NURS 5433 FINAL EXAM
LATEST 2025/2026 ACTUAL
EXAM WITH COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS (100%
VERIFIED ANSWERS) |
ALREADY GRADED A+
1. A nurse practitioner focuses on how family members interact with each other during a
health crisis, targeting interventions to improve communication patterns. Which view of
family is being applied?
A. Family as Context
B. Family as Client
C. Family as System
D. Family as Component of Society
Correct Answer: C
Explanation: The "Family as System" approach views the family as an interactional system
where the whole is greater than the sum of its parts. Interventions target the interactions
between members, not just the individual. Family as Context focuses on the individual within the
family, Family as Client treats the family as the unit of care, and Family as Component of Society
views the family within broader societal structures.
, 2. According to Bronfenbrenner's Ecological Model, which system involves the interaction
between the family and external institutions like the parent's workplace or school board
policies?
A. Microsystem
B. Mesosystem
C. Exosystem
D. Macrosystem
Correct Answer: C
Explanation: The Exosystem refers to social settings that do not contain the developing person
but affect their experiences (e.g., parent's workplace, community resources). The Mesosystem
involves interactions between microsystems. The Microsystem is the immediate environment,
and the Macrosystem encompasses cultural values and laws.
3. Which family structure is defined as two post-divorce families with children who are
members of both households?
A. Binuclear family
B. Blended family
C. Extended family
D. Cohabitating family
Correct Answer: A
Explanation: A binuclear family structure is specific to post-divorce situations where children are
members of two nuclear households (e.g., mom's house and dad's house). A blended family
involves remarriage with step-relatives, an extended family includes multiple generations, and a
cohabitating family involves unmarried partners living together.
4. A family consists of a married couple, their biological children, and the paternal
grandparents all residing in the same household. This is known as a(n):
A. Nuclear family
B. Blended family
C. Extended (multigenerational) family
D. Reconstituted family
Correct Answer: C
Explanation: An extended or multigenerational family includes two or more adult generations
living in the same household. A nuclear family consists of parents and children only, a blended
family includes step-relationships, and a reconstituted family is another term for blended family.
, 5. The "Affective Function" of the family refers to the family's role in:
A. Providing economic support and shelter
B. Teaching children how to react appropriately emotionally
C. Reproducing offspring for societal survival
D. Interacting with schools and healthcare systems
Correct Answer: B
Explanation: The affective function involves providing emotional support and teaching members
how to express and manage emotions appropriately, creating a stable environment. Economic
support is the economic function, reproduction is the reproductive function, and interaction with
external systems is the socialization function.
6. According to the textbook definition, family is defined as:
A. Two or more individuals related by blood or marriage
B. Individuals who depend on one another for emotional, physical, and economic
support
C. A group of people living under one roof
D. A legal contract between two individuals
Correct Answer: B
Explanation: The textbook definition emphasizes interdependence and self-definition; the family
is who the patient says it is. This definition is broader than legal or biological ties, encompassing
emotional, physical, and economic support systems.
7. A nurse assesses the family's ability to alter leadership roles, rules, and discipline in
response to a crisis. Which characteristic of a healthy family is being assessed?
A. Cohesion
B. Flexibility
C. Communication
D. Hardiness
Correct Answer: B
Explanation: Family flexibility refers to the ability of the family to alter family leadership roles,
relationships, and rules, including control, discipline, and role sharing in response to situations.
Cohesion refers to emotional bonding, communication refers to information exchange, and
hardiness refers to resilience.
, 8. A family with a child newly diagnosed with type 1 diabetes is struggling to adjust meal
schedules and insulin administration. According to Family Stress Theory, this stage is
called:
A. Crisis
B. Disorganization
C. Recovery
D. Reorganization
Correct Answer: B
Explanation: According to Family Stress Theory, the disorganization stage occurs when the
family is struggling to adjust to the demands of a new stressor. The crisis stage precedes
disorganization, and reorganization is the final stage where the family adapts and establishes
new routines.
9. Which of the following organisms is NOT among the top three causes of bacterial
conjunctivitis?
A. Staphylococcus aureus
B. Pseudomonas
C. Haemophilus influenzae
D. Streptococcus pneumoniae
Correct Answer: B
Explanation: The top three organisms for bacterial conjunctivitis are Staphylococcus aureus,
Haemophilus influenzae, and Streptococcus pneumoniae. Pseudomonas is not among the top
three causes of bacterial conjunctivitis, though it can cause conjunctivitis in contact lens wearers
or immunocompromised patients.
10. A 19-year-old presents with bilaterally itchy, red eyes with tearing that occurs
intermittently throughout the year and is often accompanied by a rope-like eye
discharge and clear nasal discharge. This is most consistent with:
A. Viral conjunctivitis
B. Allergic conjunctivitis
C. Bacterial conjunctivitis
D. Herpetic conjunctivitis
LATEST 2025/2026 ACTUAL
EXAM WITH COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS (100%
VERIFIED ANSWERS) |
ALREADY GRADED A+
1. A nurse practitioner focuses on how family members interact with each other during a
health crisis, targeting interventions to improve communication patterns. Which view of
family is being applied?
A. Family as Context
B. Family as Client
C. Family as System
D. Family as Component of Society
Correct Answer: C
Explanation: The "Family as System" approach views the family as an interactional system
where the whole is greater than the sum of its parts. Interventions target the interactions
between members, not just the individual. Family as Context focuses on the individual within the
family, Family as Client treats the family as the unit of care, and Family as Component of Society
views the family within broader societal structures.
, 2. According to Bronfenbrenner's Ecological Model, which system involves the interaction
between the family and external institutions like the parent's workplace or school board
policies?
A. Microsystem
B. Mesosystem
C. Exosystem
D. Macrosystem
Correct Answer: C
Explanation: The Exosystem refers to social settings that do not contain the developing person
but affect their experiences (e.g., parent's workplace, community resources). The Mesosystem
involves interactions between microsystems. The Microsystem is the immediate environment,
and the Macrosystem encompasses cultural values and laws.
3. Which family structure is defined as two post-divorce families with children who are
members of both households?
A. Binuclear family
B. Blended family
C. Extended family
D. Cohabitating family
Correct Answer: A
Explanation: A binuclear family structure is specific to post-divorce situations where children are
members of two nuclear households (e.g., mom's house and dad's house). A blended family
involves remarriage with step-relatives, an extended family includes multiple generations, and a
cohabitating family involves unmarried partners living together.
4. A family consists of a married couple, their biological children, and the paternal
grandparents all residing in the same household. This is known as a(n):
A. Nuclear family
B. Blended family
C. Extended (multigenerational) family
D. Reconstituted family
Correct Answer: C
Explanation: An extended or multigenerational family includes two or more adult generations
living in the same household. A nuclear family consists of parents and children only, a blended
family includes step-relationships, and a reconstituted family is another term for blended family.
, 5. The "Affective Function" of the family refers to the family's role in:
A. Providing economic support and shelter
B. Teaching children how to react appropriately emotionally
C. Reproducing offspring for societal survival
D. Interacting with schools and healthcare systems
Correct Answer: B
Explanation: The affective function involves providing emotional support and teaching members
how to express and manage emotions appropriately, creating a stable environment. Economic
support is the economic function, reproduction is the reproductive function, and interaction with
external systems is the socialization function.
6. According to the textbook definition, family is defined as:
A. Two or more individuals related by blood or marriage
B. Individuals who depend on one another for emotional, physical, and economic
support
C. A group of people living under one roof
D. A legal contract between two individuals
Correct Answer: B
Explanation: The textbook definition emphasizes interdependence and self-definition; the family
is who the patient says it is. This definition is broader than legal or biological ties, encompassing
emotional, physical, and economic support systems.
7. A nurse assesses the family's ability to alter leadership roles, rules, and discipline in
response to a crisis. Which characteristic of a healthy family is being assessed?
A. Cohesion
B. Flexibility
C. Communication
D. Hardiness
Correct Answer: B
Explanation: Family flexibility refers to the ability of the family to alter family leadership roles,
relationships, and rules, including control, discipline, and role sharing in response to situations.
Cohesion refers to emotional bonding, communication refers to information exchange, and
hardiness refers to resilience.
, 8. A family with a child newly diagnosed with type 1 diabetes is struggling to adjust meal
schedules and insulin administration. According to Family Stress Theory, this stage is
called:
A. Crisis
B. Disorganization
C. Recovery
D. Reorganization
Correct Answer: B
Explanation: According to Family Stress Theory, the disorganization stage occurs when the
family is struggling to adjust to the demands of a new stressor. The crisis stage precedes
disorganization, and reorganization is the final stage where the family adapts and establishes
new routines.
9. Which of the following organisms is NOT among the top three causes of bacterial
conjunctivitis?
A. Staphylococcus aureus
B. Pseudomonas
C. Haemophilus influenzae
D. Streptococcus pneumoniae
Correct Answer: B
Explanation: The top three organisms for bacterial conjunctivitis are Staphylococcus aureus,
Haemophilus influenzae, and Streptococcus pneumoniae. Pseudomonas is not among the top
three causes of bacterial conjunctivitis, though it can cause conjunctivitis in contact lens wearers
or immunocompromised patients.
10. A 19-year-old presents with bilaterally itchy, red eyes with tearing that occurs
intermittently throughout the year and is often accompanied by a rope-like eye
discharge and clear nasal discharge. This is most consistent with:
A. Viral conjunctivitis
B. Allergic conjunctivitis
C. Bacterial conjunctivitis
D. Herpetic conjunctivitis
