3FAMILY HEALTH ASSESSMENT PART II TAYLOR FAMILY.docx

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FAMILY HEALTH ASSESSMENT PART II: TAYLOR
FAMILY
Family Health Assessment Part II: Taylor Family
Stephanie Green
Grand Canyon University: NRS 429VN
November 4, 2018
Running head: ASSIGNMENT TITLE HERE
1
Running head: FAMILY HEALTH ASSESSMENT PART II
Family Health Assessment Part II: Taylor Family
Our health is determined by social and economic factors,
quality of schools, safety at our place of employment, clean
water, food and air, and our social and personal relations
(Healthy People, 2018). The conditions in which we live include
the support systems within the home.
The social determinants of health (SDOH) affecting the Taylor
family dwell within the social and personal relations. The
barriers to health the family demonstrates, the non-compliance
of the father and the unwillingness of both spouses to seek
counseling, the support system within this family is lacking and

has placed stress upon the entire family. According to Artiga
and Hinton, stress negatively affects health across the lifespan
(2018).
The non-compliance of Mr. Taylor to adhere to a prescribed
health regime to stabilize the Crohn’s disease not only places a
physical stress on the body but also psychological stress of
social isolation, feelings of unworthiness, depression, and
anxiety. Frustration the mother feels is also a stressor upon her
and the children. Stress upon the family manifests in higher
cholesterol and high blood pressure in the mother due to poor
eating habits, and a lack of exercise. The oldest daughter fears
talking to her parents regarding her feelings that she is a lesbian
because she does not want to cause further anxiety and distress
within the family. This reflects her mother’s behaviors of
suppressing emotions. Likewise, the two younger children are
possibly suppressing emotions but do not yet realize this is
occurring.
Knowing that some SDOH cannot be completely changed, steps
can be taken to improve one’s health when the tools and
resources are provided to assist in making healthier choices
(HealthyPeople.Gov, 2018). Recommended health screenings
for the father, (age 42), include screenings for blood pressure,
colorectal cancer, lipid disorders, tuberculosis, diet, tobacco
use, flu shot, hepatitis A and B, pneumococcal and
meningococcal, along with an extensive mental health workup
due to his chronic disease state and PTSD (Johns Hopkins
Medicine, 2018).
For the mother, age 38, recommended screening for blood
pressure, lipid disorders, diabetes due to high blood pressure,
counseling on diet and exercise, yearly flu shot, hepatitis A and
B due to husbands chronic condition, pneumococcal, and
depression. The family does receive yearly health checks that
include gynecologic for the mother and daughters and vision
and dental (Johns Hopkins Medicine, 2018).
All three children are up to date on immunizations for their
ages. Additional screenings and immunizations recommended

would include seasonal flu vaccine, meningococcal, hepatitis A
and B, and human papilloma virus (HPV). Behavioral
counseling related to sexually transmitted diseases, diet and
exercise and depression are also recommended due to the family
lifestyle and faulty coping mechanisms within the family unit
(Johns Hopkins Medicine, 2018).
Research shows that families living with a chronic illness can
be a distressing experience for the family. To meet the needs of
the family, a family systems intervention model is necessary
(Perrson & Benzein, 2014). The Family Health Conversation
Model (FamHC), developed in Sweden as an adaptation of the
Calgary Family Assessment Model (CFAM), the Calgary Family
Intervention Model (CFIM) and the Illness Beliefs Model
(IBM). The FamHC creates a context for change and to support
the creation of new beliefs or meanings and opportunity related
to the problems identified by the family. The FamHC consists of
twelve core components (Ostlund, Backstrom, Lindh, Sundin,
& Saveman, 2015).
Following these core components of the FamHC outlined by
Ostlund, Backstrom, Lindh, Sundin, and Saveman, a plan of
care for the Taylor family would be established to meet weekly
for one hour family conversations relating to each person’s
feelings surrounding the chronic illness of the father and their
view on the family dynamics (2015).
The nurse invites the family to reflect on their own and each
other’s expectations of the conversations. In the first
conversation, the family structure is explored. To give each
family member the opportunity to share and listen to each
other’s stories, all are invited to narrate their own stories and to
focus on their problem(s). When the family shares their story,
the nurse can begin a dialogue with the family about what is
most in need of being discussed. Different methods of
questioning are used to understand what has happened and what
beliefs are central for the family (Ostlund, Backstrom, Lindh,
Sundin, & Saveman, 2015).
During the conversations, reflective thinking is emphasized and

circular questions are used to define and seek information about
differences, such as family relations, or beliefs. This can
initiate reflection and allows the family members to put into
words their internal conversations and become aware of their
own beliefs. Appropriately unusual questions, intended to
depart just enough from the family’s own beliefs, allow new
directions for thinking (Ostlund, Backstrom, Lindh, Sundin, &
Saveman, 2018).
Commendations by the nurse in which family strengths and
resources are drawn forth, allows the family to see their own
internal strengths and external resources. The suffering families
have gone through, and still may experience, should also be
discussed (Ostlund, Backstrom, Lindh, Sundin, & Saveman,
2015).
The nurse invites family members to reflect on each other’s
stories. At the end of each conversation, the family is asked to
listen to a comprehensive reflection. After the nurses’
reflection, the family is invited to reflect on the nurses’
thoughts (Ostlund, Backstrom, Lindh, Sundin, & Saveman,
2015).
With each conversation, the nurse will ask the family to review
what has happened in the family since the last conversation.
This helps the family identify changes that have taken place or
been reflected upon. At the conclusion of the FamHC, the nurse
summarizes what has been experienced during the entire
conversation series and recounts the central issues that have
been discussed and pursued (Ostlund, Backstrom, Lindh,
Sundin, & Saveman, 2015).
Although other models could be helpful to the Taylor family,
the FamHC would be the most beneficial due to the breakdown
of communication among the family members. Utilizing the
twelve components of the FamHC, the Taylor family could learn
to have an open dialogue related to their feelings and re-
establish the family bond. When the family has regained
cohesiveness then work on the physical problems could begin.

References
Artiga, S. and Hinton, E. (May 10, 2018). Beyond Health Care:
The Role of Social Determinants
in Promoting Health and Health Equity. Retrieved from:
https://www.kff.org/disparities
policy/issues-brief/beyond-health-care-the-role-of-social-
determinants-in-promoting health-and-health-equity
HealthyPeople.Gov. (2018). Social Determinants of Health.
Retrieved from:
https://www.healthypeople.gov/2020/topics-
objectives/topics/social-determinants-of health
Johns Hopkins Medicine. (2018). Prevention Guidelines.
Retrieved from:
https://www.hopkinsmedicine.org/healthlibrary/prevention/
Ostlund, U., Backstrom, B., Lindh, V., Sundin, K., & Saveman,
B. (2015). Nurses Fidelity to Theory-based Core Components
When Implementing Family Health Conversations – A
Qualitative Inquiry. In Scandinavian Journal of
CaringSciences. Retrieved from:
https://eds.b.ebscohost.com.lopes.idm.oclc.org/eds/pdfvie
wer/pdfviewer?vid=1&sid=ee 2eb4a-b827-47c0-bf33-
f9244f8019d2%40sessionmgr103
Persson, C. & Benzein, E. (2014). Family Health Conversations:
How Do They Support Health. In Nursing Research and
Practice. Retrieved from: http://dx.doi.org/10.1155/2014/547160

Effective Leadership Strategy for Virtual Teams
Effective Leadership Strategy for Virtual Teams
The use of virtual teams in modern organizations has increased
with the increased proliferation of globalization and advances in
information and communication technologies (Hunsaker &
Hunsaker, 2008). Given the competitiveness of the business
environment today, businesses are obliged to be more
productive by improving both functional and structural
efficiency. Collaboration is becoming increasingly influential in
creating the knowledge and capacity that makes organizations
more competitive. Many organizations have responded to the
changes in their business environment by leveraging the
benefits and potential of virtual teams (Malhotra, Majchrzak, &
Rosen, 2007). Therefore, establishing how leaders of effective
virtual teams establish trust, manage diversity, facilitate
constructive communication processes, and empower all team
members to achieve the goals of the team as well as those of the
organization is a key focus area for organizational behavior
research.
[Running Head: EXAMPLE HERE]
EFFECTIVE LEADERSHIP STRATEGY FOR VIRTUAL
TEAMS 2
Virtual teams offer many benefits over traditional teams.
However, without a robust framework for team management and
operations, virtual teams can pose adverse impacts on team
efficiency, productivity, and – by extension – business
performance. The increased cultural diversity of virtual teams
has compounded this problem further; strategic leadership is
critical to improving the efficiency of virtual teams and their
value to the organization (Gazor, 2012). Therefore, the purpose
of the proposed paper will be to examine the critical factors that
undermine virtual team processes and performance, given the
cultural diversity of these teams, to determine the most suitable
leadership strategy for overcoming the challenges of virtual
teams. The research question, therefore, is: what leadership
strategy is most effective at overcoming the impact of cultural

diversity in virtual teams?
References
Gazor, H. (2012). A literature review on challenges of virtual
team's leadership. Journal of Sociological Research, 3(2), 134-
145. Retrieved July 7, 2019, from
https://pdfs.semanticscholar.org/e8f8/3f1bbdf6ab44b90f7e7cdee
b05a9fccab7e4.pdf
Hunsaker, P. L., & Hunsaker, J. S. (2008). Virtual teams: A
leader's guide. Team Performance Management, 14(1/2), 86-
101. doi:https://doi.org/10.1108/13527590810860221
Malhotra, A., Majchrzak, A., & Rosen, B. (2007). Leading
virtual teams. The Academic of Management Perspectives,
21(1), 60-70.
doi:https://psycnet.apa.org/doi/10.5465/AMP.2007.24286164
4
FAMILY HEALTH ASSESSMENT PART I: TAYLOR FAMILY
Family Health Assessment Part I: Taylor Family
Stephanie Green
October 28, 2018

1
Running head: FAMILY HEALTH ASSESSMENT PART I
Family Health Assessment Part I: Taylor Family
Family health assessments focus on the entire family as a
unit and then subsequently on each individual member of the
family unit. Using Gordon’s eleven functional health patterns
allows for a framework for nurses to form the nursing
assessment leading to the nursing diagnosis (Green, 2018). The
Taylor family graciously allowed a family health assessment to
be completed on their family. The following is a summary of
this assessment with family health pattern strengths, barriers to
health, and family system theory to assist the family in health
promotion and wellness.
The Taylor family consists of father, Edward (42), mother,
Lynn (38), children LeAnn (18), Sara (15), and Jacob (13). Mr.
Taylor is disabled military and does not work. Mrs. Taylor is
college educated and the breadwinner and caregiver. Daughter
LeAnn is in the first year of college at a local university,
daughter Sara and son Jacob are in high school. The Taylor’s
are a middle class, Caucasian family, living in the suburbs.
Mother and children practice Catholicism while the father
claims to be agnostic.
The overall health of the family consists of Crohn’s
disease, severe malnutrition, two pack a day smoker, and post-
traumatic stress disorder (PTSD) in the father. Mrs. Taylor has
high cholesterol, high blood pressure, and maintains regular
gynecologic exams. All three children claim to have no medical
issues and receive regular physical exams including
immunizations. The family states they value spending time
together especially on vacations but that with the father’s health
conditions this is not feasible.
As a family, there is no routine mealtime due to after
school activities of the children and the father’s inability and/or
unwillingness to eat a proper diet for his condition. Mr. Taylor
receives home health total parenteral nutrition (TPN) to infuse

nightly of which, per his wife, he will not comply. Most of the
meals, cooked by Mrs. Taylor or either daughter, are quick
meals (out of a box), or fast food. Carbonated beverages are the
usual drink.
Each child has a bedroom and states they are usually in
bed by 10p.m. Mrs. Taylor sleeps in the master bedroom but Mr.
Taylor prefers to sleep on the couch due to his need to get to the
restroom rather frequently. Mrs. Taylor and each child state
they tend to get six to eight hours of sleep a night. Mr. Taylor
stays up all night and sleeps throughout the day most of the
time.
No bowel or bladder problems were identified by the
mother or children other than occasional constipation. Due to
Mr. Taylor’s Crohn’s disease, he has chronic diarrhea following
attempts to eat.
Regular physical activity does not occur for the father or
mother. The children participate in extra-curricular activities
through school and complete chores around the house. All
members of the family claim a rather sedentary life.
Mr. Taylor suffers from PTSD and has received counseling
in the past through the Veteran’s Administration. The mother
utilizes her family priest for any counseling needs while the
children have had no counseling for any mental or emotional
conditions.
No sensory deficits were identified other than mild hearing
loss in the father due to his military career. The mother wears
contact lenses; the oldest daughter and the son wear glasses.
In regard to self-perception and role relationships, Mr.
Taylor views himself as a burden to the family and feels that his
wife and children think the same. He states that his relationship
with his wife is very strained but insists that he is following the
doctor’s orders. Mrs. Taylor and the two daughters would like
for the father to seek additional emotional help and infuse his
TPN as per the doctor’s order. The son thinks his father is
following the doctor’s orders. Mrs. Taylor feels she is a parent
to her husband most of the time. She feels he has caused most

of the problems within the family but states she does not have
time to seek counseling alone or as a couple due to the
children’s and her own work schedule.
The couple states they did not have any trouble conceiving
children but with the husband’s condition they no longer sleep
together nor do they maintain a sex life. Mrs. Taylor has
discussed sex and sexuality with each child. The oldest daughter
is having difficulty with her sexuality and claims she thinks she
is a lesbian but does not wish to tell her parents at this time.
Coping mechanisms are not healthy within the family. Mrs.
Taylor will not discuss any issues regarding her family in a
healthy manner. She states she usually just lets her frustration
build and then cries. The children remain busy with college and
high school life.
Functional strengths within the family include, they do
maintain regular doctor, dental and ophthalmology visits,
though the father may not be compliant, and they do maintain
regular sleep patterns though the father sleeps during the day.
Primary barriers to health lie with Mr. Taylor’s non-compliance
with the infusion protocol prescribed and dietary constraints of
his condition, the unwillingness to seek counseling to learn
effective coping mechanisms, and the relatively sedentary
lifestyle of the family.
Application of the family system theory provides for the
inclusion of the whole family. With this understanding, the
chronic illness is not exclusive to the patient; it is mutually
shared by the family and can directly or indirectly affect the
illness and the family (Cecilio, Sturiao dos Santos, & Marcon,
2014). Within this family is a conflict-oriented style of
problem solving and family denial. Working with the family
system theory, this family would be served well with structural
family therapy (Bowen, 2018).
Regardless of the interventions chosen, Wright and Leahey
state that the interventions should be a result of the
collaboration between the nurse and family, should be a
reflection of the nurses working diagnosis, and should match

the family’s style of relating. Furthermore, the interventions
should draw on the family’s strengths and resources, should be
consistent with the family belief system, and include alternative
interventions (2012).
References
Bowen, M. (2018). Eight Concepts. Retrieved from:
https://thebowencenter.org/theory/eight
concepts/
Cecilio, H. P. M., Sturiao dos Santos, K., & Marcon, S. S. (July
1, 2014). Cogitare Enfermagen. Calgary Model of Family
Assessment: Experience in a Community Service Project.
Retrieved from:
https://lopes.idm.oclc.org/login?url=http://search.ebscohos
t.com/login.aspx?direct=true
db=ccm&AN=10300892&site=eds-live&scope=site
Green, S. Z. (2018). Understanding Families and Health
Promotion. In, Health Promotion: Health and Wellness Across
the Continuum. Retrieved from:
https://lc.gcumedia.com/nrs429vn/health-wellness-health-
and-wellness-across-the continuum/v1.1/#/chapter/4
Wright, L. M., & Leahey, M. (2012). Nurses and Families: A
Guide to Family Assessment and Intervention. Retrieved
from: https://ebookcentral-proquest-com.lopes.idm.oclc.org

Appendix A
Family Health Questionnaire
1) Values/Health Perception
a) How would you describe your family’s current health?
b) What does your family do to maintain or improve health?
c) Describe a family goal and does it seem attainable by all
family members?
2) Nutrition
a) At mealtimes, who eats together?
b) What do you think is your average calorie intake in a day?
c) What types of food and beverages are usually consumed?
3) Sleep/Rest
a) Within the family is there anything that inhibits another
member’s sleep?
b) What are the usual bedtime and wake time for each member
of the family?
c) What techniques do you use to relax before sleep?
4) Elimination
a) What are your usual urinary habits?
b) What are your usual bowel habits?
c) Has there been any problem with any of these with any
family member?
5) Activity/Exercise
a) What types of physical activity does each member engage in?
b) How often does each member engage in these activities?
c) Which members of the family engage in physical activities
together?
6) Cognitive
a) What is the general education level of family members?
b) Does anyone in the family have mental health issues?
Describe?
c) Is anyone in the family currently seeing a therapist or has in
the past?

7) Sensory-Perception
a) What are the hearing or vision capabilities of the family
members?
b) Do any family members have a tactile sensory deficit and if
so, how has that affected the family?
c) Do any members have difficulty with walking?
8) Self-Perception
a) Describe how you feel about yourself?
b) Describe how you see yourself within the family?
c) How does the family view your role in the family?
9) Role Relationship
a) How would you describe each member’s role in the family?
b) Are there any relationships that are not as strong as you think
they should be?
c) Are there currently any role changes occurring in the family?
10) Sexuality
a) Is there anyone in the family having unsure feelings
regarding their sexuality?
b) How has the family fared in regards to having children?
c) Has any family member experienced sexual dysfunction or
problems with sex organs?
11) Coping
a) What coping mechanisms help you the most when life
problems arise?
b) Do these methods usually help or make the situation worse?
c) Do you perceive any emotional problems within the family?
2
FAMILY HEALTH ASSESSMENT

Family Health Assessment
Alyssa Portugal
14 October 2018
1
FAMILY HEALTH ASSESSMENT
Family Health Assessment
The following essay will be based on a family assessment
that was performed on a family that consisted of husband and
wife, along with their two-year-old son. Three open-ended,
family-focused questions for eleven topics derived from health
patterns were developed for this family. This essay will discuss
their responses to the assessment, as well as, identify two
wellness problems. The assessment questions can be found in
the appendix of this essay. Names have been changed to protect
the family’s privacy.
Values, Health Perception
The Cruz family describes their values as Mexican American
with roots in Catholicism. Both adults are 28-years-old with a
2-year-old son. They would describe themselves as reasonably
healthy. Mateo, the 2-year-old, never misses his check ups and
is up to date on his immunizations. Mrs. Vivian Cruz states that
she always tries to follow her doctor’s recommendations, but
admits that sometimes she falls short. Mr. Michael Cruz states
with humor that he would follow a doctor’s recommendations if
he went to see a doctor, meaning that he rarely sees a physician.
The couple states that their religion and heritage have somewhat
of a minor influence on their family values. Vivian describes

day of the dead as a celebration they like to partake in by
creating their own altar to honor deceased relatives.
Nutrition
The Cruz family explains that they read nutrition labels to
a fault, but try to pick items that are low in sodium and sugar.
They regularly eat nuts, cold meats, and cheese as a snack. Most
of the time, they choose to drink coffee and iced tea along with
lemon water.
Sleep and Rest
When it comes to sleep, their work schedules come into
play. Michael is usually able to get 7.5 hours of sleep, whereas
Vivian only gets around 6 hours of sleep. Mateo regularly gets
8-9 hours of sleep and naps often. Vivian says that she tends to
squeeze in a nap here and there, but Michael does not usually
get that opportunity. Both adults state that they snore
occasionaly.
Elimination
The Cruz family states that they all have normal bowel
movements. It is normal for them to have a bowel movement
once, or occasionally twice a day. Michael states that he never
wakes up in the middle of the night to use the restroom. Vivian
explains that she usually wakes up once a week to use the
restroom because of the amount of water she had before bed.
She tries to drink more water before bed if she was not able to
drink much throughout the day. Mateo is potty-trained and uses
the restroom regularly throughout the day.
Activity and Exercise
During the week, the family does not exercise very much.
Both parents track their steps daily and Vivian states that she
usually does about 2,000-3,000 steps more than Michael, daily.
The extent of the exercise they perform is carrying Mateo up the
stairs. They do not spend much time outside during the summer,
but during the rest of the year they are more inclined to go
outside due to the cooler weather. They enjoy walking through
their neighborhood and taking Mateo to the park.
Cognitive

Vivian states that she often gets confused and tends to have a
lot of mental fog, whereas Michael only has mental fog when
there is a lot going on around him. Household decisions are
usually made together. Vivian believes that she is usually right
and that if Michael is concerned, then they will discuss it
further and he usually needs to persuade her. She states that she
will sometimes let him try whatever his opinion is on the
matter, and by doing this she allows for him to see when he is
wrong. Michael feels that when he voices his opinions, he does
not always feel heard. They explain that when they are not on
the same wavelength, there is some difficulty. When it comes to
coordination, Michael feels that he is very coordinated and has
good reaction time. Vivian feels that she is not very
coordinated, but believes she has better reflexes than Michael
does. They feel that Mateo is coordinated enough for his age,
but isn’t always aware of times when he gets close to bumping
his head on furniture.
Sensory and Perception
Both, Michael and Vivian, have glasses to aid their vision.
However, Michael does not use his and says that he does not
need them. Vivian, however, has an astigmatism and feels the
need to wear them when reading, driving at night, using the
computer, or watching TV. They both deny taste and smell
issues. Mateo does not have any sensory issues.
Self Perception
Michael states that he often feels hopeful about the future,
and Vivian says “today yes, but sometimes I don’t.” When
asked what they think about themselves, Vivian said she would
be confidence in herself. Michael agrees with this in regards to
himself as well, and believes that his self-esteem was lowered
due to comments from his parents when he was a kid about his
size and the way his voice used to be. If he could change
anything about himself, he would like to be in better shape,
slow down in life more. Overall they both want to exercise
more, eat better, and be less stressed out.

Role Relationship
When asked about their marital relationship, they explain that
lately it has been good. Not only this, but also that when it’s
bad its not bad. When it gets really bad, that is usually rare,
maybe 1-2 over last 5 years. In regards to addressing marital
problems, sometimes they don’t talk it out. Sometimes they’ll
bottle it in until it explodes, then talk it out (sometimes in tears)
and end up fixing the issue. They both tend to let problems drag
on instead of addressing them right away. However, they take
pride in being honest with each other. Discipline in the house
consists of timeouts, and occasionally use strong tones without
yelling. They usually “check each other” on their discipline
when it comes to Mateo to ensure they are not being too harsh.
Their routines provide structure and consistency to help avoid
problems with Mateo’s behavior.
Sexuality
In regards to how open they plan to be with Mateo about
sexuality, Vivian says she plans to be very open about it but she
is still trying to figure out where to draw the line as Mateo gets
older. She wants to avoid creating a stigma. Michael says he
would like to try to find a good balance that is not too open, but
he doesn’t want Mateo to feel like he can’t come to his parents.
In regards to public displays of affection, Michael says
struggles with it. Vivian says she feels like it’s part of her love
language. Michael explains that he feels awkward with kissing
in public because he cares a lot about how he makes others feel.
They hold hands often and don’t have an issue with that. They
explain that it depends on their environment. Vivian feels more
comfortable being more open around her family verses being
around Michael’s. When Mateo starts to show interest in a
romantic relationships and dating, they plan to ask questions.
They want to try to understand where he’s coming from before
making a decision. They’d like to be up front and honest about
how they feels about it but still be supportive. They plan to

emphasize consent and boundaries as Mateo grows up, and want
him to be aware of peoples’ space.
Coping
Methods that Mr. and Mrs. Cruz use to cope with stress include
occasionally drinking alcohol. Vivian likes to take relaxing
baths, mini trips to get out of house (such as trips to the
museum with Mateo), and also shopping at target. Being
productive helps her so that there’s not as much to stress about.
Michael likes to stay at home and “chill out”. Both of them vent
to each other about work to relieve work stress, since they work
in the same company. When it comes to prominent stressful
events in their lives lately, they’ve had a couple of ER visits
that were anxiety inducing. Mateo fell and hit his head then lost
consciousness briefly, and Vivian had a strong migraine where
she lost feeling of her hands and threw up a few times during
that episode, all of which frightened her. When she was
pregnant with Mateo, she had preeclampsia, leading to early
delivery of Mateo. He ended up developing some light jaundice,
but all was resolved after a couple of weeks. A current stressor
is finding a babysitter while they are at work. When it comes to
dealing with grief, Vivian likes having family to fall back on
and celebrating the day of the dead and making an altar.
Michael sorts out his grief best by talking it out with Vivian,
otherwise he would bottle it up. Sharing stories and memories
about departed loved ones helps him to cope.
Wellness Problems
After speaking with this family, two wellness problems
that were discovered were that Michael does not regularly visit
a physician and that there may be some issues with
communication between Mr. and Mrs. Cruz. It is important that
Michael make regular visits to a physician to address any issues
he may be at risk of developing and to adjust to the healthier
lifestyle that he may be recommended. It may be best for them
both to seek a marriage counselor to aid them in better
communication skills so that they can share their feelings in a
positive way whilst in the presence of a mediator. Being a

younger family, there will be plenty of growing so that they can
find what works best for them. This process will be continuous,
and will require adaptation from everyone (Edelman, 2018).
However, seeking help from an professional outside source
could be beneficial to make for a smoother process.
References
Edelman, C. & Kudzma, E. (2018). Health Promotion
Throughout the Life Span, 9th Edition.
Elsevier (HS-US), 102017. VitalBook file. Retrieved from
https://pageburstls.elsevier.com/#/books/9780323416733/c
fi/177!/4/[email protected]:0.00
Appendix A
Family Assessment Questions
1. Values, health perception
· How healthy is your family?
· Do you always try to follow doctors recommendations when
given?
· Do your religious affiliations have any influence on your
family values?
2. Nutrition
· Do you read nutrition labels for nutritional values?
· What kind of snacks do you eat regularly?
· What are your regular beverage choices?
3. Sleep/Rest
· How much sleep do you get a night?
· Does anyone in your family snore?
· How often do you take a nap?
4. Elimination
· Does everyone in your family have normal bowel movements?
· How often?
· How often do you wake up in the middle of the night to use
the restroom?
5. Activity/Exercise

· How much exercise do you get in a typical week?
· What types of exercise do you do?
· How much time do you spend outdoors during the week?
6. Cognitive
· Do you ever get confused?
· How are decisions made in your household?
· How coordinated and balanced would you say you are?
7. Sensory-Perception
· How is your eyesight?
· Do you have problems with taste?
· Do you have problems with smell?
8. Self-perception
· Do you feel hopeful about the future?
· What do you think of yourself?
· Is there anything you would change about yourself?
9. Role Relationship
· How is your marital relationship?
· How do you address marital problems?
· How do you discipline in your household?
10. Sexuality
· How open do you plan to be with your children about
sexuality?
· How do you feel about public displays of affection?
· How will you address your children’s interest in a romantic
relationships/dating?
11. Coping
· What methods do you use to deal with stress?
· Have there been any prominent stressful events in your life
lately?
· How do you deal with grief?
Rubic_Print_FormatCourse CodeClass CodeAssignment
TitleTotal PointsNRS-429VNNRS-429VN-O507Family
Assessment Part II150.0CriteriaPercentageUnsatisfactory
(0.00%)Less than Satisfactory (75.00%)Satisfactory
(79.00%)Good (89.00%)Excellent (100.00%)CommentsPoints

EarnedContent80.0%SDOH Affecting Family and Family Health
Status20.0%SDOH affecting family health status, and the direct
impact to the family, are not presented.SDOH affecting family
health status are partially presented. SDOH listed are not
relevant to the family. The direct impact to the family, and why
the factors are prevalent to the family, are unclear. There are
inaccuracies.Key SDOH affecting family health status are
summarized. The SDOH identified are relevant to the family.
The direct impact to the family, and why the factors are
prevalent to the family, are generally discussed. More support
or rationale is needed in some areas.The overall SDOH affecting
family health status are accurately identified and described. The
SDOH identified are relevant to the family. The direct impact to
the family, and why the factors are prevalent to the family, are
discussed. The SDOH directly affecting family health status are
relevant, accurately identified and thoroughly described. The
direct impact to the family, and why the factors are prevalent to
the family, are discussed in detail. The discussion is well
supported and illustrates insight into SDOH and their effect on
family health status.Age-Appropriate Screening
Recommendations20.0%Age-appropriate screenings are not
presented.Screenings are presented for some family members.
The screenings are not age appropriate. Screenings are not
relevant to the information gathered through family health
assessment. Screenings are presented for each family member.
Screenings are generally age appropriate, but entirely not
relevant based on the information gathered through family
health assessment. More rationale and support is
required.Screenings presented for each family member are age
appropriate. Screenings are relevant and based on the
information gathered through family health assessment. Some
minor rationale or support is needed.Screenings presented for
each family member are age appropriate and highly relevant.
Screenings correlate to the information gathered through family
health assessment. Strong rationale and support is
presented.Assessment of Health Model20.0%A health model to

assist in the creation of a plan of action is not presented. The
model chosen is not a health model.A health model is selected
to assist in creating a plan of action. The description of the
model is incomplete. It is unclear why the chosen model is best
for this family.A health model is selected and described. A
summary of how the model will assist in creating a plan of
action is presented. A general overview for why it is best for
this family is provided. More rationale and support is
required.A health model is selected and described. A discussion
of how the model will assist in creating a plan of action is
presented. Reasons for why it is best for this family are
provided. Some rationale or support is needed.A health model is
selected and thoroughly described. A detailed discussion of how
the model will assist in creating a plan of action is presented.
Reasons for why it is best for this family are clearly outlined.
Strong rationale and support are provided to support
reasoning.Application of Health Model20.0%Family-centered
health promotion using selected health model is omitted. Steps
for a family-centered health promotion are partially presented.
The health promotion is not based on the health model.
Significant aspects are missing. There are major
inaccuracies.The health model is used to create a general
family-centered health promotion. The steps to achieve the
desired outcome require more detail to illustrate a clear plan of
action. A general plan for communication with the family is
presented. More rationale and support is required.The health
model is used to create a relevant family-centered health
promotion. The steps to achieve the desired outcome are
illustrated. Strategies for communication with the family are
presented.The health model is used to create a relevant and
viable family-centered health promotion. The steps to achieve
the desired outcome are described in detail. Appropriate
strategies for communication with the family are clearly
presented. The health promotion is well-designed and
demonstrates an ability to assimilate findings and appropriately
apply theoretical knowledge to achieve desired

outcomes.Organization and Effectiveness 15.0%Thesis
Development and Purpose5.0%Paper lacks any discernible
overall purpose or organizing claim.Thesis is insufficiently
developed or vague. Purpose is not clear.Thesis is apparent and
appropriate to purpose.Thesis is clear and forecasts the
development of the paper. Thesis is descriptive and reflective of
the arguments and appropriate to the purpose.Thesis is
comprehensive and contains the essence of the paper. Thesis
statement makes the purpose of the paper clear.Argument Logic
and Construction5.0%Statement of purpose is not justified by
the conclusion. The conclusion does not support the claim
made. Argument is incoherent and uses noncredible
sources.Sufficient justification of claims is lacking. Argument
lacks consistent unity. There are obvious flaws in the logic.
Some sources have questionable credibility.Argument is
orderly, but may have a few inconsistencies. The argument
presents minimal justification of claims. Argument logically,
but not thoroughly, supports the purpose. Sources used are
credible. Introduction and conclusion bracket the thesis.
Argument shows logical progressions. Techniques of
argumentation are evident. There is a smooth progression of
claims from introduction to conclusion. Most sources are
authoritative.Clear and convincing argument that presents a
persuasive claim in a distinctive and compelling manner. All
sources are authoritative.Mechanics of Writing (includes
spelling, punctuation, grammar, language use)5.0%Surface
errors are pervasive enough that they impede communication of
meaning. Inappropriate word choice or sentence construction is
used.Frequent and repetitive mechanical errors distract the
reader. Inconsistencies in language choice (register), sentence
structure, or word choice are present.Some mechanical errors or
typos are present, but they are not overly distracting to the
reader. Correct sentence structure and audience-appropriate
language are used. Prose is largely free of mechanical errors,
although a few may be present. A variety of sentence structures
and effective figures of speech are used. Writer is clearly in

command of standard, written, academic
English.Format5.0%Paper Format (use of appropriate style for
the major and assignment)2.0%Template is not used
appropriately or documentation format is rarely followed
correctly.Template is used, but some elements are missing or
mistaken; lack of control with formatting is apparent.Template
is used, and formatting is correct, although some minor errors
may be present. Template is fully used; There are virtually no
errors in formatting style.All format elements are correct.
Documentation of Sources (citations, footnotes, references,
bibliography, etc., as appropriate to assignment and
style)3.0%Sources are not documented.Documentation of
sources is inconsistent or incorrect, as appropriate to
assignment and style, with numerous formatting errors.Sources
are documented, as appropriate to assignment and style,
although some formatting errors may be present.Sources are
documented, as appropriate to assignment and style, and format
is mostly correct. Sources are completely and correctly
documented, as appropriate to assignment and style, and format
is free of error.Total Weightage100%
Family Health Assessment Part I
Understanding family structure and style is essential to patient
and family care. Conducting a family interview and needs
assessment gathers information to identify strengths, as well as
potential barriers to health. This information ultimately helps
develop family-centered strategies for support and guidance.
This family health assessment is a two-part assignment. The
information you gather in this initial assignment will be utilized
for the second assignment in Topic 3.
Develop an interview questionnaire to be used in a family-

focused functional assessment. The questionnaire must include
three open-ended, family-focused questions to assess functional
health patterns for each of the following:
1. Values/Health Perception
2. Nutrition
3. Sleep/Rest
4. Elimination
5. Activity/Exercise
6. Cognitive
7. Sensory-Perception
8. Self-Perception
9. Role Relationship
10. Sexuality
11. Coping
Select a family, other than your own, and seek permission from
the family to conduct an interview. Utilize the interview
questions complied in your interview questionnaire to conduct a
family-focused functional assessment. Document the responses
as you conduct the interview.
Upon completion of the interview, write a 750-1,000-word
paper. Analyze your assessment findings. Submit your
questionnaire as an appendix with your assignment.
Include the following in your paper:
1. Describe the family structure. Include individuals and any
relevant attributes defining the family composition,
race/ethnicity, social class, spirituality, and environment.
2. Summarize the overall health behaviors of the family.
Describe the current health of the family.
3. Based on your findings, describe at least two of the
functional health pattern strengths noted in the findings.
Discuss three areas in which health problems or barriers to
health were identified.
4. Describe how family systems theory can be applied to solicit
changes in family members that, in turn, initiate positive
changes to the overall family functions over time.
Cite at least three peer-reviewed or scholarly sources to

complete this assignment. Sources should be published within
the last 5 years and appropriate for the assignment criteria.
Prepare this assignment according to the guidelines found in the
APA Style Guide, located in the Student Success Center. An
abstract is not required.
This assignment uses a rubric. Please review the rubric prior to
beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to LopesWrite.
Please refer to the directions in the Student Success Center.
Family Assessment Part II
Refer back to the interview and evaluation you conducted in the
Topic 2 Family Health Assessment assignment. Identify the
social determinates of health (SDOH) contributing to the
family's health status. In a 750-1,000-word paper, create a plan
of action to incorporate health promotion strategies for this
family. Include the following:
1. Describe the SDOH that affect the family health status. What
is the impact of these SDOH on the family? Discuss why these
factors are prevalent for this family.
2. Based on the information gathered through the family health
assessment, recommend age-appropriate screenings for each
family member. Provide support and rationale for your
suggestions.
3. Choose a health model to assist in creating a plan of action.
Describe the model selected. Discuss the reasons why this
health model is the best choice for this family. Provide rationale
for your reasoning.
4. Using the model, outline the steps for a family-centered
health promotion. Include strategies for communication.
Cite at least three peer-reviewed or scholarly sources to
complete this assignment. Sources should be published within
the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the
APA Style Guide, located in the Student Success Center. An
abstract is not required.
This assignment uses a rubric. Please review the rubric prior to
beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to LopesWrite.
Please refer to the directions in the Student Success Center.

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