NSG 526 EXAM 1: ADVANCED FAMILY
NURSING ASSESSMENT AND THEORY
QUESTIONS & VERIFIED ANSWERS |
GUARANTEE PASS 2026/2027
1. According to Murray Bowen’s Family Systems Theory, what does ‘differentiation of self’
primarily refer to?
A. The tendency of family members to adopt identical belief systems.
B. The physical separation of an adult child from their parents’ home.
C. The process of forming a legal identity independent of the nuclear family.
D. The ability to distinguish between the intellectual and emotional systems.
Answer: D
Conceptual Explanation: Differentiation of self is the capacity to maintain one’s own
identity and thoughts while remaining emotionally connected to the family, distinguishing
between feelings and rational thinking.
2. In the Calgary Family Assessment Model (CFAM), which of the following is considered a
component of ‘Internal Structure’?
A. Extended family
B. Social class
,C. Occupational environment
D. Subsystems
Answer: D
Conceptual Explanation: Internal structure includes family composition, gender, sexual
orientation, rank order, subsystems, and boundaries.
3. A nurse asks a mother, ‘How do you think your daughter feels when you and your husband
argue?’ This is an example of which type of question?
A. Linear question
B. Circular question
C. Dichotomous question
D. Closed-ended question
Answer: B
Conceptual Explanation: Circular questions are designed to reveal relationships between
individuals, events, or ideas and explore the interconnectedness of family members.
4. Duvall’s Family Development Stage 4 focuses on families with school-aged children. What
is the primary developmental task during this stage?
A. Adjusting to the retirement of the parents.
B. Establishing a mutually satisfying marriage.
C. Balancing freedom with responsibility as teenagers.
, D. Integrating the child into the school system while maintaining family ties.
Answer: D
Conceptual Explanation: Stage 4 (School-aged children) involves socializing children and
adjusting to the influence of school and peer groups.
5. Which family assessment tool provides a visual representation of family relationships and
medical history across at least three generations?
A. Ecomap
B. Genogram
C. Family APGAR
D. Sociogram
Answer: B
Conceptual Explanation: A genogram is a skeletal diagram that maps out family structure
and history over three or more generations.
6. What is the primary purpose of an Ecomap in family nursing?
A. To illustrate the family’s interactions with larger social systems.
B. To track the developmental milestones of the children.
C. To identify genetic predispositions to chronic illnesses.
D. To diagnose psychiatric disorders within the family unit.
NURSING ASSESSMENT AND THEORY
QUESTIONS & VERIFIED ANSWERS |
GUARANTEE PASS 2026/2027
1. According to Murray Bowen’s Family Systems Theory, what does ‘differentiation of self’
primarily refer to?
A. The tendency of family members to adopt identical belief systems.
B. The physical separation of an adult child from their parents’ home.
C. The process of forming a legal identity independent of the nuclear family.
D. The ability to distinguish between the intellectual and emotional systems.
Answer: D
Conceptual Explanation: Differentiation of self is the capacity to maintain one’s own
identity and thoughts while remaining emotionally connected to the family, distinguishing
between feelings and rational thinking.
2. In the Calgary Family Assessment Model (CFAM), which of the following is considered a
component of ‘Internal Structure’?
A. Extended family
B. Social class
,C. Occupational environment
D. Subsystems
Answer: D
Conceptual Explanation: Internal structure includes family composition, gender, sexual
orientation, rank order, subsystems, and boundaries.
3. A nurse asks a mother, ‘How do you think your daughter feels when you and your husband
argue?’ This is an example of which type of question?
A. Linear question
B. Circular question
C. Dichotomous question
D. Closed-ended question
Answer: B
Conceptual Explanation: Circular questions are designed to reveal relationships between
individuals, events, or ideas and explore the interconnectedness of family members.
4. Duvall’s Family Development Stage 4 focuses on families with school-aged children. What
is the primary developmental task during this stage?
A. Adjusting to the retirement of the parents.
B. Establishing a mutually satisfying marriage.
C. Balancing freedom with responsibility as teenagers.
, D. Integrating the child into the school system while maintaining family ties.
Answer: D
Conceptual Explanation: Stage 4 (School-aged children) involves socializing children and
adjusting to the influence of school and peer groups.
5. Which family assessment tool provides a visual representation of family relationships and
medical history across at least three generations?
A. Ecomap
B. Genogram
C. Family APGAR
D. Sociogram
Answer: B
Conceptual Explanation: A genogram is a skeletal diagram that maps out family structure
and history over three or more generations.
6. What is the primary purpose of an Ecomap in family nursing?
A. To illustrate the family’s interactions with larger social systems.
B. To track the developmental milestones of the children.
C. To identify genetic predispositions to chronic illnesses.
D. To diagnose psychiatric disorders within the family unit.
