American Nuclear Family’s Health Assessment

Family composition

The health assessment was carried on an American nuclear family with permanent residence in Raleigh, North Carolina. The family consists of five members. The father is Thomas Haygood, aged sixty-one, and the mother is Samantha Haygood, aged fifty-three. Their first-born child is a lady, Joy Haygood, aged twenty-seven. The second born is a male, Alan Haygood, aged twenty-two and the last born is a female, Lydiah Haygood, aged fourteen.

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Role of each family member

Joy Haygood is a nurse by profession. She plays a big role in the family by providing guidance to her siblings and assisting in payment of water bills. Alan Haygood is a college student and assists in the daily chores in the house. Lydiah is a high school student, and she helps with daily house chores. Thomas Haygood is the family leader and the primary provider. He works at Duke University. Both his daughter Joy and wife Samantha assist him.

Physical or psychological condition in the family

The family does not have any existing psychological or physical conditions that affect the wellbeing of the family functions.

Home physical condition

The total monthly income of the family ranges between USD 2,800 and USD 3,650. The total monthly expenditure ranges between USD 2,100 and USD 3,450. The family has a good house that is equipped with valuable furniture. The house has one sitting room, four bedrooms, one lounge, one dining room, and one kitchen. The compound is characterized by a spacious parking space that can accommodate four vehicles. The family members were hesitant to share the information regarding the family expenditure and income. However, they opted to give it in ranges of money spent each month.

The accomplishment of age-appropriate developmental tasks

Lydiah upholds privacy because she shows minimal affection to her parents. Samantha and Joy closely monitor daily chores done by Lydiah in the house to ensure that she is perfect in her duties. Alan displays maturity. In fact, minimal monitoring is required for him to perform his daily chores. Joy exhibits a high level of maturity and responsibility through the advice she gives her siblings.

Individual family member developmental state

The family continues to experience stressful conditions with regard to the children’s developmental stages. For instance, Lydiah revisits childish behavior and in the process, is influenced by her peers. On the other hand, Alan experiments with alcohol and other locally available illicit drugs with his peers. Further, he constantly accuses his parents of being too strict with him.

How the family ahieves the present and previous developmental stages

The children in the family are mostly between adolescence and adult developmental stages. Joy is in the adult developmental stage, while Lydiah and Alan are in the adolescence developmental stage (Weber & Kelley, 2013). Thomas’s family addresses the tasks of the developmental stages based on constant communication as well as advising children. Moreover, Samantha and Thomas adopt dialogue sessions on a weekly basis to correct unwanted traits in their children while solving stressful issues within the family.

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Family history of genetic predisposition to the disease

Thomas’s family does not have any history of genetic predisposition to the disease.

Immunization status of the family

The parents are keen to ensure that all members receive routine vaccines against pneumococcal, mumps, rotavirus, meningococcal, tetanus, diphtheria, influenza, measles, rubella, as well as hepatitis A and B. In addition, the family receives non-routine vaccines such as rabies, anthrax, yellow fever, smallpox, and typhoid.

Child or adolescent experiencing problems

The family faces adolescent issues with regard to Lydiah and Alan because they develop aspects of fantasy, sexual curiosity, and mood swings. The family enhances the children’s self-esteem through encouraging and participating in their daily chores.

Hospital admission of any family member

Alan was hospitalized at the age of fifteen because of abuse of drugs and alcohol. The family members remained cooperative toward the restoration of Alan’s health and identity.

Family communication

Members of the social unit make use of nonverbal communication, emotional expression, socio-oriented, and concept-oriented communications. Thomas and Samantha encourage their children to continue to obey their elders and create harmonious relationships. Additionally, the family continues to teach the children about ways of dealing with conflict and arriving at effective decisions.

Decision making in the family

The father holds final decisions in the family. Further, Thomas encourages openness with regard to ideas from all family members. The communication method is effective because each member of the family is able to contribute to decision-making.

Violence and discipline within the family

The social unit has experienced conflict and violence from their children. The parents use reflective sessions for purposes of disciplining the children to make them adopt well-nurtured behaviors.

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Dealing with crisis

The family addresses family crises through the recognition of the feelings of wrongdoers and availing positive responses and constructive critiques. Samantha and Thomas have a thorough understanding of their children and are in a position of giving them support in calming them down prior to engaging them in discussions.

Cultural and religious factors influencing the family

Thomas’s family has an extensive background in Christianity. The family is also impacted by culture. Women are required not to argue with their male counterparts and have to respect all final decisions delivered by their husbands (Estes, 2013). However, religious factors do not influence the health preferences and status of the members of the family.

Family goals

The goals of the family include family gathering on a weekly basis, making a living, advancing job skills, participating in church devotions, and contributing to community service projects across the Raleigh City. The gatherings are important because they positively impact many families across the world (Weber, 2009).

External or internal sources of support

External compassion and support within the family are derived from its extended family. They are provided with constructive advice toward generating sustainable income. The internal source of support is about working with parents.

Evidence of role conflict and role overload

There were no indicators of role conflict, even though there was a presence of role overlap with regard to Thomas. Not only is he the head of the family, but also controls the family while taking responsibility of all family members (Yuen & Skibinski, 2012).

Emergency plan in the family

The family receives services from the Patient Protection and Affordable Care Act (PPACA) and has insurance arrangements with Cigna Health Insurance plan in order to deal with emergencies.

Three diagnostic approaches would be recommended. First, the actual diagnosis would be useful to Alan because he is engaging in illicit drugs and alcohol (Weber, 2009). Second, health promotion diagnosis in all members of the nuclear family would address the consumption of nutritious food as a way of attaining good health. Third, risk diagnosis would be appropriate for all family members for purposes of avoiding agents that predispose family members to congenital disorders (Estes, 2013). A nursing process care would be important for the family to ensure that members have good health outcomes. The plan would have an apparent intervention that would involve conducting counseling sessions with Alan as a way of avoiding the possibilities of him becoming addicted to drugs. In addition, Thomas would require counseling to manage stressful conditions resulting from overload in family interests and affairs. The nursing plan would need to be monitored frequently.


Estes, M. E., (2013). Health Assessment and Physical Examination. New York, NY: Cengage Learning.

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Weber, J. R. (2009). Nurses’ Handbook of Health Assessment. Boston, MA: Lippincott Williams & Wilkins.

Weber, J. R., Kelley, J. H. (2013). Health Assessment in Nursing. Boston, MA: Lippincott Williams & Wilkins.

Yuen, F. K.O., Skibinski, G. J. (2012). Family Health Social Work Practice: A Knowledge and Skills Casebook. London, United Kingdom: Routledge.

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