course material

1. ; ASSESSMENT AND DIAGNOSIS.PART 2;INTERVENTION AND EVALUATION
PART 1; ASSESSMENT AND DIAGNOSIS.PART 2;INTERVENTION AND EVALUATIONDavis
familyThe Davis family is a blended family. Shakeeka (Black American) has been a single
mother of Isaiah (multi-racial) and Sheera (multi-racial) until last year. Their father, Brent
(Native American), is in prison for armed robbery and hasn’ t been a part of their lives. Ben
(Black/Asian) has been divorced for the last 8 years from Tonya (Native American). Ben
and Tonya have five children, of which three remain at home with Tonya: Esther, age 17,
Emmett, aged 15, and Portia, aged 13. All children are multi-racial.Shakeeka and Ben
married last year, but continue to live separately most of the time in different cities.
Shakeeka continues to live with her blind mother and two children in her mother’ s small
three bedroom home, while Ben lives alone in a small apartment two hours away in another
state. The couple sees each other every weekend, most holidays and during the summers.
Shakeeka works as a middle school math teacher and basketball coach with 18 years in the
public school system. She wants to wait to retire in 2 years before she even considers
moving. Additionally, she provides all transportation for daily necessities for her mother,
Doris (Black) who is homebound related to her blindness and agoraphobia. Doris can be
depended upon to care for the children at home, cooking and housekeeping, but has great
difficulty leaving home for any reason.Ben has worked part-time as a UPS truck driver for
the past 5 years after being laid off from Chrysler as a mechanic. He was unemployed for 3
years before obtaining this part-time position. He has repeatedly requested a full-time
position which has not occurred. He is afraid to leave this job as it was so difficult to obtain
one after his lay-off. Due to his economic hardship, Ben’ s court-ordered child support is
$400/month, which is currently doubled for the next 2 years in order to cover all previously
missed payments when he was unemployed. His annual base income is $30,000, but he
attempts to work as many extra shifts during the week as possible.Shakeeka has always
lived with her mother. Her father, Elmer (Black), died from a massive heart attack when
Shakeeka was 17 years old. Doris became blind from glaucoma when Shakeeka was 11
years old. From the time of Elmer’ s death until Shakeeka began to earn a living, Doris and
Shakeeka lived on Doris’ disability income and food stamps. Shakeeka went to college on
scholarships and student loans which she continues to pay monthly. Shakeeka has a
Master’ s degree in education. She earns $40,000 annually. The school where she works is
in a poor section of the city and has a significant amount of violence. Theft is a constant

2. threat but recently the violence has escalated with a stabbing in the locker room after a
basketball game and more recently, a hostage situation where three students and a teacher
were killed by another student just last week. This is very frightening as both Shakeeka and
now Isaiah in 6th grade are at the school each weekday. Shakeeka was the first person on
the scene and discovered the stabbing incident. Fortunately, the student survived but does
not know who attacked him as they were disguised.Since the violent incidents at school,
Shekeeka has become very anxious, having difficulty sleeping and has a poor appetite.
Isaiah has become withdrawn, reports a stomach ache each morning before school and is
moody. Before the violent episodes at school, Isaiah had begun shoplifting with his friends.
Now, he has been approached to join a gang having had his family threatened with a drive-
by shooting if he refuses. Isaiah is afraid to tell anyone of the threats and doesn’ t know who
to talk to.Sheera is a very sensitive child, picking up on the distress that she notices in her
mother and brother. As a result, she has been having nightmares and doesn’ t want to go to
school either. Her asthma has exacerbated after a recent head cold, necessitating nebulizer
treatments.When Shakeeka phoned Ben to talk to him about her fears and concerns, Ben
pre-empted the conversation by telling her that his youngest daughter was pregnant and
wouldn’ t identify the father.PART 1 (4 pages)This is a scholarly paper, using APA
formattingUse the case study and answer the following questions:Content must clearly
answer the questions.Provide examples, rationale, explanations, and citation sources to
support your conclusions as appropriate.Use section/paragraph headings for each question,
i.e. Family Functions, Family Developmental Stage, Stressors, Strengths, Coping Strategies,
Nursing Diagnoses, and Missing Key Information Needed.a. How is the family meeting
affective, socialization, reproductive, economic and health care functions ?b. Identify the
developmental stage of this family; what are the developmental tasks this family must
achieve during this stage? What do you believe is their present ability to achieve these
tasks?c. What are the short and long-term stressors impacting this family? What strengths
counterbalance these stressors? How is the family reacting to these stressors (identify
functional and dysfunctional coping strategies)?d. Formulate one nursing diagnoses for this
family.e. If there is not enough data in the case study to assess the above, what
questions/information is needed to assess these criteria?f. Locate and utilize at least one
peer-reviewed article as reference .PART 2 (4 pages)This is a scholarly paper, using APA
formattingUsing the same case study answer the following questions:• Use
section/paragraph headings, i.e. Specific Nursing Intervention, Outcomes, and Evaluation of
Outcomes.a. Based on the nursing diagnosis, what specific nursing interventions would you
suggest?b. Reviewing family demographics, culture, and socioeconomic factors, why are
these interventions appropriate?c. What are possible outcomes? Patient centered, family
centered? In measurable terms?d. How will you evaluate whether these outcomes are
achieved? When and who is expected to measure achievement of these outcomes? In other
words, how will you know if your nursing interventions were successful or not?e. Locate
and utilize at least one additional peer-reviewed article as one reference .