NSG 222 FAMILY NURSING FINAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A |LATEST EXAM UPDATE 2026/2027.
SECTION ONE: QUESTIONS 1–100
Which theoretical model emphasizes the family as a unit of care by focusing on the developmental
stages and tasks inherent to the family life cycle?
A. Systems Theory
B. Developmental Theory
C. Structural-Functional Theory
D. Communication Theory
🟢 B. Developmental Theory
🔴 RATIONALE: Developmental theory views families as systems that progress through
predictable stages, each with specific tasks that must be mastered to move to the next stage.
A nurse is assessing a family using a genogram. What is the primary purpose of this tool in family
nursing?
A. To identify the family's socioeconomic status
B. To evaluate family communication patterns
C. To map family structure and health history over at least three generations
D. To determine the family's legal status
🟢 C. To map family structure and health history over at least three generations
🔴 RATIONALE: A genogram is a visual representation of family relationships, structure, and
health history across multiple generations, assisting in identifying hereditary patterns.
When applying the Family Systems Theory, what is the most important concept to remember?
A. The family is an isolated unit
B. Change in one part of the system affects the entire system
C. Families do not interact with the environment
,D. The focus should remain only on the identified patient
🟢 B. Change in one part of the system affects the entire system
🔴 RATIONALE: Systems theory posits that all parts of the family are interrelated; therefore, a
change in one member or subsystem inevitably impacts the whole system.
A nurse is caring for a family experiencing a crisis due to the sudden loss of the primary
breadwinner. Which nursing intervention is most appropriate during the immediate stage of crisis?
A. Teach the family long-term financial planning
B. Assess for immediate safety and stabilization of the family unit
C. Refer the family for long-term psychological therapy
D. Suggest they move to a smaller home immediately
🟢 B. Assess for immediate safety and stabilization of the family unit
🔴 RATIONALE: During a crisis, the nurse's priority is to stabilize the family, ensure their
immediate safety, and assess their coping mechanisms before addressing long-term goals.
Which of the following is considered a primary prevention strategy in family nursing?
A. Screening for depression in a postpartum mother
B. Providing immunization education to parents of a newborn
C. Managing insulin therapy for a child with Type 1 diabetes
D. Assisting a family in finding rehabilitation services
🟢 B. Providing immunization education to parents of a newborn
🔴 RATIONALE: Primary prevention focuses on health promotion and disease prevention before
an illness occurs, such as immunizations and education.
A nurse observes that a family uses rigid rules and prevents members from expressing different
opinions. This is an example of what type of family boundary?
A. Open
,B. Diffuse
C. Rigid
D. Flexible
🟢 C. Rigid
🔴 RATIONALE: Rigid boundaries restrict movement and information, leading to isolation and
preventing members from developing individual autonomy.
When conducting a family assessment, what is the best approach for the nurse to take?
A. Use a standardized questionnaire only
B. Use a combination of observation, interviewing, and assessment tools
C. Focus strictly on the medical diagnosis of the family member
D. Ask only the family patriarch or matriarch questions
🟢 B. Use a combination of observation, interviewing, and assessment tools
🔴 RATIONALE: A comprehensive family assessment requires multiple data sources, including
subjective reporting (interviews) and objective observation to gain a holistic view.
Which of the following best describes the "family as context" approach in nursing?
A. The family is the primary client, and the individual is the background
B. The individual is the client, and the family is the background or resource
C. The nurse ignores the family and focuses solely on the patient
D. The nurse provides care to the family without considering the individual
🟢 B. The individual is the client, and the family is the background or resource
🔴 RATIONALE: In "family as context," the focus of nursing care is on the individual, with the
family serving as either a stressor or a source of support.
A family expresses difficulty in making decisions because they are afraid of conflict. Which family
process is most likely impaired?
, A. Communication
B. Economic status
C. Religious affiliation
D. Physical health
🟢 A. Communication
🔴 RATIONALE: Effective communication is essential for conflict resolution and decision-making;
fear of conflict suggests a breakdown in functional communication.
What is the nurse's legal responsibility regarding domestic violence in a family?
A. Maintain client confidentiality at all costs
B. Report suspected abuse to the appropriate authorities according to state laws
C. Only report if the victim asks the nurse to do so
D. Ignore the signs if the patient denies the abuse
🟢 B. Report suspected abuse to the appropriate authorities according to state laws
🔴 RATIONALE: Healthcare providers are mandatory reporters of suspected abuse, regardless of
the patient's initial wishes, to ensure safety and legal compliance.
A nurse is working with a family dealing with a chronic illness of a child. Which intervention
supports the family's resilience?
A. Encouraging the family to isolate themselves to avoid germs
B. Providing resources and education to empower the family in caregiving
C. Focusing only on the child's medical needs
D. Discouraging the parents from taking time for themselves
🟢 B. Providing resources and education to empower the family in caregiving
🔴 RATIONALE: Supporting resilience involves empowering the family through education,
resources, and encouraging self-care, which helps them adapt to chronic stress.
ANSWERS) PLUS RATIONALES 2026 Q&A |LATEST EXAM UPDATE 2026/2027.
SECTION ONE: QUESTIONS 1–100
Which theoretical model emphasizes the family as a unit of care by focusing on the developmental
stages and tasks inherent to the family life cycle?
A. Systems Theory
B. Developmental Theory
C. Structural-Functional Theory
D. Communication Theory
🟢 B. Developmental Theory
🔴 RATIONALE: Developmental theory views families as systems that progress through
predictable stages, each with specific tasks that must be mastered to move to the next stage.
A nurse is assessing a family using a genogram. What is the primary purpose of this tool in family
nursing?
A. To identify the family's socioeconomic status
B. To evaluate family communication patterns
C. To map family structure and health history over at least three generations
D. To determine the family's legal status
🟢 C. To map family structure and health history over at least three generations
🔴 RATIONALE: A genogram is a visual representation of family relationships, structure, and
health history across multiple generations, assisting in identifying hereditary patterns.
When applying the Family Systems Theory, what is the most important concept to remember?
A. The family is an isolated unit
B. Change in one part of the system affects the entire system
C. Families do not interact with the environment
,D. The focus should remain only on the identified patient
🟢 B. Change in one part of the system affects the entire system
🔴 RATIONALE: Systems theory posits that all parts of the family are interrelated; therefore, a
change in one member or subsystem inevitably impacts the whole system.
A nurse is caring for a family experiencing a crisis due to the sudden loss of the primary
breadwinner. Which nursing intervention is most appropriate during the immediate stage of crisis?
A. Teach the family long-term financial planning
B. Assess for immediate safety and stabilization of the family unit
C. Refer the family for long-term psychological therapy
D. Suggest they move to a smaller home immediately
🟢 B. Assess for immediate safety and stabilization of the family unit
🔴 RATIONALE: During a crisis, the nurse's priority is to stabilize the family, ensure their
immediate safety, and assess their coping mechanisms before addressing long-term goals.
Which of the following is considered a primary prevention strategy in family nursing?
A. Screening for depression in a postpartum mother
B. Providing immunization education to parents of a newborn
C. Managing insulin therapy for a child with Type 1 diabetes
D. Assisting a family in finding rehabilitation services
🟢 B. Providing immunization education to parents of a newborn
🔴 RATIONALE: Primary prevention focuses on health promotion and disease prevention before
an illness occurs, such as immunizations and education.
A nurse observes that a family uses rigid rules and prevents members from expressing different
opinions. This is an example of what type of family boundary?
A. Open
,B. Diffuse
C. Rigid
D. Flexible
🟢 C. Rigid
🔴 RATIONALE: Rigid boundaries restrict movement and information, leading to isolation and
preventing members from developing individual autonomy.
When conducting a family assessment, what is the best approach for the nurse to take?
A. Use a standardized questionnaire only
B. Use a combination of observation, interviewing, and assessment tools
C. Focus strictly on the medical diagnosis of the family member
D. Ask only the family patriarch or matriarch questions
🟢 B. Use a combination of observation, interviewing, and assessment tools
🔴 RATIONALE: A comprehensive family assessment requires multiple data sources, including
subjective reporting (interviews) and objective observation to gain a holistic view.
Which of the following best describes the "family as context" approach in nursing?
A. The family is the primary client, and the individual is the background
B. The individual is the client, and the family is the background or resource
C. The nurse ignores the family and focuses solely on the patient
D. The nurse provides care to the family without considering the individual
🟢 B. The individual is the client, and the family is the background or resource
🔴 RATIONALE: In "family as context," the focus of nursing care is on the individual, with the
family serving as either a stressor or a source of support.
A family expresses difficulty in making decisions because they are afraid of conflict. Which family
process is most likely impaired?
, A. Communication
B. Economic status
C. Religious affiliation
D. Physical health
🟢 A. Communication
🔴 RATIONALE: Effective communication is essential for conflict resolution and decision-making;
fear of conflict suggests a breakdown in functional communication.
What is the nurse's legal responsibility regarding domestic violence in a family?
A. Maintain client confidentiality at all costs
B. Report suspected abuse to the appropriate authorities according to state laws
C. Only report if the victim asks the nurse to do so
D. Ignore the signs if the patient denies the abuse
🟢 B. Report suspected abuse to the appropriate authorities according to state laws
🔴 RATIONALE: Healthcare providers are mandatory reporters of suspected abuse, regardless of
the patient's initial wishes, to ensure safety and legal compliance.
A nurse is working with a family dealing with a chronic illness of a child. Which intervention
supports the family's resilience?
A. Encouraging the family to isolate themselves to avoid germs
B. Providing resources and education to empower the family in caregiving
C. Focusing only on the child's medical needs
D. Discouraging the parents from taking time for themselves
🟢 B. Providing resources and education to empower the family in caregiving
🔴 RATIONALE: Supporting resilience involves empowering the family through education,
resources, and encouraging self-care, which helps them adapt to chronic stress.
