NURS 5433 FNP II Midterm Exam Review
Family Nursing ACTUAL EXAM 2026/2027 |
UTA NURS 5433 FNP II | Verified Q&A |
Pass Guaranteed - A+ Graded
Exam Details:
Total Questions: 50
Structure:
Section 1: Family Assessment & Theory (Qs 1–10)
Section 2: Family Development & Life Cycle (Qs 11–20)
Section 3: Family Health Risks & Screening (Qs 21–30)
Section 4: Family Communication & Conflict Resolution (Qs 31–40)
Section 5: Family Interventions & Care Planning (Qs 41–50)
Cognitive Levels: Application (40%), Analysis (35%), Evaluation (25%)
Special Inclusions:
5 questions with genogram/ecomap interpretation
3 questions on cultural competence in family nursing
2 questions on mandated reporting & legal/ethical issues
Section 1: Family Assessment & Theory (Qs 1–10)
Q1: A 45-year-old male patient with newly diagnosed type 2 diabetes mellitus states, "My mother had
her legs amputated from diabetes, so I know I'm next." The FNP recognizes this statement reflects which
family assessment concept?
A. Triangulation
B. Scapegoating
C. Multigenerational transmission process [CORRECT]
,D. Differentiation of self
Correct Answer: C
Rationale: The multigenerational transmission process (Bowen theory) describes how patterns, beliefs,
and health outcomes are passed across generations. The patient identifies with a negative parental
outcome, indicating an internalized family health script.
Q2: An FNP completes a genogram covering three generations. Which finding best suggests a possible
hereditary cancer syndrome?
A. Two maternal aunts with breast cancer at ages 68 and 72
B. Paternal grandfather with prostate cancer at age 75
C. Mother with ovarian cancer at 44 and sister with breast cancer at 39 [CORRECT]
D. Brother with testicular cancer at age 30
Correct Answer: C
Rationale: Early-onset (premenopausal) breast/ovarian cancer in first-degree relatives in multiple
generations suggests BRCA1/2 or other hereditary syndromes; late-onset cancers in single relatives are
less concerning.
Q3: During a family health assessment, the patient says, "We don't talk about medical problems. That's
private." This statement most directly impacts which component of the Calgary Family Assessment
Model?
A. Structural – internal context
B. Structural – external context
C. Developmental stage
D. Functional – instrumental functioning [CORRECT]
Correct Answer: D
Rationale: Instrumental functioning covers activities of daily living and health behaviors, including
communication about health; the patient's statement reveals a family rule restricting health information
exchange.
Q4: An ecomap of a family caring for a child with spina bifida shows thick, solid lines between the family
and: (1) the pediatric rehabilitation center, (2) Medicaid waivers, and (3) the child's school. This
indicates:
A. Stressful relationships
, B. Strong energy flow and resources [CORRECT]
C. Tenuous or weak connections
D. A closed family system
Correct Answer: B
Rationale: In ecomaps, thick solid lines represent strong, energy-giving relationships with resources; thin
lines indicate weak connections, dashed lines indicate tenuous relationships, and jagged/zigzag lines
indicate stressful connections.
Q5: Which question best assesses family resilience rather than family functioning?
A. "How often does your family argue in front of the children?"
B. "What has helped your family get through difficult times in the past?" [CORRECT]
C. "Who makes most of the healthcare decisions in your family?"
D. "Does your family have a regular source of primary care?"
Correct Answer: B
Rationale: Resilience refers to the family's ability to adapt and recover from adversity; asking about past
successful coping directly assesses resilience, while other options assess function, structure, or health
service use.
Q6: A family consists of a married couple, their two biological children, and the wife's elderly mother
who recently moved in. Using family structural assessment, this family is best described as:
A. Nuclear family
B. Extended family [CORRECT]
C. Blended family
D. Cohabiting family
Correct Answer: B
Rationale: An extended family includes relatives beyond the nuclear unit (parents and children) living in
the same household; the inclusion of the wife's mother makes this an extended family structure.
Q7: During a family assessment, the FNP observes that a 16-year-old daughter is constantly involved in
her parents' disagreements, with each parent pulling her to their side. This family dynamic is best
described as:
A. Differentiation of self
Family Nursing ACTUAL EXAM 2026/2027 |
UTA NURS 5433 FNP II | Verified Q&A |
Pass Guaranteed - A+ Graded
Exam Details:
Total Questions: 50
Structure:
Section 1: Family Assessment & Theory (Qs 1–10)
Section 2: Family Development & Life Cycle (Qs 11–20)
Section 3: Family Health Risks & Screening (Qs 21–30)
Section 4: Family Communication & Conflict Resolution (Qs 31–40)
Section 5: Family Interventions & Care Planning (Qs 41–50)
Cognitive Levels: Application (40%), Analysis (35%), Evaluation (25%)
Special Inclusions:
5 questions with genogram/ecomap interpretation
3 questions on cultural competence in family nursing
2 questions on mandated reporting & legal/ethical issues
Section 1: Family Assessment & Theory (Qs 1–10)
Q1: A 45-year-old male patient with newly diagnosed type 2 diabetes mellitus states, "My mother had
her legs amputated from diabetes, so I know I'm next." The FNP recognizes this statement reflects which
family assessment concept?
A. Triangulation
B. Scapegoating
C. Multigenerational transmission process [CORRECT]
,D. Differentiation of self
Correct Answer: C
Rationale: The multigenerational transmission process (Bowen theory) describes how patterns, beliefs,
and health outcomes are passed across generations. The patient identifies with a negative parental
outcome, indicating an internalized family health script.
Q2: An FNP completes a genogram covering three generations. Which finding best suggests a possible
hereditary cancer syndrome?
A. Two maternal aunts with breast cancer at ages 68 and 72
B. Paternal grandfather with prostate cancer at age 75
C. Mother with ovarian cancer at 44 and sister with breast cancer at 39 [CORRECT]
D. Brother with testicular cancer at age 30
Correct Answer: C
Rationale: Early-onset (premenopausal) breast/ovarian cancer in first-degree relatives in multiple
generations suggests BRCA1/2 or other hereditary syndromes; late-onset cancers in single relatives are
less concerning.
Q3: During a family health assessment, the patient says, "We don't talk about medical problems. That's
private." This statement most directly impacts which component of the Calgary Family Assessment
Model?
A. Structural – internal context
B. Structural – external context
C. Developmental stage
D. Functional – instrumental functioning [CORRECT]
Correct Answer: D
Rationale: Instrumental functioning covers activities of daily living and health behaviors, including
communication about health; the patient's statement reveals a family rule restricting health information
exchange.
Q4: An ecomap of a family caring for a child with spina bifida shows thick, solid lines between the family
and: (1) the pediatric rehabilitation center, (2) Medicaid waivers, and (3) the child's school. This
indicates:
A. Stressful relationships
, B. Strong energy flow and resources [CORRECT]
C. Tenuous or weak connections
D. A closed family system
Correct Answer: B
Rationale: In ecomaps, thick solid lines represent strong, energy-giving relationships with resources; thin
lines indicate weak connections, dashed lines indicate tenuous relationships, and jagged/zigzag lines
indicate stressful connections.
Q5: Which question best assesses family resilience rather than family functioning?
A. "How often does your family argue in front of the children?"
B. "What has helped your family get through difficult times in the past?" [CORRECT]
C. "Who makes most of the healthcare decisions in your family?"
D. "Does your family have a regular source of primary care?"
Correct Answer: B
Rationale: Resilience refers to the family's ability to adapt and recover from adversity; asking about past
successful coping directly assesses resilience, while other options assess function, structure, or health
service use.
Q6: A family consists of a married couple, their two biological children, and the wife's elderly mother
who recently moved in. Using family structural assessment, this family is best described as:
A. Nuclear family
B. Extended family [CORRECT]
C. Blended family
D. Cohabiting family
Correct Answer: B
Rationale: An extended family includes relatives beyond the nuclear unit (parents and children) living in
the same household; the inclusion of the wife's mother makes this an extended family structure.
Q7: During a family assessment, the FNP observes that a 16-year-old daughter is constantly involved in
her parents' disagreements, with each parent pulling her to their side. This family dynamic is best
described as:
A. Differentiation of self
