NSG 527 Final Exam – Comprehensive
Questions & Answers Study Guide
Exam Coverage Summary
The final examination covers comprehensive content related to family nursing practice, including
family theories, assessment approaches, prevention levels, neurobiology, attachment theory,
recovery principles, psychoeducation, cultural competence, and systems theory. All questions are
scenario-based and randomized across all content domains.
1. A nurse working with a family who has just received a diagnosis of a chronic illness in one
member notices the family is struggling to maintain daily routines and the parents are arguing
more frequently than before. The nurse recognizes that the family is experiencing disequilibrium
and intervenes by helping them identify their existing coping resources and how they have
successfully handled previous challenges. This approach is most consistent with which
theoretical framework?
A) Structural functional theory
B) Family developmental theory
C) Family stress theory
D) Systems theory
:C
2. During a home visit, the nurse observes that a family consistently defers all major health
decisions to the eldest male member, who consults with extended family before any treatment
plan is finalized. The nurse should recognize this decision-making pattern as reflecting which
cultural value?
A) Individualism
B) Familism
,C) Ethnocentrism
D) Acculturation
:B
3. A nurse is conducting an initial assessment with a family who has recently immigrated and the
parents express confusion about the healthcare system, stating that in their country of origin, the
family patriarch traditionally made all healthcare decisions. The nurse recognizes this represents
a value conflict that may impact care and should first implement which intervention?
A) Assess the family's understanding of the healthcare system and their expectations for
involvement
B) Educate the family that the patient is the sole decision-maker in the United States
C) Refer the family to a social worker for assistance with navigating the healthcare system
D) Schedule a meeting with the hospital ethics committee to address the cultural conflict
:A
4. The nurse is working with a family whose adolescent child has been diagnosed with
depression. The mother reveals she feels guilty because she had depression during her pregnancy
and believes this caused her child's condition. The father is distancing himself emotionally from
both his wife and child. The nurse recognizes this pattern of interaction as representing which
Bowen concept?
A) Differentiation of self
B) Multigenerational transmission process
C) Emotional triangles
D) Family projection process
:C
5. A community health nurse is developing a program to address the rising rates of obesity in a
rural county. The nurse conducts health screenings at local churches, provides educational
materials about nutrition, and partners with the county extension office to offer cooking classes.
These activities best represent which level of prevention?
,A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
:A
6. A nurse is caring for a patient who has had a cerebrovascular accident resulting in right-sided
flaccidity and aphasia. The nurse coordinates speech therapy, physical therapy, and occupational
therapy services and helps the family arrange for home modifications. This comprehensive
approach represents which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
:C
7. The nurse is completing a family assessment and uses a tool that maps the multigenerational
family structure and identifies patterns of illness, relationship dynamics, and significant life
events across three generations. This assessment tool is known as a:
A) Ecomap
B) Genogram
C) Family timeline
D) Sociogram
:B
8. A psychiatric-mental health nurse is working with a patient who has been hospitalized for
schizophrenia and is now preparing for discharge. The nurse provides the family with
information about the illness, teaches them about medication management and side effects, and
helps them develop strategies to recognize early warning signs of relapse. This intervention is
best described as:
, A) Family therapy
B) Psychoeducation
C) Crisis intervention
D) Behavioral family therapy
:B
9. The nurse is assessing a family and notes that when the father expresses anger toward the
mother about financial problems, the teenage daughter immediately intervenes to change the
subject and comfort her mother. The nurse recognizes this pattern as representing which concept
in family systems theory?
A) Differentiation
B) Triangulation
C) Enmeshment
D) Disengagement
:B
10. A nurse working in a community health clinic is providing teaching to a group of pregnant
adolescents about proper nutrition, prenatal vitamins, and the importance of avoiding alcohol and
tobacco. These activities best represent which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health restoration
:A
11. A nurse is conducting a family assessment and the family members describe their typical
daily routines, including who prepares meals, who manages the finances, who provides
discipline for the children, and who provides emotional support during times of stress. The nurse
is primarily assessing which aspect of family functioning?
A) Family values
B) Family roles
Questions & Answers Study Guide
Exam Coverage Summary
The final examination covers comprehensive content related to family nursing practice, including
family theories, assessment approaches, prevention levels, neurobiology, attachment theory,
recovery principles, psychoeducation, cultural competence, and systems theory. All questions are
scenario-based and randomized across all content domains.
1. A nurse working with a family who has just received a diagnosis of a chronic illness in one
member notices the family is struggling to maintain daily routines and the parents are arguing
more frequently than before. The nurse recognizes that the family is experiencing disequilibrium
and intervenes by helping them identify their existing coping resources and how they have
successfully handled previous challenges. This approach is most consistent with which
theoretical framework?
A) Structural functional theory
B) Family developmental theory
C) Family stress theory
D) Systems theory
:C
2. During a home visit, the nurse observes that a family consistently defers all major health
decisions to the eldest male member, who consults with extended family before any treatment
plan is finalized. The nurse should recognize this decision-making pattern as reflecting which
cultural value?
A) Individualism
B) Familism
,C) Ethnocentrism
D) Acculturation
:B
3. A nurse is conducting an initial assessment with a family who has recently immigrated and the
parents express confusion about the healthcare system, stating that in their country of origin, the
family patriarch traditionally made all healthcare decisions. The nurse recognizes this represents
a value conflict that may impact care and should first implement which intervention?
A) Assess the family's understanding of the healthcare system and their expectations for
involvement
B) Educate the family that the patient is the sole decision-maker in the United States
C) Refer the family to a social worker for assistance with navigating the healthcare system
D) Schedule a meeting with the hospital ethics committee to address the cultural conflict
:A
4. The nurse is working with a family whose adolescent child has been diagnosed with
depression. The mother reveals she feels guilty because she had depression during her pregnancy
and believes this caused her child's condition. The father is distancing himself emotionally from
both his wife and child. The nurse recognizes this pattern of interaction as representing which
Bowen concept?
A) Differentiation of self
B) Multigenerational transmission process
C) Emotional triangles
D) Family projection process
:C
5. A community health nurse is developing a program to address the rising rates of obesity in a
rural county. The nurse conducts health screenings at local churches, provides educational
materials about nutrition, and partners with the county extension office to offer cooking classes.
These activities best represent which level of prevention?
,A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
:A
6. A nurse is caring for a patient who has had a cerebrovascular accident resulting in right-sided
flaccidity and aphasia. The nurse coordinates speech therapy, physical therapy, and occupational
therapy services and helps the family arrange for home modifications. This comprehensive
approach represents which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
:C
7. The nurse is completing a family assessment and uses a tool that maps the multigenerational
family structure and identifies patterns of illness, relationship dynamics, and significant life
events across three generations. This assessment tool is known as a:
A) Ecomap
B) Genogram
C) Family timeline
D) Sociogram
:B
8. A psychiatric-mental health nurse is working with a patient who has been hospitalized for
schizophrenia and is now preparing for discharge. The nurse provides the family with
information about the illness, teaches them about medication management and side effects, and
helps them develop strategies to recognize early warning signs of relapse. This intervention is
best described as:
, A) Family therapy
B) Psychoeducation
C) Crisis intervention
D) Behavioral family therapy
:B
9. The nurse is assessing a family and notes that when the father expresses anger toward the
mother about financial problems, the teenage daughter immediately intervenes to change the
subject and comfort her mother. The nurse recognizes this pattern as representing which concept
in family systems theory?
A) Differentiation
B) Triangulation
C) Enmeshment
D) Disengagement
:B
10. A nurse working in a community health clinic is providing teaching to a group of pregnant
adolescents about proper nutrition, prenatal vitamins, and the importance of avoiding alcohol and
tobacco. These activities best represent which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health restoration
:A
11. A nurse is conducting a family assessment and the family members describe their typical
daily routines, including who prepares meals, who manages the finances, who provides
discipline for the children, and who provides emotional support during times of stress. The nurse
is primarily assessing which aspect of family functioning?
A) Family values
B) Family roles
