Community Health Nursing: Family Assessment and Care Planning

What is the primary focus of community health nursing?

Providing care to individuals and families.

What are the four levels of clientele in the community?

Individual, Family, Population Group, and Community.

How does the community health nurse interact with individuals?

Through health services like prenatal supervision, well-child follow-ups, and home visits.

What is the difference between a client and a patient?

A client may or may not be sick and collaborates actively in their care, while a patient is typically sick and dependent on health professionals.

What are the two approaches to understanding an individual?

Atomistic Approach and Holistic Approach.

What does the Atomistic Approach focus on?

Viewing man as an organism composed of different organ systems.

What does the Holistic Approach emphasize?

Viewing man as a whole organism with interrelated parts functioning together.

What are the five dimensions of an individual according to the Holistic approach?

Physical, Social, Spiritual, Intellectual, and Psychological.

What are the two major functions of a family?

Reproduction and Socialization.

What is a traditional family?

A family where the mother is the nurturer and the father is the provider.

What characterizes a non-traditional family?

Both parents share responsibilities, with the mother often employed and contributing financially.

What is a nuclear family?

A family composed of a father, a mother, and their child/children.

What is an extended family?

A nuclear family plus relatives of one or both spouses, often living together.

What defines a beanpole family?

A family with four or more generations, each small due to longer life spans.

What is a single-parent family?

A family consisting of either a father or mother with their biological or adopted children.

What is a step family?

A family formed by a separated/divorced or widowed adult with children and a new spouse.

What is a same-sex family?

A family composed of gay or lesbian partners living together, with or without children.

What is a cohabiting family?

A family consisting of unrelated individuals living together for companionship.

What is a patrifocal family?

A family where the man has the main authority and decision-making power.

What is a matrifocal family?

A family where the woman has the main authority and decision-making power.

What is an egalitarian family?

A family where both husband and wife share authority equally.

What is a bilocal family?

A family that allows newlyweds to choose to live with either set of parents.

What is a neolocal family?

A family that permits the couple to reside independently from their parents.

What is an avunculocal family?

A family where the couple resides with or near the maternal uncle of the groom.

What is the initial stage of family development?

Also known as the Establishment Stage, it includes courtship and engagement.

What is the Initial Stage of Family Development also known as?

Establishment Stage

What are the key developmental tasks for couples in the Initial Stage?

Contending with partner selection pressures, giving over autonomy while retaining independence, preparing for marriage, and becoming free of parental domination.

What is the Expectant Stage of Family Development also known as?

Pregnancy Stage

What new roles do couples assume during the Expectant Stage?

Father and Mother

What is the primary focus of couples during the Expectant Stage?

Thinking as a family and planning for childbearing.

What characterizes the Expansion Stage of Family Development?

The birth or adoption of a child.

What is the Anticipatory Stage in the context of Parenthood?

A couple learning new roles and perceptions associated with pregnancy.

What happens during the Honeymoon Stage of Parenthood?

Parents are uncertain about the meaning of parental love and form parent-child attachments.

What is the Plateau Stage also known as?

Consolidation Stage

What occurs during the Plateau Stage of Parenthood?

Both parents actively assume parenting roles and focus on child development and socialization.

What is the Disengagement Stage in family development?

The stage when parent-child relationships terminate as the last child marries or leaves home.

Who outlined the eight stages of the Family Life Cycle?

Evelyn Duvall

What is the first stage of the Family Life Cycle according to Duvall?

Married Family (without children)

What characterizes the Child Bearing Family stage?

The oldest child is at birth up to 30 months.

What is the composition of a Family with Preschool Children?

The oldest child is over 30 months up to 6 years.

What are the Physical Functions of the Family as a Social System?

Providing food, clothing, shelter, protection against danger, and bodily repairs.

What are the Affectional Functions of the Family?

Meeting emotional needs and promoting adaptation and adjustments.

What Social Functions does a family provide?

Social togetherness, fostering self-esteem, and providing opportunities for learning social roles.

What is a key Family Health Task?

Recognizing the presence of a condition or problem.

What is the responsibility of the nurse regarding family health tasks?

To assess whether the family can attend to these tasks.

What type of family is Peter and John, a gay couple living with their adopted child?

Adoptive Family

What type of family is Pepito and Pepita, a married couple with children?

Nuclear Family

What type of family is Arsenia, a single mother with her 2 kids?

Single-Parent Family

What form of family is Lorna, Aida, and Fe, best friends living together?

Cohabiting Family

What type of family is the Inocencio Family, with Gina as a housewife and her husband as a government employee?

Traditional Family

What type of family is the Fernando Family, with Roy as a stay-at-home dad?

Non-Traditional Family

What type of family is the San Pablo Family, with a stay-at-home mother and a businessman husband?

Traditional Family

What type of family is the Severano Family, where both parents work on shifting schedules?

Dual-Income Family

What type of family is the Jacinto Family with 15 members including grandparents?

Extended Family

What form of family is described by Brenda and Zandro, a married couple who discuss all decisions together?

Democratic Family

What is typology in the context of family nursing?

A classification according to general type, especially in archaeology, psychology, or social sciences.

What do family demographics refer to?

Descriptive variables such as family composition, socioeconomic status, ages, education, occupation, ethnicity, and religious affiliations of members.

What does physical environment data include?

Geography, climate, housing, social and political structures, food availability, and dietary patterns.

What are family structure and roles?

Includes family organization, socialization processes, division of labor, and allocation and use of authority and power.

What are family functions?

A family's ability to carry out appropriate developmental tasks and provide for members' needs.

What do family communication patterns encompass?

The frequency and quality of communication within a family and between the family and its environment.

What are family decision-making patterns?

How decisions are made in a family, by whom, and how they are implemented.

What do family problem-solving patterns describe?

How a family handles problems, who deals with them, and the nature of solutions.

What are family social and cultural patterns?

Includes family discipline, limit-setting practices, promotion of initiative, creativity, leadership, and family goal-setting.

What is involved in Family Nursing Assessment and Diagnosis?

Collection and analysis of data to create a family nursing diagnosis based on identified problems.

What types of data are collected in Family Nursing assessment?

Family structure, socio-economic characteristics, home and environment, health status, and health promotion practices.

What does family structure data include?

Members of the household, demographic data, and types of family structure.

What socio-economic characteristics are assessed?

Income, expenses, educational attainment, ethnic background, and relationships with significant others.

What aspects of the home and environment are evaluated?

Housing adequacy, neighborhood type, and availability of social and health facilities.

What health status information is gathered?

Medical history, nutritional assessment, developmental assessment, and risk factor assessment.

What values and practices are important for health promotion?

Immunization status, healthy lifestyle, adequacy of rest, exercise, and use of health services.

What methods are used for data collection in Family Nursing?

Observation, physical examination, interviewing, record review, and laboratory/diagnostic tests.

What is the First Level Assessment in Family Nursing?

Determining existing and potential health conditions or problems of the family.

What does the Second Level Assessment identify?

The nature or type of nursing problems the family experiences concerning health tasks.

What is a Wellness Condition in nursing assessment?

A clinical judgment about a client in transition to a higher level of wellness or capability.

What are examples of potential wellness conditions?

Healthy lifestyle, health maintenance, parenting, and spiritual well-being.

What are health threats?

Conditions that are conducive to disease, accident, or failure to realize one's health potential.

Name one example of an accident hazard.

Broken stairs.

What are some poor nutritional habits that can be health threats?

Inadequate food intake, excessive intake of certain nutrients, and faulty eating habits.

What are stress-provoking factors in a family?

Strained marital relationships, parent-sibling conflicts, and caregiving burdens.

What are some poor environmental conditions that can be health threats?

Inadequate living space, polluted water supply, and unsanitary waste disposal.

What is an example of unhealthful personal habits?

Cigarette smoking.

What does health deficit refer to?

An instance of failure in health maintenance, including illness states, failure to thrive, and disabilities.

What are some examples of illness states?

Diabetes Mellitus, Hypertension, Asthma, and Cancer.

What is a stress point?

An anticipated period of unusual demands on the individual or family.

List some examples of stress points.

Marriage, pregnancy, loss of a job, and death of a family member.

What is the secondary level of assessment?

A family-based assessment about the ability and inability of the entire family to perform health tasks.

What is one reason families may fail to recognize health problems?

Lack of or inadequate knowledge.

What can hinder a family's ability to make health decisions?

Conflicting opinions among family members regarding actions to take.

What is a barrier to providing adequate nursing care?

Lack of knowledge about the disease or health condition.

What can prevent a family from providing a conducive home environment for health?

Inadequate family resources and lack of knowledge about hygiene.

What is the impact of prolonged disease on family members?

It can exhaust the supportive capacity of family members.

What does inadequate immunization status indicate?

A health threat, especially in children.

What role can family disunity play in health?

It can lead to unresolved conflicts and intolerable disagreements among members.

What is an example of inappropriate role assumption in a family?

A child assuming the mother's role.

How can poor personal hygiene affect health?

It can lead to increased risk of disease and health threats.

What is the significance of self-protection measures?

They are crucial in areas with endemic diseases, such as using bednets in malaria-prone regions.

What can be a consequence of engaging in dangerous sports?

Increased risk of injury or health threats.

What is the role of family resources in health maintenance?

They are essential for providing care and creating a healthy environment.

What is a common emotional barrier to recognizing health problems?

Fear of consequences such as social stigma or economic implications.