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Chapter 13: Family Assessment

Chapter Highlights

Family nursing practice

Definitions of family

Theoretical perspectives of family

Descriptions of current family configurations

Family Systems Nursing: Calgary Family Assessment and Intervention Models

Family-focused home visiting

Family caregivers

Question #1

Is the following statement true or false?

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

Answer to Question #1

False

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

Family

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

Theoretical Perspective of Family

Family systems theory

Family structural-functional theory

Family developmental theory

Contemporary Family Issues

Changes in family life cycle

Changes in family structure

Single-parent families

Blended families

Cohabitating couples and families

Gay and lesbian families

Homeless families

Question #2

Is the following statement true or false?

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

Answer to Question #2

False

Rationale: 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.

Family Nursing Theory #1

Family Systems Nursing (FSN)

Family assessment: Calgary Family Assessment Model

Genogram

Ecomaps

Family Nursing Theory #2

Family interventions: Calgary Family Interventions Model

Cognitive domain

Affective domain

Behavioral domain

Question #3

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

Answer to Question #3

False

Rationale: 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.

Family Interview

Five leading principles

Manners

Therapeutic conversation

Ecomaps and genograms

Therapeutic questions

Acknowledging family strengths

Question #4

What is the time frame that nurses have to complete a focused family interview?

15 minutes

30 minutes

45 minutes

60 minutes

Answer to Question #4

A. 15 minutes

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

How Community Health Nurses Support Families

Family-focused home visiting in community-based maternal-child health

Family caregivers in need of education and support

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.