FA 4 Flashcards
The Reid family was found to have 2 adult members who have uncontrolled Hypertension, James (45 y/o) and Nadine (42 y/o). James Reid, the head of the family, mentioned “Yes, me and my wife were diagnosed of Hypertension last month in the health center because we both complained of headache. We were prescribed medication but we don’t take it because I think we feel okay. I know of a neighbour who has Hypertension and I think he is also doing okay without the medication.” The nurse and the family in the plan of care agreed that the objective would be that the family will be able to provide care to the hypertensive members of the family. Which of the following will be the appropriate intervention?
Assist the family in understanding proper management and its impact on control
of hypertension
The Zora family has one pregnant member, Sarah the wife of the head of the family. Here are some of the notable cues from history taking and PA:
G5P4T3P1A0L4M0, she is currently 37 years old, AOG 30wks and 2 days, fundic height is 25cm, cephalic, with fetal heart tone of 109bpm at LLQ. You also noted that she stopped visiting the health center. According to her, she had
an argument with one midwife a few months ago. Which of the following is true about the focus of your interventions in your care plan for Sarah?
Refer Nadine immediately to an OB Gyn doctor and have her checked in a hospital since she has high risk pregnancy
The Pitak family is a nuclear family. They are six (6) in the family. They are as follows, Mrs. Pauline Pitak, 38 years old and Mr. Victor Pitak, 45 years old. Mrs. Pitak is currently pregnant with their fifth child. Their eldest is Tali, 14 years old. The second child is Vico, 12 years old. The third child is Danica, 10 years old and Oyo is the fourth who is 4 years old. initially, they thought that Oyo will
be the last child. Mrs. Pitak stays at home while Mr. Pitak is a construction worker in a nearby site. He earns around 600 per day. Mrs. Pitak tries to help augment the family income by making and selling “kakanin”. They are worried about their current situation. When asked about their knowledge on family planning as well as the FP method that they were using, they said that they did not use any family planning method before. They said that they just heard from neighbors and friends about FP, but would not exactly know in detail about what it is all about and the appropriate FP method for them. The nurse
identified “ family size beyond what family resources can adequately provide” as the health problem. Based on the in-depth assessment , the family nursing problem is inability to make decisons with respect to taking appropriate health action due to lack of knowledge about the alternative courses of action open to them. The goal of care includes helping the family decide on an action to maintain family size. One of the objectives is for the family to be able to select
a Family Planning method appropriate for them. What will be the best intervention for this objective?
All the options listed
(Discuss with the couple family planning,
Analyze the advantages and disadvantages of the different FP methods to help
them decide on the method best suited for them, Discuss with the family the different FP methods)
The Lara family is one one the families assigned to you. One of their favorite past time activities, especially during this time of the pandemic, is watching their favorite Korean drama every night. They do this while eating junk food which are high in sodium and fat content. They have been doing this practice on a regular basis since March of this year. Upon assessment, they do not consider this as a problem. You developed a plan of care for the family. Hence, you want to assist the family in recognizing the problem. Which among the following should be the focus of your intervention?
All of the choices listed.
(Discuss with the family the implication of unhealthy eating practices.
Explain to the family the nature of the problem.
Assist the family in understanding the implication of eating non-nutritious food)
As a nurse caring for a family, at certain points during the implementation phase, you ask yourself the following questions; “ How is the client responding to this situation?”; Do I fully understand the patient’s/client’s reality?” When you ask these questions and try to answer them, how do you call this practice?
Reflective Practice
On the initial home visit to a client family, the following activities may be expected to be done. Which of these is the first activity?
Establishing a working relationship
In this phase of the FNP, the nurse and the client family perform what is required, monitor action taken, and modify patterns.
Implementation
Nurse Cecile, during the course of her working relationship with the Dalisay family, continous to give feedback to the family. She also constantly reviews if interventon strategies are focused. They also consider the current situation or any other emerging concerns. What is the type of evaluation being done by Nurse Cecile?
Formative evaluation
Nurse Erica and the Cutiangco family focused on the malnutrition problem of the children of Mr. and Mrs. Cutiangco. After developing and implementing the plan of care, Nurse Erica understands that an important phase of the family nursing process is evaluation. Which among the following statement is true with evaluation?
Conclusions drawn from the evaluation to determine whether the nursing intervention should be terminated, continued or change/ modified.
This is a type of evaluation where you chart the assessment data observed and or gathered, the intervention done, the client’s response or responses to the interventions and any action or actions taken based on the responses.
AIR, A (Assessment, Intervention, Response, Action)
