NRS 429 Family Health Assessment Part I

Sample Answer for NRS 429 Family Health Assessment Part I Included After Question


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
    1. Nutrition
    1. Sleep/Rest
    1. Elimination
    1. Activity/Exercise
    1. Cognitive
    1. Sensory-Perception
    1. Self-Perception
    1. Role Relationship
    1. Sexuality
    1. 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.
    1. Summarize the overall health behaviors of the family. Describe the current health of the family.
    1. 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.
    1. 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.

A Sample Answer For the Assignment: NRS 429 Family Health Assessment Part I

Title: NRS 429 Family Health Assessment Part I

The promotion of optimum health of families is imperative in healthcare. Nurses utilize their understanding of family structure and diversity in needs to develop care plans that promote the health, wellbeing, and recovery of family members. Family assessment enables nurses to provide holistic care that addresses both the actual and potential needs of the family members.

The assessment provides insights into family strengths, weaknesses, and opportunities to be explored to achieve the desired health-related goals. Therefore, this paper examines an interview performed with a family to identify its health status and application of family systems theory to promote positive change in the family’s functions over time.

Description of the Family Structure

The interviewed family comprises seven members that include parents aged between 40 and 50 years, a grandparent aged 75 years, and two children aged between 10 and 20 years. The family is of African American ethnicity. It is a Christian family living in a family-owned home. The father is a nurse while the mother is a teacher. The grandfather is a retired army officer. The children are school-going. The family is of the middle class, living in a healthy environment. It engages in activities that contribute to the development of the community. For example, it assists the poor in achieving their health-related needs.

Overall Health Behaviors of the Family

The interview revealed the family to be of moderate health. Most of the family members were found healthy except the grandfather who is diabetic and suffers from depression. The family engages in activities that contribute to their positive health. They include engaging in active physical activities, eating healthy diets, and utilizing social support systems to achieve their health-related needs. The interview also showed the family to utilize screening services for health problems, including hypertension, cancer, and obesity.

The interview showed some areas of weaknesses that threaten its health. They include high costs of care and access to specialized care. The family raised concerns about the increasing costs of addressing the care needs of the grandfather. In most cases, the family found it hard to access the specialized care he needed due to its geographical location in the region. Therefore, it was essential to assist the family to identify ways of addressing their health-related challenges.

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Functional Health Pattern Strengths

The interview revealed some functional health pattern strengths in the family. One of the strengths relates to values/health perception patterns. The family was aware of its health needs and how to achieve them. It understood the unique health needs of each member of the family. It was also aware of the importance of engaging in health practices that promote its health. For example, its members utilize screening services to identify and manage health problems promptly. The family members also engage in active physical activity to prevent health problems, including obesity, overweight, diabetes, and hypertension.

The second functional area of strength identified during the interview is coping. The family acknowledged experiencing stressors that affect its overall health. However, it uses effective coping strategies such as seeking support from each other and community members to overcome the stressors. It also seeks professional support from counselors and healthcare providers to overcome adversities. Effective coping with stressors has enabled the family to develop resilience to unforeseen events that may affect its members (Davey et al., 2020).

Areas of Health Problems or Barriers to Health

One of the barriers to health identified in the family is the high cost of care. The family members noted that achieving grandfather’s health needs has been costly for them. The grandfather needs frequent hospitalizations for depression and diabetes, which increases the costs incurred in the family. The costs incurred in seeking specialized carehave been rising, hence, the challenge. The other barrier identified from the interview is access to specialized care.

The family noted challenges in accessing specialized care it needed due to its geographical location in the region (Huot et al., 2019). One of the health problems identified from the interview is the grandfather suffering from diabetes and depression. The children are also predisposed to lifestyle-related problems due to too much screen time and playing video games (Anderson & Durstine, 2019). Therefore, it was essential to educate the family about the importance of engaging consistently in activities that promote their health.

Application of Family Systems Theory

The family systems theory can be appliedto solicit changes in family members that, in turn, initiate positive change to the overall functions over time. The theory provides insights on how family members can be influenced to contribute to their optimal health (Bottorff et al., 2021). The analysis of theoretical concepts such as sibling behavior and family problems increases nurses’ understanding of family functioning and health. Therefore, they can use it to strengthen positive behaviors that will contribute to their optimal functioning and the health of the family (Bottorff et al., 2021). In addition, the theory can be used to increase the understanding of the family members of the interdependence in their roles and how to engage in activities contributing to their optimal health.


Overall, a family assessment is important in nursing practice. Nurses utilize it to understand the actual and potential family needs. The interview performed with the family revealed some strengths and weaknesses. It is important for nurses working with the family to empower the members to identify opportunities for minimizing their barriers to health. In addition, they should explore the incorporation of the family systems theory into the care given to the family to ensure its optimum health.


Anderson, E., & Durstine, J. L. (2019).Physical activity, exercise, and chronic diseases: A brief review.Sports Medicine and Health Science, 1(1), 3–10.

Bottorff, J. L., Huisken, A., Hopkins, M., & Friesen, L. (2021).Scaling up a community-led health promotion initiative: Lessons learned and promising practices from the Healthy Weights for Children Project.Evaluation and Program Planning, 87, 101943.

Davey, J., Herbst, J., Johns, R., Parkinson, J., Russell-Bennett, R., &Zainuddin, N. (2020). The role of health locus of control in value co-creation for standardized screening services. Journal of Service Theory and Practice, 30(1), 31–55.

Huot, S., Ho, H., Ko, A., Lam, S., Tactay, P., MacLachlan, J., &Raanaas, R. K. (2019). Identifying barriers to healthcare delivery and access in the Circumpolar North: Important insights for health professionals.International Journal of Circumpolar Health, 78(1), 1571385.

A Sample Answer 2 For the Assignment: NRS 429 Family Health Assessment Part I

Title: NRS 429 Family Health Assessment Part I

A family refers to a primary group of people living in a household in consistent proximity and intimate relationship. Family health is determined by the interaction of factors in the family’s external and internal environment (Michaelson et al., 2021). Family health assessment entails identifying these internal and external factors, which are vital in assessing the health-illness factors that affect family health. The purpose of this paper is to analyze my findings from a family health assessment. 

Family Structure

I interviewed family N, an African American nuclear family with six family members, two parents, and four children. Mr. N is 58, and Mrs. N is 55, and they have been married for close to 33 years. Mr. N has a diploma in education and is an elementary school teacher. Mrs. N studied up to the high school level and worked as a storekeeper in a high school. The firstborn (female) is 30 years and married with one child. She has a Bachelor’s in education and is a high-school teacher. The second-born (male) is 26 years, single, and works in the Military. The third-born (male) is 23 years; he is a nursing student at a community college. The fourth-born (female) is 15 years and is in high school. Family N falls under the working social class with an average household income of $50,000. The family members are Catholics and attend mass at least twice a month. Mrs. N is a church choir member, and the family attends monthly fellowships in the neighborhood. The family lives in Greenville, KY, in a rural neighborhood. They report access to healthcare services but limited transport options.

Family Health and Health Behaviors

Family N is in relatively good health with no chronic illnesses among the family members. Healthy behaviors noted in the family include eating healthy meals and engaging in physical activity. Mrs. N mentioned that she prepares healthy meals for the family. The family has a kitchen garden where they have planted vegetables and rear chicken. The garden is a source of daily fresh vegetables and fruits for the family. Mr. and Mrs. N also reported that they often walk to work a distance that takes 10-15 minutes, which keeps them physically active. They also attend to their garden on weekends, keeping them physically active. Mr. and Mrs. N have health insurance provided by their employers. However, they reported that they do not attend annual check-ups unless they are ill. Other unhealthy behaviors include smoking and alcohol consumption, particularly in Mr. N. He reports smoking 1PPD and taking 3-4 beers daily.

Functional Health Patterns Strengths, Health Problems or Barriers to Health

Functional health pattern strengths were identified in Nutrition and Activity/Exercise patterns. In the Nutrition pattern, the family takes healthy meals with high vegetable and fruit servings sourced from their garden. Junk foods, processed foods, and drinks with added sugars are hardly taken in the family. Mrs. N insists on healthy dietary habits in the family since she knows the health risks of high-fat and salty foods. Under the Activity/Exercise pattern, the family engages in regular physical activity like walking and gardening. Mr. N coaches students in football, which has made him physically fit. Mrs. N mentions that daily walks and eating healthy foods have helped her to maintain a healthy weight. 

NRS 429 Family Health Assessment Part I
NRS 429 Family Health Assessment Part I

Problems and barriers to health were identified in the functional patterns of Values/Health Perception, Sleep/Rest, and Role-Relationship. Problems identified in the Values/Health Perception pattern include the family members failing to attend preventive screening activities and annual medical check-ups (Khatiban et al., 2019). Mrs. N has not adhered to the recommended breast and cervical cancer screenings, while Mr. N has never had a PSA test. In the Sleep/Rest pattern, some family members reported having problems maintaining sleep and insomnia. Mr. N stated that he takes beer in the evening to help with sleep, and he often feels he is not adequately rested after waking up. Problems in the Role-Relationship pattern include impaired relationships among family members (Butcher & Jones, 2021). Mrs. N often gets into arguments with Mr. N due to his daily drinking habits and his spending habits. Besides, Mr. N has a poor connection with his first-born daughter due to his poor spending habits.

Application of Family Systems Theory

Family Systems Theory (FST) explains human behavior through a complex web of emotional processes in a person’s family, social systems, and work. The theory outlines how emotional interdependence among family members influences a person’s character and life decisions (Milberg et al., 2020). Any change in one family member will likely affect the whole family and foster behavior changes in other members. Thus, FST can promote behavior change among one family member (Calatrava et al., 2022). Since family members are strongly emotionally connected, behavior change in one member will influence others to change.


Family N is a nuclear, working-class, African American family comprising six members. The family is in relatively good health and has notable healthy behavior, like engaging in physical activities and healthy dietary habits. However, unhealthy behaviors were noted smoking, alcohol consumption, and non-adherence to annual medical check-ups and screenings. FST can be used to promote behavior change among family members by focusing on the interactions between the family members.


Butcher, R. D. C. G., & Jones, D. A. (2021). An integrative review of comprehensive nursing assessment tools developed based on Gordon’s Eleven Functional Health Patterns. International Journal of Nursing Knowledge32, 294-307.

Calatrava, M., Martins, M. V., Schweer-Collins, M., Duch-Ceballos, C., & Rodríguez-González, M. (2022). Differentiation of self: A scoping review of Bowen Family Systems Theory’s core construct. Clinical psychology review91, 102101.

 Khatiban, M., Tohidi, S., & Shahdoust, M. (2019). The effects of applying an assessment form based on the health functional patterns on nursing student’s attitudes and skills in developing the nursing process. International Journal of nursing sciences6(3), 329–333.

 Michaelson, V., Pilato, K. A., & Davison, C. M. (2021). Family as a health promotion setting: A scoping review of conceptual models of the health-promoting family. PloS one16(4), e0249707.

Milberg, A., Liljeroos, M., Wåhlberg, R., & Krevers, B. (2020). Sense of support within the family: a cross-sectional study of family members in palliative home care. BMC palliative care19(1), 120.