NCM 109: Lesson 1 (Family With Health Problems)
Part 1 Exam With Complete Solutions
primary assessment - ANSWER first initial examination of the patient by a healthcare
professional.
purpose: is to establish a database about the client's response to health concerns or
illness, and ability to manage health care needs.
1. Family Structure/Characteristics of
the family including their dynamics
2. Socio-economic structure or cultural
characteristics of the family
3. Home and Environment
4. Health status of each member
5. Values and Practices - ANSWER Data collection involves the gathering of 5 data.
primary assessment - ANSWER should be accurate and concise because it will create a
domino effect.
If your initial assessment is incorrect, you'll not be able to diagnose, and provide the
right treatment to the patient.
secondary assessment - ANSWER second stage of patient examination that
focuses on diagnosis and treatment.
These data include those that describe and specify the family's realities, their
perceptions about their health and their assumptions, including the performance of
the family in how to do their task.
1st level of assessment, specific, - ANSWER During the ______, you assess
the patient/family, what will be your clinical or nursing judgement of the client in
transition from a ______ level of wellness or capability to a
higher level.
Health deficit
,Health threats
Foreseeable crisis
Enhanced capability for health promotion - ANSWER Categories of family health
problems (4)
health deficit - ANSWER instances of failure in health maintenance example:
1. Illness state regardless of whether it is diagnosed or underdiagnosed by a
medical practitioner.
health deficit - ANSWER 2. Failure to thrive or develop
according to the normal rate, so let say for example, one of the family members of the
family is not able to
meet a certain stage of development
health deficit - ANSWER 3. Disability, whether it is congenital or arising from illness, it
may be transient or temporary like for example, a Paralysis, or permanent
like for example Amputation because of Diabetes
health threats - ANSWER conditions that are conducive to disease and accidents or
may result to failure to maintain wellness or realized health potential example:
1. Presence of risk factors of specific disease (e.g., Disease when it comes to the
lifestyle of the patient or metabolic problems.)
health threats - ANSWER 2. Threat of cross-infection from a communicable disease
3. The family size that is beyond what the family can afford or limited family
resources that can be adequately provided versus the size of the family
You will also include the current competencies
or clinical data, but there is no explicit expression of client desire.
foreseeable crisis - ANSWER anticipated periods
of unusual demand on individual or family in
terms of adjustment/family resources example:
1. Marriage and Pregnancy
2. Parenthood, a member of the family has just given birth
3. Abortion
4. Divorce/Separation
foreseeable crisis - ANSWER 5. Loss of job
6. Death of member of the family
7. Hospitalization of a family member
8. Resettlement in a new community
, 9. Illegitimacy
1. Healthy Lifestyle
2. Health Maintenance or
Management
3. Parenting
4. Breastfeeding
5. Spiritual Wellbeing and there's
also Readiness for enhanced
capability of those factors. - ANSWER ENHANCED CAPABILITY FOR HEALTH
PROMOTION
- Under first level assessment there is:
Potential for enhanced capability of
- predisposing factors
- enabling factors
- reinforcing factors - ANSWER contributing risk factors classifications
predisposing factors - ANSWER characteristics that motivates and lead behavior,
knowledge, and beliefs.
enabling factors - ANSWER characteristics that facilitate or are necessary to carry out
the behavior.
reinforcing factors - ANSWER rewards or punishment
- nature of the problem
- modifiability of the problem
- magnitude of the problem
- preventive potential
- salience - ANSWER criteria of setting priorities among family health problems
nature of the problem - ANSWER categorized into wellness state or potential health
threat, health deficit, and foreseeable crisis.
prioritize your health problem after you made the assessment, the nurse may need to
prioritize the problems that were encountered or observed because they will not be
taken up all at the same time, and considering the available resources of both the family
and the nurse or the facility were the family
consulted.
So, considering the situation, the nurse will rank the identified health condition/problems
into priorities.
Part 1 Exam With Complete Solutions
primary assessment - ANSWER first initial examination of the patient by a healthcare
professional.
purpose: is to establish a database about the client's response to health concerns or
illness, and ability to manage health care needs.
1. Family Structure/Characteristics of
the family including their dynamics
2. Socio-economic structure or cultural
characteristics of the family
3. Home and Environment
4. Health status of each member
5. Values and Practices - ANSWER Data collection involves the gathering of 5 data.
primary assessment - ANSWER should be accurate and concise because it will create a
domino effect.
If your initial assessment is incorrect, you'll not be able to diagnose, and provide the
right treatment to the patient.
secondary assessment - ANSWER second stage of patient examination that
focuses on diagnosis and treatment.
These data include those that describe and specify the family's realities, their
perceptions about their health and their assumptions, including the performance of
the family in how to do their task.
1st level of assessment, specific, - ANSWER During the ______, you assess
the patient/family, what will be your clinical or nursing judgement of the client in
transition from a ______ level of wellness or capability to a
higher level.
Health deficit
,Health threats
Foreseeable crisis
Enhanced capability for health promotion - ANSWER Categories of family health
problems (4)
health deficit - ANSWER instances of failure in health maintenance example:
1. Illness state regardless of whether it is diagnosed or underdiagnosed by a
medical practitioner.
health deficit - ANSWER 2. Failure to thrive or develop
according to the normal rate, so let say for example, one of the family members of the
family is not able to
meet a certain stage of development
health deficit - ANSWER 3. Disability, whether it is congenital or arising from illness, it
may be transient or temporary like for example, a Paralysis, or permanent
like for example Amputation because of Diabetes
health threats - ANSWER conditions that are conducive to disease and accidents or
may result to failure to maintain wellness or realized health potential example:
1. Presence of risk factors of specific disease (e.g., Disease when it comes to the
lifestyle of the patient or metabolic problems.)
health threats - ANSWER 2. Threat of cross-infection from a communicable disease
3. The family size that is beyond what the family can afford or limited family
resources that can be adequately provided versus the size of the family
You will also include the current competencies
or clinical data, but there is no explicit expression of client desire.
foreseeable crisis - ANSWER anticipated periods
of unusual demand on individual or family in
terms of adjustment/family resources example:
1. Marriage and Pregnancy
2. Parenthood, a member of the family has just given birth
3. Abortion
4. Divorce/Separation
foreseeable crisis - ANSWER 5. Loss of job
6. Death of member of the family
7. Hospitalization of a family member
8. Resettlement in a new community
, 9. Illegitimacy
1. Healthy Lifestyle
2. Health Maintenance or
Management
3. Parenting
4. Breastfeeding
5. Spiritual Wellbeing and there's
also Readiness for enhanced
capability of those factors. - ANSWER ENHANCED CAPABILITY FOR HEALTH
PROMOTION
- Under first level assessment there is:
Potential for enhanced capability of
- predisposing factors
- enabling factors
- reinforcing factors - ANSWER contributing risk factors classifications
predisposing factors - ANSWER characteristics that motivates and lead behavior,
knowledge, and beliefs.
enabling factors - ANSWER characteristics that facilitate or are necessary to carry out
the behavior.
reinforcing factors - ANSWER rewards or punishment
- nature of the problem
- modifiability of the problem
- magnitude of the problem
- preventive potential
- salience - ANSWER criteria of setting priorities among family health problems
nature of the problem - ANSWER categorized into wellness state or potential health
threat, health deficit, and foreseeable crisis.
prioritize your health problem after you made the assessment, the nurse may need to
prioritize the problems that were encountered or observed because they will not be
taken up all at the same time, and considering the available resources of both the family
and the nurse or the facility were the family
consulted.
So, considering the situation, the nurse will rank the identified health condition/problems
into priorities.
