NURS3803 Module 2: Health Promotion for Individuals and Families

What is health surveillance?

on-going systematic collection, analysis, interpretation, and dissemination of health data

What is the purpose of health surveillance?

- it provides a means for identifying and monitoring health trends

- can reduce morbidity and mortality

- help focus use of resources

- to improve overall health outcomes

What are commonly used Health Risk Appraisal tools?

- My Life Check which determines risk of cardiovascular disease

- My family health portrait which looks at genetic risk factors

What is a Systems perspective of families?

- views families as complex, interconnected systems that are made up of interrelated parts

- used to explain patterns of living among individuals who make up a family system

What is a Developmental perspective of families?

- it describes how families change over time

- knowing the family composition, interrelationships, and life cycle can help to predict overall family pattern and potential health needs

What is a Risk factor perspective of families?

using family health statistics to predict risk

What are the family developmental stages?

- couple family

- childbearing family

- family with preschool or school-age children

- family with adolescents

- family with young or middle-age adults

- family with older adults

What is a genogram?

a family diagram that depicts each member of the family and shows connections between the generations

What is an eco map?

diagram that documents the family's organizational structure and relationship with the environment

How are genograms and eco maps used by the nurse to explore family history and potential health problems?

they can establish risk of certain health problems

What are health statistics?

secondary source of information to guide the identification of potential or actual health risks

What is the purpose of health risk appraisal?

- to determine an individual's health risks

- to focus planning for health teaching and activities that reduce risk

Describe behavioral changes within the health patterns of families (functional, potentially dysfunctional, dysfunctional)

- functional: strengths

- potentially dysfunctional: risk factors

- dysfunctional: actual nursing diagnosis

What are Gordon's 11 functional health patterns?

1. Health perception-health management pattern

2. Nutritional-metabolic pattern

3. Elimination pattern

4. Activity-exercise pattern

5. Sleep-rest pattern

6. Cognitive-perceptual pattern

7. Self-perception-self-concept pattern

8. Roles-relationships pattern

9. Sexuality-reproductive pattern

10. Coping-stress tolerance pattern

11. Values-beliefs pattern

What should be assessed in the health perception-health management pattern?

- family history

- general health perceptions

- preventative services

- lifestyle practices

- health and safety practices

- home safety

- environmental concerns

What should be assessed in the nutritional-metabolic pattern?

- dietary habits

- food and fluid consumption

- growth and development patterns

- food purchasing, preparation, storage, and refrigeration

- specific dietary needs

What should be assessed in the elimination pattern?

- toilet training

- regular patterns

- constipation

- incontinence

- waste disposal/sanitation

What should be assessed in the activity-exercise pattern?

- family's view on exercise

- daily activities

- exercise patterns

- leisure activities

What should be assessed in the sleep-rest pattern?

- sleeping arrangements

- sleep patterns

- adequate sleep

- use of substances to get to sleep or stay awake

- sleep disruption

What should be assessed in the cognitive-perceptual pattern?

- characteristics of language

- cognitive skills

- perception that influence family activities

- concrete vs abstract reasoning

- how decisions are made

- proactive vs reactive behavior

- family's learning style

What should be assessed in the self-perception-self-concept pattern?

- perceptions about family's self-worth, image, status

- situations that influence perceptions of the family

- contributions of each family member

- how the family handles crisis

- overall or individual tone

What should be assessed in the roles-relationships pattern?

- structural and functional roles of family members

- each family member's age, gender, educational level, occupation, role in the family

- needs of each unique family structure

What should be assessed in the sexuality-reproductive pattern?

- developmental changes

- how needs are communicated

- how family members commit to, love, and care for each other

- how adults view their romantic relationships

What should be assessed in the coping-stress tolerance pattern?

- how the family copes with stressful life events

- experiences with drug abuse

- strengths to counterbalance stress

- available resources

What should be assessed in the values-beliefs pattern?

- values and beliefs held by the family

- flexibility of rules

- interaction of family members

- view on spirituality

- how cultural beliefs affect health

- family goals

A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools?

a. The number of questions asked on the assessment tool

b. The linkages of the assessment to Healthy People 2020

c. The amount of involvement that the family has in completing the tool

d. The capability of the tool to assess goals and outcomes

c. The amount of involvement that the family has in completing the tool

Which of the following best describes the nurses role in health promotion and disease prevention?

a. Educating about home safety measures

b. Identifying areas for family improvement

c. Implementing the nursing process using a systems perspective

d. Acting as a role model for the family

d. Acting as a role model for the family

Which of the following theories is an attempt to explain families as a set of interacting individuals with patterns of living that influence health decisions?

a. Feminist theory

b. Systems theory

c. Developmental theory

d. Resiliency theory

b. Systems theory

A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?

a. Risk-factor

b. Structural-functional

c. Open systems

d. Developmental

d. Developmental

A nurse is collecting data for a family assessment using Gordons functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain?

a. Roles-relationship

b. Cognitive-perceptual

c. Health-perceptionhealth-management

d. Self-perception self-concept

b. Cognitive-perceptual

A nurse who is using Gordons functional health patterns is planning to assess its roles-relationships pattern. Which of the following questions would be most appropriate for the nurse to ask?

a. What is the family's philosophy of health?

b. What does the family do to have fun?

c. How are problems in the family resolved?

d. Who decides when and how children go to sleep?

c. How are problems in the family resolved?

In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple?

a. Assist them to develop strategies that are congruent with their values.

b. Allow each of them to defend his or her own values.

c. Focus on outcomes that each wants to accomplish.

d. Divert their attention to areas in which they are successful.

a. Assist them to develop strategies that are congruent with their values.

A nurse is caring for a family with an adolescent child. Which of the following problems would the nurse anticipate that the family would report?

a. Concerns about career decisions

b. Concerns about exposure to environmental hazards

c. Difficulty with parents finding fulfillment with raising the child

d. Difficulty with open communication with the child

d. Difficulty with open communication with the child

A nurse has developed a family nursing diagnosis. Which of the following best describes the purpose of this action?

a. Describes the strengths of the family

b. Allows for creation of goals for the family

c. Promotes behavioral change among family members

d. Validates health problems with the family

d. Validates health problems with the family

Which of the following theoretical models would NOT be useful for family assessment?

a. Systems theory

b. Developmental theory

c. Piaget's theory

d. Risk factor Theory

c. Piaget's theory

Gordon's functional health patterns outline eleven (11) areas, which should be pursued for purposes of family assessment. Of the eleven areas, which one should be pursued first, so as to provide an overview and also identify other patterns or areas which should be pursued

further?

a. Cognitive-perceptual patterns

b. Self-perception-self-concept patterns

c. Health perception-health management patterns

d. Roles-relationships patterns

c. Health perception-health management patterns

What is the optimal location for family assessment?

in the family home

Which of the following best describes the systems perspective of families?

a. It focuses on the influence of external factors such as social and economic policies on family dynamics.

b. It views the family as a dynamic and interconnected system where changes in one part affect the whole family.

c. It emphasizes the impact of individual family members' cognitive development on family functioning.

d. It focuses on the historical and cultural context in which families exist.

b. It views the family as a dynamic and interconnected system where changes in one part affect the whole family.

Which of the following is a key element of the developmental perspective of families?

a. The way families respond to economic and environmental stressors.

b. The role of extended family in providing support and resources.

c. How families adapt and change as they move through various life stages.

d. The impact of neighborhood safety on family relationships.

c. How families adapt and change as they move through various life stages.

Which of the following best describes Gordon's Functional Health Patterns?

a. A holistic approach to understanding health based on physical, emotional, and social factors.

b. A framework used to assess the family's financial and social needs.

c. A model for analyzing a person's emotional stability and cognitive development.

d. A method for measuring a patient's adherence to prescribed medications.

a. A holistic approach to understanding health based on physical, emotional, and social factors.

The "Health Perception-Health Management" pattern in Gordon's framework focuses on which of the following?

a. A person's ability to express emotions.

b. The effectiveness of a person's health-related behaviors and their perception of health.

c. A person's involvement in their family life.

d. The ability of a person to perform basic activities of daily living.

b. The effectiveness of a person's health-related behaviors and their perception of health.

The "Activity-Exercise" pattern in Gordon's model is concerned with which of the following?

a. A person's ability to socialize with family and friends.

b. A person's financial ability to purchase fitness equipment.

c. A person's sleep quality and rest habits.

d. A person's regular physical activity and exercise levels

d. A person's regular physical activity and exercise levels

In the "Sleep-Rest" pattern, which of the following aspects is primarily assessed?

a. A person's ability to stay awake and alert during the day.

b. The quality, quantity, and patterns of sleep and rest.

c. A person's attitude toward stress and relaxation techniques.

d. The person's involvement in social and recreational activities.

b. The quality, quantity, and patterns of sleep and rest.

Which of the following is assessed in the "Nutritional-Metabolic Pattern"?

a. The individual's ability to engage in physical activity

b. The individual's dietary intake and weight status

c. The individual's body temperature regulation

d. The individual's ability to manage stress

b. The individual's dietary intake and weight status