NSG526/NSG 526 Final Exam V3 | Family
Nursing Q&A with Rationale | Herzing
University
1. According to the Calgary Family Assessment Model (CFAM), which of the following is
considered a subcategory of the Internal Structure?
A. Social class
B. Extended family
C. Birth order
D. Environment
Correct Answer: C
Rationale: Birth order is a critical subcategory of the internal structure in the Calgary
Family Assessment Model. It helps the nurse understand the roles and expectations placed
on each child within the family unit. This information is essential for identifying potential
power dynamics and developmental trajectories.
2. When a nurse identifies that a change in one family member affects all other members,
which theoretical perspective is being applied?
A. Structural-Functional Theory
B. Family Systems Theory
C. Family Stress Theory
,D. Bioecological Systems Theory
Correct Answer: B
Rationale: Family Systems Theory posits that the family is an emotional unit where
members are intensely connected. Any change in the health or status of one member
creates a ripple effect throughout the entire system. This perspective allows the nurse to
move beyond individual care and treat the family as a whole.
3. What is the primary purpose of creating an ecomap during a family assessment?
A. To visualize the family’s relationships with external systems
B. To track genetic health history over three generations
C. To identify the family’s internal communication patterns
D. To document the physical layout of the family home
Correct Answer: A
Rationale: An ecomap is a visual tool used to map the family’s connections to external
systems such as schools, work, and healthcare providers. It helps identify sources of social
support as well as areas of stress or conflict with the community. This tool is distinct from a
genogram, which focuses strictly on internal family lineage.
4. Which type of circular question is designed to explore the impact of an event on family
relationships?
A. Difference question
, B. Future-oriented question
C. Hypothetical question
D. Behavioral effect question
Correct Answer: D
Rationale: Behavioral effect questions are used to help family members see how one
person’s actions influence others. By asking how a specific behavior changes the family
dynamic, the nurse facilitates a deeper understanding of circular causality. This technique
is a core component of the Calgary Family Intervention Model.
5. In the context of Family Nursing, what does the term ‘Commendation’ specifically refer to?
A. Giving a simple compliment on a family member’s appearance
B. Rewarding a family for complying with a medical regimen
C. Providing advice on how to improve family functioning
D. Stating a positive observation of family strengths over time
Correct Answer: D
Rationale: Commendations are observations of family strengths that occur over time,
rather than immediate reactions to a single event. They are intended to empower the
family by highlighting their inherent resilience and capabilities. Effective commendations
help build a therapeutic relationship and encourage family-led problem solving.
Nursing Q&A with Rationale | Herzing
University
1. According to the Calgary Family Assessment Model (CFAM), which of the following is
considered a subcategory of the Internal Structure?
A. Social class
B. Extended family
C. Birth order
D. Environment
Correct Answer: C
Rationale: Birth order is a critical subcategory of the internal structure in the Calgary
Family Assessment Model. It helps the nurse understand the roles and expectations placed
on each child within the family unit. This information is essential for identifying potential
power dynamics and developmental trajectories.
2. When a nurse identifies that a change in one family member affects all other members,
which theoretical perspective is being applied?
A. Structural-Functional Theory
B. Family Systems Theory
C. Family Stress Theory
,D. Bioecological Systems Theory
Correct Answer: B
Rationale: Family Systems Theory posits that the family is an emotional unit where
members are intensely connected. Any change in the health or status of one member
creates a ripple effect throughout the entire system. This perspective allows the nurse to
move beyond individual care and treat the family as a whole.
3. What is the primary purpose of creating an ecomap during a family assessment?
A. To visualize the family’s relationships with external systems
B. To track genetic health history over three generations
C. To identify the family’s internal communication patterns
D. To document the physical layout of the family home
Correct Answer: A
Rationale: An ecomap is a visual tool used to map the family’s connections to external
systems such as schools, work, and healthcare providers. It helps identify sources of social
support as well as areas of stress or conflict with the community. This tool is distinct from a
genogram, which focuses strictly on internal family lineage.
4. Which type of circular question is designed to explore the impact of an event on family
relationships?
A. Difference question
, B. Future-oriented question
C. Hypothetical question
D. Behavioral effect question
Correct Answer: D
Rationale: Behavioral effect questions are used to help family members see how one
person’s actions influence others. By asking how a specific behavior changes the family
dynamic, the nurse facilitates a deeper understanding of circular causality. This technique
is a core component of the Calgary Family Intervention Model.
5. In the context of Family Nursing, what does the term ‘Commendation’ specifically refer to?
A. Giving a simple compliment on a family member’s appearance
B. Rewarding a family for complying with a medical regimen
C. Providing advice on how to improve family functioning
D. Stating a positive observation of family strengths over time
Correct Answer: D
Rationale: Commendations are observations of family strengths that occur over time,
rather than immediate reactions to a single event. They are intended to empower the
family by highlighting their inherent resilience and capabilities. Effective commendations
help build a therapeutic relationship and encourage family-led problem solving.
