NSG526/NSG 526 Final Exam V2 | Family
Nursing Q&A with Rationale | Herzing
University
1. Which component of the Calgary Family Assessment Model (CFAM) focuses on the internal
structure, specifically looking at subsystems within the family?
A. Structural Assessment
B. Functional Assessment
C. Developmental Assessment
D. Contextual Assessment
Correct Answer: A
Rationale: The Structural Assessment category of CFAM includes internal structure, which
encompasses subsystems and boundaries. It helps nurses understand how the family is
organized and who belongs to which group. This systematic approach is vital for
identifying power dynamics and roles within the unit.
2. In Family Systems Theory, which concept describes the tendency of a system to maintain a
steady state or equilibrium?
A. Morphogenesis
B. Equifinality
C. Homeostasis
,D. Nonsummativity
Correct Answer: C
Rationale: Homeostasis is the process by which families maintain stability despite external
stressors. It acts as a regulatory mechanism to return the family to its ‘normal’ state after a
disruption. Understanding this helps nurses predict how a family might resist or adapt to
change.
3. According to Duvall’s Developmental Stages, a family with a child who is 4 years old is
categorized in which stage?
A. Stage II: Childbearing Families
B. Stage V: Families with Teenagers
C. Stage IV: Families with School-age Children
D. Stage III: Families with Preschoolers
Correct Answer: D
Rationale: Duvall defines Stage III as families whose oldest child is between 2.5 and 6
years of age. During this stage, the family must adapt to the child’s increasing autonomy
and socialization needs. Nurses support these families by focusing on safety and
developmental milestones.
4. When conducting a family interview, which tool provides a visual representation of a
family’s internal structure and medical history across generations?
A. Ecomap
, B. Genogram
C. Family APGAR
D. SPIRIT Tool
Correct Answer: B
Rationale: A genogram is a multi-generational schematic diagram that displays family
relationships and medical patterns. It allows the clinician to identify hereditary conditions
and recurring interpersonal dynamics over at least three generations. This tool is
foundational for comprehensive family health assessments.
5. Which type of circular question is designed to explore the differences in perceptions
between family members regarding a specific problem?
A. Future-oriented questions
B. Hypothetical questions
C. Difference questions
D. Behavioral effect questions
Correct Answer: C
Rationale: Difference questions allow the nurse to elicit comparisons about people,
relationships, or time periods. They help family members see varied perspectives on the
same issue, reducing blame. This technique is central to the Calgary Family Intervention
Model (CFIM) in facilitating family change.
Nursing Q&A with Rationale | Herzing
University
1. Which component of the Calgary Family Assessment Model (CFAM) focuses on the internal
structure, specifically looking at subsystems within the family?
A. Structural Assessment
B. Functional Assessment
C. Developmental Assessment
D. Contextual Assessment
Correct Answer: A
Rationale: The Structural Assessment category of CFAM includes internal structure, which
encompasses subsystems and boundaries. It helps nurses understand how the family is
organized and who belongs to which group. This systematic approach is vital for
identifying power dynamics and roles within the unit.
2. In Family Systems Theory, which concept describes the tendency of a system to maintain a
steady state or equilibrium?
A. Morphogenesis
B. Equifinality
C. Homeostasis
,D. Nonsummativity
Correct Answer: C
Rationale: Homeostasis is the process by which families maintain stability despite external
stressors. It acts as a regulatory mechanism to return the family to its ‘normal’ state after a
disruption. Understanding this helps nurses predict how a family might resist or adapt to
change.
3. According to Duvall’s Developmental Stages, a family with a child who is 4 years old is
categorized in which stage?
A. Stage II: Childbearing Families
B. Stage V: Families with Teenagers
C. Stage IV: Families with School-age Children
D. Stage III: Families with Preschoolers
Correct Answer: D
Rationale: Duvall defines Stage III as families whose oldest child is between 2.5 and 6
years of age. During this stage, the family must adapt to the child’s increasing autonomy
and socialization needs. Nurses support these families by focusing on safety and
developmental milestones.
4. When conducting a family interview, which tool provides a visual representation of a
family’s internal structure and medical history across generations?
A. Ecomap
, B. Genogram
C. Family APGAR
D. SPIRIT Tool
Correct Answer: B
Rationale: A genogram is a multi-generational schematic diagram that displays family
relationships and medical patterns. It allows the clinician to identify hereditary conditions
and recurring interpersonal dynamics over at least three generations. This tool is
foundational for comprehensive family health assessments.
5. Which type of circular question is designed to explore the differences in perceptions
between family members regarding a specific problem?
A. Future-oriented questions
B. Hypothetical questions
C. Difference questions
D. Behavioral effect questions
Correct Answer: C
Rationale: Difference questions allow the nurse to elicit comparisons about people,
relationships, or time periods. They help family members see varied perspectives on the
same issue, reducing blame. This technique is central to the Calgary Family Intervention
Model (CFIM) in facilitating family change.
