FAMILY NURSING ASSESSMENT Flashcards

1
Q

emphasizes the need to understand the
behavior of the family as a dynamic,
functioning unit which affects its capability to
help itself and maintain system integrity, or its
readiness to work with the nurse in enhancing
wellness or addressing problems on health
and illness.

A

Family Nursing Practice

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2
Q

views the family as a living social system
within a context in which multiple
environmental actions or factors occur over
the life course

A

Family Systems Theory

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3
Q

views the family as a unity of interacting
personalities whose actions are based on
meanings they derived from interactions and
taken in an ever-changing process of new
interactions, new interpretations, and new
meanings

A

The Interactional Approach or Symbolic
Interactional Framework

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4
Q

views family development throughout its
generational life cycle, highlighting critical
periods of family growth and development
across the life course

A

The Developmental Approach

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5
Q

specifies family characteristics such as
member roles, family forms, power structure,
communication processes and value systems
which provide order to family interactions and
interdependent relationships and serve to
organize performance of roles and functions

A

Structural-Functional Perspective

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6
Q

integrates the application of theoretical
perspectives which converge particularly at
the critical role of family performance of
functions to attain, sustain maintain and regain
individual and family health

A

Family Health Tasks Perspective

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7
Q
  1. Data Collection
  2. Data Analysis
  3. Formulation of Diagnosis
A

STEPS IN NURSING ASSESSMENT

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8
Q
  1. identify the type of data needed
  2. specify the methods of data gathering and the necessary tools to collect the data
A

Data Collection

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9
Q
  1. Observation
  2. Physical Examination
  3. Interview
  4. Record Review
  5. Laboratory/Diagnostic Tests
A

Data Gathering Methods and Tools

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10
Q

the nurse gathers information about the family’s
state of being and behavioral responses

A

direct observation

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11
Q
  • Family/household members
  • Home and environment
A

First Level- Data on status:

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12
Q

Data on family’s assumption of
health tasks on each health condition/problem
identified in first level assessment.

A

Second Level

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13
Q

Data about the current health status of individual
members. The 5 types of data generate the
categories of health conditions or problems of the
family

A

First Level Assessment

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14
Q
  1. Family Structure, characteristics and
    dynamics
  2. Socio-economic and cultural characteristics
  3. Home and environment
  4. Health status of each member
  5. Values and practices on health
    promotion/maintenance and disease
    prevention
A

First Level Assessment types of data

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15
Q

I. Family/household members
a. Health assessment
b. Laboratory/diagnostic test results
c. Records

II. Home and environment
a. Observation/ocular survey
b. Interview
c. Laboratory/diagnostic test results
d. Records

A

METHODS/SOURCES:
on First Level Assessment

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16
Q

Define the health condition/problems
(categorize as: wellness state, health deficits,
health threats, foreseeable crisis or stress
points

A

First Level HEALTH CONDITION/PROBLEMS AND FAMILY
NURSING DIAGNOSIS:

17
Q

Data include those that specify or describe the
family’s realities, perception and attitudes related to
the assumption or performance of family health
tasks on health condition or problem identified
during the first level assessment

A

Second Level Assessment

18
Q

I. In-depth interview on realities/perceptions
about and attitudes towards
assumptions/performance of health tasks
II. Observation: Relate verbal with Non-verbal
cues

A

METHOD/SOURCES:
on Second Level Assessment

19
Q
  • Define the family nursing problems/diagnosis
    as statement
  • Family’s inability to perform health tasks on
    each health condition/problem specifying the
    barriers to performance or reasons for non-performance of family health tasks
A

Second Level HEALTH CONDITION/PROBLEMS AND FAMILY
NURSING DIAGNOSIS:

20
Q

Supported and complemented by other family
assessment tools to elicit generational information
about family structure and processes (genogram),
factual data about family relationship with the
external environment and its resources (ecomap),
and interactive processes and family relationship
problems/difficulties and strengths (family life
chronology)

A

The Assessment Database (ADB)

21
Q
  • Graphically display information about family
    members and their relationship over the at
    least three generations.
  • Softwares: Edraw max, GenoPro
A

Genograms

22
Q
  • Conceptual framework for constructing and
    analyzing genogram patterns
  • Structural, relational and functional
    information about family)
  • Viewed horizontally across the family
    context and vertically through generations
A

Family Systems Theory of Murray Bowen (1978)

23
Q

Visually diagrams the family’s interactions or
relationships with the external environment
and its resources. It summarizes on one page
the family strengths, conflicts and stresses in
relation to its interactions with individuals and
agencies outside the family system. Hartman
(1978) used the tool to examine boundary
maintenance aspects of family functioning.
The ecomap dramatically illustrates the
amount of energy used by a family to maintain
its system

A

Ecomap

24
Q

helps capture family interactive processes
that have evolved (Satir 1967). It can help the
family identify the strengths in family member
relationships over time and the need to alter
family functioning to reduce stress

A

Family Life Chronology

25
Q
  • Sort data
  • Cluster/group related data
  • Distinguish relevant to irrelevant data
  • Identify patterns
  • Relate family data to relevant clinical data
    and research findings
  • Compare patterns with norms or standards
  • Interpret results
  • Make inferences/draw conclusions
A

Data Analysis

26
Q
  1. Normal Health of Individual members
  2. Home and Environmental Conditions
    conductive to health development
  3. Family Characteristics, dynamics and
    level of functioning conductive to family
    growth and development
A

Standards in determining the status of the
Family

27
Q

Involves the physical, social and emotional
wellbeing of each family members

A

. Normal Health of Individual members

28
Q

Includes the physical, psychological and
socio-cultural mileu (eg type and quality of
housing, adequacy of living space, the kind
of sanitation

A

Home and Environmental Conditions
conductive to health development.

29
Q

Constitutes the client’s ability as a system
to maintain its boundary integrity and
achieve its purpose through dynamic
interchange among its members while
responding to external multi-environments.

A

Family Characteristics, dynamics and
level of functioning conductive to family
growth and development

30
Q
  • Recognize the presence of wellness state or
    health condition problem
  • Make decisions about taking appropriate
    health action to maintain wellness or manage
    the health problem
A

Family Health Tasks

31
Q
  • Provide nursing care to the sick, disabled or
    at-risk members
  • Maintain home environment conducive to
    health maintenance and personal
    development
  • Utilize community resources for health care
A

Family Health Tasks

32
Q

The end result of data analysis during the first level
assessment is a conclusion or a statement of a

A

health condition or problem

33
Q

The second level of analysis ends with a

A

definition
of family nursing problems

34
Q

a clinical judgment
about the family’s response to actual or
potential health problems or life processes.

A

*Nursing Diagnosis

35
Q

The end result of second level assessment is
a set of

A

family nursing diagnosis

36
Q
  1. Statement of unhealthy response
A

2 parts of nursing diagnosis