2026/2027
NURS 5433 FNP II Final Exam Review and
Comprehensive Study Guide 2026–2027
(UTA Family Nurse Practitioner Program)
Question 1:
Which of the following best represents the three foundational components of family
nursing practice?
A. Family genetics, disease patterns, and treatment protocols
B. Family structure, family function, and nursing interventions
C. Family definition, family health concepts, and healthy family evidence
D. Family therapy, pharmacology, and community health
Correct Answer: C. Family definition, family health concepts, and healthy family
evidence
Rationale:
Family nursing is grounded in understanding what defines a family, how family
health is conceptualized, and what evidence describes a healthy family system. Option
A focuses only on biology and disease, which is too narrow. Option B includes useful
concepts but omits foundational theoretical grounding. Option D reflects
interdisciplinary areas but not the core nursing framework.
Question 2:
Which statement best reflects the textbook definition of family in nursing practice?
A. A group of people living in the same household
B. Individuals related by blood or legal ties only
C. Two or more individuals who define themselves as a family and provide mutual
support
D. A legally recognized social institution with children
Correct Answer: C. Two or more individuals who define themselves as a family
and provide mutual support
Rationale:
Modern nursing defines family based on self-identification and mutual support rather
than strict legal or biological ties. Option A is too limited, Option B excludes
emotional bonds and chosen families, and Option D restricts family to legal structures,
which is outdated in nursing theory.
,2026/2027
Question 3:
Which definition of family focuses primarily on genetic and hereditary connections?
A. Sociological definition
B. Biological definition
C. Psychological definition
D. Legal definition
Correct Answer: B. Biological definition
Rationale:
The biological definition emphasizes genetic relationships and inheritance patterns,
which are important in epidemiology and hereditary disease risk. Sociological
definitions focus on social living arrangements, psychological definitions on
emotional bonds, and legal definitions on formal relationships.
Question 4:
Which description best represents the sociological definition of family?
A. Emotional bonding among individuals
B. Genetic relationships among relatives
C. People living together with or without legal ties
D. Government-recognized marital relationships
Correct Answer: C. People living together with or without legal ties
Rationale:
Sociological definitions focus on social living arrangements such as households or
communal living structures. Option A is psychological, Option B is biological, and
Option D is legal.
Question 5:
What is the primary focus of family health in nursing?
A. Treating individual disease conditions
B. Viewing family health as a dynamic system influenced by multiple factors
C. Focusing only on genetic inheritance
D. Prioritizing hospital-based care
Correct Answer: B. Viewing family health as a dynamic system influenced by
multiple factors
,2026/2027
Rationale:
Family health is multidimensional, including biological, psychological, social,
cultural, and spiritual factors. Option A is too individual-focused, Option C is too
narrow, and Option D limits care settings.
Question 6:
Which scholar first emphasized psychosocial criteria in assessing family strengths?
A. Pratt
B. Otto
C. Duvall
D. Olson
Correct Answer: B. Otto
Rationale:
Otto introduced early psychosocial approaches focusing on strengths rather than
pathology. Pratt contributed to energized family concepts, Duvall to developmental
stages, and Olson to family cohesion and flexibility.
Question 7:
A “healthy family” according to Curran (1985) is most likely to:
A. Avoid discussing problems openly
B. Rely entirely on external support systems
C. Communicate openly and maintain emotional balance
D. Limit interaction among members
Correct Answer: C. Communicate openly and maintain emotional balance
Rationale:
Healthy families communicate, support members, and maintain emotional balance.
Avoidance of problems or isolation weakens functioning, while overreliance on
external systems reduces internal resilience.
Question 8:
Family flexibility refers to:
A. Financial independence of family members
B. Ability to change leadership, roles, and rules when needed
C. Fixed family traditions and rituals
D. Number of family members in a household
, 2026/2027
Correct Answer: B. Ability to change leadership, roles, and rules when needed
Rationale:
Flexibility refers to adaptability in roles and leadership. Option A is economic, C
reflects rigidity, and D describes structure rather than functioning.
Question 9:
Which combination represents dominant patterns of healthy family functioning?
A. High conflict and rigid rules
B. Balanced cohesion and flexibility
C. Isolation and independence
D. Chaotic communication and unclear roles
Correct Answer: B. Balanced cohesion and flexibility
Rationale:
Healthy families balance emotional closeness (cohesion) and adaptability (flexibility).
Other options reflect dysfunction or imbalance.
Question 10:
In family nursing, “family as context” means:
A. The family is the primary client
B. The family is viewed as background for individual care
C. All family members are treated equally as patients
D. The family is excluded from care planning
Correct Answer: B. The family is viewed as background for individual care
Rationale:
Family as context focuses on the individual patient while considering the family as
supportive or stressful background. Option A represents family as client.
Question 11:
Which model views the family as the primary unit of care?
A. Family as context
B. Family as system
C. Family as client
D. Family as component of society
NURS 5433 FNP II Final Exam Review and
Comprehensive Study Guide 2026–2027
(UTA Family Nurse Practitioner Program)
Question 1:
Which of the following best represents the three foundational components of family
nursing practice?
A. Family genetics, disease patterns, and treatment protocols
B. Family structure, family function, and nursing interventions
C. Family definition, family health concepts, and healthy family evidence
D. Family therapy, pharmacology, and community health
Correct Answer: C. Family definition, family health concepts, and healthy family
evidence
Rationale:
Family nursing is grounded in understanding what defines a family, how family
health is conceptualized, and what evidence describes a healthy family system. Option
A focuses only on biology and disease, which is too narrow. Option B includes useful
concepts but omits foundational theoretical grounding. Option D reflects
interdisciplinary areas but not the core nursing framework.
Question 2:
Which statement best reflects the textbook definition of family in nursing practice?
A. A group of people living in the same household
B. Individuals related by blood or legal ties only
C. Two or more individuals who define themselves as a family and provide mutual
support
D. A legally recognized social institution with children
Correct Answer: C. Two or more individuals who define themselves as a family
and provide mutual support
Rationale:
Modern nursing defines family based on self-identification and mutual support rather
than strict legal or biological ties. Option A is too limited, Option B excludes
emotional bonds and chosen families, and Option D restricts family to legal structures,
which is outdated in nursing theory.
,2026/2027
Question 3:
Which definition of family focuses primarily on genetic and hereditary connections?
A. Sociological definition
B. Biological definition
C. Psychological definition
D. Legal definition
Correct Answer: B. Biological definition
Rationale:
The biological definition emphasizes genetic relationships and inheritance patterns,
which are important in epidemiology and hereditary disease risk. Sociological
definitions focus on social living arrangements, psychological definitions on
emotional bonds, and legal definitions on formal relationships.
Question 4:
Which description best represents the sociological definition of family?
A. Emotional bonding among individuals
B. Genetic relationships among relatives
C. People living together with or without legal ties
D. Government-recognized marital relationships
Correct Answer: C. People living together with or without legal ties
Rationale:
Sociological definitions focus on social living arrangements such as households or
communal living structures. Option A is psychological, Option B is biological, and
Option D is legal.
Question 5:
What is the primary focus of family health in nursing?
A. Treating individual disease conditions
B. Viewing family health as a dynamic system influenced by multiple factors
C. Focusing only on genetic inheritance
D. Prioritizing hospital-based care
Correct Answer: B. Viewing family health as a dynamic system influenced by
multiple factors
,2026/2027
Rationale:
Family health is multidimensional, including biological, psychological, social,
cultural, and spiritual factors. Option A is too individual-focused, Option C is too
narrow, and Option D limits care settings.
Question 6:
Which scholar first emphasized psychosocial criteria in assessing family strengths?
A. Pratt
B. Otto
C. Duvall
D. Olson
Correct Answer: B. Otto
Rationale:
Otto introduced early psychosocial approaches focusing on strengths rather than
pathology. Pratt contributed to energized family concepts, Duvall to developmental
stages, and Olson to family cohesion and flexibility.
Question 7:
A “healthy family” according to Curran (1985) is most likely to:
A. Avoid discussing problems openly
B. Rely entirely on external support systems
C. Communicate openly and maintain emotional balance
D. Limit interaction among members
Correct Answer: C. Communicate openly and maintain emotional balance
Rationale:
Healthy families communicate, support members, and maintain emotional balance.
Avoidance of problems or isolation weakens functioning, while overreliance on
external systems reduces internal resilience.
Question 8:
Family flexibility refers to:
A. Financial independence of family members
B. Ability to change leadership, roles, and rules when needed
C. Fixed family traditions and rituals
D. Number of family members in a household
, 2026/2027
Correct Answer: B. Ability to change leadership, roles, and rules when needed
Rationale:
Flexibility refers to adaptability in roles and leadership. Option A is economic, C
reflects rigidity, and D describes structure rather than functioning.
Question 9:
Which combination represents dominant patterns of healthy family functioning?
A. High conflict and rigid rules
B. Balanced cohesion and flexibility
C. Isolation and independence
D. Chaotic communication and unclear roles
Correct Answer: B. Balanced cohesion and flexibility
Rationale:
Healthy families balance emotional closeness (cohesion) and adaptability (flexibility).
Other options reflect dysfunction or imbalance.
Question 10:
In family nursing, “family as context” means:
A. The family is the primary client
B. The family is viewed as background for individual care
C. All family members are treated equally as patients
D. The family is excluded from care planning
Correct Answer: B. The family is viewed as background for individual care
Rationale:
Family as context focuses on the individual patient while considering the family as
supportive or stressful background. Option A represents family as client.
Question 11:
Which model views the family as the primary unit of care?
A. Family as context
B. Family as system
C. Family as client
D. Family as component of society
