NURS 5433/ NURS5433 Midterm Exam –
Family II (FNP 2) Review| UTA (Latest
2026 Update) 100% Verified Questions &
Answers | Grade A+
Question 1
Which tool is commonly used to map family relationships and health history across
generations to identify patterns of illness?
• A. Ecomap
• B. Genogram
• C. CAGE questionnaire
• D. Glasgow Coma Scale
✅ Answer: B. Genogram
Rationale: A genogram visually represents family members, relationships, and medical
history over at least three generations. It helps identify hereditary patterns and family
dynamics. An ecomap (A) maps external support systems, not internal family structure .
Question 2
A family reports financial stress due to a parent's job loss, which is affecting their ability
to fill prescriptions and keep medical appointments. The nurse's best initial action is to:
• A. Refer the family to social services immediately
• B. Document the concern but focus on physical health
• C. Assess coping strategies and provide resource referrals
• D. Recommend the family skip non-urgent appointments
,✅ Answer: C. Assess coping strategies and provide resource referrals
Rationale: Nursing care should first assess how the family is managing the stressor and
identify existing strengths. Then, provide targeted resources (e.g., prescription assistance
programs, sliding-scale clinics). Immediate referral without assessment (A) may overlook
family resilience .
Question 3
According to the McMaster Family Assessment Device (FAD), which domain evaluates a
family's ability to establish and maintain consistent patterns of behavior?
• A. Affective responsiveness
• B. Behavior control
• C. Problem-solving
• D. Roles
✅ Answer: B. Behavior control
Rationale: Behavior control refers to the family's patterns for handling dangerous or
impulsive situations. Affective responsiveness (A) addresses emotional expression.
Problem-solving (C) relates to resolving issues. Roles (D) concern task allocation .
Question 4
A single mother of three young children works two jobs and rarely has time for sleep or
meals. She reports feeling "completely overwhelmed." Using Gordon's Functional Health
Patterns, which pattern is most disrupted?
• A. Coping-stress tolerance
• B. Health perception-health management
• C. Nutritional-metabolic
• D. Activity-exercise
✅ Answer: A. Coping-stress tolerance
,Rationale: Gordon's framework includes 11 functional health patterns. The patient's
description of feeling "overwhelmed" and inability to manage multiple demands
indicates impaired coping-stress tolerance. While nutritional-metabolic (C) and activity-
exercise (D) may also be affected, the primary disruption is coping .
Question 5
Which of the following is a sign of poor family communication that the FNP should
address?
• A. Open discussion of disagreements
• B. Shared decision-making among adult members
• C. Avoidance of conflict and family secrecy
• D. Regular family meals and routines
✅ Answer: C. Avoidance of conflict and family secrecy
Rationale: Healthy families address conflicts constructively rather than avoiding them.
Secrecy and conflict avoidance impair problem-solving and emotional support, leading
to increased stress and poor health outcomes .
Question 6
A family with a child newly diagnosed with type 1 diabetes is anxious about managing
the condition at school. The most appropriate family-centered intervention is:
• A. Provide written instructions only and discharge
• B. Schedule a care conference with the school nurse and family
• C. Recommend homeschooling to avoid school-related issues
• D. Tell the family the child will need to self-manage independently
✅ Answer: B. Schedule a care conference with the school nurse and family
Rationale: Family-centered care involves collaboration across settings. A care
conference addresses the family's anxiety, educates the school nurse, and creates a
coordinated plan. This reduces caregiver burden and improves outcomes .
, Question 7
An extended family includes which of the following members?
• A. Two parents and their biological children
• B. One parent and children from a previous marriage
• C. Grandparents, parents, and grandchildren in the same household
• D. Two same-sex parents with adopted children
✅ Answer: C. Grandparents, parents, and grandchildren in the same household
Rationale: An extended family includes three or more generations living together or in
close proximity. Nuclear (A) = two parents + children. Single-parent (B) = one parent +
children. Blended (D) includes step-relationships .
Question 8
When conducting a family interview, the FNP should:
• A. Interview the primary patient alone to respect privacy
• B. Include all willing family members and respect each person's perspective
• C. Ask closed-ended questions to save time
• D. Focus only on the identified patient's symptoms
✅ Answer: B. Include all willing family members and respect each person's
perspective
Rationale: Family interviews should include members the patient identifies as family.
Open-ended questions (not C) elicit richer information. The family system approach
recognizes that one member's health affects all members .
SECTION 2: EYE DISORDERS
Family II (FNP 2) Review| UTA (Latest
2026 Update) 100% Verified Questions &
Answers | Grade A+
Question 1
Which tool is commonly used to map family relationships and health history across
generations to identify patterns of illness?
• A. Ecomap
• B. Genogram
• C. CAGE questionnaire
• D. Glasgow Coma Scale
✅ Answer: B. Genogram
Rationale: A genogram visually represents family members, relationships, and medical
history over at least three generations. It helps identify hereditary patterns and family
dynamics. An ecomap (A) maps external support systems, not internal family structure .
Question 2
A family reports financial stress due to a parent's job loss, which is affecting their ability
to fill prescriptions and keep medical appointments. The nurse's best initial action is to:
• A. Refer the family to social services immediately
• B. Document the concern but focus on physical health
• C. Assess coping strategies and provide resource referrals
• D. Recommend the family skip non-urgent appointments
,✅ Answer: C. Assess coping strategies and provide resource referrals
Rationale: Nursing care should first assess how the family is managing the stressor and
identify existing strengths. Then, provide targeted resources (e.g., prescription assistance
programs, sliding-scale clinics). Immediate referral without assessment (A) may overlook
family resilience .
Question 3
According to the McMaster Family Assessment Device (FAD), which domain evaluates a
family's ability to establish and maintain consistent patterns of behavior?
• A. Affective responsiveness
• B. Behavior control
• C. Problem-solving
• D. Roles
✅ Answer: B. Behavior control
Rationale: Behavior control refers to the family's patterns for handling dangerous or
impulsive situations. Affective responsiveness (A) addresses emotional expression.
Problem-solving (C) relates to resolving issues. Roles (D) concern task allocation .
Question 4
A single mother of three young children works two jobs and rarely has time for sleep or
meals. She reports feeling "completely overwhelmed." Using Gordon's Functional Health
Patterns, which pattern is most disrupted?
• A. Coping-stress tolerance
• B. Health perception-health management
• C. Nutritional-metabolic
• D. Activity-exercise
✅ Answer: A. Coping-stress tolerance
,Rationale: Gordon's framework includes 11 functional health patterns. The patient's
description of feeling "overwhelmed" and inability to manage multiple demands
indicates impaired coping-stress tolerance. While nutritional-metabolic (C) and activity-
exercise (D) may also be affected, the primary disruption is coping .
Question 5
Which of the following is a sign of poor family communication that the FNP should
address?
• A. Open discussion of disagreements
• B. Shared decision-making among adult members
• C. Avoidance of conflict and family secrecy
• D. Regular family meals and routines
✅ Answer: C. Avoidance of conflict and family secrecy
Rationale: Healthy families address conflicts constructively rather than avoiding them.
Secrecy and conflict avoidance impair problem-solving and emotional support, leading
to increased stress and poor health outcomes .
Question 6
A family with a child newly diagnosed with type 1 diabetes is anxious about managing
the condition at school. The most appropriate family-centered intervention is:
• A. Provide written instructions only and discharge
• B. Schedule a care conference with the school nurse and family
• C. Recommend homeschooling to avoid school-related issues
• D. Tell the family the child will need to self-manage independently
✅ Answer: B. Schedule a care conference with the school nurse and family
Rationale: Family-centered care involves collaboration across settings. A care
conference addresses the family's anxiety, educates the school nurse, and creates a
coordinated plan. This reduces caregiver burden and improves outcomes .
, Question 7
An extended family includes which of the following members?
• A. Two parents and their biological children
• B. One parent and children from a previous marriage
• C. Grandparents, parents, and grandchildren in the same household
• D. Two same-sex parents with adopted children
✅ Answer: C. Grandparents, parents, and grandchildren in the same household
Rationale: An extended family includes three or more generations living together or in
close proximity. Nuclear (A) = two parents + children. Single-parent (B) = one parent +
children. Blended (D) includes step-relationships .
Question 8
When conducting a family interview, the FNP should:
• A. Interview the primary patient alone to respect privacy
• B. Include all willing family members and respect each person's perspective
• C. Ask closed-ended questions to save time
• D. Focus only on the identified patient's symptoms
✅ Answer: B. Include all willing family members and respect each person's
perspective
Rationale: Family interviews should include members the patient identifies as family.
Open-ended questions (not C) elicit richer information. The family system approach
recognizes that one member's health affects all members .
SECTION 2: EYE DISORDERS
