Course Code: NUR602
Course Title: Primary Care of the Family I
Credit Hours:3.0
Exam: Midterm Exam
Date:2026
A nurse conducting a family health assessment note that the family has strong
emotional bonds but poor financial stability. Which determinant of health is
most affected?
A. Social support
B. Economic stability
C. Environmental safety
D. Health literacy
Answer: B
Rationale: Economic stability directly influences access to care, nutrition, and
housing.
True/False
The family genogram is primarily used to assess genetic risk factors only.
Answer: False
Rationale: Genograms assess both genetic and psychosocial dynamics across
generations.
Fill in the Blank
The __________ model emphasizes family strengths and resources rather than
deficits.
Answer: Family resilience model
Rationale: This model highlights coping mechanisms and adaptability.
During a home visit, a nurse identifies a mother who has not vaccinated her
child due to misinformation. What is the most appropriate nursing intervention?
A. Report to authorities immediately
B. Provide culturally sensitive health education
C. Ignore the issue to maintain rapport
,D. Schedule a hospital appointment
Answer: B
Rationale: Education tailored to cultural context promotes informed
decision-making.
True/False
Exclusive breastfeeding for the first six months reduces infant morbidity from
diarrheal diseases.
Answer: True
Rationale: Breast milk provides protective antibodies and optimal nutrition.
Fill in the Blank
The WHO recommends at least __________ antenatal visits for uncomplicated
pregnancies.
Answer: Eight
Rationale: Updated guidelines emphasize frequent monitoring for maternal and
fetal health.
A family with a history of hypertension is counseled on lifestyle modification.
Which intervention is primary prevention?
A. Prescribing antihypertensive medication
B. Screening blood pressure annually
C. Promoting low-salt diet and exercise
D. Referring to a cardiologist
Answer: C
Rationale: Primary prevention aims to reduce risk before disease develops.
True/False
Secondary prevention focuses on early detection and prompt treatment of
disease.
Answer: True
Rationale: It interrupts disease progression at an early stage.
Fill in the Blank
The __________ approach integrates health education into everyday family
routines.
Answer: Health promotion model
Rationale: It embeds preventive practices into daily living.
A family lives near an industrial site with frequent air pollution. Which health
, risk is most likely?
A. Increased risk of asthma
B. Vitamin D deficiency
C. Hearing loss
D. Skin cancer
Answer: A
Rationale: Air pollutants exacerbate respiratory conditions.
True/False
Safe water supply is considered a social determinant of health.
Answer: True
Rationale: Environmental factors directly influence health outcomes.
Fill in the Blank
Community health nurses often use __________ surveys to identify
environmental hazards.
Answer: Windshield surveys
Rationale: Observational surveys help assess community conditions.
A nurse prioritizes interventions for a family with multiple health issues. Which
step of the nursing process is being applied?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: C
Rationale: Planning involves prioritizing and setting measurable goals.
True/False
Evaluation in family nursing focuses only on individual outcomes.
Answer: False
Rationale: It assesses both individual and family-level changes.
Fill in the Blank
The __________ framework guides nurses in setting family-centered goals.
Answer: Calgary Family Assessment Model
Rationale: It provides a structured approach to family nursing care.