Chapter 29 Foundations of Family Care Family Defined: Two or more individuals who identify themselves as family and manifest some degree of interdependence in interactions with each other and their environment Central themes Interdependence Beliefs Health Responsibilities of the Family Development of personal identity and self-worth Family interactions facilitate or impede members’ access to the following: Affect Power Meaning Failure to thrive Families Lifecycle transitions Prenatal and postpartum visits Changes in family structure Values Families acquire values about health and learn personal health practices relative to nutrition, exercise, smoking, alcohol consumption, and hygiene through their family of origin and transmit those values and beliefs Families (cont.) Healthcare system education Families serve as a reference for defining illness and what should be done about it. Provision of care Assume major share of responsibility for intergenerational support and assistance Two caregiving roles: Direct care provider Indirect care provider Theoretical Approaches to Family Human Ecology Theory Nonsummativity Family Systems Theory Structure Function Self-regulation Positive feedback Negative feedback Family development theory Family development tasks Family Assessment Conceptual framework for family assessment Provides direction to the collection, organization, and interpretation of data about the family’s health situation Energy Consciousness Role structure Decision-making processes Communication patterns Values Family boundaries Self-Efficacy Model Five phases of contracting process: Identification of family health concerns and needs Mutual setting of goals Delineation of alternatives Implementation of the plan Evaluation YearQuarterLocationCarClassRevenue NumCars 2017Q1DowntownEconomy $912,900 6,262 2017Q1AirportEconomy $978,534 5,891 2015Q3DowntownEconomy $752,272 5,678 2016Q4AirportEconomy $896,251 5,480 2016Q1DowntownEconomy $701,460 5,151 2015Q3AirportEconomy $685,248 5,017 2016Q4DowntownEconomy $687,844 4,848 2016Q3DowntownEconomy $665,548 4,799 2016Q2DowntownEconomy $626,232 4,550 2015Q4AirportEconomy $597,979 4,343 2015Q4AirportPremium $619,900 4,221 2016Q3AirportPremium $643,168 4,164 2015Q4DowntownPremium $582,504 4,155 2017Q1AirportPremium $663,276 4,106 2017Q2AirportPremium $674,672 4,090 2016Q2AirportPremium $585,156 3,850 2017Q2DowntownEconomy $561,124 3,824 2016Q3AirportEconomy $579,947 3,740 2016Q1AirportPremium $552,324 3,695 2015Q3DowntownPremium $504,800 3,657 2015Q4DowntownEconomy $496,840 3,655 2015Q2AirportEconomy $468,791 3,541 2016Q1AirportEconomy $487,124 3,475 2015Q1AirportEconomy $438,521 3,456 2016Q2DowntownPremium $488,588 3,350 2017Q2AirportEconomy $581,071 3,349 2015Q2DowntownPremium $455,424 3,341 2016Q4AirportPremium $527,900 3,327 2015Q3AirportPremium $471,816 3,259 2016Q3DowntownPremium $483,256 3,250 2016Q1DowntownPremium $415,016 2,898 2015Q2DowntownEco ...

1. Chapter 29
Foundations of Family Care
Family
Defined:
Two or more individuals who identify themselves as family and
manifest some degree of interdependence in interactions with
each other and their environment
Central themes
Interdependence
Beliefs
Health Responsibilities of the Family
Development of personal identity and self-worth
Family interactions facilitate or impede members’ access to the
following:
Affect
Power
Meaning
Failure to thrive
Families
Lifecycle transitions
Prenatal and postpartum visits
Changes in family structure
Values
Families acquire values about health and learn personal health
practices relative to nutrition, exercise, smoking, alcohol
consumption, and hygiene through their family of origin and
transmit those values and beliefs

2. Families (cont.)
Healthcare system education
Families serve as a reference for defining illness and what
should be done about it.
Provision of care
Assume major share of responsibility for intergenerational
support and assistance
Two caregiving roles:
Direct care provider
Indirect care provider
Theoretical Approaches to Family
Human Ecology Theory
Nonsummativity
Family Systems Theory
Structure
Function
Self-regulation
Positive feedback
Negative feedback
Family development theory
Family development tasks
Family Assessment
Conceptual framework for family assessment
Provides direction to the collection, organization, and
interpretation of data about the family’s health situation
Energy
Consciousness
Role structure
Decision-making processes
Communication patterns

3. Values
Family boundaries
Self-Efficacy Model
Five phases of contracting process:
Identification of family health concerns and needs
Mutual setting of goals
Delineation of alternatives
Implementation of the plan
Evaluation
YearQuarterLocationCarClassRevenue NumCars
2017Q1DowntownEconomy $912,900 6,262
2017Q1AirportEconomy $978,534 5,891
2015Q3DowntownEconomy $752,272 5,678
2016Q4AirportEconomy $896,251 5,480
2016Q1DowntownEconomy $701,460 5,151
2015Q3AirportEconomy $685,248 5,017
2016Q4DowntownEconomy $687,844 4,848
2016Q3DowntownEconomy $665,548 4,799
2016Q2DowntownEconomy $626,232 4,550
2015Q4AirportEconomy $597,979 4,343
2015Q4AirportPremium $619,900 4,221
2016Q3AirportPremium $643,168 4,164
2015Q4DowntownPremium $582,504 4,155
2017Q1AirportPremium $663,276 4,106
2017Q2AirportPremium $674,672 4,090
2016Q2AirportPremium $585,156 3,850
2017Q2DowntownEconomy $561,124 3,824
2016Q3AirportEconomy $579,947 3,740
2016Q1AirportPremium $552,324 3,695
2015Q3DowntownPremium $504,800 3,657
2015Q4DowntownEconomy $496,840 3,655

4. 2015Q2AirportEconomy $468,791 3,541
2016Q1AirportEconomy $487,124 3,475
2015Q1AirportEconomy $438,521 3,456
2016Q2DowntownPremium $488,588 3,350
2017Q2AirportEconomy $581,071 3,349
2015Q2DowntownPremium $455,424 3,341
2016Q4AirportPremium $527,900 3,327
2015Q3AirportPremium $471,816 3,259
2016Q3DowntownPremium $483,256 3,250
2016Q1DowntownPremium $415,016 2,898
2015Q2DowntownEconomy $370,128 2,897
2015Q1DowntownEconomy $349,852 2,874
2016Q4DowntownPremium $421,120 2,804
2017Q1DowntownPremium $422,288 2,750
2015Q1DowntownPremium $345,952 2,589
2015Q1AirportPremium $351,060 2,558
2016Q2AirportEconomy $359,781 2,323
2015Q2AirportPremium $296,120 2,099
2017Q2DowntownPremium $321,768 2,049
Excel Project 1 – MS Excel
Use the project description HERE to complete this activity (all
the details are included in this document). For a
review of the complete rubric used in grading this exercise,
click on the Assignments tab, then on the title
"Excel Project 1." Click on Show Rubrics if the rubric is not
already displayed.
Summary
Create a Microsoft Excel workbook with four worksheets that
provides extensive use of Excel capabilities
including charting, and written analysis and recommendations in

5. support of a business enterprise.
A large rental car company has two metropolitan locations, one
at the airport and another centrally located in
downtown. It has been operating since 2015 and each location
summarizes its car rental revenue
quarterly. Both locations rent two classes of cars: economy and
premium. Rental revenue is maintained
separately for the two classes of rental vehicles.
The data for this case resides in the file rentalcars.txt and can
be downloaded by clicking on the Assignments
tab, then on the data file name. It is a text file (with the file
type .txt).
Do not create your own data. You must use the data provided
and only the data provided.
Default Formatting. All labels, text, and numbers will be Arial
10, There will be $ and comma and
decimal point variations for numeric data, but Arial 10 will be
the default font and font size.
Tutorials
Note: Tutorials that address activities used in this project have
been assigned in Week 1, 2 and 3.
Step Requirement Points Allocated Comments
1
Open Excel and save a blank workbook with the following
name:
a. “Student’s First InitialLast Name Excel Project 1”
Example: JSmith Excel Project 1.

6. b. Set Page Layout Orientation to Landscape.
0.2
Use Print Preview to
review how the first
worksheet would print.
2 Change the name of the worksheet to Analysis by. 0.1
3
In the Analysis by worksheet:
a. Beginning in Row 1, enter the four labels in column
A (one label per row) in the following order:
Name:, Class/Section:, Project:, Date Due:
b. Place a blank row between each label. Please note
the colon : after each label.
c. Align the labels to the right side in the cells
It may be necessary to adjust the column width so the four
labels are clearly visible.
0.3
Format for column A:
• Arial 10 point
• Normal font
• Right-align all four
labels in the cells

7. 4
In the Analysis by worksheet with all entries in column C,
a. Enter the appropriate values for your Name, Class
and Section, Project, Date Due across from the
appropriate label in column A.
b. Use the formatting in the Comments column (to the
right).
0.2
Format for column C:
• Arial 10 point
• Bold
• Left-align all four
values in the cells
Step Requirement Points Allocated Comments
It may be necessary to adjust the column width so the four
labels are clearly visible.
5
a. Create new worksheets:
Data, Sorted, and Airport.
Upon completion, there should be Analysis by as
well as the three newly created worksheets.

8. b. Delete any other worksheets.
0.2
6
If necessary, reorder the four worksheets so they are in the
following order: Analysis by, Data, Sorted, Airport. 0.1
7
After clicking on the blank cell A1 (to select it) in the Data
worksheet, import the text file rentalcars.txt into the Data
worksheet. The data should begin in Column A, Row 1.
Though the intent is to import the text file into the Data
worksheet, sometimes when text data is imported into a
worksheet, a new worksheet is created. If this happens,
delete the blank Data worksheet, and then rename the new
worksheet which HAS the recently imported data as
“Data.” It may be necessary to change Revenue data to
Currency format ($ and comma (thousands separators))
with NO decimal points, and to change NumCars data to
numerical format, with NO decimal points, but with the
comma (thousands separator) because of the import
operation.
This may or may not occur, but in case it does it needs to
be corrected. Adjust all column widths so there is no data
or column header truncation.
0.5
Format:

9. all data (field names, data
text, and data numbers)
• Arial 10 point.
The field names should
be in the top row of the
worksheet with the data
directly under it in rows.
This action may not be
necessary as this is part
of the Excel table creation
process. The data should
begin in column A.
8
In the Data worksheet:
a. Create an Excel table with the recently imported
data.
b. Pick a style with the styles group to format the table
(choose a style that shows banded rows, i.e., rows
that alternate between 2 colors).
c. The style should highlight the field names in the first
row.
d. Ensure NO blank cells are part of the specified data
range.
e. Ensure the table has headers.
f. Ensure that Header Row and Banded Rows are
selected in the Table Style Options Group Box, but

10. do NOT select a Total row.
0.6
Some adjustment may be
necessary to column
widths to ensure all field
names and all data are
readable (not truncated or
obscured).
9
In the Data worksheet:
a. Select the entire table (data and headers) using a
mouse.
b. Copy the table to the Sorted worksheet.
c. The upper left-hand corner of the header/data
in Sorted should be in cell A1.
d. Adjust columns widths if necessary to ensure all data
and field names are readable.
0.4
Step Requirement Points Allocated Comments
10
In the Sorted worksheet:

11. a. Sort the data by location (ascending).
b. (All cells with data in the table should be selected)
0.2
Ensure all the table is
selected, NOT just the
location column.
11
a. Copy the entire table from the Sorted worksheet to
the Airport worksheet. In the Airport worksheet, the
field names should be in row 1 and the Year column
should be in column A.
b. Some column adjustments may be necessary so that
the field names as well as the data is all legible.
0.2
Ensure all cells with data
are selected.
12
In the Airport worksheet:
a. Delete all the rows in the table where the data is for
Downtown.
b. The field names should remain at the top of the table.
c. The remaining data should be for the Airport location.
0.3
13

12. In the Airport worksheet, using a custom sort:
a. Sort all the data first by CarClass (Ascending),
b. then by Year (Ascending),
c. then by Quarter (Ascending). 0.3
Ensure that all cells with
data have been selected
before sorting. This sort is
completed in a single
step, not 3 separate
steps.
14
In the Airport worksheet:
a. Add a new column heading AvgRev for the column
where the average revenue per car for each row will
be calculated and displayed.
b. Add a formula to calculate the AvgRev by dividing the
contents of the Revenue cell by the contents of the
NumCars cell for each data row in the table
c. The AvgRev values format is currency (a $ and two
decimal points). When you are clicking on cells to
construct a formula, while you may be expecting to
see (for example) E14 (cell clicked on) what may
appear in the cell editor is @Revenue, a result of
using an Excel table.
d. Column adjustment may be needed to ensure both
the title and the data is visible.
e. Use the formatting instructions in the Comments.

13. 0.5
The format of the table
should be extended to the
new column.
Format:
• Arial 10 point
• data values for
AvgRev are Currency
Format (using the
Format Cells option).
A typical AvgRev
value could be
$123.45, for instance.
15
In the Airport worksheet:
a. Create a range named AE that includes every
AvgRev value for Economy cars.
b. Create a range named AP that includes every
AvgRev value for Premium cars.
0.4
AE stands for Airport
Economy, AP stands for
Airport Premium.
16
In the Airport worksheet:
a. In column A, in the third row below the final row of the

14. data,
b. Create a label called Average Quarterly Revenue
per Economy Car (Airport).
c. Use the formatting instructions in the Comments.
0.3
Format:
• Arial 10 point
• Bold
17
In the Airport worksheet:
a. In the first fully visible cell to the right of the label,
b. Calculate the Average Quarterly Revenue per
0.5
Format:
• Arial 10 point
Step Requirement Points Allocated Comments
Economy Car (Airport)
c. Use the average function and the named range AE.
d. Ensure the Average is Currency format with two
decimal places
e. No credit will be awarded if anything other than the

15. named range AE is used in the function to calculate
the average.
• Normal
• Currency ($ and two
decimal places).
18
In the Airport worksheet:
a. in column A in the fourth row below the final row of
the data,
b. create a label called Average Quarterly Revenue
per Premium Car (Airport).
c. Use the formatting instructions in the Comments.
0.3
Format:
• Arial 10 point
• Bold
19
In the Airport worksheet:
a. In the first fully visible cell to the right of the label,
b. Calculate the Average Quarterly Revenue per
Premium Car (Airport)
c. Use the average function and the named range AP.
d. Ensure the Average is Currency format with two

16. decimal places
e. No credit will be awarded if anything other than the
named range AP is used in the function to calculate
the average.
0.5
Format:
• Arial 10 point
• Normal
• Currency ($ and two
decimal places).
20
In the Airport worksheet:
a. Create a column or bar type of chart that clearly
shows the average revenue for Economy (carclass)
vehicles for the four 2015 quarters.
b. Provide an internal chart title that explains what is
portrayed on the chart.
c. Place the chart to the right of the data and aligned
with the top of the worksheet.
0.75
You will have four bars in
your chart, one for each
quarter. Each bar
represents the average

17. revenue per economy car
in a quarter – airport
location only.
21
In the Airport worksheet:
a. Create a column or bar type of chart that clearly
shows the average revenue for Premium (carclass)
vehicles for the four 2015 quarters.
b. Provide an internal chart title that explains what is
portrayed on the chart. The two chart titles should be
very similar (except for the text difference in
carclasses).
c. Place the chart left-aligned with the first chart and two
or three rows below the first chart.
0.75
You will have four bars in
your chart, one for each
quarter. Each bar
represents the average
revenue per economy car
in a quarter – airport
location only.
For the questions below, present your answers in a very
readable format under the data. You can
type your answer in one cell (in Column A), then highlight and
select several rows and columns,

18. selecting merge cells and selecting Wrap Text. Do NOT widen
the columns as this will adversely
impact the appearance of the data above. You will want to
change the text from Center to Left
justification. Play with this a bit. If you simply type your
answer on a single line in Column A, that
will also be ok. But be sure the entire answer can be read
without the reader having to
change any formatting.
22
Question1: Based on the two charts, is there a trend
that is shared between the Economy and Premium
average revenue per car? Along with the yes or no
1.2
Format:
• Arial 10 point
Step Requirement Points Allocated Comments
explain why there is or why there is not a trend.
a. Label your response Question 1. Answer this
question in 2 to 3 sentences after the Average
revenue per premium car (airport). DO NOT
change your spreadsheet. Just respond to the
question. (0.8)
b. Readability, format and location (0.2)
c. No errors in grammar or spelling (0.2)
• Normal/Black

19. • Left-align text in the
cell
23
Question 2: If you had to combine both charts
into one chart, but using a different type of
chart, which type of chart would you use and why would
you use it?
a. Label your response Question 2. Answer this
question in 2 to 3 sentences in a new row under
your response to Question 1. DO NOT change
your spreadsheet. Just respond to the question.
(0.8)
b. Readability, format and location (0.2)
c. No errors in grammar or spelling (0.2)
1.2
Format:
• Arial 10 point
• Normal/Black
• Left-align text in the
cell
Total Points 10

20. Chapter 30
Caring for the Family in Health and Illness
Thinking Differently About Family Health
Think upstream
Bottom-down health system
Human ecology model
Community-Based Services for Promoting Family Health
Preventive support services
At-risk groups
Preterm birth services
Postpartum home visits
Targeted programs
Focus on high risk for morbidity and premature mortality
Intensive services
Creating Healthy Families and Communities
Relationship-focused care
Intensity and timing of interventions
Nursing skills and strategies
Communicating
Problem solving
Listening
Connecting
Comprehensive community initiatives
Evaluating
Issues in Family Nursing Today
Least possible contribution theory
Ad Hoc Committee to Defend Health Care

21. Values: challenges for the future
Five core values
Caring
Courage
Inclusion
Reflective thinking
Social responsibility