The nurse investigates a family's health routines and rituals as ...

[mspears3]

The nurse investigates a family's health routines and rituals as part of the overall family assessment. Which exemplify family health routines? (Select all that apply.)
 
  A) Siblings all brushing their teeth together before bed every night
  B) Parents taking their 9-month-old child to the health clinic when he has a fever
  C) Entering a 5K run/walk charity event each year as a family
  D) Taking a walk together around the neighborhood after dinner each evening
  E) The mother having a mammogram performed every year

Question 2

The nurse is conducting a 15-minute interview with a family. On the basis of the five leading principles for interviewing, appropriate actions for the nurse to take include: (Select all that apply.)
 
  A) Having family members share their family history with you, going back several generations
  B) Listening actively as the family members speak
  C) Constructing an ecomap of the family
  D) Asking family members to prioritize their needs and to express their expectations regarding nursing care
  E) Pointing out the strong relationships they enjoy in their family and explaining how they will help them cope with the health issue of concern

[bookworm410]

Answer to Question 1

Ans: A, D
Feedback:
Routines are observable, repetitive patterns that involve two or more family members. These patterns are repetitive and predictable. Rituals, on the other hand, are more formal, repetitive patterns that strengthen family self-image or identity. Six categories of family health routines are as follows: self-care; safety and precaution; mental health behaviors; family care; illness care; and member care giving. Siblings brushing their teeth together before going to bed every night and the family taking a walk together each evening are examples of family health routines. Taking a child in for a sick visit is not a routine because it is not repetitive or predictable. Entering a 5K as a family each year is more of a ritual than a routine. The mother having a mammogram every year is not a family routine because she does it by herself.

Answer to Question 2

Ans: B, C, D, E
Feedback:
Five leading principles that maximize information gleaned in a 15-minute family interview include the following: use of manners (introducing yourself), use of therapeutic conversation (using active listening), use of ecomaps and genograms, use of therapeutic questions (asking members to discuss their needs and expectations), and acknowledgment of family strengths. Having family members share their family history in detail would not be appropriate, as you do not have the time for that.