Task 1: Prioritize the top 3 family nursing problems from the scenario above with justification.

Score each diagnosis using Scale for ranking family nursing problems based on prioritization from Factors that affect
modifiability of the health problem, Factors that affect preventive potential. Rank the same after the computation of respective scores. (Show your computations)

FAMILY PROBLEMS NURSING DIAGNOSIS SCORING JUSTFICATION Rank

Improper Balanced Diet (Inadequate
1 3.66
Nutrition Intake)
Risk for Imbalanced Nutrition due
to insufficient food intake
A proper balanced diet and adequate food intake are very important for a healthy
pregnancy. In the given situation, it was explained that Mrs. Rebecca Villianueva was
already 6 months pregnant and underweight due to limiting her food intake because if the
baby grew bigger a cesarean section may be needed which will cost them financially. This
may lead the client to being malnourished and have issues in developmenting the baby in
its womb. 1
This problem is related to risk for imbalanced nutrition due to insufficient food intake. It
ranked 1st because since they are in a stage of becoming a parent the family should
prioritize the health of both the mother and the child to prevent any irregularities in the
baby's development.

Impaired Parenting and risk for
2 Pregnancy and Parenthood
impaired Parenting (653-659)
It is discussed in the case scenario that Mrs. Rebecca Villanueva who is a first time mom
never had a prenatal consultation and stated that the information from her neighbors and
relatives are confusing and conflicting which means she only had limited and insufficient
knowledge about child development health maintenance and parenting skills resulting in
increased insufficient or lacking in social support and parental role models which is
important because if Mrs. Villanueva had one, she could have learned from their
experiences. The only source of her information about pregnancy is only her friends or
3.5 2
relatives which may lead to wrong information and hazard to her pregnancy. It is also stated
that they are renting a small house with mixed materials which can lead to risk in pregnancy
like infections. It just shows that they failed to provide a safe home and environment for the
child and to the mother itself. This family problem was ranked 2 because we believe that
this is a problem but, it's just one of the priorities of a family that must be addressed
because it only concerns the pregnant woman's surroundings or environment and does not
put her health at high risk.

Home Delivery by Locals (Failure to
3 3.16
utilize community resources)
Stated in the case scenario that Rebecca Villanueva would probably have a home delivery
under the care of the local “hilot” because professional attendance would be too expensive
for them. Lack of use of community resources is a failure to properly understand the
advantages of health care services. This certain problem can be classified as Deficient
Deficient community health due to
community health related to insufficient resources. Anyhow, it ranked 3 which states that 3
insufficient resources.
prompt action is not necessary considering the fact that establishing community resources
and health care services requires a well structured plan that can benefit health, education
and financial stability of the community. A practical and realistic plan will provide time and
accurate process.
Task 2: Focus on the Family Nursing Diagnosis ranked number one. Create a Family Health Care Plan using the matrix suggested below.

ASSESSMENT DIAGNOSIS GOAL & OBJECTIVE INTERVENTIONS RATIONALE EVALUATION

Subjective: Risk for Imbalanced Goal: Independent: Goal: After 2 hours of nursing
● The client Nutrition related to After 2 hours of nursing ● A certain client’s ● To determine informational interventions, the client has:
explained to the insufficient food intake and interventions, the client will be understanding of needs of client/significant ● Become conscious of her
nurse that she is lack of knowledge conscious of her dietary individual nutritional other (SO) dietary requirements and status.
__ Met
limiting her food regarding nutritional requirements and status. needs and ways the client ● Socioeconomic resources
__ Partially Met
intake because benefits of food ingestion. is meeting those needs. amount of money available for __ Unmet
she don’t want to ● Determine lifestyle factors purchasing food, proximity of
have a cesarean that may affect weight. grocery store, and available Objectives: After 2 hours of nursing
section ● Note availability and use storage space for food are all interventions the client has:
● The client of financial resources and factors that may impact food ● Determined the primary cause
verbalized that Objectives: support systems. choices and intake. or related factors of her below
“she don’t have After 2 hours of nursing ● Provide information ● These factors affect or normal weight condition.
much knowledge interventions the client will be regarding individual determine ability to acquire, __ Met
about community able to: nutritional needs and prepare and store food. Lack __ Partially Met
health services, ● Determine the primary ways to meet these needs of support or socialization may __ Unmet
prenatal nutrition, cause or related factors within financial impact client’s desire to eat.
● Verbalized understanding of
preparation for of her below normal constraints. ● To promote wellness. causative factors of known and
childbirth and weight condition. necessary interventions.
infant care” ● Verbalize understanding __ Met
● Never had a of causative factors of Dependent: __ Partially Met
prenatal known and necessary ● Administer ● To establish a nutritional plan __ Unmet
consultation as interventions. pharmaceutical agents that meets individual needs.
stated by the ● Demonstrate behaviors (vitamin, mineral (iron) ● Demonstrated behaviors and
client. and lifestyle changes to supplements/ lifestyle changes to regain
regain and/or maintain medications) and/or maintain appropriate
Objective: appropriate weight. weight.
__ Met
● Underweight ● Identify nutritious and
__ Partially Met
(48kg) affordable foods suitable Collaborative: __ Unmet
● Palmar pallor ( for pregnant women. ● Collaborate with an ● To set nutritional goals when a
skin of the palm interdisciplinary team. client has specific dietary ● Identified nutritious and
was pale) ● Consult with a dietitian or needs, malnutrition is affordable foods suitable for
nutritional support team, profound, or long-term feeding pregnant women.
as necessary. problems exist. __ Met
● Provide dietary, ● For long-term needs. __ Partially Met
environmental, and ● To establish a nutritional plan __ Unmet
behavioral modifications. that meets individual needs.
 NURSING INTERVENTION FAMILY METHODS RESOURCES
FAMILY HEALTH FAMILY NURSING GOAL OF CARE OBJECTIVE OF CARE CONTACT REQUIRED EVALUATION
PROBELM PROBLEM
INTERVENTION

Inadequate nutrition Lack of access to the After 2 hours of After 2 hours of nursing Independent: ● Home Visit ● Visual Aids Goal: After 2 hours of nursing
intake as a health appropriate nursing interventions, interventions the client will be ● Ascertain client’s for interventions, the client has:
threat. nourishment that the client will be able to: understanding of Discussion ● Become conscious of her
dietary requirements and
pregnant women need conscious of her ● Determine the primary individual nutritional
status.
Objectives: as a result of: dietary requirements cause or related factors needs and ways the ● Initial data __ Met
and status. of her below normal client is meeting base __ Partially Met
● Weight (48kg) ● Lack of weight condition. those needs. __ Unmet
● Height (155cm) understanding ● Verbalize understanding ● Determine lifestyle
of the of causative factors of factors that may Objectives: After 2 hours of
significance of known and necessary affect weight. nursing interventions the client
healthy eating interventions. ● Note availability and has:
for pregnant ● Demonstrate behaviors use of financial ● Determined the primary
women. and lifestyle changes to resources and cause or related factors
regain and/or maintain support systems. of her below normal
weight condition.
● Misunderstand appropriate weight. ● Provide information
__ Met
activities in ● Identify nutritious and regarding individual __ Partially Met
relation to affordable foods suitable nutritional needs and __ Unmet
dietary intake. for pregnant women. ways to meet these
needs within financial ● Verbalized understanding
constraints. of causative factors of
known and necessary
Dependent: interventions.
● Administer __ Met
pharmaceutical __ Partially Met
agents (vitamin, __ Unmet
mineral (iron)
● Demonstrated behaviors
supplements/ and lifestyle changes to
medications) regain and/or maintain
appropriate weight.
Collaborative: __ Met
● Collaborate with an __ Partially Met
interdisciplinary team. __ Unmet
● Consult with a
dietitian or nutritional ● Identified nutritious and
support team, as affordable foods suitable
necessary. for pregnant women.
__ Met
● Provide dietary,
__ Partially Met
environmental, and __ Unmet
behavioral
modifications.