NSG 526 Exam 4 Actual Exam V1 | NSG 526 Family Nursing (NSG526
Exam 4) | Herzing University PDF
1. When implementing the Calgary Family Intervention Model (CFIM), which intervention is
specifically designed to target the cognitive domain of family functioning?
A. Encouraging family members to share their feelings of grief.
B. Commending family strengths and individual competencies.
C. Encouraging the family to provide physical care for the patient.
D. Assisting the family to develop a new schedule for medications.
Answer: B
Rationale: Commending family strengths targets the cognitive domain by shifting the
family’s view of themselves from one of deficit to one of competence. This change in
perception helps the family discover new ways of problem-solving. AI analysis confirms
that cognitive interventions focus on providing information or changing beliefs to enhance
family coping mechanisms.
2. An advanced practice nurse is coordinating care for a 14-year-old patient seeking
contraception. The mother demands to know the reason for the visit. Which ethical-legal
principle primarily guides the nurse’s response?
A. Beneficence, prioritizing the mother’s right to protect the child.
B. Justice, ensuring all family members receive equal information.
C. Confidentiality, protecting the minor’s right to private reproductive care.
D. Fidelity, maintaining the nurse’s primary commitment to the parent.
Answer: C
Rationale: In many jurisdictions, minors have the legal right to confidential reproductive
healthcare without parental consent. The nurse must balance professional ethics with state
laws regarding minor autonomy. Effective family nursing requires navigating these
boundaries while encouraging open communication when safe and appropriate.
3. Which of the following scenarios best demonstrates the concept of ‘Shared Decision-
Making’ in a family nursing context?
A. The nurse provides a single evidence-based treatment plan for the family to follow.
B. The family and healthcare team collaborate to choose an intervention based on clinical
evidence and family values.
C. The physician makes the final decision after hearing the family’s concerns.
,D. The nurse allows the family to choose any treatment they want regardless of clinical
efficacy.
Answer: B
Rationale: Shared decision-making involves a collaborative process where the clinician
and patient/family work together to make healthcare decisions. It integrates the best
available evidence with the family’s unique preferences and values. This approach is
essential for long-term adherence and satisfaction in family-centered care.
4. A family is struggling to manage a child’s complex chronic condition after discharge. Which
interdisciplinary team member should the nurse prioritize collaborating with to address social
determinants of health?
A. Medical Social Worker
B. Registered Dietician
C. Physical Therapist
D. Pharmacist
Answer: A
Rationale: Medical Social Workers are experts in identifying community resources and
addressing social determinants like housing, transportation, and financial stability.
Collaborating with them ensures the family has the structural support needed for a
successful transition. This interdisciplinary approach is a hallmark of comprehensive
family nursing intervention.
5. When evaluating the effectiveness of a family intervention for a caregiver experiencing
burnout, which outcome measure is most appropriate?
A. The patient’s blood pressure readings over three months.
B. The number of times the patient visited the emergency room.
C. The caregiver’s self-reported stress levels and use of respite care.
D. The nurse’s perception of the family’s overall cohesion.
Answer: C
Rationale: To evaluate a caregiver-focused intervention, the metrics must directly reflect
the caregiver’s well-being and behaviors. Self-reported stress scales provide subjective
data on affective change, while the use of respite care indicates behavioral change.
Comprehensive evaluation ensures that nursing interventions are meeting the specific
needs of the family unit.
6. A nurse is facilitating a care transition for an elderly patient moving from acute care to a
skilled nursing facility. What is the most critical component of the handoff to ensure safety?
A. A list of the patient’s favorite foods and hobbies.
, B. A comprehensive reconciliation of medications and current treatment goals.
C. The patient’s insurance information and billing history.
D. The names of all the patient’s grandchildren for social history.
Answer: B
Rationale: Medication reconciliation and clear treatment goals are vital during transitions
of care to prevent adverse drug events and fragmented care. Incomplete communication
during handoffs is a leading cause of medical errors. Family nursing requires the nurse to
act as an advocate and coordinator to ensure continuity across settings.
7. In the context of the Calgary Family Assessment Model (CFAM), which question is an
example of a ‘circular question’ used to explore relationships?
A. ‘How many times a day does your son take his insulin?’
B. ‘When did the symptoms first start appearing?’
C. ‘What do you think your wife feels when you refuse to talk about the diagnosis?’
D. ‘Are you satisfied with the care you are receiving at this clinic?’
Answer: C
Rationale: Circular questions focus on the relationships between family members and the
impact of one person’s behavior on another. They help the nurse and family see patterns of
interaction rather than isolated events. This technique is fundamental for identifying
systemic family issues during the assessment phase.
8. A nurse is working with a family where the parents have different views on vaccinating
their child. Which ethical principle is most challenged in this situation?
A. Non-maleficence
B. Veracity
C. Paternalism
D. Autonomy
Answer: D
Rationale: Autonomy involves the right of individuals (or legal guardians) to make
decisions about their own (or their child’s) healthcare. When parents disagree, the nurse
must navigate competing autonomous claims while keeping the child’s best interest at the
center. This requires skilled mediation and an understanding of the legal framework for
parental rights.
Exam 4) | Herzing University PDF
1. When implementing the Calgary Family Intervention Model (CFIM), which intervention is
specifically designed to target the cognitive domain of family functioning?
A. Encouraging family members to share their feelings of grief.
B. Commending family strengths and individual competencies.
C. Encouraging the family to provide physical care for the patient.
D. Assisting the family to develop a new schedule for medications.
Answer: B
Rationale: Commending family strengths targets the cognitive domain by shifting the
family’s view of themselves from one of deficit to one of competence. This change in
perception helps the family discover new ways of problem-solving. AI analysis confirms
that cognitive interventions focus on providing information or changing beliefs to enhance
family coping mechanisms.
2. An advanced practice nurse is coordinating care for a 14-year-old patient seeking
contraception. The mother demands to know the reason for the visit. Which ethical-legal
principle primarily guides the nurse’s response?
A. Beneficence, prioritizing the mother’s right to protect the child.
B. Justice, ensuring all family members receive equal information.
C. Confidentiality, protecting the minor’s right to private reproductive care.
D. Fidelity, maintaining the nurse’s primary commitment to the parent.
Answer: C
Rationale: In many jurisdictions, minors have the legal right to confidential reproductive
healthcare without parental consent. The nurse must balance professional ethics with state
laws regarding minor autonomy. Effective family nursing requires navigating these
boundaries while encouraging open communication when safe and appropriate.
3. Which of the following scenarios best demonstrates the concept of ‘Shared Decision-
Making’ in a family nursing context?
A. The nurse provides a single evidence-based treatment plan for the family to follow.
B. The family and healthcare team collaborate to choose an intervention based on clinical
evidence and family values.
C. The physician makes the final decision after hearing the family’s concerns.
,D. The nurse allows the family to choose any treatment they want regardless of clinical
efficacy.
Answer: B
Rationale: Shared decision-making involves a collaborative process where the clinician
and patient/family work together to make healthcare decisions. It integrates the best
available evidence with the family’s unique preferences and values. This approach is
essential for long-term adherence and satisfaction in family-centered care.
4. A family is struggling to manage a child’s complex chronic condition after discharge. Which
interdisciplinary team member should the nurse prioritize collaborating with to address social
determinants of health?
A. Medical Social Worker
B. Registered Dietician
C. Physical Therapist
D. Pharmacist
Answer: A
Rationale: Medical Social Workers are experts in identifying community resources and
addressing social determinants like housing, transportation, and financial stability.
Collaborating with them ensures the family has the structural support needed for a
successful transition. This interdisciplinary approach is a hallmark of comprehensive
family nursing intervention.
5. When evaluating the effectiveness of a family intervention for a caregiver experiencing
burnout, which outcome measure is most appropriate?
A. The patient’s blood pressure readings over three months.
B. The number of times the patient visited the emergency room.
C. The caregiver’s self-reported stress levels and use of respite care.
D. The nurse’s perception of the family’s overall cohesion.
Answer: C
Rationale: To evaluate a caregiver-focused intervention, the metrics must directly reflect
the caregiver’s well-being and behaviors. Self-reported stress scales provide subjective
data on affective change, while the use of respite care indicates behavioral change.
Comprehensive evaluation ensures that nursing interventions are meeting the specific
needs of the family unit.
6. A nurse is facilitating a care transition for an elderly patient moving from acute care to a
skilled nursing facility. What is the most critical component of the handoff to ensure safety?
A. A list of the patient’s favorite foods and hobbies.
, B. A comprehensive reconciliation of medications and current treatment goals.
C. The patient’s insurance information and billing history.
D. The names of all the patient’s grandchildren for social history.
Answer: B
Rationale: Medication reconciliation and clear treatment goals are vital during transitions
of care to prevent adverse drug events and fragmented care. Incomplete communication
during handoffs is a leading cause of medical errors. Family nursing requires the nurse to
act as an advocate and coordinator to ensure continuity across settings.
7. In the context of the Calgary Family Assessment Model (CFAM), which question is an
example of a ‘circular question’ used to explore relationships?
A. ‘How many times a day does your son take his insulin?’
B. ‘When did the symptoms first start appearing?’
C. ‘What do you think your wife feels when you refuse to talk about the diagnosis?’
D. ‘Are you satisfied with the care you are receiving at this clinic?’
Answer: C
Rationale: Circular questions focus on the relationships between family members and the
impact of one person’s behavior on another. They help the nurse and family see patterns of
interaction rather than isolated events. This technique is fundamental for identifying
systemic family issues during the assessment phase.
8. A nurse is working with a family where the parents have different views on vaccinating
their child. Which ethical principle is most challenged in this situation?
A. Non-maleficence
B. Veracity
C. Paternalism
D. Autonomy
Answer: D
Rationale: Autonomy involves the right of individuals (or legal guardians) to make
decisions about their own (or their child’s) healthcare. When parents disagree, the nurse
must navigate competing autonomous claims while keeping the child’s best interest at the
center. This requires skilled mediation and an understanding of the legal framework for
parental rights.
