Test Bank for Wright & Leahy's Nurses and Families: A Guide to
Family Assessment and Intervention, 8th Edition (Shajani & Snell)
,TABLE OF CONTENTS
Unit I: Foundations of Family Nursing
Chapter Title
Chapter
Family Assessment and Intervention: An Overview
1
Chapter Theoretical Foundations of the Calgary Family Assessment and Intervention Model
2 (CFAM & CFIM)
Unit II: Family Assessment and Intervention Frameworks
Chapter Title
Chapter 3 The Calgary Family Assessment Model (CFAM)
Chapter 4 The Calgary Family Intervention Model (CFIM)
Unit III: Family Nursing Interviewing Skills
Chapter Title
Chapter 5 Family Nursing Interviews: Stages and Skills
Chapter 6 How to Prepare for Family Interviews
Chapter 7 How to Conduct Family Interviews
Chapter 8 How to Use Questions in Family Interviewing
Chapter 9 How to Do a 15-Minute (or Shorter) Family Interview
,Unit IV: Advanced Family Nursing Practice
Chapter Title
Chapter 10 How to Move Beyond Basic Family Nursing Skills
Chapter 11 How to Avoid the Three Most Common Errors in Family Nursing
Chapter 12 How to Terminate With Families
Chapter 13 Pulling It All Together
Question Distribution
Chapter Question Numbers
Chapter 1 Questions 1–30
Chapter 2 Questions 31–50
Chapter 3 Questions 51–90
Chapter 4 Questions 91–120
Chapter 5 Questions 121–150
Chapter 6 Questions 151–180
Chapter 7 Questions 181–210
Chapter 8 Questions 211–240
Chapter 9 Questions 241–270
Chapter 10 Questions 271–300
Chapter 11 Questions 301–330
Chapter 12 Questions 331–360
Chapter 13 Questions 361–390
Appendix
, • Answer Key and Rationales
• Family Assessment Concepts
• Calgary Family Assessment Model (CFAM) Overview
• Calgary Family Intervention Model (CFIM) Overview
• Family Interviewing Skills Summary
• Therapeutic Questioning Techniques
• Family Nursing Clinical Applications
• References
Total Chapters: 13
Total Questions: 390
Format: NCLEX-Style Multiple Choice Questions with Detailed Rationales
Edition: Wright & Leahy's Nurses and Families: A Guide to Family Assessment and
Intervention, 8th Edition (Shajani & Snell)
Unit I: Foundations of Family Nursing
Chapter 1: Family Assessment and Intervention: An Overview
Question 1
A nurse is caring for a patient recently diagnosed with chronic heart failure. Which action best
demonstrates a family nursing approach?
A. Focus only on the patient's symptoms and treatment
B. Assess how the illness affects both the patient and family members
C. Limit discussions to healthcare providers
D. Delay family involvement until discharge
Correct Answer: B
Rationale:
Why the correct answer is correct:
Family nursing recognizes that illness affects the entire family system. A chronic illness such as
,heart failure can alter family roles, responsibilities, routines, finances, and emotional well-being.
Assessing the impact on both the patient and family helps the nurse identify strengths,
concerns, and support needs. Wright and Leahy emphasize that families are an important unit of
care and should be included in assessment and intervention whenever appropriate.
Why the other options are incorrect:
A. Focuses only on the individual patient.
C. Excludes important family perspectives.
D. Delays assessment and support.
Question 2
According to family systems theory, when one family member experiences a serious illness:
A. Only the affected individual experiences consequences
B. The illness affects only biological relatives
C. The entire family system may be influenced
D. Family functioning remains unchanged
Correct Answer: C
Rationale:
Why the correct answer is correct:
Family systems theory views the family as an interconnected unit. A change in one member
influences other family members and the family as a whole. Illness can alter communication,
responsibilities, relationships, and emotional responses. Understanding this interconnectedness
allows nurses to provide care that addresses the needs of both the patient and the family.
Why the other options are incorrect:
A. Ignores family interdependence.
B. Family influence extends beyond biology.
D. Illness commonly affects family functioning.
Question 3
Which statement best reflects Wright and Leahy's definition of family?
A. Family includes only blood relatives
B. Family consists of people living in the same household
C. Family includes only legal relatives
D. Family is whoever the patient identifies as family
Correct Answer: D
,Rationale:
Why the correct answer is correct:
Wright and Leahy support an inclusive definition of family. Individuals determine who is
significant in their lives and who they consider family. This may include relatives, partners, close
friends, or others who provide meaningful support. Respecting the patient's definition promotes
culturally sensitive and family-centered care.
Why the other options are incorrect:
A. Too restrictive.
B. Household membership alone is insufficient.
C. Excludes meaningful relationships.
Question 4
The primary purpose of family assessment is to:
A. Identify family strengths, concerns, and functioning
B. Determine who caused the illness
C. Replace individual patient assessment
D. Identify family weaknesses only
Correct Answer: A
Rationale:
Why the correct answer is correct:
Family assessment helps nurses understand how families function, communicate, cope, and
adapt to illness. It identifies strengths and challenges that influence health outcomes.
Information obtained through assessment guides interventions that support both the patient
and family.
Why the other options are incorrect:
B. Family nursing avoids blame.
C. Complements individual assessment.
D. Assessment includes strengths and challenges.
Question 5
A nurse asks, "Who are the most important people involved in your life?" This question primarily
assesses:
A. Family income
B. Family structure
,C. Family development
D. Family stress
Correct Answer: B
Rationale:
Why the correct answer is correct:
Family structure assessment identifies who belongs to the family and how individuals are
connected. Understanding these relationships helps the nurse identify support systems,
decision-makers, and caregiving resources. This information forms the foundation for family-
centered assessment and intervention.
Why the other options are incorrect:
A. Does not assess finances.
C. Does not assess developmental stages.
D. Does not directly assess stress.
Question 6
Which statement best demonstrates a strengths-based family assessment?
A. "What problems has your family experienced?"
B. "Who is responsible for this situation?"
C. "Tell me about challenges your family has successfully overcome."
D. "Why has your family struggled to cope?"
Correct Answer: C
Rationale:
Why the correct answer is correct:
A strengths-based assessment focuses on resilience, resources, and successful coping
experiences. Identifying previous successes helps families recognize their abilities and increases
confidence when facing current challenges. Family nursing interventions often build upon
existing strengths.
Why the other options are incorrect:
A. Focuses mainly on problems.
B. Encourages blame.
D. Emphasizes deficits.
Question 7
,A family reports feeling overwhelmed after a cancer diagnosis. Which nursing response is most
therapeutic?
A. "Everything will be fine."
B. "Many families feel overwhelmed. Tell me more about your concerns."
C. "Try not to think about it."
D. "Focus only on treatment."
Correct Answer: B
Rationale:
Why the correct answer is correct:
Acknowledging emotions and encouraging discussion supports therapeutic communication.
Families facing serious illness often experience uncertainty, fear, and stress. Exploring concerns
allows the nurse to understand the family's experience and identify areas where support and
education are needed.
Why the other options are incorrect:
A. Provides false reassurance.
C. Minimizes feelings.
D. Ignores emotional needs.
Question 8
Which concept is central to family nursing?
A. Illness affects only the patient
B. Family members rarely influence health outcomes
C. Illness affects the family as well as the individual
D. Family involvement should be limited
Correct Answer: C
Rationale:
Why the correct answer is correct:
Family nursing recognizes that illness impacts both patients and families. Family members often
provide support, participate in decision-making, and experience emotional and practical effects
related to illness. This understanding guides comprehensive and family-centered care.
Why the other options are incorrect:
A. Too narrow.
, B. Family influence is significant.
D. Contradicts family-centered care.
Question 9
Which question best explores family beliefs about illness?
A. "What do you think caused this illness?"
B. "What medications are prescribed?"
C. "What insurance coverage do you have?"
D. "How many clinic visits have occurred?"
Correct Answer: A
Rationale:
Why the correct answer is correct:
Family beliefs influence coping, decision-making, and responses to healthcare
recommendations. Understanding these beliefs helps nurses identify concerns, misconceptions,
and educational needs while promoting individualized care.
Why the other options are incorrect:
B. Focuses on treatment.
C. Focuses on finances.
D. Focuses on healthcare utilization.
Question 10
Which nursing action best promotes collaboration with families?
A. Making decisions independently
B. Limiting family participation
C. Asking families about their priorities and concerns
D. Directing care without discussion
Correct Answer: C
Rationale:
Why the correct answer is correct:
Collaboration involves valuing family perspectives and encouraging participation in care
planning. Families are experts on their own experiences and can provide important information
about strengths, concerns, and preferences.
Family Assessment and Intervention, 8th Edition (Shajani & Snell)
,TABLE OF CONTENTS
Unit I: Foundations of Family Nursing
Chapter Title
Chapter
Family Assessment and Intervention: An Overview
1
Chapter Theoretical Foundations of the Calgary Family Assessment and Intervention Model
2 (CFAM & CFIM)
Unit II: Family Assessment and Intervention Frameworks
Chapter Title
Chapter 3 The Calgary Family Assessment Model (CFAM)
Chapter 4 The Calgary Family Intervention Model (CFIM)
Unit III: Family Nursing Interviewing Skills
Chapter Title
Chapter 5 Family Nursing Interviews: Stages and Skills
Chapter 6 How to Prepare for Family Interviews
Chapter 7 How to Conduct Family Interviews
Chapter 8 How to Use Questions in Family Interviewing
Chapter 9 How to Do a 15-Minute (or Shorter) Family Interview
,Unit IV: Advanced Family Nursing Practice
Chapter Title
Chapter 10 How to Move Beyond Basic Family Nursing Skills
Chapter 11 How to Avoid the Three Most Common Errors in Family Nursing
Chapter 12 How to Terminate With Families
Chapter 13 Pulling It All Together
Question Distribution
Chapter Question Numbers
Chapter 1 Questions 1–30
Chapter 2 Questions 31–50
Chapter 3 Questions 51–90
Chapter 4 Questions 91–120
Chapter 5 Questions 121–150
Chapter 6 Questions 151–180
Chapter 7 Questions 181–210
Chapter 8 Questions 211–240
Chapter 9 Questions 241–270
Chapter 10 Questions 271–300
Chapter 11 Questions 301–330
Chapter 12 Questions 331–360
Chapter 13 Questions 361–390
Appendix
, • Answer Key and Rationales
• Family Assessment Concepts
• Calgary Family Assessment Model (CFAM) Overview
• Calgary Family Intervention Model (CFIM) Overview
• Family Interviewing Skills Summary
• Therapeutic Questioning Techniques
• Family Nursing Clinical Applications
• References
Total Chapters: 13
Total Questions: 390
Format: NCLEX-Style Multiple Choice Questions with Detailed Rationales
Edition: Wright & Leahy's Nurses and Families: A Guide to Family Assessment and
Intervention, 8th Edition (Shajani & Snell)
Unit I: Foundations of Family Nursing
Chapter 1: Family Assessment and Intervention: An Overview
Question 1
A nurse is caring for a patient recently diagnosed with chronic heart failure. Which action best
demonstrates a family nursing approach?
A. Focus only on the patient's symptoms and treatment
B. Assess how the illness affects both the patient and family members
C. Limit discussions to healthcare providers
D. Delay family involvement until discharge
Correct Answer: B
Rationale:
Why the correct answer is correct:
Family nursing recognizes that illness affects the entire family system. A chronic illness such as
,heart failure can alter family roles, responsibilities, routines, finances, and emotional well-being.
Assessing the impact on both the patient and family helps the nurse identify strengths,
concerns, and support needs. Wright and Leahy emphasize that families are an important unit of
care and should be included in assessment and intervention whenever appropriate.
Why the other options are incorrect:
A. Focuses only on the individual patient.
C. Excludes important family perspectives.
D. Delays assessment and support.
Question 2
According to family systems theory, when one family member experiences a serious illness:
A. Only the affected individual experiences consequences
B. The illness affects only biological relatives
C. The entire family system may be influenced
D. Family functioning remains unchanged
Correct Answer: C
Rationale:
Why the correct answer is correct:
Family systems theory views the family as an interconnected unit. A change in one member
influences other family members and the family as a whole. Illness can alter communication,
responsibilities, relationships, and emotional responses. Understanding this interconnectedness
allows nurses to provide care that addresses the needs of both the patient and the family.
Why the other options are incorrect:
A. Ignores family interdependence.
B. Family influence extends beyond biology.
D. Illness commonly affects family functioning.
Question 3
Which statement best reflects Wright and Leahy's definition of family?
A. Family includes only blood relatives
B. Family consists of people living in the same household
C. Family includes only legal relatives
D. Family is whoever the patient identifies as family
Correct Answer: D
,Rationale:
Why the correct answer is correct:
Wright and Leahy support an inclusive definition of family. Individuals determine who is
significant in their lives and who they consider family. This may include relatives, partners, close
friends, or others who provide meaningful support. Respecting the patient's definition promotes
culturally sensitive and family-centered care.
Why the other options are incorrect:
A. Too restrictive.
B. Household membership alone is insufficient.
C. Excludes meaningful relationships.
Question 4
The primary purpose of family assessment is to:
A. Identify family strengths, concerns, and functioning
B. Determine who caused the illness
C. Replace individual patient assessment
D. Identify family weaknesses only
Correct Answer: A
Rationale:
Why the correct answer is correct:
Family assessment helps nurses understand how families function, communicate, cope, and
adapt to illness. It identifies strengths and challenges that influence health outcomes.
Information obtained through assessment guides interventions that support both the patient
and family.
Why the other options are incorrect:
B. Family nursing avoids blame.
C. Complements individual assessment.
D. Assessment includes strengths and challenges.
Question 5
A nurse asks, "Who are the most important people involved in your life?" This question primarily
assesses:
A. Family income
B. Family structure
,C. Family development
D. Family stress
Correct Answer: B
Rationale:
Why the correct answer is correct:
Family structure assessment identifies who belongs to the family and how individuals are
connected. Understanding these relationships helps the nurse identify support systems,
decision-makers, and caregiving resources. This information forms the foundation for family-
centered assessment and intervention.
Why the other options are incorrect:
A. Does not assess finances.
C. Does not assess developmental stages.
D. Does not directly assess stress.
Question 6
Which statement best demonstrates a strengths-based family assessment?
A. "What problems has your family experienced?"
B. "Who is responsible for this situation?"
C. "Tell me about challenges your family has successfully overcome."
D. "Why has your family struggled to cope?"
Correct Answer: C
Rationale:
Why the correct answer is correct:
A strengths-based assessment focuses on resilience, resources, and successful coping
experiences. Identifying previous successes helps families recognize their abilities and increases
confidence when facing current challenges. Family nursing interventions often build upon
existing strengths.
Why the other options are incorrect:
A. Focuses mainly on problems.
B. Encourages blame.
D. Emphasizes deficits.
Question 7
,A family reports feeling overwhelmed after a cancer diagnosis. Which nursing response is most
therapeutic?
A. "Everything will be fine."
B. "Many families feel overwhelmed. Tell me more about your concerns."
C. "Try not to think about it."
D. "Focus only on treatment."
Correct Answer: B
Rationale:
Why the correct answer is correct:
Acknowledging emotions and encouraging discussion supports therapeutic communication.
Families facing serious illness often experience uncertainty, fear, and stress. Exploring concerns
allows the nurse to understand the family's experience and identify areas where support and
education are needed.
Why the other options are incorrect:
A. Provides false reassurance.
C. Minimizes feelings.
D. Ignores emotional needs.
Question 8
Which concept is central to family nursing?
A. Illness affects only the patient
B. Family members rarely influence health outcomes
C. Illness affects the family as well as the individual
D. Family involvement should be limited
Correct Answer: C
Rationale:
Why the correct answer is correct:
Family nursing recognizes that illness impacts both patients and families. Family members often
provide support, participate in decision-making, and experience emotional and practical effects
related to illness. This understanding guides comprehensive and family-centered care.
Why the other options are incorrect:
A. Too narrow.
, B. Family influence is significant.
D. Contradicts family-centered care.
Question 9
Which question best explores family beliefs about illness?
A. "What do you think caused this illness?"
B. "What medications are prescribed?"
C. "What insurance coverage do you have?"
D. "How many clinic visits have occurred?"
Correct Answer: A
Rationale:
Why the correct answer is correct:
Family beliefs influence coping, decision-making, and responses to healthcare
recommendations. Understanding these beliefs helps nurses identify concerns, misconceptions,
and educational needs while promoting individualized care.
Why the other options are incorrect:
B. Focuses on treatment.
C. Focuses on finances.
D. Focuses on healthcare utilization.
Question 10
Which nursing action best promotes collaboration with families?
A. Making decisions independently
B. Limiting family participation
C. Asking families about their priorities and concerns
D. Directing care without discussion
Correct Answer: C
Rationale:
Why the correct answer is correct:
Collaboration involves valuing family perspectives and encouraging participation in care
planning. Families are experts on their own experiences and can provide important information
about strengths, concerns, and preferences.
