NSG526/NSG 526 Exam 3 V3 | Family
Nursing Q&A with Rationale | Herzing
University
1. When conducting a family assessment using the Calgary Family Assessment Model (CFAM),
which subcategory falls under the Structural category?
A. Expressive communication
B. Extended family
C. Problem-solving
D. Emotional communication
Correct Answer: B
Rationale: The Calgary Family Assessment Model (CFAM) divides structure into internal,
external, and context. Extended family is considered a subcategory of external structure
because it looks at the origin and connections outside the nuclear unit. Understanding
these links is crucial for identifying potential support systems for the family.
2. In the Calgary Family Intervention Model (CFIM), which domain is targeted when a nurse
provides education about a diagnosis to change the family’s perception?
A. Affective domain
B. Behavioral domain
C. Structural domain
,D. Cognitive domain
Correct Answer: D
Rationale: The cognitive domain focuses on changing the way a family perceives or
understands a situation. By providing information and education, the nurse helps the
family develop new perspectives on their health challenges. This intellectual shift is often
the first step in long-term behavioral change within the family unit.
3. According to Duvall’s Family Life Cycle, which stage is characterized by the primary task of
‘renegotiating the marital system as a dyad’?
A. Launching center families
B. Families with adolescents
C. Middle-aged families
D. Aging families
Correct Answer: A
Rationale: The launching stage occurs when children leave the home, requiring parents to
refocus on their relationship as a couple. This transition can be stressful as roles shift from
active parenting to supportive roles for adult children. It is a critical period for marital
stability and personal growth for the parents.
4. A nurse is creating a genogram. What does a horizontal line connecting two individuals
typically represent?
A. A sibling relationship
, B. A parent-child relationship
C. An estranged relationship
D. A marriage or committed partnership
Correct Answer: D
Rationale: In standardized genogram symbols, a horizontal line represents a legal or
common-law union between two people. This line serves as the foundation for mapping the
family’s lineage and structural connections. Clear documentation of these relationships
helps nurses visualize the family’s history over multiple generations.
5. Which of the following is considered a ‘functional’ assessment item in the CFAM?
A. Activities of daily living (ADLs)
B. Social class
C. Religion and spirituality
D. Birth order
Correct Answer: A
Rationale: Functional assessment in CFAM examines how individuals actually behave and
interact with one another. Instrumental functioning, such as performing activities of daily
living, is a key component of this assessment. Assessing ADLs provides insight into the
family’s ability to manage health tasks and maintain homeostasis.
Nursing Q&A with Rationale | Herzing
University
1. When conducting a family assessment using the Calgary Family Assessment Model (CFAM),
which subcategory falls under the Structural category?
A. Expressive communication
B. Extended family
C. Problem-solving
D. Emotional communication
Correct Answer: B
Rationale: The Calgary Family Assessment Model (CFAM) divides structure into internal,
external, and context. Extended family is considered a subcategory of external structure
because it looks at the origin and connections outside the nuclear unit. Understanding
these links is crucial for identifying potential support systems for the family.
2. In the Calgary Family Intervention Model (CFIM), which domain is targeted when a nurse
provides education about a diagnosis to change the family’s perception?
A. Affective domain
B. Behavioral domain
C. Structural domain
,D. Cognitive domain
Correct Answer: D
Rationale: The cognitive domain focuses on changing the way a family perceives or
understands a situation. By providing information and education, the nurse helps the
family develop new perspectives on their health challenges. This intellectual shift is often
the first step in long-term behavioral change within the family unit.
3. According to Duvall’s Family Life Cycle, which stage is characterized by the primary task of
‘renegotiating the marital system as a dyad’?
A. Launching center families
B. Families with adolescents
C. Middle-aged families
D. Aging families
Correct Answer: A
Rationale: The launching stage occurs when children leave the home, requiring parents to
refocus on their relationship as a couple. This transition can be stressful as roles shift from
active parenting to supportive roles for adult children. It is a critical period for marital
stability and personal growth for the parents.
4. A nurse is creating a genogram. What does a horizontal line connecting two individuals
typically represent?
A. A sibling relationship
, B. A parent-child relationship
C. An estranged relationship
D. A marriage or committed partnership
Correct Answer: D
Rationale: In standardized genogram symbols, a horizontal line represents a legal or
common-law union between two people. This line serves as the foundation for mapping the
family’s lineage and structural connections. Clear documentation of these relationships
helps nurses visualize the family’s history over multiple generations.
5. Which of the following is considered a ‘functional’ assessment item in the CFAM?
A. Activities of daily living (ADLs)
B. Social class
C. Religion and spirituality
D. Birth order
Correct Answer: A
Rationale: Functional assessment in CFAM examines how individuals actually behave and
interact with one another. Instrumental functioning, such as performing activities of daily
living, is a key component of this assessment. Assessing ADLs provides insight into the
family’s ability to manage health tasks and maintain homeostasis.
