NU 402
Family Nursing
Proctored Midterm Exam
2026
(With Solutions)
Multiple Choice (12 Questions)
1. Case: A nurse assesses a family where one member has chronic illness.
Q: Which model best explains family adaptation?
• A. Family Systems Theory
• B. Maslow’s hierarchy
• C. Erikson’s psychosocial stages
• D. Piaget’s cognitive theory
Answer: A
Rationale: Family Systems Theory views family as interconnected units adapting
to stressors.
2. Case: A family caregiver reports burnout.
Q: Which intervention is most appropriate?
• A. Increase caregiving tasks
• B. Provide respite care resources
• C. Ignore concerns
• D. Encourage isolation
Answer: B
Rationale: Respite care reduces caregiver strain.
3. Case: A nurse uses Calgary Family Assessment Model (CFAM).
Q: Which domain is included?
• A. Structural, developmental, functional
• B. Cognitive, affective, behavioral
• C. Physical, psychological, social
• D. Acute, chronic, terminal
Answer: A
Rationale: CFAM assesses family structure, development, and function.
4. Case: A family resists discussing end-of-life care.
Q: Which nursing approach is best?
• A. Force disclosure
• B. Respect cultural values and provide gradual education
• C. Ignore topic
• D. Confront denial aggressively
, Answer: B
Rationale: Cultural sensitivity and gradual education foster trust.
5. Case: A nurse evaluates family coping with adolescent substance abuse.
Q: Which intervention is most effective?
• A. Family therapy sessions
• B. Individual therapy only
• C. Ignoring family dynamics
• D. Medication alone
Answer: A
Rationale: Family therapy addresses systemic issues.
6. Case: A family with limited health literacy struggles with medication
management.
Q: Which intervention is most appropriate?
• A. Provide simplified written instructions
• B. Use medical jargon
• C. Avoid teaching
• D. Delegate to pharmacist only
Answer: A
Rationale: Simplified instructions improve adherence.
7. Case: A nurse assesses family resilience after disaster.
Q: Which factor is most protective?
• A. Strong communication and cohesion
• B. Financial instability
• C. Social isolation
• D. Role confusion
Answer: A
Rationale: Cohesion and communication enhance resilience.
8. Case: A family caregiver administers insulin incorrectly.
Q: Which nursing intervention is best?
• A. Provide hands-on teaching and return demonstration
• B. Ignore error
• C. Increase dosage
• D. Remove caregiver role
Answer: A
Rationale: Teaching with demonstration ensures safe practice.
9. Case: A nurse evaluates family adaptation to relocation.
Q: Which stressor is most common?
• A. Role strain
• B. Enhanced cohesion
• C. Increased resources
• D. Improved health literacy
, Answer: A
Rationale: Relocation often causes role strain.
10. Case: A family with a terminally ill child seeks spiritual support.
Q: Which nursing action is most appropriate?
• A. Refer to chaplain services
• B. Avoid discussion
• C. Provide only medical care
• D. Discourage spiritual practices
Answer: A
Rationale: Spiritual care supports holistic needs.
11. Case: A nurse uses genogram in family assessment.
Q: Primary purpose?
• A. Map family structure and health patterns
• B. Assess financial resources
• C. Evaluate medication adherence
• D. Measure resilience
Answer: A
Rationale: Genograms visualize family relationships and health history.
12. Case: A family with intergenerational conflict seeks help.
Q: Which intervention is most effective?
• A. Mediation and family meetings
• B. Ignoring conflict
• C. Assigning blame
• D. Avoiding communication
Answer: A
Rationale: Mediation fosters resolution.
True/False (8 Questions)
13. Case: Family Systems Theory views illness as affecting only the patient.
Answer: False
Rationale: Illness impacts entire family unit.
14. Case: CFAM includes functional assessment of family roles.
Answer: True
Rationale: Functional domain evaluates role performance.
15. Case: Family resilience is enhanced by social support networks.
Answer: True
Rationale: Support networks buffer stress.
16. Case: Genograms assess only financial status.
Answer: False
Rationale: They map relationships and health history.
, 17. Case: Family nursing emphasizes holistic care across lifespan.
Answer: True
Rationale: Focuses on family as unit of care.
18. Case: Ignoring cultural values improves family trust.
Answer: False
Rationale: Cultural sensitivity is essential.
19. Case: Family caregivers are at risk for burnout.
Answer: True
Rationale: High caregiving demands cause strain.
20. Case: Family therapy is contraindicated in adolescent substance abuse.
Answer: False
Rationale: Family therapy is beneficial.
Short Answer (8 Questions)
21. Case: Explain importance of family-centered care in chronic illness management.
Answer: Engages family in care, improves adherence, and supports coping.
22. Case: Describe role of nurse in family crisis intervention.
Answer: Assess safety, provide support, mobilize resources, and facilitate
communication.
23. Case: Why is cultural competence critical in family nursing?
Answer: Ensures respect for values, reduces disparities, and enhances trust.
24. Case: Explain difference between family resilience and family coping.
Answer: Resilience = long-term adaptation; coping = immediate stress response.
25. Case: Why are genograms useful in family nursing?
Answer: Identify hereditary conditions, relational patterns, and risk factors.
26. Case: Describe nursing strategies to reduce caregiver burden.
Answer: Provide respite care, education, support groups, and stress management.
27. Case: Explain importance of communication in family adaptation.
Answer: Promotes cohesion, reduces conflict, and enhances resilience.
28. Case: Why is family involvement essential in pediatric care?
Answer: Supports child’s recovery, adherence, and emotional well-being.
Matching (6 Questions)
Family Nursing
Proctored Midterm Exam
2026
(With Solutions)
Multiple Choice (12 Questions)
1. Case: A nurse assesses a family where one member has chronic illness.
Q: Which model best explains family adaptation?
• A. Family Systems Theory
• B. Maslow’s hierarchy
• C. Erikson’s psychosocial stages
• D. Piaget’s cognitive theory
Answer: A
Rationale: Family Systems Theory views family as interconnected units adapting
to stressors.
2. Case: A family caregiver reports burnout.
Q: Which intervention is most appropriate?
• A. Increase caregiving tasks
• B. Provide respite care resources
• C. Ignore concerns
• D. Encourage isolation
Answer: B
Rationale: Respite care reduces caregiver strain.
3. Case: A nurse uses Calgary Family Assessment Model (CFAM).
Q: Which domain is included?
• A. Structural, developmental, functional
• B. Cognitive, affective, behavioral
• C. Physical, psychological, social
• D. Acute, chronic, terminal
Answer: A
Rationale: CFAM assesses family structure, development, and function.
4. Case: A family resists discussing end-of-life care.
Q: Which nursing approach is best?
• A. Force disclosure
• B. Respect cultural values and provide gradual education
• C. Ignore topic
• D. Confront denial aggressively
, Answer: B
Rationale: Cultural sensitivity and gradual education foster trust.
5. Case: A nurse evaluates family coping with adolescent substance abuse.
Q: Which intervention is most effective?
• A. Family therapy sessions
• B. Individual therapy only
• C. Ignoring family dynamics
• D. Medication alone
Answer: A
Rationale: Family therapy addresses systemic issues.
6. Case: A family with limited health literacy struggles with medication
management.
Q: Which intervention is most appropriate?
• A. Provide simplified written instructions
• B. Use medical jargon
• C. Avoid teaching
• D. Delegate to pharmacist only
Answer: A
Rationale: Simplified instructions improve adherence.
7. Case: A nurse assesses family resilience after disaster.
Q: Which factor is most protective?
• A. Strong communication and cohesion
• B. Financial instability
• C. Social isolation
• D. Role confusion
Answer: A
Rationale: Cohesion and communication enhance resilience.
8. Case: A family caregiver administers insulin incorrectly.
Q: Which nursing intervention is best?
• A. Provide hands-on teaching and return demonstration
• B. Ignore error
• C. Increase dosage
• D. Remove caregiver role
Answer: A
Rationale: Teaching with demonstration ensures safe practice.
9. Case: A nurse evaluates family adaptation to relocation.
Q: Which stressor is most common?
• A. Role strain
• B. Enhanced cohesion
• C. Increased resources
• D. Improved health literacy
, Answer: A
Rationale: Relocation often causes role strain.
10. Case: A family with a terminally ill child seeks spiritual support.
Q: Which nursing action is most appropriate?
• A. Refer to chaplain services
• B. Avoid discussion
• C. Provide only medical care
• D. Discourage spiritual practices
Answer: A
Rationale: Spiritual care supports holistic needs.
11. Case: A nurse uses genogram in family assessment.
Q: Primary purpose?
• A. Map family structure and health patterns
• B. Assess financial resources
• C. Evaluate medication adherence
• D. Measure resilience
Answer: A
Rationale: Genograms visualize family relationships and health history.
12. Case: A family with intergenerational conflict seeks help.
Q: Which intervention is most effective?
• A. Mediation and family meetings
• B. Ignoring conflict
• C. Assigning blame
• D. Avoiding communication
Answer: A
Rationale: Mediation fosters resolution.
True/False (8 Questions)
13. Case: Family Systems Theory views illness as affecting only the patient.
Answer: False
Rationale: Illness impacts entire family unit.
14. Case: CFAM includes functional assessment of family roles.
Answer: True
Rationale: Functional domain evaluates role performance.
15. Case: Family resilience is enhanced by social support networks.
Answer: True
Rationale: Support networks buffer stress.
16. Case: Genograms assess only financial status.
Answer: False
Rationale: They map relationships and health history.
, 17. Case: Family nursing emphasizes holistic care across lifespan.
Answer: True
Rationale: Focuses on family as unit of care.
18. Case: Ignoring cultural values improves family trust.
Answer: False
Rationale: Cultural sensitivity is essential.
19. Case: Family caregivers are at risk for burnout.
Answer: True
Rationale: High caregiving demands cause strain.
20. Case: Family therapy is contraindicated in adolescent substance abuse.
Answer: False
Rationale: Family therapy is beneficial.
Short Answer (8 Questions)
21. Case: Explain importance of family-centered care in chronic illness management.
Answer: Engages family in care, improves adherence, and supports coping.
22. Case: Describe role of nurse in family crisis intervention.
Answer: Assess safety, provide support, mobilize resources, and facilitate
communication.
23. Case: Why is cultural competence critical in family nursing?
Answer: Ensures respect for values, reduces disparities, and enhances trust.
24. Case: Explain difference between family resilience and family coping.
Answer: Resilience = long-term adaptation; coping = immediate stress response.
25. Case: Why are genograms useful in family nursing?
Answer: Identify hereditary conditions, relational patterns, and risk factors.
26. Case: Describe nursing strategies to reduce caregiver burden.
Answer: Provide respite care, education, support groups, and stress management.
27. Case: Explain importance of communication in family adaptation.
Answer: Promotes cohesion, reduces conflict, and enhances resilience.
28. Case: Why is family involvement essential in pediatric care?
Answer: Supports child’s recovery, adherence, and emotional well-being.
Matching (6 Questions)
