Answers

need answers to the following questions.use references in each answer (family nursing course) 1-Look through your local newspapers, magazines, or check out the latest movies and television shows that people you know are watching. How does media depict family? What forms of family are most apparent? What messages are most commonly portrayed about the experiences these families are having? 2- What assumptions are commonly made about the following variations in family forms: i) a married couple who has chosen not to have children; ii) common-law couple with children at home; iii) single-parent family headed by a divorced woman; iv) a lesbian or gay couple wanting to adopt a child. Which assumptions are valid and which can be problematic? 3-Quoting the North American Nursing Diagnosis Association (NANDA), Reed and Tarko (2004) say the purpose of a nursing diagnosis is to “provide the basis for the selection of nursing interventions to achieve outcomes for which the nurse is accountable” (p. 263). Loveland-Cherry and Bomar (2004) recognize that family health promotion has not been adequately addressed by the suggested NANDA diagnoses because of their orientation to problems (a focus on deficits) rather than a statement that says: this is what the family wants to work towards; these are their strengths and resources that can be further built upon and developed while being mindful of but not focusing on their concerns and challenges alone. a) What are the primary differences between a NANDA diagnosis and a family health promotion diagnosis? b) What are the advantages and/or disadvantages of using a NANDA diagnosis? c) What are the advantages and/or disadvantages of using a family health promotion diagnosis? d) Consider the needs of a family concerned with meeting a 76-year-old grandfather’s needs who lives independently in a neighbouring community. This gentleman has hypertension, type II diabetes, and was recommended to use a walker when mobilizing outside the home but he does not always use it. Formulate health promotion diagnoses for this family. Formulate NANDA diagnoses for the same family. 4-In your own words, what is collaboration? Why is collaboration important in nursing practice? Who would you collaborate with? As a nurse, why is it important to collaborate with others in family health promotion? 5- In health promotion conversations with patients and families, what are some perceived challenges that a nurse could face? As a nurse, how can you overcome those challenges? Comment on potential challenges related to communication, developmental stage, and cultural context of a family. Also, consider the setting the patients and families are in, for example: acute care, critical care, primary care etc. Does the approach to health promotion change? If so, how and if not, why? 6-Talk to as many nursing colleagues as possible about the ways they bring families into their nursing practice. What themes are most prevalent? What are the supports and barriers to a family centred-care practice in the area of nursing you work in? 7- Watch this video on You Tube titled: Patient and Family-Centred Care at the University of Michigan http://www.youtube.com/watch?v=i39ax9Vkbik. What are some elements that Ann mentioned in the video that are consistent with a family-centred care approach? Why are these elements important in the support of families? What potential barriers could have hindered a family-centred care approach in the care of this patient and family? 8- Consider the determinants of health in your assessment of family health promotion. What types of factors would you explore with the family? How do the determinants of health relate to the health of the family? 9-Nurses are guided by various nursing theories and models for assessment, intervention, and evaluation within family nursing practice. Nurses enter into a relationship with patients and families during the assessment phase. This relationship should be nurtured from the beginning so that a healthy partnership can be formed, maintained, and terminated appropriately during the course of the interaction. a) What are some barriers in establishing relationships with patients and families? b) What are some barriers in carrying out nursing interventions targeted at patients and families? c) How does policy at varying levels help support or hinder family nursing practice? 10- You are at the end of the course after reviewing all the units, participating in the discussions, completing the readings and learning activities, and submitting your assignments. How would you describe family health promotion and family nursing practice to a colleague? What elements would you include in your description?