# Situation: The public health nurse follows up a family in an urban barangay. The son, 9, has cerebral palsy and uses a wheelchair; the house has two steps at the entrance and raised door thresholds. The mother, 36, is his only caregiver and also looks after a 2-year-old daughter. The father, 40, will leave next month to work abroad for 2 years. The nurse fills in the Family Nursing Care Plan (FNCP) for this family. Which entry is written under the CORRECT column?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=627141  
> language: ko  
> subject: Nursing Practice I — Community Health Nursing

## 문제

Situation: The public health nurse follows up a family in an urban barangay. The son, 9, has cerebral palsy and uses a wheelchair; the house has two steps at the entrance and raised door thresholds. The mother, 36, is his only caregiver and also looks after a 2-year-old daughter. The father, 40, will leave next month to work abroad for 2 years.

The nurse fills in the Family Nursing Care Plan (FNCP) for this family. Which entry is written under the CORRECT column?

## 보기

1. Goal of care: within 2 weeks, the mother will list the steps of a safe transfer
2. Resources required: teach the mother to transfer him safely to the chair
3. Methods of contact: a weekly home visit, with a text follow-up in between **✔ 정답**
4. Evaluation: refer the family to the social welfare office for assistance

**정답: 3**

## 해설

Home visits, clinic visits, and telephone or text follow-up are methods of nurse–family contact, a separate column of the FNCP. A specific, time-bound statement of what the family will do is an objective, not the broad goal; teaching a transfer is a nursing intervention, not a resource; and a referral is also an intervention, while evaluation states the criteria and methods for judging whether objectives were met.

## 심화 해설

The public health nurse is documenting the family’s plan of care using the Family Nursing Care Plan (FNCP), which organizes care into distinct columns: cues or assessment data, family nursing problems, goals of care, objectives, nursing interventions, resources required, methods of nurse–family contact, and evaluation. Each column has a specific purpose, and placing an entry under the wrong column is a common source of error in community health nursing.

Methods of nurse–family contact refers to the practical arrangements for how the nurse and family will interact during the implementation of the care plan. A weekly home visit with a text follow-up in between is a clear, concrete method of contact, not a goal, intervention, resource, or evaluation. In this family’s situation, the mother is the sole caregiver for a child with cerebral palsy who uses a wheelchair and a toddler, while the father will soon leave for overseas work. A weekly home visit provides direct observation and hands-on teaching, while the text follow-up offers a low-cost, accessible way to reinforce instructions and monitor progress between visits. This is especially relevant in an urban barangay setting where the mother’s mobility and time are constrained by caregiving responsibilities.

The other options are misplaced:

| Option | What it actually represents | Why it does not belong under the stated column |
| --- | --- | --- |
| 1. Goal of care: within 2 weeks, the mother will list the steps of a safe transfer | A specific, measurable, time-bound statement of what the family will do | This is an objective, not a broad goal. Goals in the FNCP are general statements of the desired end state, while objectives are the specific, observable steps toward that goal. |
| 2. Resources required: teach the mother to transfer him safely to the chair | A nursing action directed at the family | Teaching is a nursing intervention. Resources required refer to materials, equipment, facilities, or other inputs needed to carry out interventions, such as a transfer board, grab bars, or printed teaching aids. |
| 4. Evaluation: refer the family to the social welfare office for assistance | A referral or coordination action | Referral is also a nursing intervention. Evaluation states the criteria and methods for judging whether the objectives were met, such as observing the mother perform a safe transfer or checking whether the home environment was modified. |

Key point! The FNCP is a structured documentation tool. Before writing any entry, identify which column you are completing and ask whether the statement answers that column’s specific question: What do we want to achieve overall? (goal) What specific, measurable behavior will the family demonstrate? (objective) What will the nurse do? (intervention) What materials or support are needed? (resources) How will the nurse and family stay in touch? (methods of contact) How will we know if it worked? (evaluation)

Watch out! In community health nursing, the family is the unit of care. Objectives are written in terms of what the family or a family member will do, not what the nurse will do. If a statement begins with “the nurse will…” or “teach the mother…,” it is an intervention, not an objective or a resource.

The use of structured frameworks for care planning, as illustrated in the AI-generated nursing care plan study, reinforces the importance of separating assessment data, problem identification, and planned actions into distinct, logically ordered components. When documentation is organized by column, each entry must be placed where it accurately reflects its function in the nursing process. A text follow-up between home visits is a legitimate and increasingly common method of nurse–family contact, particularly when caregivers face time and mobility constraints.

## 임상 시나리오

FNCP Column PlacementAvoid misclassifying care plan entries
The methods of nurse-family contact column documents how the nurse and family will interact, such as a weekly home visit with text follow-up in between.

A specific, time-bound family action belongs under objective, not goal. Teaching a transfer is a nursing intervention, not a resource. A referral is also an intervention, while evaluation states criteria for judging objective achievement.

CautionIn a sole-caregiver household with a wheelchair-using child and an absent father, choose contact methods that fit the mother’s limited mobility and time, such as home visits plus low-cost text reinforcement.

## 핵심 개념

- **Family Nursing Care Plan (FNCP)** — A structured plan organizing family care into columns such as cues, problems, goals, objectives, interventions, resources, methods of contact, and evaluation.
- **Methods of nurse-family contact** — Practical arrangements for how the nurse and family interact during care implementation, including home visits, clinic visits, telephone, or text follow-up.
- **Objective** — A specific, measurable, time-bound statement of what the family will do.
- **Nursing intervention** — Actions the nurse performs, such as teaching or referral, to address identified problems.
- **Evaluation** — Criteria and methods for judging whether objectives were met.

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