NSG 526 Exam 2 Actual Exam V1 | NSG 526 Family Nursing (NSG526
Exam 2) | Herzing University PDF
1. According to Pender’s Health Promotion Model, which factor is the most powerful
predictor of health-promoting behavior?
A. Situational influences
B. Perceived barriers to action
C. Interpersonal influences
D. Prior related behavior
Answer: D
Rationale: Prior related behavior is considered a primary predictor of future health
actions within Pender’s model. It suggests that past experiences with a health behavior
influence the likelihood of engaging in it again. Understanding this allows nurses to tailor
interventions based on a family’s history of health practices.
2. A nurse is teaching a family about primary prevention. Which of the following is an
example of this level of care?
A. Administering the annual influenza vaccine
B. Providing physical therapy for a stroke survivor
C. Screening a patient for high blood pressure
D. Performing a colonoscopy on a 50-year-old
Answer: A
Rationale: Primary prevention aims to prevent the onset of disease through measures
such as immunization and health education. It focuses on healthy individuals to keep them
from developing specific illnesses. This contrasts with secondary prevention, which
involves screening, and tertiary prevention, which involves rehabilitation.
3. When assessing a family using a genogram, how many generations should the nurse ideally
include to identify health patterns?
A. One generation
B. Three generations
C. Two generations
D. Five generations
Answer: B
,Rationale: A standard genogram includes at least three generations to provide a
comprehensive view of family health history. This depth allows the nurse to track
hereditary conditions and relational patterns across time. It is a fundamental tool for risk
assessment and preventive planning in family nursing.
4. Which strategy is most effective for improving health literacy in a family with limited
educational background?
A. Providing complex medical journals to read
B. Using the ‘Teach-Back’ method during education sessions
C. Avoiding the use of visual aids to prevent confusion
D. Speaking in a loud voice to ensure they hear everything
Answer: B
Rationale: The Teach-Back method is a validated tool for assessing and ensuring client
understanding of health information. It requires the client to repeat the information in
their own words to confirm comprehension. This approach reduces errors and improves
self-management outcomes for families.
5. In the Transtheoretical Model, a person who is planning to quit smoking in the next 30 days
is in which stage of change?
A. Precontemplation
B. Preparation
C. Contemplation
D. Action
Answer: B
Rationale: The Preparation stage involves individuals who intend to take action in the
immediate future, typically within the next month. During this phase, they may start
making small behavioral changes or seeking resources. Recognizing this stage helps the
nurse provide appropriate support to move the client into the Action phase.
6. Which of the following is a secondary prevention intervention for a 45-year-old female?
A. Instructing on the importance of daily exercise
B. Scheduling a screening mammogram
C. Providing insulin education for a new diabetic
D. Recommending a low-sodium diet to prevent hypertension
Answer: B
, Rationale: Secondary prevention focuses on early detection of asymptomatic disease
through screening. Mammography is a key screening tool used to identify breast cancer at
an early, more treatable stage. This level of prevention is critical for reducing morbidity
and mortality in family populations.
7. What is the primary purpose of an ecomap in family nursing assessment?
A. To visualize the family’s internal genetic history
B. To document the family’s immunization records
C. To calculate the family’s body mass index
D. To map the family’s relationships with external systems
Answer: D
Rationale: An ecomap provides a visual representation of the family’s connections to the
community, such as work, school, and church. It helps identify sources of support and
potential stressors within the family’s environment. This tool is essential for assessing
social determinants of health and resource availability.
8. A nurse is working with a family to prevent childhood obesity. Which intervention reflects
a strengths-based approach?
A. Lecturing the parents on their poor food choices
B. Mandating a strict calorie-restricted diet for the child
C. Focusing only on the family’s lack of physical activity
D. Identifying the family’s success in walking together once a week
Answer: D
Rationale: A strengths-based approach focuses on identifying and building upon the
family’s existing positive behaviors. By recognizing their success in walking, the nurse
empowers the family to expand on their healthy habits. This method fosters collaboration
and increases the family’s self-efficacy.
9. Which nutrient is most critical to discuss with a woman of childbearing age to prevent
neural tube defects?
A. Folic acid
B. Calcium
C. Vitamin C
D. Potassium
Answer: A
Exam 2) | Herzing University PDF
1. According to Pender’s Health Promotion Model, which factor is the most powerful
predictor of health-promoting behavior?
A. Situational influences
B. Perceived barriers to action
C. Interpersonal influences
D. Prior related behavior
Answer: D
Rationale: Prior related behavior is considered a primary predictor of future health
actions within Pender’s model. It suggests that past experiences with a health behavior
influence the likelihood of engaging in it again. Understanding this allows nurses to tailor
interventions based on a family’s history of health practices.
2. A nurse is teaching a family about primary prevention. Which of the following is an
example of this level of care?
A. Administering the annual influenza vaccine
B. Providing physical therapy for a stroke survivor
C. Screening a patient for high blood pressure
D. Performing a colonoscopy on a 50-year-old
Answer: A
Rationale: Primary prevention aims to prevent the onset of disease through measures
such as immunization and health education. It focuses on healthy individuals to keep them
from developing specific illnesses. This contrasts with secondary prevention, which
involves screening, and tertiary prevention, which involves rehabilitation.
3. When assessing a family using a genogram, how many generations should the nurse ideally
include to identify health patterns?
A. One generation
B. Three generations
C. Two generations
D. Five generations
Answer: B
,Rationale: A standard genogram includes at least three generations to provide a
comprehensive view of family health history. This depth allows the nurse to track
hereditary conditions and relational patterns across time. It is a fundamental tool for risk
assessment and preventive planning in family nursing.
4. Which strategy is most effective for improving health literacy in a family with limited
educational background?
A. Providing complex medical journals to read
B. Using the ‘Teach-Back’ method during education sessions
C. Avoiding the use of visual aids to prevent confusion
D. Speaking in a loud voice to ensure they hear everything
Answer: B
Rationale: The Teach-Back method is a validated tool for assessing and ensuring client
understanding of health information. It requires the client to repeat the information in
their own words to confirm comprehension. This approach reduces errors and improves
self-management outcomes for families.
5. In the Transtheoretical Model, a person who is planning to quit smoking in the next 30 days
is in which stage of change?
A. Precontemplation
B. Preparation
C. Contemplation
D. Action
Answer: B
Rationale: The Preparation stage involves individuals who intend to take action in the
immediate future, typically within the next month. During this phase, they may start
making small behavioral changes or seeking resources. Recognizing this stage helps the
nurse provide appropriate support to move the client into the Action phase.
6. Which of the following is a secondary prevention intervention for a 45-year-old female?
A. Instructing on the importance of daily exercise
B. Scheduling a screening mammogram
C. Providing insulin education for a new diabetic
D. Recommending a low-sodium diet to prevent hypertension
Answer: B
, Rationale: Secondary prevention focuses on early detection of asymptomatic disease
through screening. Mammography is a key screening tool used to identify breast cancer at
an early, more treatable stage. This level of prevention is critical for reducing morbidity
and mortality in family populations.
7. What is the primary purpose of an ecomap in family nursing assessment?
A. To visualize the family’s internal genetic history
B. To document the family’s immunization records
C. To calculate the family’s body mass index
D. To map the family’s relationships with external systems
Answer: D
Rationale: An ecomap provides a visual representation of the family’s connections to the
community, such as work, school, and church. It helps identify sources of support and
potential stressors within the family’s environment. This tool is essential for assessing
social determinants of health and resource availability.
8. A nurse is working with a family to prevent childhood obesity. Which intervention reflects
a strengths-based approach?
A. Lecturing the parents on their poor food choices
B. Mandating a strict calorie-restricted diet for the child
C. Focusing only on the family’s lack of physical activity
D. Identifying the family’s success in walking together once a week
Answer: D
Rationale: A strengths-based approach focuses on identifying and building upon the
family’s existing positive behaviors. By recognizing their success in walking, the nurse
empowers the family to expand on their healthy habits. This method fosters collaboration
and increases the family’s self-efficacy.
9. Which nutrient is most critical to discuss with a woman of childbearing age to prevent
neural tube defects?
A. Folic acid
B. Calcium
C. Vitamin C
D. Potassium
Answer: A
