NSG526/NSG 526 Exam 2 V2 | Family
Nursing Q&A with Rationale | Herzing
University
1. When conducting a family assessment using the Calgary Family Assessment Model (CFAM),
which subcategory is part of the structural assessment?
A. Emotional communication
B. Extended family
C. Daily living activities
D. Problem solving
Correct Answer: B
Rationale: The structural assessment category of CFAM includes internal, external, and
context subcategories. Extended family falls under the external structure subcategory,
which looks at the family’s connections to people outside the immediate household. This
differs from functional assessment, which focuses on daily living and communication
patterns.
2. In Family Systems Theory, which concept describes the tendency of a family system to seek
a state of equilibrium or stability?
A. Morphogenesis
B. Equifinality
,C. Homeostasis
D. Nonsummativity
Correct Answer: C
Rationale: Homeostasis refers to the family’s ability to maintain a steady state despite
internal and external changes. This balance is achieved through feedback loops that
regulate behavior and interactions. Without homeostasis, the family system would exist in
a constant state of chaos or transition.
3. A nurse is constructing a genogram. Which symbol should be used to represent a male
family member who has deceased?
A. A square with a dotted line around it
B. A circle with an ‘X’ through it
C. A triangle with a line through it
D. A square with an ‘X’ through it
Correct Answer: D
Rationale: In standard genogram notation, a square represents a male and a circle
represents a female. A diagonal ‘X’ placed inside the square or circle indicates that the
individual is deceased. This visual representation allows clinicians to quickly identify
mortality patterns and family history within three generations.
, 4. According to Duvall’s Family Life Cycle, what is the primary developmental task for a family
in the ‘Launching Center’ stage?
A. Adjusting to the needs of preschoolers
B. Maintaining a home for the elderly
C. Readjusting the marital system as a dyad
D. Encouraging the child’s autonomy in school
Correct Answer: C
Rationale: The launching stage begins when the first child leaves home and ends when the
last child leaves. During this phase, parents must renegotiate their relationship as a couple
(the dyad) now that their primary child-rearing duties are shifting. This stage is often
characterized by the ‘empty nest’ syndrome and requires significant emotional adjustment.
5. Which type of questioning is designed to explore the relationships between family
members and identify patterns of interaction?
A. Linear questions
B. Closed-ended questions
C. Circular questions
D. Hypothetical questions
Correct Answer: C
Nursing Q&A with Rationale | Herzing
University
1. When conducting a family assessment using the Calgary Family Assessment Model (CFAM),
which subcategory is part of the structural assessment?
A. Emotional communication
B. Extended family
C. Daily living activities
D. Problem solving
Correct Answer: B
Rationale: The structural assessment category of CFAM includes internal, external, and
context subcategories. Extended family falls under the external structure subcategory,
which looks at the family’s connections to people outside the immediate household. This
differs from functional assessment, which focuses on daily living and communication
patterns.
2. In Family Systems Theory, which concept describes the tendency of a family system to seek
a state of equilibrium or stability?
A. Morphogenesis
B. Equifinality
,C. Homeostasis
D. Nonsummativity
Correct Answer: C
Rationale: Homeostasis refers to the family’s ability to maintain a steady state despite
internal and external changes. This balance is achieved through feedback loops that
regulate behavior and interactions. Without homeostasis, the family system would exist in
a constant state of chaos or transition.
3. A nurse is constructing a genogram. Which symbol should be used to represent a male
family member who has deceased?
A. A square with a dotted line around it
B. A circle with an ‘X’ through it
C. A triangle with a line through it
D. A square with an ‘X’ through it
Correct Answer: D
Rationale: In standard genogram notation, a square represents a male and a circle
represents a female. A diagonal ‘X’ placed inside the square or circle indicates that the
individual is deceased. This visual representation allows clinicians to quickly identify
mortality patterns and family history within three generations.
, 4. According to Duvall’s Family Life Cycle, what is the primary developmental task for a family
in the ‘Launching Center’ stage?
A. Adjusting to the needs of preschoolers
B. Maintaining a home for the elderly
C. Readjusting the marital system as a dyad
D. Encouraging the child’s autonomy in school
Correct Answer: C
Rationale: The launching stage begins when the first child leaves home and ends when the
last child leaves. During this phase, parents must renegotiate their relationship as a couple
(the dyad) now that their primary child-rearing duties are shifting. This stage is often
characterized by the ‘empty nest’ syndrome and requires significant emotional adjustment.
5. Which type of questioning is designed to explore the relationships between family
members and identify patterns of interaction?
A. Linear questions
B. Closed-ended questions
C. Circular questions
D. Hypothetical questions
Correct Answer: C
