NSG526/NSG 526 Exam 3 V2 | Family
Nursing Q&A with Rationale | Herzing
University
1. According to the Calgary Family Assessment Model (CFAM), which of the following is an
example of an internal structural subcategory?
A. Rank order
B. Extended family
C. Social class
D. Environment
Correct Answer: A
Rationale: The Calgary Family Assessment Model divides structure into internal, external,
and context categories. Internal structure includes subcategories like family composition,
gender, sexual orientation, rank order, subsystems, and boundaries. Rank order specifically
refers to the position of children in the family with respect to age and gender, which
significantly influences family dynamics.
2. In the context of Family Systems Theory, which term describes the family’s tendency to
maintain a steady state or equilibrium despite external stressors?
A. Equifinality
B. Differentiation
,C. Morphogenesis
D. Homeostasis
Correct Answer: D
Rationale: Homeostasis refers to the dynamic equilibrium that a family system attempts to
maintain through self-regulating feedback loops. When a stressor disrupts the family, the
system uses various mechanisms to return to its previous state of balance. Understanding
this concept helps nurses identify why families might resist change even when current
behaviors are unhealthy.
3. A nurse is using a genogram to assess a family. What is the primary purpose of this tool in
family nursing practice?
A. To visualize hereditary patterns and family structure over at least three generations
B. To map the family’s relationships with external systems like school and work
C. To determine the economic status and resource allocation within the household
D. To measure the level of emotional conflict between specific family dyads
Correct Answer: A
Rationale: A genogram is a pictorial display of a person’s family relationships and medical
history that goes beyond a traditional family tree. It allows the nurse to identify repetitive
patterns of behavior and recognize hereditary tendencies that may impact current health.
It is a standard assessment tool used to understand the multi-generational context of the
family unit.
,4. During a family interview, the nurse asks, ‘If your mother were to become more ill, who in
the family would be the most likely to take over her caregiving duties?’ This is an example of
which type of question?
A. Linear question
B. Circular question
C. Closed-ended question
D. Reflective question
Correct Answer: B
Rationale: Circular questions are designed to reveal relationships and differences between
family members rather than just individual facts. They help the nurse and the family
understand the interconnectedness of family members’ beliefs and behaviors. This specific
type of circular question explores hypothetical scenarios to assess family roles and
expectations.
5. Which stage of Duvall’s Family Life Cycle is characterized by the primary task of
‘renegotiating the marital system as a dyad’?
A. Families with adolescents
B. Launching centers: moving on
C. Middle-aged parents
D. The family in later life
, Correct Answer: B
Rationale: The ‘Launching Center’ stage occurs when young adults leave the home,
requiring parents to adjust to an empty nest. During this time, the couple must focus back
on their relationship as a dyad rather than primarily as parents. This transition can be a
period of significant stress or renewed intimacy depending on the strength of the marital
bond.
6. According to the Friedman Family Assessment Model, the ‘Affective Function’ of a family
primarily refers to:
A. The provision of physical necessities like food and shelter
B. The family’s ability to meet the psychological and emotional needs of its members
C. The transmission of values and social norms to children
D. The allocation of power and decision-making responsibilities
Correct Answer: B
Rationale: The affective function is considered one of the most vital functions in
contemporary families as it focuses on mutual nurturance, love, and support. It involves the
family’s ability to provide a sense of belonging and to foster the emotional development of
each member. A family that functions well affectively is better equipped to handle external
stressors.
Nursing Q&A with Rationale | Herzing
University
1. According to the Calgary Family Assessment Model (CFAM), which of the following is an
example of an internal structural subcategory?
A. Rank order
B. Extended family
C. Social class
D. Environment
Correct Answer: A
Rationale: The Calgary Family Assessment Model divides structure into internal, external,
and context categories. Internal structure includes subcategories like family composition,
gender, sexual orientation, rank order, subsystems, and boundaries. Rank order specifically
refers to the position of children in the family with respect to age and gender, which
significantly influences family dynamics.
2. In the context of Family Systems Theory, which term describes the family’s tendency to
maintain a steady state or equilibrium despite external stressors?
A. Equifinality
B. Differentiation
,C. Morphogenesis
D. Homeostasis
Correct Answer: D
Rationale: Homeostasis refers to the dynamic equilibrium that a family system attempts to
maintain through self-regulating feedback loops. When a stressor disrupts the family, the
system uses various mechanisms to return to its previous state of balance. Understanding
this concept helps nurses identify why families might resist change even when current
behaviors are unhealthy.
3. A nurse is using a genogram to assess a family. What is the primary purpose of this tool in
family nursing practice?
A. To visualize hereditary patterns and family structure over at least three generations
B. To map the family’s relationships with external systems like school and work
C. To determine the economic status and resource allocation within the household
D. To measure the level of emotional conflict between specific family dyads
Correct Answer: A
Rationale: A genogram is a pictorial display of a person’s family relationships and medical
history that goes beyond a traditional family tree. It allows the nurse to identify repetitive
patterns of behavior and recognize hereditary tendencies that may impact current health.
It is a standard assessment tool used to understand the multi-generational context of the
family unit.
,4. During a family interview, the nurse asks, ‘If your mother were to become more ill, who in
the family would be the most likely to take over her caregiving duties?’ This is an example of
which type of question?
A. Linear question
B. Circular question
C. Closed-ended question
D. Reflective question
Correct Answer: B
Rationale: Circular questions are designed to reveal relationships and differences between
family members rather than just individual facts. They help the nurse and the family
understand the interconnectedness of family members’ beliefs and behaviors. This specific
type of circular question explores hypothetical scenarios to assess family roles and
expectations.
5. Which stage of Duvall’s Family Life Cycle is characterized by the primary task of
‘renegotiating the marital system as a dyad’?
A. Families with adolescents
B. Launching centers: moving on
C. Middle-aged parents
D. The family in later life
, Correct Answer: B
Rationale: The ‘Launching Center’ stage occurs when young adults leave the home,
requiring parents to adjust to an empty nest. During this time, the couple must focus back
on their relationship as a dyad rather than primarily as parents. This transition can be a
period of significant stress or renewed intimacy depending on the strength of the marital
bond.
6. According to the Friedman Family Assessment Model, the ‘Affective Function’ of a family
primarily refers to:
A. The provision of physical necessities like food and shelter
B. The family’s ability to meet the psychological and emotional needs of its members
C. The transmission of values and social norms to children
D. The allocation of power and decision-making responsibilities
Correct Answer: B
Rationale: The affective function is considered one of the most vital functions in
contemporary families as it focuses on mutual nurturance, love, and support. It involves the
family’s ability to provide a sense of belonging and to foster the emotional development of
each member. A family that functions well affectively is better equipped to handle external
stressors.
