Harkness2e chap13 ppt

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Chapter 13: Family Assessment

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Chapter Highlights• Definitions of family• Descriptions of the components of family• Nursing theory in relation to nursing care of

families• Influence of diversity on family health

patterns• Indicators of family health• Family dynamics and coping styles• Vulnerable families

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Question

Is the following statement true or false?Family health practices, routines, and responses to difficult situations evolve from simple environmental and interpersonal interactions.

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Answer

FalseRationale: Family health practices, routines, and responses to difficult situations evolve from complex, not simple, environmental and interpersonal interactions.

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Family

Two or more persons who share emotional closeness and identify themselves as members of a family.

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Families in Communities

• Nurses working in communities• Essence of family• Nontraditional families

• Cohabiting couples and families• Gay and lesbian families

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Tools That Help Identify Families and Their Relationships

• Genograms• Ecomaps

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Question

Is the following statement true or false?Theory—a group of interrelated statements that is used to explain, predict, control, or understand a phenomenon

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Answer

FalseRationale: Theory—a system of interrelated statements that is used to explain, predict, control or understand a phenomenon. System—a group that works on the principle that each part contributes to the way the whole functions

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System and Theory

• System—a group that works on the principle that each part contributes to the way the whole functions

• Theory—a system of interrelated statements that is used to explain, predict, control, or understand a phenomenon

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Question

Is the following definition true or false?Genogram—a diagram used to identify the direction and intensity of family relationships between members and/or community institutions of importance to the family

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Answer

FalseRationale: Ecomap—a diagram used to identify the direction and intensity of family relationships between members and/or community institutions of importance to the family. Genogram—a diagram of family relationships between blood relatives that can span two or more generations. Life events such as marriages, divorces, births, and deaths are included in the diagram; it is used to identify relationships as well as possible patterns of disease

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Nursing Perspectives on the Family and Applications for Assessment

• Theoretical approaches to family in community health nursing

• Perspectives on family: grand nursing theory

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Family Assessment

• Family interview• Using conceptual models of family

assessment

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Question

What is the time frame that nurses have to complete a focused family interview?A. 15 minutesB. 30 minutesC. 45 minutesD. 60 minutes

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Answer

A. 15 minutesRationale: Focused family interviews of 15 minutes or less can yield a wealth of information.

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Family Health Routines and Rituals

• Functional health patterns• How community health nurses can

support families

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Diversity and Family

• Relationship between culture, diversity, and family• Diversity: an evolving concept in families• Diverse families living in a diverse culture

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Disharmony Within the Family

• Discord when families join• Interracial marriage• Arranged marriage• Gay and lesbian family members• Intergenerational diversity

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Question

Is the following statement true or false?Age is commonly overlooked as a form of diversity; it accounts for intergenerational diversity.

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Answer

TrueRationale: Age is commonly overlooked as a form of diversity; it accounts for intergenerational diversity.

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Families and Health Risk

• What is family risk reduction?• Families with problems: stressful life

events

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Stressful Events• Death of a family member• Divorce• Marital/partner strain• Legal issues and effect on family life• Illness, disability, and intrafamily strain• Pregnancy and childbearing• Work–family interface• Homeless mothers and children and other

displaced families

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Community Health Nurses’ Responsibility to Families

• Family assessment requires flexibility to include key informants and for the location and timing of the interview.

• Family health practices, routines, and responses to difficult situations evolve from complex environmental and interpersonal interactions.

• Significant events can put family health at risk.

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Healthy People 2020• Public health policy initiative• Oriented to families as consumers of

health• Mission is to identify national health

priorities in the United States and increase public awareness of determinants of health, disease, and disability