NSG 526 Final Exam Actual Exam V3 | NSG 526 Family Nursing
(NSG526 Final Exam) | Herzing University PDF
1. When using the Calgary Family Assessment Model (CFAM), which category includes the
assessment of roles, influence, and power within the family?
A. Structural assessment
B. Functional assessment
C. Developmental assessment
D. Environmental assessment
Answer: B
Rationale: The functional assessment category of the CFAM focuses on how individuals
actually behave in relation to one another. It specifically explores both instrumental
aspects, such as activities of daily living, and expressive aspects like roles and power.
Understanding these dynamics is essential for identifying how a family adapts to health
challenges.
2. A nurse practitioner is working with a family where the primary caregiver of an Alzheimer’s
patient reports feeling ‘burnt out.’ What is the most appropriate first step?
A. Recommend immediate nursing home placement for the patient.
B. Administer the Caregiver Strain Index to assess the level of burden.
C. Prescribe an antidepressant to the caregiver to manage stress.
D. Refer the family to a support group without further assessment.
Answer: B
Rationale: Assessment must always precede intervention in the nursing process. The
Caregiver Strain Index is a validated tool that helps quantify the specific stressors the
caregiver is facing. By identifying the specific areas of strain, the nurse practitioner can
develop a targeted and collaborative care plan to support the caregiver’s well-being.
3. Which ethical principle is most challenged when a family insists on withholding a terminal
diagnosis from a patient?
A. Beneficence
B. Veracity
C. Non-maleficence
D. Justice
,Answer: B
Rationale: Veracity refers to the obligation to tell the truth and not intentionally deceive
others. In this scenario, the family’s request conflicts with the patient’s right to know their
own medical status. The healthcare provider must navigate this conflict by emphasizing the
patient’s autonomy while supporting the family’s emotional concerns.
4. In family systems theory, what term describes the process where a two-person relationship
under stress draws in a third person to stabilize the system?
A. Triangulation
B. Differentiation of self
C. Emotional cutoff
D. Nuclear family emotional process
Answer: A
Rationale: Triangulation occurs when a dyad in conflict incorporates a third party to
reduce anxiety and tension between the original two members. While this may provide
temporary stability, it often prevents the resolution of the underlying issue. Recognizing
triangulation is a critical skill for family nurses aiming to improve healthy communication
patterns.
5. A family is struggling to afford medications for their child’s chronic asthma. This is an
example of which Social Determinant of Health (SDOH)?
A. Education Access and Quality
B. Health Care Access and Quality
C. Economic Stability
D. Social and Community Context
Answer: C
Rationale: Economic stability encompasses factors such as poverty, employment status,
and housing stability, all of which impact a family’s ability to pay for healthcare needs.
Financial barriers are a significant contributor to health inequities and non-adherence to
medical regimens. Addressing these systemic issues requires a collaborative approach
involving social services and community resources.
6. What is the primary purpose of a family ecomap?
A. To track genetic predispositions to diseases across generations.
B. To visualize the family’s internal structure and hierarchy.
C. To document the developmental milestones of each family member.
, D. To illustrate the family’s relationships with external systems like work, church, and
healthcare.
Answer: D
Rationale: An ecomap provides a visual representation of the family’s connections to the
larger community and social environment. It helps identify sources of support as well as
areas of stress or conflict with external systems. This tool is particularly useful for planning
interventions that leverage community resources for family health.
7. A nurse practitioner is developing a care plan for a family from a different cultural
background. Which action demonstrates cultural humility?
A. Memorizing a list of common beliefs held by that specific cultural group.
B. Assuming the family will follow traditional western medical advice without question.
C. Asking the family how they define health and what their goals are for treatment.
D. Directing the family to change their dietary habits to match local standards.
Answer: C
Rationale: Cultural humility involves a lifelong commitment to self-evaluation and
critique, as well as a willingness to learn from the patient. By asking the family about their
own definitions and goals, the nurse avoids stereotyping and fosters a collaborative
relationship. This approach respects the family’s expertise in their own lives and improves
health equity.
8. According to Duvall’s Family Life Cycle, what is the primary developmental task for families
with adolescents?
A. Balancing freedom with responsibility as adolescents mature.
B. Adjusting to the loss of privacy as a couple.
C. Renegotiating the marital system as a dyad after children leave.
D. Integrating new family members through marriage.
Answer: A
Rationale: The adolescent stage of the family life cycle is characterized by the need to shift
parental boundaries to allow for greater independence. Families must navigate the tension
between maintaining safety and supporting the adolescent’s developing autonomy.
Successful completion of this task prepares the family for the eventual ‘launching’ of the
young adult.
9. When performing a Family APGAR assessment, what does the ‘G’ represent?
A. Growth
B. Gaining wealth
(NSG526 Final Exam) | Herzing University PDF
1. When using the Calgary Family Assessment Model (CFAM), which category includes the
assessment of roles, influence, and power within the family?
A. Structural assessment
B. Functional assessment
C. Developmental assessment
D. Environmental assessment
Answer: B
Rationale: The functional assessment category of the CFAM focuses on how individuals
actually behave in relation to one another. It specifically explores both instrumental
aspects, such as activities of daily living, and expressive aspects like roles and power.
Understanding these dynamics is essential for identifying how a family adapts to health
challenges.
2. A nurse practitioner is working with a family where the primary caregiver of an Alzheimer’s
patient reports feeling ‘burnt out.’ What is the most appropriate first step?
A. Recommend immediate nursing home placement for the patient.
B. Administer the Caregiver Strain Index to assess the level of burden.
C. Prescribe an antidepressant to the caregiver to manage stress.
D. Refer the family to a support group without further assessment.
Answer: B
Rationale: Assessment must always precede intervention in the nursing process. The
Caregiver Strain Index is a validated tool that helps quantify the specific stressors the
caregiver is facing. By identifying the specific areas of strain, the nurse practitioner can
develop a targeted and collaborative care plan to support the caregiver’s well-being.
3. Which ethical principle is most challenged when a family insists on withholding a terminal
diagnosis from a patient?
A. Beneficence
B. Veracity
C. Non-maleficence
D. Justice
,Answer: B
Rationale: Veracity refers to the obligation to tell the truth and not intentionally deceive
others. In this scenario, the family’s request conflicts with the patient’s right to know their
own medical status. The healthcare provider must navigate this conflict by emphasizing the
patient’s autonomy while supporting the family’s emotional concerns.
4. In family systems theory, what term describes the process where a two-person relationship
under stress draws in a third person to stabilize the system?
A. Triangulation
B. Differentiation of self
C. Emotional cutoff
D. Nuclear family emotional process
Answer: A
Rationale: Triangulation occurs when a dyad in conflict incorporates a third party to
reduce anxiety and tension between the original two members. While this may provide
temporary stability, it often prevents the resolution of the underlying issue. Recognizing
triangulation is a critical skill for family nurses aiming to improve healthy communication
patterns.
5. A family is struggling to afford medications for their child’s chronic asthma. This is an
example of which Social Determinant of Health (SDOH)?
A. Education Access and Quality
B. Health Care Access and Quality
C. Economic Stability
D. Social and Community Context
Answer: C
Rationale: Economic stability encompasses factors such as poverty, employment status,
and housing stability, all of which impact a family’s ability to pay for healthcare needs.
Financial barriers are a significant contributor to health inequities and non-adherence to
medical regimens. Addressing these systemic issues requires a collaborative approach
involving social services and community resources.
6. What is the primary purpose of a family ecomap?
A. To track genetic predispositions to diseases across generations.
B. To visualize the family’s internal structure and hierarchy.
C. To document the developmental milestones of each family member.
, D. To illustrate the family’s relationships with external systems like work, church, and
healthcare.
Answer: D
Rationale: An ecomap provides a visual representation of the family’s connections to the
larger community and social environment. It helps identify sources of support as well as
areas of stress or conflict with external systems. This tool is particularly useful for planning
interventions that leverage community resources for family health.
7. A nurse practitioner is developing a care plan for a family from a different cultural
background. Which action demonstrates cultural humility?
A. Memorizing a list of common beliefs held by that specific cultural group.
B. Assuming the family will follow traditional western medical advice without question.
C. Asking the family how they define health and what their goals are for treatment.
D. Directing the family to change their dietary habits to match local standards.
Answer: C
Rationale: Cultural humility involves a lifelong commitment to self-evaluation and
critique, as well as a willingness to learn from the patient. By asking the family about their
own definitions and goals, the nurse avoids stereotyping and fosters a collaborative
relationship. This approach respects the family’s expertise in their own lives and improves
health equity.
8. According to Duvall’s Family Life Cycle, what is the primary developmental task for families
with adolescents?
A. Balancing freedom with responsibility as adolescents mature.
B. Adjusting to the loss of privacy as a couple.
C. Renegotiating the marital system as a dyad after children leave.
D. Integrating new family members through marriage.
Answer: A
Rationale: The adolescent stage of the family life cycle is characterized by the need to shift
parental boundaries to allow for greater independence. Families must navigate the tension
between maintaining safety and supporting the adolescent’s developing autonomy.
Successful completion of this task prepares the family for the eventual ‘launching’ of the
young adult.
9. When performing a Family APGAR assessment, what does the ‘G’ represent?
A. Growth
B. Gaining wealth
