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RN Nursing · Community Assessment · Practice question

A community health nurse is planning care by using the family system approach. Which of the following methods should the nurse use to obtain information about family function?

Answer & explanation

Correct: Complete a three-generation genogram of the family.

A three-generation genogram is a structured diagrammatic tool that depicts family relationships, health histories, and patterns across multiple generations. When using a family systems approach, the genogram provides rich information about family structure, roles, communication patterns, genetic conditions, and potential psychosocial stressors that influence family functioning. This makes it the most appropriate method for obtaining comprehensive information about how the family as a whole system operates. Reviewing Healthy People objectives provides national benchmarks but does not yield individualized family assessment data. Determining each member's individual role is useful but addresses only one dimension of family function and does not capture the intergenerational patterns that a genogram reveals. Conducting a windshield survey assesses the community environment and neighborhood characteristics from a vehicle, not the internal dynamics and function of a specific family. The genogram uniquely situates the family within a multi-generational context, which is the hallmark of a systemic family assessment approach, helping the community health nurse identify inherited risk factors, relationship dynamics, and recurring behavioral or health patterns that influence the family's current functioning and health needs.

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