Herzing University NSG 526 Family
Nursing Exam 2 Prep Guide
(2026/2027) | Actual Exam Questions
& Verified Answers | Complete CFAM
& Duvall Theory Rationales | 100%
Guaranteed Pass Study Resource
1. A nurse is assessing a family whose child has recently been diagnosed with a
chronic illness. Which action best demonstrates family-centered nursing care?
A. Directing all teaching exclusively to the child
B. Asking the family how the diagnosis has affected their routines and roles
C. Providing the family with standardized written instructions only
D. Asking the physician to determine the family's needs
Answer: B. Asking the family how the diagnosis has affected their routines and
roles
Rationale: Family-centered care recognizes that illness affects the entire family
system. Assessing changes in roles, routines, resources, and coping helps the
nurse develop an individualized plan of care.
2. Which assessment finding is most important when evaluating family
functioning?
A. The family's preferred television programs
B. Communication patterns among family members
C. The family's preferred clothing styles
D. The number of rooms in the home
Answer: B. Communication patterns among family members
,Rationale: Communication strongly influences family functioning, problem
solving, decision-making, emotional support, and the family's ability to manage
health challenges.
3. A nurse is completing a genogram with a family. What is the primary
purpose of this tool?
A. To identify community healthcare resources
B. To illustrate family relationships and relevant health patterns across generations
C. To measure the family's financial status
D. To determine the family's nutritional intake
Answer: B. To illustrate family relationships and relevant health patterns across
generations
Rationale: A genogram provides a visual representation of family structure,
relationships, and selected health information across generations.
4. Which tool is most appropriate for identifying a family's connections with
external resources such as schools, churches, healthcare agencies, and
employers?
A. Genogram
B. Ecomap
C. Glasgow Coma Scale
D. Braden Scale
Answer: B. Ecomap
Rationale: An ecomap visually represents relationships between the family and
its social, community, and healthcare environments.
5. A family is experiencing significant stress after one parent loses
employment. Which nursing action should occur first?
A. Assume the family will adapt independently
B. Assess the family's coping strategies and available resources
C. Recommend immediate psychiatric hospitalization
D. Tell the family to avoid discussing finances
Answer: B. Assess the family's coping strategies and available resources
,Rationale: Assessment is the first step in the nursing process. Identifying
existing strengths, coping mechanisms, financial concerns, and available
support allows interventions to be individualized.
6. Which statement by the nurse best demonstrates therapeutic
communication with a family experiencing a crisis?
A. “Everything will work out eventually.”
B. “You should try not to worry.”
C. “Tell me what has been most difficult for your family.”
D. “Other families have experienced worse situations.”
Answer: C. “Tell me what has been most difficult for your family.”
Rationale: Open-ended questions encourage family members to describe
concerns, emotions, and needs without minimizing their experience.
7. A nurse notices that one family member consistently makes all healthcare
decisions while other members remain silent. What should the nurse do first?
A. Immediately challenge the decision maker
B. Assess the family's decision-making and power structure
C. Exclude the decision maker from future discussions
D. Make healthcare decisions for the family
Answer: B. Assess the family's decision-making and power structure
Rationale: Family roles and decision-making patterns should be assessed before
interventions are planned. Understanding the family's structure helps the nurse
promote appropriate participation and autonomy.
8. Which nursing intervention is most appropriate when caring for a
culturally diverse family?
A. Expecting the family to follow the nurse's cultural practices
B. Avoiding discussion of cultural beliefs
C. Asking the family about beliefs that may influence healthcare decisions
D. Assuming all members of the same culture have identical beliefs
Answer: C. Asking the family about beliefs that may influence healthcare
decisions
, Rationale: Cultural competence involves respectfully assessing individual
beliefs, practices, values, and preferences rather than making assumptions based
on cultural identity.
9. A family caring for a child with a long-term health condition reports
exhaustion. Which intervention is most appropriate?
A. Encourage the family to identify respite and support resources
B. Tell the parents that caregiving is their responsibility
C. Recommend that the parents stop working immediately
D. Discourage assistance from extended family members
Answer: A. Encourage the family to identify respite and support resources
Rationale: Respite care, community resources, and social support can reduce
caregiver burden and promote sustainable family functioning.
10. Which nursing action best supports family participation in care?
A. Completing all care without family involvement
B. Asking family members about appropriate ways they would like to participate
C. Allowing family members to perform procedures without instruction
D. Limiting family communication with the healthcare team
Answer: B. Asking family members about appropriate ways they would like to
participate
Rationale: Family participation should be individualized, safe, and consistent
with the patient's preferences and permissions.
11. A nurse is assessing family stress. Which finding suggests ineffective
family coping?
A. Members openly discuss concerns
B. Family members seek assistance when needed
C. Members communicate and share responsibilities
D. Family members consistently avoid discussing the health problem
Answer: D. Family members consistently avoid discussing the health problem
Nursing Exam 2 Prep Guide
(2026/2027) | Actual Exam Questions
& Verified Answers | Complete CFAM
& Duvall Theory Rationales | 100%
Guaranteed Pass Study Resource
1. A nurse is assessing a family whose child has recently been diagnosed with a
chronic illness. Which action best demonstrates family-centered nursing care?
A. Directing all teaching exclusively to the child
B. Asking the family how the diagnosis has affected their routines and roles
C. Providing the family with standardized written instructions only
D. Asking the physician to determine the family's needs
Answer: B. Asking the family how the diagnosis has affected their routines and
roles
Rationale: Family-centered care recognizes that illness affects the entire family
system. Assessing changes in roles, routines, resources, and coping helps the
nurse develop an individualized plan of care.
2. Which assessment finding is most important when evaluating family
functioning?
A. The family's preferred television programs
B. Communication patterns among family members
C. The family's preferred clothing styles
D. The number of rooms in the home
Answer: B. Communication patterns among family members
,Rationale: Communication strongly influences family functioning, problem
solving, decision-making, emotional support, and the family's ability to manage
health challenges.
3. A nurse is completing a genogram with a family. What is the primary
purpose of this tool?
A. To identify community healthcare resources
B. To illustrate family relationships and relevant health patterns across generations
C. To measure the family's financial status
D. To determine the family's nutritional intake
Answer: B. To illustrate family relationships and relevant health patterns across
generations
Rationale: A genogram provides a visual representation of family structure,
relationships, and selected health information across generations.
4. Which tool is most appropriate for identifying a family's connections with
external resources such as schools, churches, healthcare agencies, and
employers?
A. Genogram
B. Ecomap
C. Glasgow Coma Scale
D. Braden Scale
Answer: B. Ecomap
Rationale: An ecomap visually represents relationships between the family and
its social, community, and healthcare environments.
5. A family is experiencing significant stress after one parent loses
employment. Which nursing action should occur first?
A. Assume the family will adapt independently
B. Assess the family's coping strategies and available resources
C. Recommend immediate psychiatric hospitalization
D. Tell the family to avoid discussing finances
Answer: B. Assess the family's coping strategies and available resources
,Rationale: Assessment is the first step in the nursing process. Identifying
existing strengths, coping mechanisms, financial concerns, and available
support allows interventions to be individualized.
6. Which statement by the nurse best demonstrates therapeutic
communication with a family experiencing a crisis?
A. “Everything will work out eventually.”
B. “You should try not to worry.”
C. “Tell me what has been most difficult for your family.”
D. “Other families have experienced worse situations.”
Answer: C. “Tell me what has been most difficult for your family.”
Rationale: Open-ended questions encourage family members to describe
concerns, emotions, and needs without minimizing their experience.
7. A nurse notices that one family member consistently makes all healthcare
decisions while other members remain silent. What should the nurse do first?
A. Immediately challenge the decision maker
B. Assess the family's decision-making and power structure
C. Exclude the decision maker from future discussions
D. Make healthcare decisions for the family
Answer: B. Assess the family's decision-making and power structure
Rationale: Family roles and decision-making patterns should be assessed before
interventions are planned. Understanding the family's structure helps the nurse
promote appropriate participation and autonomy.
8. Which nursing intervention is most appropriate when caring for a
culturally diverse family?
A. Expecting the family to follow the nurse's cultural practices
B. Avoiding discussion of cultural beliefs
C. Asking the family about beliefs that may influence healthcare decisions
D. Assuming all members of the same culture have identical beliefs
Answer: C. Asking the family about beliefs that may influence healthcare
decisions
, Rationale: Cultural competence involves respectfully assessing individual
beliefs, practices, values, and preferences rather than making assumptions based
on cultural identity.
9. A family caring for a child with a long-term health condition reports
exhaustion. Which intervention is most appropriate?
A. Encourage the family to identify respite and support resources
B. Tell the parents that caregiving is their responsibility
C. Recommend that the parents stop working immediately
D. Discourage assistance from extended family members
Answer: A. Encourage the family to identify respite and support resources
Rationale: Respite care, community resources, and social support can reduce
caregiver burden and promote sustainable family functioning.
10. Which nursing action best supports family participation in care?
A. Completing all care without family involvement
B. Asking family members about appropriate ways they would like to participate
C. Allowing family members to perform procedures without instruction
D. Limiting family communication with the healthcare team
Answer: B. Asking family members about appropriate ways they would like to
participate
Rationale: Family participation should be individualized, safe, and consistent
with the patient's preferences and permissions.
11. A nurse is assessing family stress. Which finding suggests ineffective
family coping?
A. Members openly discuss concerns
B. Family members seek assistance when needed
C. Members communicate and share responsibilities
D. Family members consistently avoid discussing the health problem
Answer: D. Family members consistently avoid discussing the health problem
