Family Health Nursing Overview
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Questions and Answers

Which type of family is characterized by a cohabitating couple of the same sex?

  • Single parent family
  • Gay or lesbian family (correct)
  • Nuclear family
  • Extended family

    • What is one of the functions of the family related to children's societal integration?

  • Economic Function
  • Status placement
  • Procreation
  • Socialization of the Family members (correct)

    • What do single parent families often lack that affects their overall well-being?

  • Housing stability
  • Community support
  • Access to education
  • Social, emotional, and financial resources (correct)

    • In which stage of the family life cycle do families begin through marriage or commitment?

    <p>Beginning family</p> Signup and view all the answers

    How does the family serve as a buffer between individuals and society?

    <p>By fulfilling societal needs and individual needs</p> Signup and view all the answers

    What stage follows 'Launching family' in Duvall's family life cycle?

    <p>Middle-aged family</p> Signup and view all the answers

    What characteristic of the family system emphasizes the interdependence of its members?

    <p>Each member's dependence on others</p> Signup and view all the answers

    Which of the following is NOT a function of the family?

    <p>Engaging in political activism</p> Signup and view all the answers

    Which of the following best describes a nuclear family?

    <p>A family formed by two married individuals and their children.</p> Signup and view all the answers

    What is the primary purpose of utilizing the Nursing Process in family care?

    <p>To guide nurses in caring for families as a collective unit.</p> Signup and view all the answers

    Which family type describes a couple living together without being married?

    <p>Cohabitating family</p> Signup and view all the answers

    What characteristic distinguishes an extended family from a nuclear family?

    <p>It consists of multiple generations.</p> Signup and view all the answers

    What is an essential principle to apply during nursing care provided in home visits?

    <p>Utilizing principles of bag technique.</p> Signup and view all the answers

    Which of the following is NOT a characteristic of family as defined in community health nursing?

    <p>Being restricted to only biological relationships.</p> Signup and view all the answers

    What defines a blended family?

    <p>A family formed when spouses bring children from previous relationships.</p> Signup and view all the answers

    Which type of family consists of a male with more than one spouse approved by Philippine law?

    <p>Compound family</p> Signup and view all the answers

    What is a task associated with aging families?

    <p>Preparation for own death</p> Signup and view all the answers

    Which characteristic is essential for a healthy family?

    <p>Engaging in flexible role relationships</p> Signup and view all the answers

    What is a primary focus during the 'families as launching centers' stage?

    <p>Establishing independent identities for parents and grown children</p> Signup and view all the answers

    Which aspect is NOT a part of the family life cycle stage involving families with young children?

    <p>Evolution of adolescent autonomy</p> Signup and view all the answers

    During what stage do families begin to shift their concern towards the older generation?

    <p>Families with adolescents</p> Signup and view all the answers

    What is the primary focus of Family Nursing?

    <p>Maximizing the health of all individuals within a family system</p> Signup and view all the answers

    What is a key feature of 'healthy families' as characterized by Otto and Pratt?

    <p>Members support each other's growth and autonomy</p> Signup and view all the answers

    What task is involved in the stage of families with adolescents?

    <p>Reexamination of marital and career issues</p> Signup and view all the answers

    What does the genogram primarily help nurses to do?

    <p>Diagram the family's structure across generations</p> Signup and view all the answers

    Which of the following is NOT a symbol typically used in a genogram?

    <p>Triangle for twins</p> Signup and view all the answers

    Which task is essential in the aging families stage?

    <p>Support and autonomy of the older generation</p> Signup and view all the answers

    Which item should a nurse include in a Family Health Tree?

    <p>Genetically linked diseases</p> Signup and view all the answers

    In the context of Family Health Assessment, which aspect is crucial for understanding family dynamics?

    <p>The family's cultural background</p> Signup and view all the answers

    What information might a nurse collect when conducting a Family Health Assessment?

    <p>Family composition and function</p> Signup and view all the answers

    Which of the following examples best represents a psychosocial problem to be noted in a Family Health Tree?

    <p>Obesity within family members</p> Signup and view all the answers

    When assessing familial risk factors, which of the following should a nurse consider the least?

    <p>Recent travel destinations of family members</p> Signup and view all the answers

    What is considered the primary focus of the nursing plan when working with a family?

    <p>Family's right to self-determination</p> Signup and view all the answers

    Which of the following is NOT a priority setting consideration for family nursing?

    <p>Family income level</p> Signup and view all the answers

    What is an essential characteristic of a goal in family nursing?

    <p>Specific and measurable</p> Signup and view all the answers

    Which type of nursing intervention aims to improve a family's capacity to meet its own health needs?

    <p>Developmental interventions</p> Signup and view all the answers

    During which phase is the value of nursing care assessed in relation to the family?

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

    What type of evaluation assesses nursing interventions as they are being implemented?

    <p>Formative evaluation</p> Signup and view all the answers

    What is the primary purpose of a home visit by a nurse?

    <p>To promote, maintain, or restore health</p> Signup and view all the answers

    Which of the following best describes the family-nurse contact process according to its importance?

    <p>Essential for developing a relationship between family and nurse</p> Signup and view all the answers

    What is the primary purpose of an ecomap?

    <p>To depict a family’s links to suprasystems.</p> Signup and view all the answers

    Which area is NOT included in the Family Coping Index assessment?

    <p>Financial Stability</p> Signup and view all the answers

    Which of the following best describes the family environment as assessed in family data analysis?

    <p>The physical setting of the home and neighborhood.</p> Signup and view all the answers

    What is the focus of nursing diagnoses in family assessments?

    <p>Addressing the family as a unit within their context.</p> Signup and view all the answers

    How does data synthesis relate to family data analysis?

    <p>It organizes data into useful clusters for effective evaluation.</p> Signup and view all the answers

    Which of the following is essential when formulating a plan of care for a family?

    <p>Establishing goals and objectives.</p> Signup and view all the answers

    What factor is included in the socioeconomic characteristics of family data analysis?

    <p>Demographic characteristics of the household.</p> Signup and view all the answers

    Which of the following describes the assessment of physical environment in family data analysis?

    <p>The conditions and assets of the family's residence and locality.</p> Signup and view all the answers

    Study Notes

    Family Health Nursing

    • Family health nursing is a practice focused on maximizing the health of individuals within a family system.
    • It may focus on individual family members, the entire family unit, or the family in relation to its social context.

    Learning Objectives

    • Define family unit
    • Identify family characteristics pertinent to community health nursing
    • Define family nursing
    • Utilize the nursing process when caring for individuals within a family and for the family as a whole.
    • Describe different types of family-nurse contracts
    • Describe provision of care during a home visit
    • Apply principles of bag techniques during a home visit

    Introduction

    • Working with families has become more complex and rewarding currently
    • Family nursing is not a new concept and has been applied in nursing since Nightingale’s “district nursing” concept and Lillian Wald’s (1904) principles.

    The Family

    • The family is defined by the National Statistical Coordination Board (NSCB, 2008) as a group of persons living together, whose head and other members are related by blood, marriage, or adoption.
    • Includes both nuclear and extended family units.
    • Sociologists view the family in terms of social units interacting with the larger society (Johnson, 2000).
    • Other professionals define family based on kinship, marriage, or choice.

    Family Forms

    • Nuclear Family: Composed of husband, wife, and their immediate children (biological, adopted, or both).
    • Dyad Family: Consisting of newly married couples or empty nesters.
    • Extended Family: Comprised of three generations, potentially including married siblings and their families, as well as grandparents.
    • Blended Family: Results from a union where one or both spouses bring children from a previous marriage.
    • Compound Family: A form typically existing where a man has more than one spouse (applicable to some religious groups).
    • Cohabitating Family: Live-in arrangement of unmarried couples and their children.
    • Single Parent Family: A family set up due to the death of spouse, separation, or pregnancy outside of wedlock.

    Family Functions

    • Procreation: Reproductive function and child rearing.
    • Socialization: Process of members becoming productive members of society.
    • Status Placement: Determination of a family’s rank in society through conferring it on children.
    • Economic Function: Families often engage in business ventures as units of production.

    The Family as a Client and System

    • Family nursing recognizes that the family is a unit of care in which individual members can be better understood within the family context.
    • Using General System Theory (Minuchin, 2002von Bertanfly 1968, 1972, 1974) the family interacts with the larger social systems outside the family, and with smaller units inside (e.g., individual members of the family unit) and in many ways, members are dependent on each other.

    Developmental Stages of the Family

    • Duvall and Miller (1985) created a framework for understanding family development
    • Families traverse different stages from marriage/commitment to death. Stages Include:
      • Beginning family
      • Parenting the first child
      • Living with adolescents
      • Launching family
      • Middle-aged family
      • Aging Family

    Characteristics of a Healthy Family

    • Healthy families exhibit characteristics like members interacting positively, affirming each other, respecting roles and decisions, supporting growth and autonomy. They foster values, responsibility, leisure time, and coping skills.

    Family Nursing & Nursing Process

    • Family nursing is the process of maximizing the health of family members, considering the family as a system.
    • Family Health Assessment is crucial, including details about family members, the family structure, function, process, the environment, and the family itself.
    • Genograms are helpful tools for outlining a family's structure. They typically include three generations.

    Family Nursing & Nursing Process (Continued)

    • Family health histories, including genetic diseases, causes of death of deceased family members, environmental/occupational diseases, psychosocial issues (e.g. mental illness, obesity), infections, and risk factors (lifestyle, genetics) should be considered.
    • Ecomaps graphically show the connections between the family & their surrounding environments (e.g., schools, work, other family members).

    Family Nursing & Nursing Process (Continued)

    • Family Data Analysis entails organizing collected data appropriately in order to aid in making decisions regarding interventions
      • Data on family structure, demographic characteristics, socioeconomic status, relationships with other systems, family environment, and health behaviors are organized into categories.

    Family Nursing Diagnosis

    • Nursing diagnoses can be made at multiple levels: individual, family units, or in the context of societal environmental relationships.
    • Using the NANDA-I (2011) system, various diagnostic categories help express human responses.
    • The Family Coping Index may be an assessment tool to see how a family copes with health-related challenges.

    Formulating the Plan of Care

    • The plan is a result of priority settings, goals/objectives, and the interventions.
    • Family safety, family perceptions, and practicality are considered when setting priorities. Projected effects are also taken into consideration.

    Establishing Goals

    • Goals are a desired response from the family to planned interventions in reaction to a mutual need of the family or member.
    • Goals should be: specific, measurable, attainable, relevant & time-bound.

    Implementing the Plan of Care

    • Interventions may be: supplemental, to help when the family needs support, or developmental, for support aimed at increasing and strengthening the family's capacity to meet health needs.

    Evaluation

    • Evaluation determines the value of the care given by measuring the end results of family nursing care.
    • Types of evaluation include formative & summative evaluations.

    Family-Nurse Contact

    • The family-nurse relationship can occur in clinics, group conferences or at home.
    • Phases of home visits include pre-visit, in-home, and post-visit phases.
    • In-home phase involves initiating contact, implementation of interventions, and termination with the family. The nurse's conduct should be respectful and polite.

    The Nursing Bag

    • Often called a PHN bag, it's a tool nurses use for home and community visits.
    • Contents vary by agency policy and the type of service being provided.
    • Contains infection control materials, assessment tools, and supplies for care.
    • Important techniques include following "clean" to "contaminated" process to ensure infection control.

    Conclusion/Summary

    • While the family is changing, it remains a vital unit for maintaining and promoting the health of its members and the community.
    • Health care approaches should go beyond the traditional individual approach to help families.

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    Family Health Nursing PDF

    Description

    This quiz explores the principles and practices of family health nursing, emphasizing the importance of the family unit in community health. Participants will learn to define family nursing, understand family characteristics, and apply nursing processes during home visits. Discover how family dynamics influence health care and the evolving role of nurses in family systems.

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