NUR 166
Concepts of Family Centered
Nursing for the Practical Nurse
Proctored Midterm Exam
2026
(With Solutions)
Multiple Choice (15 Questions)
1. In family-centered nursing, which of the following best describes the
primary role of the nurse? A. To make decisions independently for the
family’s health B. To collaborate with the family as partners in care C. To
focus solely on the patient’s clinical needs D. To act as the authority figure in
caregiving Answer: B Rationale: Family-centered nursing emphasizes
collaboration and partnership with families to improve patient outcomes.
2. Which assessment tool is most appropriate for gathering family health
history in a family-centered care approach? A. Head-to-toe physical
assessment B. Genogram C. Pain scale D. Glasgow Coma Scale Answer: B
Rationale: A genogram visually maps family relationships and health history
essential for family-centered care.
3. What is the most important consideration when involving children in
family-centered care planning? A. Excluding them to avoid confusion B.
Considering their developmental level and comprehension C. Asking them to
decide independently D. Ignoring their input to expedite care Answer: B
Rationale: Children should be involved based on age-appropriate
participation to respect their role in the family.
4. In promoting family resilience after a health crisis, which nursing
intervention is most effective? A. Providing all information at once B.
Encouraging family communication and problem-solving C. Limiting family
involvement to reduce stress D. Focusing only on medical treatment Answer:
B Rationale: Enhancing communication and problem-solving strengthens
family resilience.
5. A nurse identifies that a family has a high risk of genetic disorders.
What is the most appropriate next step? A. Refer family to genetic
counseling B. Perform genetic testing immediately C. Avoid discussing
genetic risks to not cause anxiety D. Ignore family history and proceed with
standard care Answer: A Rationale: Genetic counseling helps families
, understand risks and make informed decisions.
6. Family-centered rounds in a pediatric unit are scheduled. What should
the nurse prioritize during the rounds? A. Discussing the plan only with the
physician B. Including family members in discussions and decision-making C.
Limiting family participation due to time constraints D. Using medical jargon to
maintain professionalism Answer: B Rationale: Family-centered rounds
prioritize family involvement to ensure shared understanding.
7. In which situation is family advocacy by the nurse most crucial? A.
When family members’ views conflict with patient autonomy B. When
language barriers limit family understanding C. When family members are
uninterested in care D. When the patient refuses treatment Answer: B
Rationale: Nurses advocate for families when communication barriers hinder
understanding.
8. Which is a key principle of family-centered nursing regarding privacy
and confidentiality? A. Share patient information freely with all family
members B. Obtain consent before sharing information with family C. Avoid
discussing care plans with the family D. Disclose only to the legal guardian
regardless of patient wishes Answer: B Rationale: Respect for confidentiality
requires consent to share health information.
9. How should a nurse best support a family experiencing caregiver
fatigue? A. Encourage use of respite care services B. Suggest family
members continue care without breaks C. Limit family involvement to reduce
workload D. Focus on the patient’s physical health only Answer: A
Rationale: Respite care reduces caregiver burden and supports family well-
being.
10. Which cultural consideration is essential in family-centered nursing? A.
Enforcing uniform care plans regardless of culture B. Recognizing and
integrating cultural beliefs into care C. Encouraging families to adopt Western
medical practices only D. Avoiding discussions about spiritual beliefs
Answer: B Rationale: Culturally competent care respects family cultural
norms and values.
11. What is the most appropriate method for resolving family conflict about
care decisions? A. Ignoring family tensions and focusing on patient care B.
Facilitating open communication and mediation C. Choosing one family
member’s opinion over others D. Deferring to physician decision-making
alone Answer: B Rationale: Encouraging dialogue helps resolve conflicts
and supports consensus.
12. During discharge planning, family-centered nursing requires the nurse
to: A. Develop a plan based solely on clinical needs B. Include family input
and readiness in planning C. Focus only on medication adherence D. Provide
instructions without family presence Answer: B Rationale: Family
involvement ensures practical, feasible discharge plans.
13. Which of the following best represents family empowerment in nursing
care? A. Doing all care tasks to reduce family burden B. Educating and
equipping families to perform care confidently C. Restricting family access to
clinical information D. Limiting family involvement to prevent mistakes
Answer: B Rationale: Empowerment involves educating families to actively
participate in care.
14. A nurse is caring for a family with diverse beliefs about illness
causation. What strategy is best for the nurse? A. Dismiss non-medical
beliefs to prevent confusion B. Acknowledge and incorporate their beliefs into
care planning C. Insist on strictly evidence-based approaches D. Avoid
Concepts of Family Centered
Nursing for the Practical Nurse
Proctored Midterm Exam
2026
(With Solutions)
Multiple Choice (15 Questions)
1. In family-centered nursing, which of the following best describes the
primary role of the nurse? A. To make decisions independently for the
family’s health B. To collaborate with the family as partners in care C. To
focus solely on the patient’s clinical needs D. To act as the authority figure in
caregiving Answer: B Rationale: Family-centered nursing emphasizes
collaboration and partnership with families to improve patient outcomes.
2. Which assessment tool is most appropriate for gathering family health
history in a family-centered care approach? A. Head-to-toe physical
assessment B. Genogram C. Pain scale D. Glasgow Coma Scale Answer: B
Rationale: A genogram visually maps family relationships and health history
essential for family-centered care.
3. What is the most important consideration when involving children in
family-centered care planning? A. Excluding them to avoid confusion B.
Considering their developmental level and comprehension C. Asking them to
decide independently D. Ignoring their input to expedite care Answer: B
Rationale: Children should be involved based on age-appropriate
participation to respect their role in the family.
4. In promoting family resilience after a health crisis, which nursing
intervention is most effective? A. Providing all information at once B.
Encouraging family communication and problem-solving C. Limiting family
involvement to reduce stress D. Focusing only on medical treatment Answer:
B Rationale: Enhancing communication and problem-solving strengthens
family resilience.
5. A nurse identifies that a family has a high risk of genetic disorders.
What is the most appropriate next step? A. Refer family to genetic
counseling B. Perform genetic testing immediately C. Avoid discussing
genetic risks to not cause anxiety D. Ignore family history and proceed with
standard care Answer: A Rationale: Genetic counseling helps families
, understand risks and make informed decisions.
6. Family-centered rounds in a pediatric unit are scheduled. What should
the nurse prioritize during the rounds? A. Discussing the plan only with the
physician B. Including family members in discussions and decision-making C.
Limiting family participation due to time constraints D. Using medical jargon to
maintain professionalism Answer: B Rationale: Family-centered rounds
prioritize family involvement to ensure shared understanding.
7. In which situation is family advocacy by the nurse most crucial? A.
When family members’ views conflict with patient autonomy B. When
language barriers limit family understanding C. When family members are
uninterested in care D. When the patient refuses treatment Answer: B
Rationale: Nurses advocate for families when communication barriers hinder
understanding.
8. Which is a key principle of family-centered nursing regarding privacy
and confidentiality? A. Share patient information freely with all family
members B. Obtain consent before sharing information with family C. Avoid
discussing care plans with the family D. Disclose only to the legal guardian
regardless of patient wishes Answer: B Rationale: Respect for confidentiality
requires consent to share health information.
9. How should a nurse best support a family experiencing caregiver
fatigue? A. Encourage use of respite care services B. Suggest family
members continue care without breaks C. Limit family involvement to reduce
workload D. Focus on the patient’s physical health only Answer: A
Rationale: Respite care reduces caregiver burden and supports family well-
being.
10. Which cultural consideration is essential in family-centered nursing? A.
Enforcing uniform care plans regardless of culture B. Recognizing and
integrating cultural beliefs into care C. Encouraging families to adopt Western
medical practices only D. Avoiding discussions about spiritual beliefs
Answer: B Rationale: Culturally competent care respects family cultural
norms and values.
11. What is the most appropriate method for resolving family conflict about
care decisions? A. Ignoring family tensions and focusing on patient care B.
Facilitating open communication and mediation C. Choosing one family
member’s opinion over others D. Deferring to physician decision-making
alone Answer: B Rationale: Encouraging dialogue helps resolve conflicts
and supports consensus.
12. During discharge planning, family-centered nursing requires the nurse
to: A. Develop a plan based solely on clinical needs B. Include family input
and readiness in planning C. Focus only on medication adherence D. Provide
instructions without family presence Answer: B Rationale: Family
involvement ensures practical, feasible discharge plans.
13. Which of the following best represents family empowerment in nursing
care? A. Doing all care tasks to reduce family burden B. Educating and
equipping families to perform care confidently C. Restricting family access to
clinical information D. Limiting family involvement to prevent mistakes
Answer: B Rationale: Empowerment involves educating families to actively
participate in care.
14. A nurse is caring for a family with diverse beliefs about illness
causation. What strategy is best for the nurse? A. Dismiss non-medical
beliefs to prevent confusion B. Acknowledge and incorporate their beliefs into
care planning C. Insist on strictly evidence-based approaches D. Avoid
