NSG526/NSG 526 Exam 1 V2 | Family
Nursing Q&A with Rationale | Herzing
University
1. According to the Calgary Family Assessment Model (CFAM), which of the following is
categorized under ‘Internal Structure’?
A. Birth order
B. Social class
C. Extended family
D. Religion
Correct Answer: A
Rationale: In the Calgary Family Assessment Model, internal structure specifically
addresses the composition of the family, including gender, sexual orientation, and rank or
birth order. These elements define the immediate makeup of the family unit and how
members relate to one another within the household. Identifying birth order helps the
nurse understand power dynamics and roles assigned to siblings.
2. In Family Systems Theory, which term describes the process of a family system changing its
structure to adapt to new requirements?
A. Morphogenesis
B. Homeostasis
,C. Equifinality
D. Morphostasis
Correct Answer: A
Rationale: Morphogenesis refers to the system-enhancing behavior that allows a family to
grow, change, and adapt to new environmental demands. Unlike homeostasis, which seeks
to maintain the status quo, morphogenesis is essential for healthy development over the
family life cycle. The nurse identifies this process when a family successfully redistributes
chores after a parent returns to school.
3. When utilizing the Family Life Cycle theory developed by Duvall, what is the primary
developmental task of the ‘Families with Preschoolers’ stage?
A. Adjusting to the end of the honeymoon period
B. Reevaluating the marital relationship during the empty nest
C. Developing a new identity as a couple
D. Socializing the children and adjusting to reduced privacy
Correct Answer: D
Rationale: The preschool stage involves the critical task of socializing children to prepare
them for entry into the school system while maintaining a healthy marital bond. Parents
must balance the intensive demands of young children with the need for individual and
couple time. This stage is often characterized by high energy expenditure and the beginning
of the family’s interaction with broader social institutions.
, 4. A nurse is constructing a genogram. What does a square with an ‘X’ through it represent?
A. A female family member
B. A divorce between partners
C. A deceased male family member
D. A miscarriage or stillbirth
Correct Answer: C
Rationale: In standardized genogram notation, a square represents a male family member,
and an ‘X’ indicates that the person is deceased. This visual tool allows nurses to quickly
identify patterns of mortality and chronic illness across multiple generations. It serves as a
comprehensive medical and social history that facilitates risk assessment and intervention
planning.
5. Which assessment tool is specifically designed to visualize the family’s relationship with
external systems such as schools, work, and community resources?
A. Genogram
B. Family APGAR
C. Ecomap
D. SCREEM
Correct Answer: C
Nursing Q&A with Rationale | Herzing
University
1. According to the Calgary Family Assessment Model (CFAM), which of the following is
categorized under ‘Internal Structure’?
A. Birth order
B. Social class
C. Extended family
D. Religion
Correct Answer: A
Rationale: In the Calgary Family Assessment Model, internal structure specifically
addresses the composition of the family, including gender, sexual orientation, and rank or
birth order. These elements define the immediate makeup of the family unit and how
members relate to one another within the household. Identifying birth order helps the
nurse understand power dynamics and roles assigned to siblings.
2. In Family Systems Theory, which term describes the process of a family system changing its
structure to adapt to new requirements?
A. Morphogenesis
B. Homeostasis
,C. Equifinality
D. Morphostasis
Correct Answer: A
Rationale: Morphogenesis refers to the system-enhancing behavior that allows a family to
grow, change, and adapt to new environmental demands. Unlike homeostasis, which seeks
to maintain the status quo, morphogenesis is essential for healthy development over the
family life cycle. The nurse identifies this process when a family successfully redistributes
chores after a parent returns to school.
3. When utilizing the Family Life Cycle theory developed by Duvall, what is the primary
developmental task of the ‘Families with Preschoolers’ stage?
A. Adjusting to the end of the honeymoon period
B. Reevaluating the marital relationship during the empty nest
C. Developing a new identity as a couple
D. Socializing the children and adjusting to reduced privacy
Correct Answer: D
Rationale: The preschool stage involves the critical task of socializing children to prepare
them for entry into the school system while maintaining a healthy marital bond. Parents
must balance the intensive demands of young children with the need for individual and
couple time. This stage is often characterized by high energy expenditure and the beginning
of the family’s interaction with broader social institutions.
, 4. A nurse is constructing a genogram. What does a square with an ‘X’ through it represent?
A. A female family member
B. A divorce between partners
C. A deceased male family member
D. A miscarriage or stillbirth
Correct Answer: C
Rationale: In standardized genogram notation, a square represents a male family member,
and an ‘X’ indicates that the person is deceased. This visual tool allows nurses to quickly
identify patterns of mortality and chronic illness across multiple generations. It serves as a
comprehensive medical and social history that facilitates risk assessment and intervention
planning.
5. Which assessment tool is specifically designed to visualize the family’s relationship with
external systems such as schools, work, and community resources?
A. Genogram
B. Family APGAR
C. Ecomap
D. SCREEM
Correct Answer: C
