p>Inability to create a healthy home environment</p> Signup and view all the answers

    Which factor contributes to the family’s inability to provide adequate nursing care?

    <p>Lack of knowledge about the nature of diseases</p> Signup and view all the answers

    What are the family goals/objectives intended to be achieved through nursing care?

    <p>Assess the family's understanding of health problems</p> Signup and view all the answers

    The presence of which condition among family members is noted as a significant issue?

    <p>Scabies</p> Signup and view all the answers

    What impact does the large family size have on health maintenance?

    <p>Limited ability to meet basic needs</p> Signup and view all the answers

    What is the expected outcome after nursing intervention regarding the family’s understanding?

    <p>Increased comprehension of the identified problems</p> Signup and view all the answers

    What justification supports the score for the nature of the problem regarding poor personal hygiene?

    <p>It is a health threat but does not demand immediate action.</p> Signup and view all the answers

    What is indicated by the total score of 3.6 for poor personal hygiene?

    <p>The family has adequate resources to implement changes.</p> Signup and view all the answers

    Which factor contributed to the low salience score of 0 for poor personal hygiene?

    <p>The family is unaware of the significance of the problem.</p> Signup and view all the answers

    Why does the presence of scabies require immediate attention?

    <p>It has potential for rapid transmission.</p> Signup and view all the answers

    What can be inferred about the modifiability of the problem regarding scabies?

    <p>The family lacks essential resources to address this issue.</p> Signup and view all the answers

    How does the preventive potential of poor personal hygiene influence health?

    <p>It can effectively reduce the risk of major diseases.</p> Signup and view all the answers

    What does the justification for the score regarding the nature of the problem of scabies suggest?

    <p>It has significant immediate health implications.</p> Signup and view all the answers

    Which aspect of poor personal hygiene affects the actual score of the modifiability criterion?

    <p>Lack of awareness about hygiene practices.</p> Signup and view all the answers

    What factor contributes to the inability to utilize community resources for health care due to a lack of belief in the utility of services?

    <p>Failure to perceive the benefits of health care/services</p> Signup and view all the answers

    Which of the following is NOT listed as a consequence of fear regarding healthcare actions?

    <p>Travel concerns</p> Signup and view all the answers

    What aspect of community resource utilization relates to inadequate support systems?

    <p>Feeling of alienation from the community</p> Signup and view all the answers

    Which factor specifically refers to the physical challenges faced in accessing healthcare services?

    <p>Physical inaccessibility</p> Signup and view all the answers

    What describes a health threat related to poor personal habits mentioned in the context?

    <p>Presence of scabies</p> Signup and view all the answers

    Which problem is indicated as a result of the presence of health deficits in the context provided?

    <p>Poor lifestyle choices</p> Signup and view all the answers

    What does the term 'unavailability of required care/services' refer to in the context of community health resources?

    <p>Lack of financial resources</p> Signup and view all the answers

    Which of the following is commonly mistaken as contributing to effective community resource utilization?

    <p>Negative philosophy in life</p> Signup and view all the answers

    What is the primary recommendation for managing scabies according to the assessment?

    <p>Manage as soon as possible to reduce or eliminate aggravation</p> Signup and view all the answers

    Which health condition was ranked the highest according to the scale for ranking health conditions?

    <p>Unhealthy lifestyle practices and personal habits</p> Signup and view all the answers

    What factor contributed to the score for the family's recognition of scabies as a health threat?

    <p>The family does not recognize it as a problem</p> Signup and view all the answers

    What is the total score for the condition categorized as 'Family size beyond resources'?

    <p>2.6</p> Signup and view all the answers

    What does the term 'modifiability of the problem' refer to in this context?

    <p>The problem can be partially modified due to inadequacy of resources</p> Signup and view all the answers

    Which score indicates the potential for prevention of scabies?

    <p>1</p> Signup and view all the answers

    How does increased family size affect the assessment according to the ranking?

    <p>It decreases overall family health</p> Signup and view all the answers

    What is the significance of salience in relation to health threats in this assessment?

    <p>It indicates the family’s recognition of a problem</p> Signup and view all the answers

    Study Notes

    Prayer and Praise

    • Holy God, you are truly everything to everyone
    • Strengthen the poor
    • Provide for the needy
    • Protect from storms
    • Relieve from heat
    • Thank you for being our strength during life's tests
    • You are stronger than any test
    • Thank you for keeping me safe
    • Amen

    Community Nursing

    • This is a graphic showing multiple people in a nursing context

    Nursing Assessment

    • A set of actions to determine family status as a client
    • Assessing ability to maintain wellness, prevent, and control problems
    • Achieve health and wellbeing among family members
    • Includes data collection, data analysis, and formulation of family nursing diagnosis

    Types of Family Assessments

    • First Level Assessment:

    • Determining existing and potential health conditions/problems in the family

    • Second Level Assessment:

    • Identifying the nature of nursing problems faced by the family related to health conditions

    First Level Assessment - Wellness Conditions

    • Potential/Readiness: A clinical/nursing judgment about a client transitioning from one wellness level to a higher one

    Example of Wellness Condition

    • Wellness Potential: A nursing judgment of wellness state without explicit client desire.
    • Readiness for enhanced wellness: A judgment based on current competencies, clinical data, and client desire for improved wellness/function

    Health Threats

    • Conditions that lead to disease, accidents, or failure
    • Examples include large family size that exceed resources, poor nutritional habits, dangerous home conditions, unsanitary food practices, and harmful lifestyle choices

    Health Deficits

    • Instances of failure in health maintenance
    • Examples include illness states (diagnosed/undiagnosed), failure to thrive/develop at a normal rate, and disability

    Foreseeable Crises/Stress Points

    • Periods of increased demand on resources or family adjustment, including marriage, pregnancy, parenthood, job loss, school entrance, chronic illness, hospitalization, death of a family member, and resettlement

    Second Level Assessment - Areas of Inability

    • Inability to recognize a condition/problem
      • Lack of knowledge
      • Denial due to fear of consequences
    • Inability to make appropriate health decisions
      • Comprehending problem magnitude
      • Confusion, helplessness, resignation
      • Lack of knowledge/insight into alternative solutions
      • Inability to prioritize among choices
      • Conflicting opinions within the family
      • Lack of knowledge about community resources
    • Inability to provide needed care
      • Lack of knowledge about diseases, complications, prognoses, and management
      • Lack of knowledge about child development and care
      • Lack of necessary facilities, equipment, and supplies of care
      • Lack of knowledge or skill for complex interventions/healthy lifestyle programs

    Inadequate Family Resources

    • Absence of responsible member
    • Financial constraints
    • Lack of physical resources
    • Negative or unexpressed feelings within significant persons that hinder care

    Inability to provide a home environment conducive to health maintenance

    • Inadequate resources (financial/physical)
    • Lack of benefits (long-term) in investments in home improvement
    • Lack of knowledge about hygiene and sanitation
    • Lack of knowledge for preventative measures
    • Lack of skill in carrying out home improvement
    • Poor communication among family members

    Lack of supportive relationships between family members

    • Negative attitudes/philosophies that hinder health maintenance and development
    • Reduced ability to meet physical and psychological needs of family members due to family preoccupations

    Inability to secure community resources for health care

    • Lack of/inadequate knowledge of community resources
    • Failure to perceive benefits of community services
    • Lack of trust/confidence in community agencies/personnel
    • Unpleasant experiences with healthcare providers
    • Fear of consequences (physical/psychological/financial/social) from seeking care
    • Lack of available resources/care/services due to cost constraints/physical inaccessibility
    • Lack of family resources (manpower, financial)
    • Alienation/lack of support from the community/negative attitudes or philosophies

    Problem List - Examples

    • Presence of health threats (such as scabies) due to unhealthy lifestyle practices (poor hygiene).

    • Health deficits (such as Presence of Scabies) and associated issues, like the family head's inability to make appropriate health decisions due to lack of understanding about the problem's magnitude or severity

    • Presence of health threats due to large family size exceeding available resources

    Family Nursing Care Plan (FNCP)

    • Goals, objectives, interventions, and evaluation related to the inability to provide a home environment conducive to healthcare
    • Specific steps for proper garbage disposal

    Example Health Problems

    • Improper waste disposal
    • Poor personal hygiene
    • Presence of fire hazards
    • Alcoholic drinking
    • Cigarette smoking
    • Nutritional imbalance
    • Improper food handling
    • Poor water supply
    • Poor toilet facilities
    • Inadequate living space
    • Presence of breeding sites of disease vectors
    • Family size exceeding available resources

    Ranking Health Conditions

    • Methods for prioritizing healthcare problems (nature, modifiability, preventive potential, salience)
    • Calculations for determining problem priority

    Scoring Criteria

    • Guidelines for determining scores for each problem category (nature of condition/problem, modifiability, preventive potential, salience)
    • Mathematical formulas for determining overall score of conditions/problems

    Assessment, Diagnosis, Planning, Implementation, Evaluation

    • Scoring criteria for assessment, diagnosis, planning, implementation, evaluation of care plans

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    Related Documents

    Family Nursing Process PDF

    Description

    This quiz explores the principles of community nursing and various family assessment methodologies. It emphasizes the importance of understanding health conditions within a family context, including first and second-level assessments. Test your knowledge on key concepts that support family wellness and nursing diagnosis.

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