NSG 526 Exam 3 Actual Exam V2 | NSG 526 Family Nursing (NSG526
Exam 3) | Herzing University PDF
1. A nurse is assessing a family where the primary breadwinner has recently been laid off,
leading to significant tension and conflict. According to the ABC-X model of family stress,
which component represents the family’s perception of the job loss?
A. The ‘A’ factor
B. The ‘B’ factor
C. The ‘C’ factor
D. The ‘X’ factor
Answer: C
Rationale: In the ABC-X model, the ‘C’ factor represents the family’s definition or
perception of the stressor event. This perception significantly influences how the family
adapts and whether the event becomes a crisis. Understanding the ‘C’ factor allows the
nurse to implement cognitive reframing interventions to improve family resilience.
2. When screening for Intimate Partner Violence (IPV) in a busy primary care clinic, which
approach is most appropriate for a nurse to utilize?
A. Ask the patient about safety only if physical injuries are visible during the exam.
B. Avoid direct questions about violence to prevent offending patients who are not victims.
C. Include the partner in the room during screening to observe their interaction and
response.
D. Use a validated screening tool like the HITS questionnaire for all female patients of
childbearing age.
Answer: D
Rationale: Universal screening for IPV is a standard recommendation for women of
childbearing age regardless of the presence of physical symptoms. Validated tools like HITS
(Hurt, Insult, Threaten, Scream) provide a standardized method to identify potential abuse.
It is critical to perform these screenings in a private setting without the partner present to
ensure patient safety and honest disclosure.
3. A mother is mourning the death of her child who died six months ago and reports that she
still finds it impossible to return to work or care for her surviving children. This level of
dysfunction suggests which type of grief?
A. Complicated grief
B. Normal grief
,C. Anticipatory grief
D. Disenfranchised grief
Answer: A
Rationale: Complicated grief occurs when the intensity of the mourning process does not
decrease over time and significantly impairs daily functioning. It often involves a persistent
yearning for the deceased and an inability to accept the loss after several months. The
nurse should refer this patient for specialized bereavement counseling or psychiatric
evaluation.
4. In family therapy, a 16-year-old son is frequently blamed for all the family’s problems and
is described as the ‘troublemaker’ by his parents. This family dynamic is an example of:
A. Scapegoating
B. Triangulation
C. Parentification
D. Enmeshment
Answer: A
Rationale: Scapegoating is a process where one family member is singled out as the cause
of family distress to deflect from deeper systemic issues or parental conflict. By labeling the
child as the ‘problem,’ the parents avoid addressing their own relationship dynamics. The
nurse must work to shift the focus from the ‘identified patient’ to the entire family system.
5. A nurse suspects elder abuse in an 82-year-old patient who presents with unexplained
bruising in various stages of healing and appears fearful when her caregiver is present. What
is the nurse’s primary legal and ethical responsibility?
A. Confront the caregiver immediately about the bruises.
B. Document the findings and wait for a second occurrence before reporting.
C. Report the suspected abuse to Adult Protective Services (APS) or the required local
authority.
D. Suggest the patient move to an assisted living facility without reporting the incident.
Answer: C
Rationale: Nurses are mandatory reporters for suspected elder abuse, neglect, or
exploitation. Reporting must be done based on reasonable suspicion rather than definitive
proof. Delaying a report can leave a vulnerable adult in a dangerous situation and may
result in legal consequences for the healthcare provider.
, 6. During a family crisis, a nurse observes that the family members are communicating
clearly, seeking outside resources, and supporting one another emotionally. This behavior is
characteristic of:
A. Resilient family coping
B. Family enmeshment
C. Maladaptive denial
D. Codependency
Answer: A
Rationale: Resilient families demonstrate the ability to maintain or regain mental health
and functional stability following a crisis. These families use effective communication,
problem-solving skills, and external support systems to navigate stressors. Promoting
these strengths is a key goal of family-centered nursing interventions.
7. A family is struggling with the father’s alcohol use disorder. The eldest daughter takes on
all household chores and ensures her siblings’ homework is finished, acting as a ‘mini-adult.’
Which role is she fulfilling?
A. The Family Hero
B. The Lost Child
C. The Scapegoat
D. The Mascot
Answer: A
Rationale: The ‘Family Hero’ role is often adopted by the oldest child in families with
substance use issues, attempting to bring honor to the family through over-achievement.
This child takes on excessive responsibility to compensate for the parent’s dysfunction.
While they appear successful, they often suffer from significant internal pressure and
anxiety.
8. Which of the following interventions is a priority when a family is in the ‘Impact’ phase of a
situational crisis, such as a sudden natural disaster?
A. Providing long-term psychotherapy for PTSD.
B. Encouraging the family to explore the spiritual meaning of the event.
C. Teaching the family advanced problem-solving techniques.
D. Assessing the family’s basic needs for food, water, and shelter.
Answer: D
Exam 3) | Herzing University PDF
1. A nurse is assessing a family where the primary breadwinner has recently been laid off,
leading to significant tension and conflict. According to the ABC-X model of family stress,
which component represents the family’s perception of the job loss?
A. The ‘A’ factor
B. The ‘B’ factor
C. The ‘C’ factor
D. The ‘X’ factor
Answer: C
Rationale: In the ABC-X model, the ‘C’ factor represents the family’s definition or
perception of the stressor event. This perception significantly influences how the family
adapts and whether the event becomes a crisis. Understanding the ‘C’ factor allows the
nurse to implement cognitive reframing interventions to improve family resilience.
2. When screening for Intimate Partner Violence (IPV) in a busy primary care clinic, which
approach is most appropriate for a nurse to utilize?
A. Ask the patient about safety only if physical injuries are visible during the exam.
B. Avoid direct questions about violence to prevent offending patients who are not victims.
C. Include the partner in the room during screening to observe their interaction and
response.
D. Use a validated screening tool like the HITS questionnaire for all female patients of
childbearing age.
Answer: D
Rationale: Universal screening for IPV is a standard recommendation for women of
childbearing age regardless of the presence of physical symptoms. Validated tools like HITS
(Hurt, Insult, Threaten, Scream) provide a standardized method to identify potential abuse.
It is critical to perform these screenings in a private setting without the partner present to
ensure patient safety and honest disclosure.
3. A mother is mourning the death of her child who died six months ago and reports that she
still finds it impossible to return to work or care for her surviving children. This level of
dysfunction suggests which type of grief?
A. Complicated grief
B. Normal grief
,C. Anticipatory grief
D. Disenfranchised grief
Answer: A
Rationale: Complicated grief occurs when the intensity of the mourning process does not
decrease over time and significantly impairs daily functioning. It often involves a persistent
yearning for the deceased and an inability to accept the loss after several months. The
nurse should refer this patient for specialized bereavement counseling or psychiatric
evaluation.
4. In family therapy, a 16-year-old son is frequently blamed for all the family’s problems and
is described as the ‘troublemaker’ by his parents. This family dynamic is an example of:
A. Scapegoating
B. Triangulation
C. Parentification
D. Enmeshment
Answer: A
Rationale: Scapegoating is a process where one family member is singled out as the cause
of family distress to deflect from deeper systemic issues or parental conflict. By labeling the
child as the ‘problem,’ the parents avoid addressing their own relationship dynamics. The
nurse must work to shift the focus from the ‘identified patient’ to the entire family system.
5. A nurse suspects elder abuse in an 82-year-old patient who presents with unexplained
bruising in various stages of healing and appears fearful when her caregiver is present. What
is the nurse’s primary legal and ethical responsibility?
A. Confront the caregiver immediately about the bruises.
B. Document the findings and wait for a second occurrence before reporting.
C. Report the suspected abuse to Adult Protective Services (APS) or the required local
authority.
D. Suggest the patient move to an assisted living facility without reporting the incident.
Answer: C
Rationale: Nurses are mandatory reporters for suspected elder abuse, neglect, or
exploitation. Reporting must be done based on reasonable suspicion rather than definitive
proof. Delaying a report can leave a vulnerable adult in a dangerous situation and may
result in legal consequences for the healthcare provider.
, 6. During a family crisis, a nurse observes that the family members are communicating
clearly, seeking outside resources, and supporting one another emotionally. This behavior is
characteristic of:
A. Resilient family coping
B. Family enmeshment
C. Maladaptive denial
D. Codependency
Answer: A
Rationale: Resilient families demonstrate the ability to maintain or regain mental health
and functional stability following a crisis. These families use effective communication,
problem-solving skills, and external support systems to navigate stressors. Promoting
these strengths is a key goal of family-centered nursing interventions.
7. A family is struggling with the father’s alcohol use disorder. The eldest daughter takes on
all household chores and ensures her siblings’ homework is finished, acting as a ‘mini-adult.’
Which role is she fulfilling?
A. The Family Hero
B. The Lost Child
C. The Scapegoat
D. The Mascot
Answer: A
Rationale: The ‘Family Hero’ role is often adopted by the oldest child in families with
substance use issues, attempting to bring honor to the family through over-achievement.
This child takes on excessive responsibility to compensate for the parent’s dysfunction.
While they appear successful, they often suffer from significant internal pressure and
anxiety.
8. Which of the following interventions is a priority when a family is in the ‘Impact’ phase of a
situational crisis, such as a sudden natural disaster?
A. Providing long-term psychotherapy for PTSD.
B. Encouraging the family to explore the spiritual meaning of the event.
C. Teaching the family advanced problem-solving techniques.
D. Assessing the family’s basic needs for food, water, and shelter.
Answer: D
