NSG 526 Exam 2 Actual Exam V2 | NSG 526 Family Nursing (NSG526
Exam 2) | Herzing University PDF
1. When assessing a family using the Calgary Family Assessment Model (CFAM), the nurse
focuses on the family’s internal structure. Which component is the nurse evaluating?
A. Social class and occupation
B. Extended family relationships
C. Family composition and rank order
D. Community resources and religious affiliations
Answer: C
Rationale: The internal structure of a family includes its composition, gender, sexual
orientation, rank order, subsystems, and boundaries. Rank order refers to the position of
the children in the family with respect to age and gender. Understanding these internal
dynamics is crucial for identifying how the family functions as a unit.
2. A family nurse practitioner is working with a low-income family whose child has chronic
asthma. The mother expresses concern about the cost of medications. Which social
determinant of health is primarily being addressed?
A. Health literacy levels
B. Neighborhood and built environment
C. Social and community context
D. Economic stability
Answer: D
Rationale: Economic stability is a key social determinant of health that encompasses
factors such as poverty, employment, and medical expenses. In this scenario, the family’s
inability to afford medication directly impacts the child’s health outcomes. The nurse must
identify resources like patient assistance programs to mitigate this barrier.
3. A nurse is providing health promotion education to a family with two adolescent children.
Which screening is most appropriate to prioritize for this age group based on USPSTF
guidelines?
A. Fasting blood glucose for diabetes
B. Annual bone density scans
C. Depression screening using the PHQ-A
D. Prostate-specific antigen (PSA) testing
,Answer: C
Rationale: Adolescents should be screened for major depressive disorder when systems
are in place to ensure accurate diagnosis and treatment. The USPSTF recommends
screening for depression in adolescents aged 12 to 18 years. Early detection allows for
timely intervention in a critical developmental period.
4. A family from a non-Western culture avoids eye contact and nods frequently during a
teaching session about hypertension. How should the nurse interpret this behavior?
A. The family is disinterested and not paying attention.
B. The family is ready to sign the informed consent forms.
C. The family is experiencing a high level of anxiety.
D. The family is showing respect rather than agreement or understanding.
Answer: D
Rationale: In many cultures, avoiding eye contact is a sign of respect toward authority
figures or healthcare providers. Noding may signify that they are listening rather than
indicating they understand or agree with the information. The nurse must use teach-back
methods to verify actual comprehension and cultural nuances.
5. Which of the following is considered a modifiable risk factor for a family with a history of
premature coronary artery disease?
A. Genetics and ethnicity
B. Age and biological sex
C. Family history of myocardial infarction
D. Dietary habits and physical activity
Answer: D
Rationale: Modifiable risk factors are behaviors or conditions that can be changed through
lifestyle interventions or medical treatment. Dietary habits and physical activity levels are
primary targets for reducing cardiovascular risk in a family setting. In contrast, genetics
and age are non-modifiable factors that cannot be altered.
6. A nurse is assessing a ‘sandwich generation’ caregiver who is caring for both young children
and an aging parent with dementia. What is the priority nursing intervention?
A. Assessing for caregiver burden and providing respite care resources.
B. Encouraging the caregiver to quit their job to focus on care.
C. Focusing solely on the medical needs of the aging parent.
D. Suggesting the children take on primary caregiving duties.
, Answer: A
Rationale: Caregiver burden is high among the sandwich generation, leading to physical
and emotional exhaustion. The nurse should prioritize screening the caregiver for stress
and burnout to maintain the health of the entire family unit. Providing resources for respite
care can help sustain the caregiver’s ability to provide quality support.
7. During a home visit, the nurse notices that a family living in an older urban home has
peeling paint on the windowsills. What is the most important preventive service to
recommend for their toddler?
A. Fluoride varnish application
B. Vision screening
C. Hearing acuity test
D. Lead blood level screening
Answer: D
Rationale: Older homes built before 1978 often contain lead-based paint, which can cause
neurodevelopmental delays if ingested by children. The presence of peeling paint is a
significant environmental hazard that warrants immediate blood lead level testing. The
nurse must also educate the family on environmental cleaning to reduce exposure.
8. A family-centered health plan for a patient with newly diagnosed Type 2 Diabetes should
prioritize which of the following?
A. Ordering pre-packaged meals for the patient only.
B. Focusing exclusively on pharmacological management.
C. Strictly isolating the patient’s diet from the family’s meals.
D. Educating the entire family on healthy meal preparation.
Answer: D
Rationale: Family-centered care involves including family members in the management of
chronic conditions to improve adherence and outcomes. By educating the entire family on
healthy eating, the patient receives better support and the family benefits from preventive
health measures. Shared lifestyle changes are more sustainable than individual restrictions.
9. When evaluating a family’s health literacy, the nurse uses the ‘Ask-Me-3’ technique. What
are the three questions the patient should be encouraged to ask?
A. What is my main problem? What do I need to do? Why is it important for me to do this?
B. What is my diagnosis? How much will it cost? When can I leave?
C. Who is my doctor? Where is the pharmacy? Can I have a brochure?
Exam 2) | Herzing University PDF
1. When assessing a family using the Calgary Family Assessment Model (CFAM), the nurse
focuses on the family’s internal structure. Which component is the nurse evaluating?
A. Social class and occupation
B. Extended family relationships
C. Family composition and rank order
D. Community resources and religious affiliations
Answer: C
Rationale: The internal structure of a family includes its composition, gender, sexual
orientation, rank order, subsystems, and boundaries. Rank order refers to the position of
the children in the family with respect to age and gender. Understanding these internal
dynamics is crucial for identifying how the family functions as a unit.
2. A family nurse practitioner is working with a low-income family whose child has chronic
asthma. The mother expresses concern about the cost of medications. Which social
determinant of health is primarily being addressed?
A. Health literacy levels
B. Neighborhood and built environment
C. Social and community context
D. Economic stability
Answer: D
Rationale: Economic stability is a key social determinant of health that encompasses
factors such as poverty, employment, and medical expenses. In this scenario, the family’s
inability to afford medication directly impacts the child’s health outcomes. The nurse must
identify resources like patient assistance programs to mitigate this barrier.
3. A nurse is providing health promotion education to a family with two adolescent children.
Which screening is most appropriate to prioritize for this age group based on USPSTF
guidelines?
A. Fasting blood glucose for diabetes
B. Annual bone density scans
C. Depression screening using the PHQ-A
D. Prostate-specific antigen (PSA) testing
,Answer: C
Rationale: Adolescents should be screened for major depressive disorder when systems
are in place to ensure accurate diagnosis and treatment. The USPSTF recommends
screening for depression in adolescents aged 12 to 18 years. Early detection allows for
timely intervention in a critical developmental period.
4. A family from a non-Western culture avoids eye contact and nods frequently during a
teaching session about hypertension. How should the nurse interpret this behavior?
A. The family is disinterested and not paying attention.
B. The family is ready to sign the informed consent forms.
C. The family is experiencing a high level of anxiety.
D. The family is showing respect rather than agreement or understanding.
Answer: D
Rationale: In many cultures, avoiding eye contact is a sign of respect toward authority
figures or healthcare providers. Noding may signify that they are listening rather than
indicating they understand or agree with the information. The nurse must use teach-back
methods to verify actual comprehension and cultural nuances.
5. Which of the following is considered a modifiable risk factor for a family with a history of
premature coronary artery disease?
A. Genetics and ethnicity
B. Age and biological sex
C. Family history of myocardial infarction
D. Dietary habits and physical activity
Answer: D
Rationale: Modifiable risk factors are behaviors or conditions that can be changed through
lifestyle interventions or medical treatment. Dietary habits and physical activity levels are
primary targets for reducing cardiovascular risk in a family setting. In contrast, genetics
and age are non-modifiable factors that cannot be altered.
6. A nurse is assessing a ‘sandwich generation’ caregiver who is caring for both young children
and an aging parent with dementia. What is the priority nursing intervention?
A. Assessing for caregiver burden and providing respite care resources.
B. Encouraging the caregiver to quit their job to focus on care.
C. Focusing solely on the medical needs of the aging parent.
D. Suggesting the children take on primary caregiving duties.
, Answer: A
Rationale: Caregiver burden is high among the sandwich generation, leading to physical
and emotional exhaustion. The nurse should prioritize screening the caregiver for stress
and burnout to maintain the health of the entire family unit. Providing resources for respite
care can help sustain the caregiver’s ability to provide quality support.
7. During a home visit, the nurse notices that a family living in an older urban home has
peeling paint on the windowsills. What is the most important preventive service to
recommend for their toddler?
A. Fluoride varnish application
B. Vision screening
C. Hearing acuity test
D. Lead blood level screening
Answer: D
Rationale: Older homes built before 1978 often contain lead-based paint, which can cause
neurodevelopmental delays if ingested by children. The presence of peeling paint is a
significant environmental hazard that warrants immediate blood lead level testing. The
nurse must also educate the family on environmental cleaning to reduce exposure.
8. A family-centered health plan for a patient with newly diagnosed Type 2 Diabetes should
prioritize which of the following?
A. Ordering pre-packaged meals for the patient only.
B. Focusing exclusively on pharmacological management.
C. Strictly isolating the patient’s diet from the family’s meals.
D. Educating the entire family on healthy meal preparation.
Answer: D
Rationale: Family-centered care involves including family members in the management of
chronic conditions to improve adherence and outcomes. By educating the entire family on
healthy eating, the patient receives better support and the family benefits from preventive
health measures. Shared lifestyle changes are more sustainable than individual restrictions.
9. When evaluating a family’s health literacy, the nurse uses the ‘Ask-Me-3’ technique. What
are the three questions the patient should be encouraged to ask?
A. What is my main problem? What do I need to do? Why is it important for me to do this?
B. What is my diagnosis? How much will it cost? When can I leave?
C. Who is my doctor? Where is the pharmacy? Can I have a brochure?
