UNIVERSITY OF CENTRAL FLORIDA
Course Code: NUR3445
Instructor:
Date: 2026
FINAL EXAM – NURSING CARE OF FAMILIES
A family presents with a preschooler diagnosed with Type 1 diabetes. The
mother expresses anxiety about managing the child’s complex insulin
regimen. What is the nurse's most appropriate initial intervention? A) Provide
written educational materials about insulin administration B) Conduct a
hands-on teaching session with both parents, demonstrating insulin injection
technique C) Refer the family to a local diabetes support group D) Schedule
a follow-up home visit for observation only
Answer: B) Conduct a hands-on teaching session with both parents,
demonstrating insulin injection technique Rationale: Hands-on teaching
addresses the immediate anxiety by building skill and confidence. Involving
both parents ensures family support and shared responsibility, which is
crucial for chronic illness management in children.
A couple with a newborn is exhibiting signs of postpartum depression in both
partners. What family-centered care approach should the nurse prioritize? A)
Encourage the couple to spend time apart to relieve stress B) Facilitate
referral to a family therapy service specializing in postpartum adjustment C)
Provide only pharmacologic treatment recommendations to the mother D)
Advise the father to take on all infant care responsibilities temporarily
Answer: B) Facilitate referral to a family therapy service specializing in
postpartum adjustment Rationale: Postpartum depression affecting both
partners requires holistic, family-centered interventions. Family therapy helps
address relational dynamics and supports both parents’ mental health, rather
than isolating treatment to one individual.
Which nursing assessment tool is best suited for evaluating family
functioning in a culturally diverse population? A) Genogram B) Family
1
,APGAR C) Glasgow Coma Scale D) Braden Scale
Answer: B) Family APGAR Rationale: The Family APGAR tool assesses
perception of family support and functioning and is validated across cultures.
Genograms map family structure but don’t directly assess functioning.
True or False: Family nursing theories primarily focus on the individual
patient without considering family dynamics or roles.
Answer: False Rationale: Family nursing theories explicitly include family
interactions, roles, and dynamics as integral to patient care.
Fill in the blank: In family systems theory, a change in one family member’s
behavior will likely result in ________ changes in other family members.
Answer: reciprocal Rationale: Family systems theory posits that family
members are interdependent, where changes by one member elicit
responses in others, maintaining system balance.
A family with a child diagnosed with cystic fibrosis reports difficulty coping
with frequent hospitalizations. What is the most appropriate nursing action?
A) Suggest the family avoid hospital visits unless emergencies occur B)
Assess family coping strategies and provide psychosocial support resources
C) Encourage the family to independently manage complex medical care D)
Provide extensive medical jargon about disease pathology
Answer: B) Assess family coping strategies and provide psychosocial
support resources Rationale: Recognizing coping mechanisms and offering
support improves family resilience and enhances adaptation to chronic
illness care demands.
Which ethical principle is most relevant when addressing family
confidentiality during the care of an adolescent refusing parental
involvement? A) Beneficence B) Autonomy C) Justice D) Veracity
Answer: B) Autonomy Rationale: Respecting adolescent autonomy includes
confidential care rights within legal and ethical boundaries, balancing
confidentiality with family involvement.
True or False: Utilizing motivational interviewing techniques can enhance
family engagement in managing chronic conditions.
Answer: True Rationale: Motivational interviewing fosters collaborative
communication, enhancing motivation and adherence to health regimens
within family contexts.
Fill in the blank: The process of identifying family health risks and resources
through a visual representation is known as a _______.
Answer: genogram Rationale: A genogram maps family relationships,
2
, health patterns, and risks, aiding assessment and planning.
A nurse is caring for a multigenerational household with an elderly member
recovering from stroke. Which aspect should the nurse prioritize in care
planning? A) Individual patient mobility only B) Family role adaptations and
caregiver burden assessment C) Solely managing the elderly patient’s
medication schedule D) Limiting family involvement to avoid conflicts
Answer: B) Family role adaptations and caregiver burden assessment
Rationale: Multigenerational households may face shifting roles and
increased caregiving demands; assessing these ensures holistic support and
reduces burnout.
Which intervention best demonstrates cultural competence when assessing a
Hispanic family’s health beliefs about childhood illness? A) Directly correcting
misconceptions with biomedical facts B) Ignoring cultural practices to focus
on evidence-based care C) Exploring and incorporating culturally relevant
health beliefs in the care plan D) Requesting only English communication
during visits
Answer: C) Exploring and incorporating culturally relevant health beliefs in
the care plan Rationale: Respectful incorporation of cultural beliefs supports
trust, improves adherence, and respects family values.
True or False: Family stress theory suggests that families dealing with
chronic illness experience stress only when the illness severity increases.
Answer: False Rationale: Stress varies based on family perception,
resources, and coping, not solely on severity.
Fill in the blank: The _______ model emphasizes family strengths and
resources to promote family health despite stressors.
Answer: resilience Rationale: The resilience model focuses on identifying
and building families’ inherent and adaptive strengths.
During a home visit, the nurse observes that parental role boundaries are
unclear, leading to inconsistent discipline of adolescents. Which family theory
best explains this dynamic? A) Structural family theory B) Behavioral family
theory C) Family systems theory D) Transactional analysis theory
Answer: A) Structural family theory Rationale: Structural family theory
focuses on roles, boundaries, and hierarchies within family systems
influencing function.
Which intervention is most appropriate when working with families
experiencing anticipatory grief related to a child with a terminal illness? A)
Avoid discussing prognosis to maintain hope B) Provide empathetic listening
3
Course Code: NUR3445
Instructor:
Date: 2026
FINAL EXAM – NURSING CARE OF FAMILIES
A family presents with a preschooler diagnosed with Type 1 diabetes. The
mother expresses anxiety about managing the child’s complex insulin
regimen. What is the nurse's most appropriate initial intervention? A) Provide
written educational materials about insulin administration B) Conduct a
hands-on teaching session with both parents, demonstrating insulin injection
technique C) Refer the family to a local diabetes support group D) Schedule
a follow-up home visit for observation only
Answer: B) Conduct a hands-on teaching session with both parents,
demonstrating insulin injection technique Rationale: Hands-on teaching
addresses the immediate anxiety by building skill and confidence. Involving
both parents ensures family support and shared responsibility, which is
crucial for chronic illness management in children.
A couple with a newborn is exhibiting signs of postpartum depression in both
partners. What family-centered care approach should the nurse prioritize? A)
Encourage the couple to spend time apart to relieve stress B) Facilitate
referral to a family therapy service specializing in postpartum adjustment C)
Provide only pharmacologic treatment recommendations to the mother D)
Advise the father to take on all infant care responsibilities temporarily
Answer: B) Facilitate referral to a family therapy service specializing in
postpartum adjustment Rationale: Postpartum depression affecting both
partners requires holistic, family-centered interventions. Family therapy helps
address relational dynamics and supports both parents’ mental health, rather
than isolating treatment to one individual.
Which nursing assessment tool is best suited for evaluating family
functioning in a culturally diverse population? A) Genogram B) Family
1
,APGAR C) Glasgow Coma Scale D) Braden Scale
Answer: B) Family APGAR Rationale: The Family APGAR tool assesses
perception of family support and functioning and is validated across cultures.
Genograms map family structure but don’t directly assess functioning.
True or False: Family nursing theories primarily focus on the individual
patient without considering family dynamics or roles.
Answer: False Rationale: Family nursing theories explicitly include family
interactions, roles, and dynamics as integral to patient care.
Fill in the blank: In family systems theory, a change in one family member’s
behavior will likely result in ________ changes in other family members.
Answer: reciprocal Rationale: Family systems theory posits that family
members are interdependent, where changes by one member elicit
responses in others, maintaining system balance.
A family with a child diagnosed with cystic fibrosis reports difficulty coping
with frequent hospitalizations. What is the most appropriate nursing action?
A) Suggest the family avoid hospital visits unless emergencies occur B)
Assess family coping strategies and provide psychosocial support resources
C) Encourage the family to independently manage complex medical care D)
Provide extensive medical jargon about disease pathology
Answer: B) Assess family coping strategies and provide psychosocial
support resources Rationale: Recognizing coping mechanisms and offering
support improves family resilience and enhances adaptation to chronic
illness care demands.
Which ethical principle is most relevant when addressing family
confidentiality during the care of an adolescent refusing parental
involvement? A) Beneficence B) Autonomy C) Justice D) Veracity
Answer: B) Autonomy Rationale: Respecting adolescent autonomy includes
confidential care rights within legal and ethical boundaries, balancing
confidentiality with family involvement.
True or False: Utilizing motivational interviewing techniques can enhance
family engagement in managing chronic conditions.
Answer: True Rationale: Motivational interviewing fosters collaborative
communication, enhancing motivation and adherence to health regimens
within family contexts.
Fill in the blank: The process of identifying family health risks and resources
through a visual representation is known as a _______.
Answer: genogram Rationale: A genogram maps family relationships,
2
, health patterns, and risks, aiding assessment and planning.
A nurse is caring for a multigenerational household with an elderly member
recovering from stroke. Which aspect should the nurse prioritize in care
planning? A) Individual patient mobility only B) Family role adaptations and
caregiver burden assessment C) Solely managing the elderly patient’s
medication schedule D) Limiting family involvement to avoid conflicts
Answer: B) Family role adaptations and caregiver burden assessment
Rationale: Multigenerational households may face shifting roles and
increased caregiving demands; assessing these ensures holistic support and
reduces burnout.
Which intervention best demonstrates cultural competence when assessing a
Hispanic family’s health beliefs about childhood illness? A) Directly correcting
misconceptions with biomedical facts B) Ignoring cultural practices to focus
on evidence-based care C) Exploring and incorporating culturally relevant
health beliefs in the care plan D) Requesting only English communication
during visits
Answer: C) Exploring and incorporating culturally relevant health beliefs in
the care plan Rationale: Respectful incorporation of cultural beliefs supports
trust, improves adherence, and respects family values.
True or False: Family stress theory suggests that families dealing with
chronic illness experience stress only when the illness severity increases.
Answer: False Rationale: Stress varies based on family perception,
resources, and coping, not solely on severity.
Fill in the blank: The _______ model emphasizes family strengths and
resources to promote family health despite stressors.
Answer: resilience Rationale: The resilience model focuses on identifying
and building families’ inherent and adaptive strengths.
During a home visit, the nurse observes that parental role boundaries are
unclear, leading to inconsistent discipline of adolescents. Which family theory
best explains this dynamic? A) Structural family theory B) Behavioral family
theory C) Family systems theory D) Transactional analysis theory
Answer: A) Structural family theory Rationale: Structural family theory
focuses on roles, boundaries, and hierarchies within family systems
influencing function.
Which intervention is most appropriate when working with families
experiencing anticipatory grief related to a child with a terminal illness? A)
Avoid discussing prognosis to maintain hope B) Provide empathetic listening
3
