NSG526/NSG 526 Exam 4 V1 | Family
Nursing Q&A with Rationale | Herzing
University
1. A nurse is using the Calgary Family Assessment Model (CFAM) to evaluate a family’s
internal structure. Which of the following components should the nurse assess?
A. Family composition and gender
B. Social class and occupation
C. Extended family relationships
D. Community resources and religious affiliations
Correct Answer: A
Rationale: The Calgary Family Assessment Model (CFAM) divides structure into internal,
external, and context. Family composition and gender are specific subcategories of the
internal structure. Assessing these elements helps the nurse understand the basic
organizational framework of the household.
2. When utilizing the ABC-X Model of Family Stress, the ‘B’ factor represents which of the
following?
A. The family’s resources and strengths
B. The family’s perception of the event
C. The actual stressor event
,D. The crisis or state of equilibrium
Correct Answer: A
Rationale: In Hill’s ABC-X model, ‘B’ specifically refers to the family’s resources or their
ability to meet the demands of a stressor. These resources can be internal to the family
system or external community supports. Understanding this factor is critical for identifying
why some families manage stress better than others.
3. A nurse is constructing a genogram for a family. Which symbol is the standard
representation for a male family member?
A. A circle
B. A square
C. A triangle
D. A diamond
Correct Answer: B
Rationale: In standardized genogram mapping, a square represents a male and a circle
represents a female. This visual tool is essential for tracking hereditary patterns and family
relationships over at least three generations. Correct use of symbols ensures that all
healthcare providers can interpret the family history accurately.
4. According to Murray Bowen’s Family Systems Theory, what is the term for a three-person
emotional configuration used to reduce anxiety?
A. Enmeshment
, B. Emotional cutoff
C. Differentiation of self
D. Triangulation
Correct Answer: D
Rationale: Triangulation occurs when a two-person system under stress draws in a third
person to stabilize the relationship and reduce tension. While it may temporarily lower
anxiety, it prevents the original two people from resolving their conflict directly. It is a key
concept in Bowenian therapy used to evaluate family emotional processes.
5. A family is in the ‘Launching Center’ stage of Duvall’s Family Life Cycle. What is the primary
developmental task for this family?
A. Adjusting to retirement
B. Reorganizing the family as a unit while releasing young adults
C. Providing a safe environment for young children
D. Adjusting to the loss of a spouse
Correct Answer: B
Rationale: The Launching Center stage focuses on the period when the first child leaves
home until the last child has left. The primary task is for parents to maintain a supportive
home base while allowing children to establish independent lives. This transition often
requires the parents to refocus on their marital relationship.
Nursing Q&A with Rationale | Herzing
University
1. A nurse is using the Calgary Family Assessment Model (CFAM) to evaluate a family’s
internal structure. Which of the following components should the nurse assess?
A. Family composition and gender
B. Social class and occupation
C. Extended family relationships
D. Community resources and religious affiliations
Correct Answer: A
Rationale: The Calgary Family Assessment Model (CFAM) divides structure into internal,
external, and context. Family composition and gender are specific subcategories of the
internal structure. Assessing these elements helps the nurse understand the basic
organizational framework of the household.
2. When utilizing the ABC-X Model of Family Stress, the ‘B’ factor represents which of the
following?
A. The family’s resources and strengths
B. The family’s perception of the event
C. The actual stressor event
,D. The crisis or state of equilibrium
Correct Answer: A
Rationale: In Hill’s ABC-X model, ‘B’ specifically refers to the family’s resources or their
ability to meet the demands of a stressor. These resources can be internal to the family
system or external community supports. Understanding this factor is critical for identifying
why some families manage stress better than others.
3. A nurse is constructing a genogram for a family. Which symbol is the standard
representation for a male family member?
A. A circle
B. A square
C. A triangle
D. A diamond
Correct Answer: B
Rationale: In standardized genogram mapping, a square represents a male and a circle
represents a female. This visual tool is essential for tracking hereditary patterns and family
relationships over at least three generations. Correct use of symbols ensures that all
healthcare providers can interpret the family history accurately.
4. According to Murray Bowen’s Family Systems Theory, what is the term for a three-person
emotional configuration used to reduce anxiety?
A. Enmeshment
, B. Emotional cutoff
C. Differentiation of self
D. Triangulation
Correct Answer: D
Rationale: Triangulation occurs when a two-person system under stress draws in a third
person to stabilize the relationship and reduce tension. While it may temporarily lower
anxiety, it prevents the original two people from resolving their conflict directly. It is a key
concept in Bowenian therapy used to evaluate family emotional processes.
5. A family is in the ‘Launching Center’ stage of Duvall’s Family Life Cycle. What is the primary
developmental task for this family?
A. Adjusting to retirement
B. Reorganizing the family as a unit while releasing young adults
C. Providing a safe environment for young children
D. Adjusting to the loss of a spouse
Correct Answer: B
Rationale: The Launching Center stage focuses on the period when the first child leaves
home until the last child has left. The primary task is for parents to maintain a supportive
home base while allowing children to establish independent lives. This transition often
requires the parents to refocus on their marital relationship.
