NURS 5432 FAMILY I FINAL EXAM (UTA)
NEWEST 2026 ACTUAL EXAM TEST BANK|
NURS5432 MODULES 7-10 FINAL EXAM REVIEW
WITH 400 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
1. A family presents with a child diagnosed with autism spectrum disorder. The parents report
significant marital strain and reduced social support. Using the Calgary Family Intervention
Model, which intervention would be MOST appropriate to address the family's relational
dynamics?
A. Refer the child for intensive behavioral therapy
B. Facilitate a family meeting to explore communication patterns and assign tasks
C. Prescribe an antidepressant for the mother to reduce stress
D. Provide educational pamphlets on autism spectrum disorder
Answer: B
Rationale: The Calgary Family Intervention Model emphasizes interventions that target family
interaction patterns. Facilitating a family meeting to explore communication and assign tasks directly
addresses relational strain. Referral for child therapy (A) is individual-focused; medication (C) is
pharmacological; education (D) is informative but does not address relational dynamics.
2. In a family with a history of type 2 diabetes, the nurse practitioner uses the Family Systems
Theory to assess health behaviors. Which assessment finding would most strongly indicate a need
for intervention at the family subsystem level?
A. One parent has a body mass index of 32
B. The family eats dinner together only once per week
C. The adolescent child has a hemoglobin A1C of 6.8%
D. The family reports no regular exercise routine
Answer: C
Rationale: Family Systems Theory posits that subsystems (e.g., parent-child) influence health. An
adolescent with elevated A1C indicates a subsystem dysfunction requiring targeted intervention. While
BMI (A), infrequent meals (B), and lack of exercise (D) are risk factors, they are individual or
family-level, not specifically subsystem.
Page 1
,3. A couple is considering genetic testing for Huntington's disease. The husband is at risk (parent
affected) but does not want to know his status. The wife insists on testing to plan for the future.
Which ethical principle is most directly challenged?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy respects an individual's right to make decisions about their own health information.
The husband's desire not to know conflicts with the wife's request, challenging his autonomy.
Beneficence (A) is doing good; nonmaleficence (B) is avoiding harm; justice (D) is fairness-none are as
directly challenged as autonomy here.
4. When applying the Chronic Care Model to a family with multiple chronic conditions, which
system-level change would have the greatest impact on improving health outcomes?
A. Implementing a patient portal for appointment scheduling
B. Establishing a registry to track patient outcomes and prompt follow-up
C. Providing monthly educational newsletters about disease management
D. Increasing clinic hours to include weekend appointments
Answer: B
Rationale: The Chronic Care Model emphasizes organized, proactive care. A registry enables systematic
tracking and follow-up, which improves outcomes. Patient portals (A) enhance communication but are
less impactful; education (C) alone is insufficient; extended hours (D) improve access but do not ensure
coordinated care.
5. A family with a terminally ill parent is considering palliative care. Which family assessment tool
would best capture the family's coping and adaptation to this chronic stressor?
A. Family Assessment Device (FAD)
B. Family Adaptability and Cohesion Evaluation Scale (FACES IV)
C. Home Observation for Measurement of the Environment (HOME)
D. Family Environment Scale (FES)
Answer: B
Rationale: FACES IV measures adaptability and cohesion, key for coping with chronic stress. FAD (A)
assesses general functioning; HOME (C) is for child development; FES (D) measures social climate. For
a family facing terminal illness, adaptability and cohesion are most relevant.
6. A nurse practitioner is evaluating a family with a child who has asthma. The family uses cultural
remedies (e.g., herbal teas) and is hesitant to use prescribed inhalers. Which approach aligns with
culturally sensitive family-centered care?
A. Explain that herbal teas have no proven benefit and must be discontinued
B. Negotiate a plan that incorporates the herbal tea while emphasizing the need for inhaler use
C. Refer the family to a specialist who can provide more authoritative advice
Page 2
,D. Document the noncompliance and schedule a follow-up in one month
Answer: B
Rationale: Culturally sensitive care involves negotiating a plan that respects beliefs while promoting
evidence-based treatment. Discontinuing cultural remedies (A) may alienate the family; referral (C)
avoids the issue; documentation (D) does not address the barrier. Negotiation (B) fosters trust and
adherence.
7. In a family with a history of cardiovascular disease, the nurse practitioner uses the Stages of
Change Model to counsel a parent about smoking cessation. The parent says, 'I know I should quit,
but I'm not ready yet.' Which stage is this parent in?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Answer: B
Rationale: Contemplation is characterized by awareness of the problem and intention to change in the
future (e.g., 'not ready yet'). Precontemplation (A) lacks awareness; preparation (C) involves planning;
action (D) involves behavior change. The statement indicates ambivalence typical of contemplation.
8. A family caregiver of a patient with Alzheimer's disease reports symptoms of burnout and
depression. Using the Resiliency Model of Family Stress, Adjustment, and Adaptation, which
intervention would best enhance the caregiver's resilience?
A. Prescribe an antidepressant medication
B. Encourage the caregiver to take time for self-care activities
C. Provide respite care services to give the caregiver a break
D. Facilitate a support group for caregivers to share experiences
Answer: D
Rationale: The Resiliency Model emphasizes social support as a key resource for adaptation. Support
groups provide emotional and informational support, enhancing resilience. Medication (A) treats
symptoms but does not address resilience; self-care (B) and respite (C) are helpful but less
comprehensive than building a support network.
9. When conducting a family assessment using the Family ecomap, which finding would most
indicate a need for intervention to improve family functioning?
A. A thick line connecting the family to a religious organization
B. A dotted line connecting the family to a neighbor
C. A stressful line (drawn as a jagged line) connecting the family to a workplace
D. An absent line between the family and the healthcare system
Answer: C
Rationale: An ecomap uses lines to show relationships: jagged lines indicate stressful connections. A
stressful work relationship can negatively impact family functioning. A thick line (A) indicates strong
support; dotted line (B) indicates weak but present connection; absent line (D) may indicate lack of
connection but not necessarily stress. The jagged line directly indicates a source of stress.
Page 3
, 10. In a family with an adolescent who has type 1 diabetes, the nurse practitioner observes that the
mother closely monitors the adolescent's blood glucose and insulin administration, leading to
frequent conflicts. Which family therapy approach would best address the developmental need for
autonomy?
A. Structural family therapy to realign boundaries
B. Strategic family therapy to assign tasks
C. Narrative therapy to externalize the problem
D. Solution-focused brief therapy to set goals
Answer: A
Rationale: Structural family therapy focuses on boundaries and hierarchies. In this case, the mother's
overinvolvement blurs boundaries, hindering the adolescent's autonomy. Realigning boundaries can
reduce conflict. Strategic therapy (B) focuses on problem-solving; narrative therapy (C) on stories;
solution-focused (D) on goals-none directly address boundary issues.
11. A family presents for a well-child visit. The parent expresses concern that their adolescent has
been spending increasing time alone in their room and seems less interested in family activities.
Which theoretical framework best guides the nurse's assessment of this behavior within the context
of family development?
A. Duvall's family life cycle stages, focusing on the transition to launching children
B. Bowen's family systems theory, emphasizing differentiation of self and emotional cutoff
C. Minuchin's structural family therapy, highlighting boundary permeability and enmeshment
D. Wright and Leahey's Calgary Family Assessment Model, prioritizing functional patterns
Answer: B
Rationale: Adolescent withdrawal from family activities often reflects the developmental task of
individuation. Bowen's theory explains this as differentiation of self, where adolescents may use
emotional cutoff to gain autonomy. Duvall's stages describe family tasks but not the mechanism of
withdrawal. Minuchin focuses on boundaries but less on individual autonomy. Wright and Leahey assess
patterns but lack a specific construct for this developmental process.
12. During a home visit, a nurse observes that a family with three children manages chronic illness
in one child by having the other children assume caregiving roles, leading to parentified behavior
in the siblings. Which concept from family systems theory is most directly demonstrated?
A. Triangulation
B. Differentiation of self
C. Multigenerational transmission process
D. Sibling subsystem boundary diffusion
Answer: A
Rationale: Triangulation occurs when a third party (sibling) is drawn into the dyadic relationship
between parents and the ill child, reducing anxiety but creating dysfunction. Parentification of siblings is
a classic example. Differentiation of self refers to emotional autonomy, not role reversal.
Multigenerational transmission is about patterns across generations. Sibling subsystem boundary
diffusion is descriptive but not the core systemic mechanism.
Page 4
NEWEST 2026 ACTUAL EXAM TEST BANK|
NURS5432 MODULES 7-10 FINAL EXAM REVIEW
WITH 400 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
1. A family presents with a child diagnosed with autism spectrum disorder. The parents report
significant marital strain and reduced social support. Using the Calgary Family Intervention
Model, which intervention would be MOST appropriate to address the family's relational
dynamics?
A. Refer the child for intensive behavioral therapy
B. Facilitate a family meeting to explore communication patterns and assign tasks
C. Prescribe an antidepressant for the mother to reduce stress
D. Provide educational pamphlets on autism spectrum disorder
Answer: B
Rationale: The Calgary Family Intervention Model emphasizes interventions that target family
interaction patterns. Facilitating a family meeting to explore communication and assign tasks directly
addresses relational strain. Referral for child therapy (A) is individual-focused; medication (C) is
pharmacological; education (D) is informative but does not address relational dynamics.
2. In a family with a history of type 2 diabetes, the nurse practitioner uses the Family Systems
Theory to assess health behaviors. Which assessment finding would most strongly indicate a need
for intervention at the family subsystem level?
A. One parent has a body mass index of 32
B. The family eats dinner together only once per week
C. The adolescent child has a hemoglobin A1C of 6.8%
D. The family reports no regular exercise routine
Answer: C
Rationale: Family Systems Theory posits that subsystems (e.g., parent-child) influence health. An
adolescent with elevated A1C indicates a subsystem dysfunction requiring targeted intervention. While
BMI (A), infrequent meals (B), and lack of exercise (D) are risk factors, they are individual or
family-level, not specifically subsystem.
Page 1
,3. A couple is considering genetic testing for Huntington's disease. The husband is at risk (parent
affected) but does not want to know his status. The wife insists on testing to plan for the future.
Which ethical principle is most directly challenged?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy respects an individual's right to make decisions about their own health information.
The husband's desire not to know conflicts with the wife's request, challenging his autonomy.
Beneficence (A) is doing good; nonmaleficence (B) is avoiding harm; justice (D) is fairness-none are as
directly challenged as autonomy here.
4. When applying the Chronic Care Model to a family with multiple chronic conditions, which
system-level change would have the greatest impact on improving health outcomes?
A. Implementing a patient portal for appointment scheduling
B. Establishing a registry to track patient outcomes and prompt follow-up
C. Providing monthly educational newsletters about disease management
D. Increasing clinic hours to include weekend appointments
Answer: B
Rationale: The Chronic Care Model emphasizes organized, proactive care. A registry enables systematic
tracking and follow-up, which improves outcomes. Patient portals (A) enhance communication but are
less impactful; education (C) alone is insufficient; extended hours (D) improve access but do not ensure
coordinated care.
5. A family with a terminally ill parent is considering palliative care. Which family assessment tool
would best capture the family's coping and adaptation to this chronic stressor?
A. Family Assessment Device (FAD)
B. Family Adaptability and Cohesion Evaluation Scale (FACES IV)
C. Home Observation for Measurement of the Environment (HOME)
D. Family Environment Scale (FES)
Answer: B
Rationale: FACES IV measures adaptability and cohesion, key for coping with chronic stress. FAD (A)
assesses general functioning; HOME (C) is for child development; FES (D) measures social climate. For
a family facing terminal illness, adaptability and cohesion are most relevant.
6. A nurse practitioner is evaluating a family with a child who has asthma. The family uses cultural
remedies (e.g., herbal teas) and is hesitant to use prescribed inhalers. Which approach aligns with
culturally sensitive family-centered care?
A. Explain that herbal teas have no proven benefit and must be discontinued
B. Negotiate a plan that incorporates the herbal tea while emphasizing the need for inhaler use
C. Refer the family to a specialist who can provide more authoritative advice
Page 2
,D. Document the noncompliance and schedule a follow-up in one month
Answer: B
Rationale: Culturally sensitive care involves negotiating a plan that respects beliefs while promoting
evidence-based treatment. Discontinuing cultural remedies (A) may alienate the family; referral (C)
avoids the issue; documentation (D) does not address the barrier. Negotiation (B) fosters trust and
adherence.
7. In a family with a history of cardiovascular disease, the nurse practitioner uses the Stages of
Change Model to counsel a parent about smoking cessation. The parent says, 'I know I should quit,
but I'm not ready yet.' Which stage is this parent in?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Answer: B
Rationale: Contemplation is characterized by awareness of the problem and intention to change in the
future (e.g., 'not ready yet'). Precontemplation (A) lacks awareness; preparation (C) involves planning;
action (D) involves behavior change. The statement indicates ambivalence typical of contemplation.
8. A family caregiver of a patient with Alzheimer's disease reports symptoms of burnout and
depression. Using the Resiliency Model of Family Stress, Adjustment, and Adaptation, which
intervention would best enhance the caregiver's resilience?
A. Prescribe an antidepressant medication
B. Encourage the caregiver to take time for self-care activities
C. Provide respite care services to give the caregiver a break
D. Facilitate a support group for caregivers to share experiences
Answer: D
Rationale: The Resiliency Model emphasizes social support as a key resource for adaptation. Support
groups provide emotional and informational support, enhancing resilience. Medication (A) treats
symptoms but does not address resilience; self-care (B) and respite (C) are helpful but less
comprehensive than building a support network.
9. When conducting a family assessment using the Family ecomap, which finding would most
indicate a need for intervention to improve family functioning?
A. A thick line connecting the family to a religious organization
B. A dotted line connecting the family to a neighbor
C. A stressful line (drawn as a jagged line) connecting the family to a workplace
D. An absent line between the family and the healthcare system
Answer: C
Rationale: An ecomap uses lines to show relationships: jagged lines indicate stressful connections. A
stressful work relationship can negatively impact family functioning. A thick line (A) indicates strong
support; dotted line (B) indicates weak but present connection; absent line (D) may indicate lack of
connection but not necessarily stress. The jagged line directly indicates a source of stress.
Page 3
, 10. In a family with an adolescent who has type 1 diabetes, the nurse practitioner observes that the
mother closely monitors the adolescent's blood glucose and insulin administration, leading to
frequent conflicts. Which family therapy approach would best address the developmental need for
autonomy?
A. Structural family therapy to realign boundaries
B. Strategic family therapy to assign tasks
C. Narrative therapy to externalize the problem
D. Solution-focused brief therapy to set goals
Answer: A
Rationale: Structural family therapy focuses on boundaries and hierarchies. In this case, the mother's
overinvolvement blurs boundaries, hindering the adolescent's autonomy. Realigning boundaries can
reduce conflict. Strategic therapy (B) focuses on problem-solving; narrative therapy (C) on stories;
solution-focused (D) on goals-none directly address boundary issues.
11. A family presents for a well-child visit. The parent expresses concern that their adolescent has
been spending increasing time alone in their room and seems less interested in family activities.
Which theoretical framework best guides the nurse's assessment of this behavior within the context
of family development?
A. Duvall's family life cycle stages, focusing on the transition to launching children
B. Bowen's family systems theory, emphasizing differentiation of self and emotional cutoff
C. Minuchin's structural family therapy, highlighting boundary permeability and enmeshment
D. Wright and Leahey's Calgary Family Assessment Model, prioritizing functional patterns
Answer: B
Rationale: Adolescent withdrawal from family activities often reflects the developmental task of
individuation. Bowen's theory explains this as differentiation of self, where adolescents may use
emotional cutoff to gain autonomy. Duvall's stages describe family tasks but not the mechanism of
withdrawal. Minuchin focuses on boundaries but less on individual autonomy. Wright and Leahey assess
patterns but lack a specific construct for this developmental process.
12. During a home visit, a nurse observes that a family with three children manages chronic illness
in one child by having the other children assume caregiving roles, leading to parentified behavior
in the siblings. Which concept from family systems theory is most directly demonstrated?
A. Triangulation
B. Differentiation of self
C. Multigenerational transmission process
D. Sibling subsystem boundary diffusion
Answer: A
Rationale: Triangulation occurs when a third party (sibling) is drawn into the dyadic relationship
between parents and the ill child, reducing anxiety but creating dysfunction. Parentification of siblings is
a classic example. Differentiation of self refers to emotional autonomy, not role reversal.
Multigenerational transmission is about patterns across generations. Sibling subsystem boundary
diffusion is descriptive but not the core systemic mechanism.
Page 4
