82 lake action. lt mny, however, refuse lo face aad do something about the situntion. Freeman (1957, pp. 126--128) offers the followin g reasons for this kind of behavior. a. foear of conscquence(s) of Laki. ng action-For example, diagnosis of a disease condition may mean expense or social stigma for the family. b. Respect for tradition/cultural beliefs, v. ilues-In Philippine culture, elders piny a part in decision m. iking. Behavior which al'e not sanctionc<l hy the old fo. lks in the family arc not likely lo be adopted. A couple, for instnnce, muy uot ncecpt the gonl oflimiting family size to just three children iftl1cirparenls do not npprove of contraceptive pmcticc. c. Pnilurc to perceive the benefits of action proposed-This could be a function of a client's p1·evions expedence with health workers and their services. Going lo a health cente1·, for example, is un advice frequc11tly given by nu Tses. When this doe:; nol yield beneficial results from the point of view of the family, it will be ignored the next time it is offered. cl. Failure to relate tbc proposed action to the family's goals-Famj Jies differ in their prioritiz ing of goals. Econmnic and social goals generally occupy a higher position than health goals in fanlilies' rnnking of their concerns and preoccupations. W1~en proposed actions tu improve health are not related Lo frunily's goals (e. g. economic stability), they arc not likely to be accepted. 5. A big b:irrier to collaborative goal setting between the nurse and the family is failure to develop a working relationship. Nothing will be accomp lished, as a m::ittcr of fact, in a nurse',s work with families unless the family sees the nurse as someone who is genuinely concerned with its welfare. The elements of mutual respect, trust and confidence a1·e crucial to the success of U1e nurse-family partners hip towards better ]1ealth. Goals set by the nurse and the family should be realistic or attainable. They should be set at reasonable levels. Too high goals and their eon sequent frulure frustrate bo U1 the family and the nurse. ' A clear definition of rhe problem situation and an accurate assessment of available resources facilill. lte the set1ing ofrealistic goals. Both of these are functions of the depth and breath of the assessment process. Goals, like objectives, are best stated in terms of client outcomes, whether at the individual, family 01· community levels. Objectives, in contrast to goals, refer to more specific statements of the desired results or outcomes of care. They specify the criteria by which the degree of effectiveness of care is to be measured. Goals tell where the family is going; objectives are the milestones to reach the destination. · Objectives stated as outcomes of care in fam. :ily health nursing practice specify physical, psychosocial states or family behavior (or competencies). Examples are given below: 1. After nursing intervention, the malnourishe d preschool members of the family w:ill increase their wejghts by at least one pound per month. 2. After nursing intervention, the family will be'able to: 