NBCOT/COTA - Exam Q-bank; 2022.
NBCOT/COTA - Exam Q-bank; 2025
Chapter 1.Perspectives of Pediatric Nursin
MULTIPLE CHOICE
3. How iasmfily systems theory be st described?
a. The family is viewed as the sum of individual members.
b. A change in one family member cannot create a change in other members.
c. Individual family members are readily identified as the source of a problem.
d. When the family system is disrupted, change can occur at any point in the system.
ANS: D
Family systems theory describes an interactional model. Any change in one member will
create change in others. Although the family is the sum of the individual members, family
systems theory focuses on the number of dyad interactions that can occur. The interactions,
not the individual members, are considered to be the problem.
DIF: Cognitive Level: Analyzing REF: MCS: 18
TOP: Nur soicnegs sP: rAsses sment :MCSC lient Needs: Psychosocial Integrity
,NBCOT/COTA - Exam Q-bank; 2022.
4. Which family theory is described as a series of tasks for the family throughout its life span?
a. Exchange theory
b. Developmental theory
c. Structural-functional theory
d. Symbolic interactional theory
ANS: B
In developmental systems theory, the family is described as a small group, a semiclosedesm
yst
of personalities that interact with the larger cultural system. Changes do not occur in one
part of the family without changes in others. Exchange theory assumes that humans,
families, and groups seek rewarding statuses so that raerd
ws are maximizedewchoislts are
minimized.
Structural-functional theory states that the family performs at least one iseotcal function w
hile
also meeting family needs. Symbolic interactional theory describes the family as a unit of
interacting persons with each occupying a position within the family.
DIF: Cognitive Level: Remembering REF: MCS: 19
TOP: Nur soicnegs sP: rAsses sment :MCSC lient Needs: Psychosocial Integrity
5. Which family theory explains how families react to setsrsful eve nts and suggests
factors that promote adaptation to these events?
a. Interactional theory
b. Family stress theory
c. Eriksons psychosocial theory
d. Developmental systems theory
ANS: B
Family stress theory explains the reaction of families to stressful events. In addition, the
theory helps suggest factors that promote adaptation to the stress. Stressors, both positive
and negative, are cumulative and affect the family. Adaptation requires a change in family
structure or
,NBCOT/COTA - Exam Q-bank; 2022.
interaction. Interactional theory is not a fma i l y thye. or Interactions are the basis of e
greanl
systems theory. Eriksons theory applies to individual growth and development, not
families. Developmental systems theory is an outgrowth of Duvalls theory. The family is
described as a small group, a semiclosed system of personalities that interact with the
larger cultural system. Changes do not occur in one part of the family without changes in
others.
DIF: Cognitive Level: Remembering REF: MCS: 19
TOP: Nursing Process: Assessment :MCSC lient Needs: Psychosocial Integrity
6. Which type of family should the nurse recognize when the paternal grandmother, the
parents, and two minor children live together?
a. Blended
b. Nuclear
c. Extended
d. Binuclear
ANS: C
An extended family contains at least one parent, one or more children, and one or more
members (related or unrelated) other than a parent or sibling. A blended family contains at
least one stepparent, stepsibling, or half-sibling. A nuclear family consists of two parents and
their children. No other relatives or nonrelatives are present in the household. In binuclear
families, parents continue the parenting role while terminating the spousal unit. For example,
when joint custody is assigned by the court, each parent has equal rights and responsibilities
for the minor child or children.
DIF: Cognitive Level: Remembering REF: pp. 20-21
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
7. Which type of family should the nurse recognize when a mother, her children, and
a stepfather live together?
, NBCOT/COTA - Exam Q-bank; 2022.
a. Traditional nuclear
b. Blended
c. Extended
d. Binuclear
ANS: B
A blended family contains at least one stepparent, stepsibling, or half-sibling. A traditional
nuclearifsatsmoily cons f a married ce oaup l i rnbdi ot hl oe g i c children. No other relatives or
nonrelatives are present in the household. An extended family contains at least one parent,
one or more children, and one or more members (related or unrelated) other than a parent or
sibling. In binuclear families, parents continue the parenting role while terminating the
spousal unit. For example, when joint custody is assigned by the court, each parent has equal
rights and responsibilities for the minor child or children.
DIF: Cognitive Level: Remembering REF: MCS: 20
TOP: Nur soicnegs sP: rAsses sment :MCSC lient Needs: Psychosocial Integrity
8. Which is an accurate description of homosexual (or egsabyi-aln) f amilies?
a. A nurturing environment is lacking.
b. The children become homosexual like their parents.
c. The stability needed to raise healthy children is lacking.
d. The quality of parenting is equivalent to that of nongay parents.
ANS: D
Although gay or lesbian families may be different from heterosexual families, the environment
can be as healthy as any other. Lacking a nurturing environment and stability is reflective on
the parents and family, not the type of family. There is little evidence to support that children
become homosexual like their parents.
DIF: Cognitive Level: Understanding REF: pp. 21-22
NBCOT/COTA - Exam Q-bank; 2025
Chapter 1.Perspectives of Pediatric Nursin
MULTIPLE CHOICE
3. How iasmfily systems theory be st described?
a. The family is viewed as the sum of individual members.
b. A change in one family member cannot create a change in other members.
c. Individual family members are readily identified as the source of a problem.
d. When the family system is disrupted, change can occur at any point in the system.
ANS: D
Family systems theory describes an interactional model. Any change in one member will
create change in others. Although the family is the sum of the individual members, family
systems theory focuses on the number of dyad interactions that can occur. The interactions,
not the individual members, are considered to be the problem.
DIF: Cognitive Level: Analyzing REF: MCS: 18
TOP: Nur soicnegs sP: rAsses sment :MCSC lient Needs: Psychosocial Integrity
,NBCOT/COTA - Exam Q-bank; 2022.
4. Which family theory is described as a series of tasks for the family throughout its life span?
a. Exchange theory
b. Developmental theory
c. Structural-functional theory
d. Symbolic interactional theory
ANS: B
In developmental systems theory, the family is described as a small group, a semiclosedesm
yst
of personalities that interact with the larger cultural system. Changes do not occur in one
part of the family without changes in others. Exchange theory assumes that humans,
families, and groups seek rewarding statuses so that raerd
ws are maximizedewchoislts are
minimized.
Structural-functional theory states that the family performs at least one iseotcal function w
hile
also meeting family needs. Symbolic interactional theory describes the family as a unit of
interacting persons with each occupying a position within the family.
DIF: Cognitive Level: Remembering REF: MCS: 19
TOP: Nur soicnegs sP: rAsses sment :MCSC lient Needs: Psychosocial Integrity
5. Which family theory explains how families react to setsrsful eve nts and suggests
factors that promote adaptation to these events?
a. Interactional theory
b. Family stress theory
c. Eriksons psychosocial theory
d. Developmental systems theory
ANS: B
Family stress theory explains the reaction of families to stressful events. In addition, the
theory helps suggest factors that promote adaptation to the stress. Stressors, both positive
and negative, are cumulative and affect the family. Adaptation requires a change in family
structure or
,NBCOT/COTA - Exam Q-bank; 2022.
interaction. Interactional theory is not a fma i l y thye. or Interactions are the basis of e
greanl
systems theory. Eriksons theory applies to individual growth and development, not
families. Developmental systems theory is an outgrowth of Duvalls theory. The family is
described as a small group, a semiclosed system of personalities that interact with the
larger cultural system. Changes do not occur in one part of the family without changes in
others.
DIF: Cognitive Level: Remembering REF: MCS: 19
TOP: Nursing Process: Assessment :MCSC lient Needs: Psychosocial Integrity
6. Which type of family should the nurse recognize when the paternal grandmother, the
parents, and two minor children live together?
a. Blended
b. Nuclear
c. Extended
d. Binuclear
ANS: C
An extended family contains at least one parent, one or more children, and one or more
members (related or unrelated) other than a parent or sibling. A blended family contains at
least one stepparent, stepsibling, or half-sibling. A nuclear family consists of two parents and
their children. No other relatives or nonrelatives are present in the household. In binuclear
families, parents continue the parenting role while terminating the spousal unit. For example,
when joint custody is assigned by the court, each parent has equal rights and responsibilities
for the minor child or children.
DIF: Cognitive Level: Remembering REF: pp. 20-21
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
7. Which type of family should the nurse recognize when a mother, her children, and
a stepfather live together?
, NBCOT/COTA - Exam Q-bank; 2022.
a. Traditional nuclear
b. Blended
c. Extended
d. Binuclear
ANS: B
A blended family contains at least one stepparent, stepsibling, or half-sibling. A traditional
nuclearifsatsmoily cons f a married ce oaup l i rnbdi ot hl oe g i c children. No other relatives or
nonrelatives are present in the household. An extended family contains at least one parent,
one or more children, and one or more members (related or unrelated) other than a parent or
sibling. In binuclear families, parents continue the parenting role while terminating the
spousal unit. For example, when joint custody is assigned by the court, each parent has equal
rights and responsibilities for the minor child or children.
DIF: Cognitive Level: Remembering REF: MCS: 20
TOP: Nur soicnegs sP: rAsses sment :MCSC lient Needs: Psychosocial Integrity
8. Which is an accurate description of homosexual (or egsabyi-aln) f amilies?
a. A nurturing environment is lacking.
b. The children become homosexual like their parents.
c. The stability needed to raise healthy children is lacking.
d. The quality of parenting is equivalent to that of nongay parents.
ANS: D
Although gay or lesbian families may be different from heterosexual families, the environment
can be as healthy as any other. Lacking a nurturing environment and stability is reflective on
the parents and family, not the type of family. There is little evidence to support that children
become homosexual like their parents.
DIF: Cognitive Level: Understanding REF: pp. 21-22
