NU 402
Family Nursing
Final Exam Review
(Questions & Solutions)
2025
1
,1. A 45-year-old father with congestive heart failure reports increased
hospital admissions due to poor medication adherence. The nurse
conducts a genogram and discovers multiple caregivers in two
households. Which family nursing intervention is most appropriate?
- A. Develop separate teaching sessions for each household
- B. Assign one primary caregiver and exclude others
- C. Provide identical written materials to all adults
- D. Facilitate a family meeting with all caregivers to coordinate care
ANS: D
Rationale: Engaging all caregivers in a coordinated plan addresses role
confusion and ensures consistency across households.
2. A school-aged child with newly diagnosed type 1 diabetes is anxious
about finger sticks. The nurse uses circular questioning during a family
session. What is the purpose of this technique?
- A. To assign blame for noncompliance
- B. To explore differences in each member’s perspective
- C. To teach technical skills to multiple people
- D. To collect objective physiological data
ANS: B
Rationale: Circular questioning elicits diverse viewpoints, promoting
empathy and shared problem-solving within the family.
3. A multicultural family from Southeast Asia resists palliative care
referrals for their terminally ill matriarch. Which culturally competent
approach should the nurse use first?
- A. Insist on palliative care by protocol
- B. Refer them to hospice immediately
- C. Elicit family beliefs about illness and dying
- D. Provide statistics on survival rates
2
, ANS: C
Rationale: Understanding cultural beliefs through open dialogue is
essential before proposing end-of-life interventions.
4. In evaluating a family’s resilience after a child’s autism diagnosis, the
nurse uses the Family Resilience Assessment Scale (FRAS). Which domain
does this tool measure?
- A. Financial coping only
- B. Communication patterns and belief systems
- C. Individual mental health status
- D. Pharmacologic adherence
ANS: B
Rationale: FRAS assesses family belief systems, organizational patterns,
and communication as resilience factors.
5. A young couple’s infant is readmitted with bronchiolitis. The mother
expresses guilt for returning to work. Which therapeutic question reflects
a strengths-based approach?
- A. “Why did you decide to work this week?”
- B. “What supports have helped you balance work and care?”
- C. “Who is responsible for this readmission?”
- D. “How will you pay for more days off?”
ANS: B
Rationale: Strengths-based questions highlight existing supports and
encourage positive coping strategies.
6. A nurse implements a family advocacy role for a non-English‐speaking
family. Which action best fulfills this role?
- A. Providing bilingual educational pamphlets only
- B. Arranging for a professional medical interpreter during rounds
- C. Asking the bilingual child to interpret
- D. Relying on gestural communication
3
Family Nursing
Final Exam Review
(Questions & Solutions)
2025
1
,1. A 45-year-old father with congestive heart failure reports increased
hospital admissions due to poor medication adherence. The nurse
conducts a genogram and discovers multiple caregivers in two
households. Which family nursing intervention is most appropriate?
- A. Develop separate teaching sessions for each household
- B. Assign one primary caregiver and exclude others
- C. Provide identical written materials to all adults
- D. Facilitate a family meeting with all caregivers to coordinate care
ANS: D
Rationale: Engaging all caregivers in a coordinated plan addresses role
confusion and ensures consistency across households.
2. A school-aged child with newly diagnosed type 1 diabetes is anxious
about finger sticks. The nurse uses circular questioning during a family
session. What is the purpose of this technique?
- A. To assign blame for noncompliance
- B. To explore differences in each member’s perspective
- C. To teach technical skills to multiple people
- D. To collect objective physiological data
ANS: B
Rationale: Circular questioning elicits diverse viewpoints, promoting
empathy and shared problem-solving within the family.
3. A multicultural family from Southeast Asia resists palliative care
referrals for their terminally ill matriarch. Which culturally competent
approach should the nurse use first?
- A. Insist on palliative care by protocol
- B. Refer them to hospice immediately
- C. Elicit family beliefs about illness and dying
- D. Provide statistics on survival rates
2
, ANS: C
Rationale: Understanding cultural beliefs through open dialogue is
essential before proposing end-of-life interventions.
4. In evaluating a family’s resilience after a child’s autism diagnosis, the
nurse uses the Family Resilience Assessment Scale (FRAS). Which domain
does this tool measure?
- A. Financial coping only
- B. Communication patterns and belief systems
- C. Individual mental health status
- D. Pharmacologic adherence
ANS: B
Rationale: FRAS assesses family belief systems, organizational patterns,
and communication as resilience factors.
5. A young couple’s infant is readmitted with bronchiolitis. The mother
expresses guilt for returning to work. Which therapeutic question reflects
a strengths-based approach?
- A. “Why did you decide to work this week?”
- B. “What supports have helped you balance work and care?”
- C. “Who is responsible for this readmission?”
- D. “How will you pay for more days off?”
ANS: B
Rationale: Strengths-based questions highlight existing supports and
encourage positive coping strategies.
6. A nurse implements a family advocacy role for a non-English‐speaking
family. Which action best fulfills this role?
- A. Providing bilingual educational pamphlets only
- B. Arranging for a professional medical interpreter during rounds
- C. Asking the bilingual child to interpret
- D. Relying on gestural communication
3
