,1. Which statement best describes family-centered nursing care?
A. The nurse makes all healthcare decisions for the family
B. The patient is treated independently from family members
C. The family is recognized as an important partner in planning and providing care
D. Family involvement is limited to discharge planning
Correct Answer: C. The family is recognized as an important partner in planning and providing
care
Rationale: Family-centered care recognizes the family's knowledge, preferences, relationships,
and resources and incorporates them into appropriate care planning.
2. A nurse is assessing a family experiencing a new diagnosis of chronic illness. What should
the nurse assess first?
A. The family's ability to purchase medications
B. Family members' perceptions and understanding of the illness
C. The family's preferred hospital
D. The patient's insurance status only
Correct Answer: B. Family members' perceptions and understanding of the illness
Rationale: Understanding the family's beliefs, knowledge, and interpretation of illness helps the
nurse identify educational needs and potential barriers to care.
3. Which characteristic is most consistent with a healthy family?
A. Avoiding discussion of disagreements
B. Rigid roles that cannot change
C. Open communication and flexibility
D. Dependence of all members on one caregiver
Correct Answer: C. Open communication and flexibility
Rationale: Healthy families generally demonstrate communication, flexibility, mutual support,
respect, and the ability to adapt to changing circumstances.
4. During the family health-illness process, what occurs when a family first notices symptoms
in one of its members?
,A. Referral and obtaining care
B. Family appraisal of symptoms
C. Adaptation and recovery
D. Acute response to illness
Correct Answer: B. Family appraisal of symptoms
Rationale: The family first interprets and evaluates the meaning and seriousness of symptoms
before deciding whether and where to seek care.
5. Which factor can influence a family's decision to seek professional healthcare?
A. Culture and health beliefs
B. Blood type alone
C. Height of the patient
D. Eye color
Correct Answer: A. Culture and health beliefs
Rationale: Cultural beliefs, previous experiences, access, financial resources, perceived severity,
and family recommendations can influence healthcare-seeking behavior.
6. A nurse asks family members about traditional remedies they use. What is the best
approach?
A. Tell the family to discontinue all traditional practices
B. Ignore the practices unless complications occur
C. Assess the practices respectfully for potential benefits and risks
D. Tell the family that traditional practices are ineffective
Correct Answer: C. Assess the practices respectfully for potential benefits and risks
Rationale: Culturally competent nursing involves respectful assessment rather than
automatically dismissing cultural practices. Potential interactions or safety concerns should be
identified.
7. Which communication technique is most appropriate when discussing a sensitive family
issue?
, A. Use judgmental language
B. Ask open-ended questions
C. Interrupt frequently
D. Avoid eye contact
Correct Answer: B. Ask open-ended questions
Rationale: Open-ended questions encourage family members to describe concerns, beliefs,
experiences, and feelings in their own words.
8. A child is hospitalized, and the parents disagree about the treatment plan. What should the
nurse do initially?
A. Choose the parent's preferred treatment
B. Ask the parents to leave the unit
C. Facilitate respectful communication and identify their concerns
D. Tell the physician which parent is correct
Correct Answer: C. Facilitate respectful communication and identify their concerns
Rationale: The nurse should promote communication, clarify concerns, and support
collaborative decision-making while maintaining the child's safety and best interests.
9. Which nursing action best demonstrates family advocacy?
A. Making decisions without discussing them with the family
B. Ensuring that the family's concerns are communicated to the healthcare team
C. Limiting family participation
D. Providing identical teaching to every family
Correct Answer: B. Ensuring that the family's concerns are communicated to the healthcare
team
Rationale: Advocacy involves supporting the patient's and family's rights, preferences, concerns,
and access to appropriate care.
10. A nurse is caring for a culturally diverse family. Which action demonstrates cultural
competence?
A. The nurse makes all healthcare decisions for the family
B. The patient is treated independently from family members
C. The family is recognized as an important partner in planning and providing care
D. Family involvement is limited to discharge planning
Correct Answer: C. The family is recognized as an important partner in planning and providing
care
Rationale: Family-centered care recognizes the family's knowledge, preferences, relationships,
and resources and incorporates them into appropriate care planning.
2. A nurse is assessing a family experiencing a new diagnosis of chronic illness. What should
the nurse assess first?
A. The family's ability to purchase medications
B. Family members' perceptions and understanding of the illness
C. The family's preferred hospital
D. The patient's insurance status only
Correct Answer: B. Family members' perceptions and understanding of the illness
Rationale: Understanding the family's beliefs, knowledge, and interpretation of illness helps the
nurse identify educational needs and potential barriers to care.
3. Which characteristic is most consistent with a healthy family?
A. Avoiding discussion of disagreements
B. Rigid roles that cannot change
C. Open communication and flexibility
D. Dependence of all members on one caregiver
Correct Answer: C. Open communication and flexibility
Rationale: Healthy families generally demonstrate communication, flexibility, mutual support,
respect, and the ability to adapt to changing circumstances.
4. During the family health-illness process, what occurs when a family first notices symptoms
in one of its members?
,A. Referral and obtaining care
B. Family appraisal of symptoms
C. Adaptation and recovery
D. Acute response to illness
Correct Answer: B. Family appraisal of symptoms
Rationale: The family first interprets and evaluates the meaning and seriousness of symptoms
before deciding whether and where to seek care.
5. Which factor can influence a family's decision to seek professional healthcare?
A. Culture and health beliefs
B. Blood type alone
C. Height of the patient
D. Eye color
Correct Answer: A. Culture and health beliefs
Rationale: Cultural beliefs, previous experiences, access, financial resources, perceived severity,
and family recommendations can influence healthcare-seeking behavior.
6. A nurse asks family members about traditional remedies they use. What is the best
approach?
A. Tell the family to discontinue all traditional practices
B. Ignore the practices unless complications occur
C. Assess the practices respectfully for potential benefits and risks
D. Tell the family that traditional practices are ineffective
Correct Answer: C. Assess the practices respectfully for potential benefits and risks
Rationale: Culturally competent nursing involves respectful assessment rather than
automatically dismissing cultural practices. Potential interactions or safety concerns should be
identified.
7. Which communication technique is most appropriate when discussing a sensitive family
issue?
, A. Use judgmental language
B. Ask open-ended questions
C. Interrupt frequently
D. Avoid eye contact
Correct Answer: B. Ask open-ended questions
Rationale: Open-ended questions encourage family members to describe concerns, beliefs,
experiences, and feelings in their own words.
8. A child is hospitalized, and the parents disagree about the treatment plan. What should the
nurse do initially?
A. Choose the parent's preferred treatment
B. Ask the parents to leave the unit
C. Facilitate respectful communication and identify their concerns
D. Tell the physician which parent is correct
Correct Answer: C. Facilitate respectful communication and identify their concerns
Rationale: The nurse should promote communication, clarify concerns, and support
collaborative decision-making while maintaining the child's safety and best interests.
9. Which nursing action best demonstrates family advocacy?
A. Making decisions without discussing them with the family
B. Ensuring that the family's concerns are communicated to the healthcare team
C. Limiting family participation
D. Providing identical teaching to every family
Correct Answer: B. Ensuring that the family's concerns are communicated to the healthcare
team
Rationale: Advocacy involves supporting the patient's and family's rights, preferences, concerns,
and access to appropriate care.
10. A nurse is caring for a culturally diverse family. Which action demonstrates cultural
competence?
