NSG 526 Exam 2 Actual Exam V3 | NSG 526 Family Nursing (NSG526
Exam 2) | Herzing University PDF
1. A nurse is assessing a family’s resilience after a house fire. Which behavior indicates high
family resilience?
A. The family seeks assistance from community resources and reevaluates their goals.
B. The family members avoid discussing the fire to prevent emotional distress.
C. The parents decide to move to a different state without informing the children.
D. The family isolates themselves from extended family to manage their grief privately.
Answer: A
Rationale: Family resilience involves the ability of a family to recover from adverse
situations by utilizing external and internal resources. Seeking community help shows a
proactive approach to recovery and problem-solving. This adaptation is a key indicator of
functional family coping mechanisms during a crisis.
2. Which health literacy intervention is most effective when teaching a caregiver how to
manage a relative’s new insulin regimen?
A. Using the ‘Teach-back’ method to verify the caregiver’s understanding.
B. Sending the caregiver a link to a generic health website.
C. Providing a high-level medical textbook about diabetes pathophysiology.
D. Giving a 30-minute lecture without interruptions.
Answer: A
Rationale: The ‘Teach-back’ method is a gold standard for assessing health literacy and
comprehension. It requires the caregiver to explain the process in their own words, which
reveals any misunderstandings immediately. This interactive approach fosters better
retention and safe medication administration at home.
3. In Family Systems Theory, which concept describes the tendency of a family to maintain
stability and resist change?
A. Morphogenesis
B. Equifinality
C. Homeostasis
D. Circular causality
Answer: C
,Rationale: Homeostasis refers to the family system’s desire to remain in a steady state or
equilibrium. While this can provide stability, it may also prevent necessary adaptations
during a health crisis. Nurses must understand this dynamic to facilitate positive changes
within the family unit.
4. A family nurse is helping a caregiver of a patient with Alzheimer’s disease. Which strategy
best addresses caregiver burden?
A. Encouraging the caregiver to quit their job to provide full-time care.
B. Suggesting the caregiver enroll the patient in a clinical trial.
C. Advising the caregiver to ignore their own health needs for now.
D. Connecting the caregiver with local respite care services.
Answer: D
Rationale: Respite care provides temporary relief for primary caregivers, which is
essential in preventing burnout. It allows the caregiver to attend to their own physical and
mental health needs while ensuring the patient is safe. Research indicates that support
systems like respite care improve the longevity of home-based caregiving.
5. What is the primary purpose of a family ecomap in health assessment?
A. To document the family’s medical history over three generations.
B. To visualize the family’s relationships with external social systems.
C. To track the chronological order of a patient’s symptoms.
D. To determine the biological risk factors for chronic diseases.
Answer: B
Rationale: An ecomap provides a visual representation of the family’s interactions with the
environment, such as schools, work, and healthcare providers. This tool helps nurses
identify strengths, gaps in support, and stressors in the family’s social network. It
complements the genogram by focusing on the external context rather than internal
genetics.
6. A nurse is working with a family from a culture that emphasizes collectivism. How should
the nurse approach a treatment decision?
A. Insist that only the patient makes the decision to ensure autonomy.
B. Provide information and allow the family to reach a consensus.
C. Make the decision for the family to save them from stress.
D. Tell the patient to ignore the elders’ advice.
Answer: B
, Rationale: Collectivist cultures often prioritize group harmony and family consensus over
individual autonomy. The nurse should respect this by involving family members in the
decision-making process as requested by the patient. This culturally sensitive approach
builds trust and ensures the treatment plan is supported by the family.
7. Which intervention represents primary prevention for a family with young children?
A. Assisting a family with physical therapy after an injury.
B. Teaching a family how to use a nebulizer for a child’s asthma.
C. Scheduling annual well-child checkups and immunizations.
D. Screening a child for lead poisoning based on risk factors.
Answer: C
Rationale: Primary prevention focuses on preventing the onset of disease or injury before
it occurs. Immunizations and regular wellness checkups are classic examples because they
protect the child from developing illnesses. In contrast, screenings are secondary
prevention, and managing existing conditions is tertiary prevention.
8. A family is struggling to manage a child’s chronic illness. What is the nurse’s priority when
evaluating family health outcomes?
A. The nurse’s personal opinion of the family’s lifestyle.
B. The cost-effectiveness of the child’s medications.
C. The number of hours the family spends researching the condition.
D. The family’s ability to demonstrate effective self-management skills.
Answer: D
Rationale: Measuring family outcomes involves assessing whether the family can
successfully manage health tasks independently. Effective self-management indicates that
the education and interventions provided by the nurse are working. This focus promotes
long-term health stability and reduces the risk of complications.
9. When assessing health literacy, which of the following is a red flag that a family may have
low literacy?
A. Stating they ‘forgot their glasses’ when asked to read a form.
B. Bringing an advocate or family member to appointments.
C. Asking many clarifying questions about the diagnosis.
D. Using a smartphone to record the discharge instructions.
Answer: A
Exam 2) | Herzing University PDF
1. A nurse is assessing a family’s resilience after a house fire. Which behavior indicates high
family resilience?
A. The family seeks assistance from community resources and reevaluates their goals.
B. The family members avoid discussing the fire to prevent emotional distress.
C. The parents decide to move to a different state without informing the children.
D. The family isolates themselves from extended family to manage their grief privately.
Answer: A
Rationale: Family resilience involves the ability of a family to recover from adverse
situations by utilizing external and internal resources. Seeking community help shows a
proactive approach to recovery and problem-solving. This adaptation is a key indicator of
functional family coping mechanisms during a crisis.
2. Which health literacy intervention is most effective when teaching a caregiver how to
manage a relative’s new insulin regimen?
A. Using the ‘Teach-back’ method to verify the caregiver’s understanding.
B. Sending the caregiver a link to a generic health website.
C. Providing a high-level medical textbook about diabetes pathophysiology.
D. Giving a 30-minute lecture without interruptions.
Answer: A
Rationale: The ‘Teach-back’ method is a gold standard for assessing health literacy and
comprehension. It requires the caregiver to explain the process in their own words, which
reveals any misunderstandings immediately. This interactive approach fosters better
retention and safe medication administration at home.
3. In Family Systems Theory, which concept describes the tendency of a family to maintain
stability and resist change?
A. Morphogenesis
B. Equifinality
C. Homeostasis
D. Circular causality
Answer: C
,Rationale: Homeostasis refers to the family system’s desire to remain in a steady state or
equilibrium. While this can provide stability, it may also prevent necessary adaptations
during a health crisis. Nurses must understand this dynamic to facilitate positive changes
within the family unit.
4. A family nurse is helping a caregiver of a patient with Alzheimer’s disease. Which strategy
best addresses caregiver burden?
A. Encouraging the caregiver to quit their job to provide full-time care.
B. Suggesting the caregiver enroll the patient in a clinical trial.
C. Advising the caregiver to ignore their own health needs for now.
D. Connecting the caregiver with local respite care services.
Answer: D
Rationale: Respite care provides temporary relief for primary caregivers, which is
essential in preventing burnout. It allows the caregiver to attend to their own physical and
mental health needs while ensuring the patient is safe. Research indicates that support
systems like respite care improve the longevity of home-based caregiving.
5. What is the primary purpose of a family ecomap in health assessment?
A. To document the family’s medical history over three generations.
B. To visualize the family’s relationships with external social systems.
C. To track the chronological order of a patient’s symptoms.
D. To determine the biological risk factors for chronic diseases.
Answer: B
Rationale: An ecomap provides a visual representation of the family’s interactions with the
environment, such as schools, work, and healthcare providers. This tool helps nurses
identify strengths, gaps in support, and stressors in the family’s social network. It
complements the genogram by focusing on the external context rather than internal
genetics.
6. A nurse is working with a family from a culture that emphasizes collectivism. How should
the nurse approach a treatment decision?
A. Insist that only the patient makes the decision to ensure autonomy.
B. Provide information and allow the family to reach a consensus.
C. Make the decision for the family to save them from stress.
D. Tell the patient to ignore the elders’ advice.
Answer: B
, Rationale: Collectivist cultures often prioritize group harmony and family consensus over
individual autonomy. The nurse should respect this by involving family members in the
decision-making process as requested by the patient. This culturally sensitive approach
builds trust and ensures the treatment plan is supported by the family.
7. Which intervention represents primary prevention for a family with young children?
A. Assisting a family with physical therapy after an injury.
B. Teaching a family how to use a nebulizer for a child’s asthma.
C. Scheduling annual well-child checkups and immunizations.
D. Screening a child for lead poisoning based on risk factors.
Answer: C
Rationale: Primary prevention focuses on preventing the onset of disease or injury before
it occurs. Immunizations and regular wellness checkups are classic examples because they
protect the child from developing illnesses. In contrast, screenings are secondary
prevention, and managing existing conditions is tertiary prevention.
8. A family is struggling to manage a child’s chronic illness. What is the nurse’s priority when
evaluating family health outcomes?
A. The nurse’s personal opinion of the family’s lifestyle.
B. The cost-effectiveness of the child’s medications.
C. The number of hours the family spends researching the condition.
D. The family’s ability to demonstrate effective self-management skills.
Answer: D
Rationale: Measuring family outcomes involves assessing whether the family can
successfully manage health tasks independently. Effective self-management indicates that
the education and interventions provided by the nurse are working. This focus promotes
long-term health stability and reduces the risk of complications.
9. When assessing health literacy, which of the following is a red flag that a family may have
low literacy?
A. Stating they ‘forgot their glasses’ when asked to read a form.
B. Bringing an advocate or family member to appointments.
C. Asking many clarifying questions about the diagnosis.
D. Using a smartphone to record the discharge instructions.
Answer: A
