NURS 5432 Family I Midterm Exam -
University Of Texas At Arlington
(UTA): Questions With Solutions
EXAM
1. Which concept best describes the family as a unit that
interacts with and influences its environment?
A. Family resilience
B. Family systems theory
C. Family stress theory
D. Structural functionalism
Correct Answer: B. Family systems theory
Rationale: Family systems theory views the family as an
interconnected unit where each member affects and is affected by
others. Changes in one part of the system influence the whole
family.
2. A nurse assessing a family's ability to adapt during crisis is
evaluating which concept?
A. Family coping
B. Family resilience
C. Family stability
D. Family hierarchy
Correct Answer: B. Family resilience
Rationale: Family resilience refers to the family's ability to
,withstand and recover from stressors and crises while maintaining
healthy functioning.
3. Which of the following best defines a nuclear family?
A. A family composed of grandparents and grandchildren
B. A family consisting of parents and their children
C. A family including multiple generations in one household
D. A family formed by remarriage
Correct Answer: B. A family consisting of parents and their
children
Rationale: The nuclear family typically includes two parents and
their biological or adopted children living together.
4. Which family assessment tool visually displays family
relationships across generations?
A. Genogram
B. Ecomap
C. Family APGAR
D. Developmental checklist
Correct Answer: A. Genogram
Rationale: A genogram maps biological relationships and health
patterns across at least three generations, showing vertical
transmission of traits and conditions.
5. A nurse is assessing a family's structure using a genogram.
Which finding best indicates a multigenerational pattern of
substance abuse?
A. Two siblings in the same generation report alcohol use
B. The maternal grandfather, mother, and son all have
documented opioid misuse
C. The family reports high stress due to financial problems
,D. The parents work opposite shifts to care for children
Correct Answer: B. The maternal grandfather, mother, and
son all have documented opioid misuse
Rationale: Option B shows a clear vertical transmission
(grandfather → mother → son), which is the classic definition of a
multigenerational pattern. Option A is only within one generation.
6. During a home visit, the nurse observes that a mother
makes all healthcare decisions for her adult child with
intellectual disability. Which family function is primarily being
demonstrated?
A. Socialization of family members
B. Provision of physical care
C. Advocacy and decision-making
D. Economic support
Correct Answer: C. Advocacy and decision-making
Rationale: Advocacy and decision-making involve the family
acting on behalf of a member who cannot fully advocate for
themselves.
7. Which type of family structure includes remarried parents
and children from previous relationships?
A. Extended family
B. Blended family
C. Nuclear family
D. Traditional family
Correct Answer: B. Blended family
Rationale: A blended family forms when partners remarry and
combine children from previous relationships.
, 8. Which communication pattern promotes healthy family
functioning?
A. Passive communication
B. Aggressive communication
C. Open and honest communication
D. Avoidant communication
Correct Answer: C. Open and honest communication
Rationale: Healthy families communicate openly, allowing
members to express feelings and concerns constructively.
9. A nurse is using the Family APGAR tool. What does the "A"
stand for?
A. Adaptation
B. Affection
C. Activity
D. Acceptance
Correct Answer: A. Adaptation
Rationale: The Family APGAR assesses five areas: Adaptation,
Partnership, Growth, Affection, and Resolve. "A" stands for
Adaptation—how the family shares resources and solves
problems.
10. An ecomap is used to:
A. Map genetic disorders across generations
B. Assess family relationships with external systems
C. Evaluate parenting styles
D. Determine family income level
Correct Answer: B. Assess family relationships with external
systems
Rationale: An ecomap is a visual tool that depicts a family's
University Of Texas At Arlington
(UTA): Questions With Solutions
EXAM
1. Which concept best describes the family as a unit that
interacts with and influences its environment?
A. Family resilience
B. Family systems theory
C. Family stress theory
D. Structural functionalism
Correct Answer: B. Family systems theory
Rationale: Family systems theory views the family as an
interconnected unit where each member affects and is affected by
others. Changes in one part of the system influence the whole
family.
2. A nurse assessing a family's ability to adapt during crisis is
evaluating which concept?
A. Family coping
B. Family resilience
C. Family stability
D. Family hierarchy
Correct Answer: B. Family resilience
Rationale: Family resilience refers to the family's ability to
,withstand and recover from stressors and crises while maintaining
healthy functioning.
3. Which of the following best defines a nuclear family?
A. A family composed of grandparents and grandchildren
B. A family consisting of parents and their children
C. A family including multiple generations in one household
D. A family formed by remarriage
Correct Answer: B. A family consisting of parents and their
children
Rationale: The nuclear family typically includes two parents and
their biological or adopted children living together.
4. Which family assessment tool visually displays family
relationships across generations?
A. Genogram
B. Ecomap
C. Family APGAR
D. Developmental checklist
Correct Answer: A. Genogram
Rationale: A genogram maps biological relationships and health
patterns across at least three generations, showing vertical
transmission of traits and conditions.
5. A nurse is assessing a family's structure using a genogram.
Which finding best indicates a multigenerational pattern of
substance abuse?
A. Two siblings in the same generation report alcohol use
B. The maternal grandfather, mother, and son all have
documented opioid misuse
C. The family reports high stress due to financial problems
,D. The parents work opposite shifts to care for children
Correct Answer: B. The maternal grandfather, mother, and
son all have documented opioid misuse
Rationale: Option B shows a clear vertical transmission
(grandfather → mother → son), which is the classic definition of a
multigenerational pattern. Option A is only within one generation.
6. During a home visit, the nurse observes that a mother
makes all healthcare decisions for her adult child with
intellectual disability. Which family function is primarily being
demonstrated?
A. Socialization of family members
B. Provision of physical care
C. Advocacy and decision-making
D. Economic support
Correct Answer: C. Advocacy and decision-making
Rationale: Advocacy and decision-making involve the family
acting on behalf of a member who cannot fully advocate for
themselves.
7. Which type of family structure includes remarried parents
and children from previous relationships?
A. Extended family
B. Blended family
C. Nuclear family
D. Traditional family
Correct Answer: B. Blended family
Rationale: A blended family forms when partners remarry and
combine children from previous relationships.
, 8. Which communication pattern promotes healthy family
functioning?
A. Passive communication
B. Aggressive communication
C. Open and honest communication
D. Avoidant communication
Correct Answer: C. Open and honest communication
Rationale: Healthy families communicate openly, allowing
members to express feelings and concerns constructively.
9. A nurse is using the Family APGAR tool. What does the "A"
stand for?
A. Adaptation
B. Affection
C. Activity
D. Acceptance
Correct Answer: A. Adaptation
Rationale: The Family APGAR assesses five areas: Adaptation,
Partnership, Growth, Affection, and Resolve. "A" stands for
Adaptation—how the family shares resources and solves
problems.
10. An ecomap is used to:
A. Map genetic disorders across generations
B. Assess family relationships with external systems
C. Evaluate parenting styles
D. Determine family income level
Correct Answer: B. Assess family relationships with external
systems
Rationale: An ecomap is a visual tool that depicts a family's
