NSG526/NSG 526 Exam 1 V3 | Family
Nursing Q&A with Rationale | Herzing
University
1. A nurse is using the Calgary Family Assessment Model (CFAM) to evaluate a family’s
structure. Which of the following components should the nurse assess under the ‘Internal
Structure’ category?
A. Social class and religion
B. Family composition and gender
C. Extended family and larger systems
D. Communication and problem solving
Correct Answer: B
Rationale: Internal structure in the CFAM model focuses on the elements that make up the
immediate family unit. This includes assessing family composition, gender, sexual
orientation, and rank order of members. Understanding these elements is crucial for the
nurse to identify the basic framework of the family system.
2. According to Bowen’s Family Systems Theory, what is the primary purpose of
‘triangulation’ in a family?
A. To improve communication between three people
B. To promote differentiation of self among all members
,C. To reduce anxiety between two people by involving a third
D. To establish clear boundaries between generations
Correct Answer: C
Rationale: Triangulation is a key concept in Bowenian theory where a two-person system
under stress draws in a third person to stabilize the relationship. While it temporarily
reduces tension, it often prevents the original two people from resolving their issues
directly. The nurse must identify these triangles to help the family address the underlying
anxiety and move toward differentiation.
3. In the context of the ABC-X Model of Family Stress, what does the ‘B’ factor represent?
A. The stressor event itself
B. The family’s definition of the event
C. The family’s resources and strengths
D. The resulting crisis or adaptation
Correct Answer: C
Rationale: The B factor in Hill’s ABC-X model refers to the family’s resources available to
meet the demands of the stressor. These resources can include social support, financial
stability, and internal coping mechanisms. By assessing the B factor, the nurse can
determine how well-equipped the family is to prevent the stressor from becoming a crisis.
, 4. A family is in the stage of the life cycle where the oldest child is 14 years old. According to
Duvall’s Family Life Cycle, which stage is this?
A. Families with Adolescents
B. Families with School-Age Children
C. Families with Preschool Children
D. Launching Center Families
Correct Answer: A
Rationale: Duvall’s Stage 5 is defined by families whose oldest child is between the ages of
13 and 20. This stage focuses on the developmental task of balancing freedom with
responsibility as the teenager moves toward autonomy. The nurse’s role involves helping
parents navigate the shifting power dynamics and communication styles typical of this
period.
5. Which symbol is standardly used in a genogram to represent a female family member?
A. Circle
B. Triangle
C. Square
D. Diamond
Correct Answer: A
Nursing Q&A with Rationale | Herzing
University
1. A nurse is using the Calgary Family Assessment Model (CFAM) to evaluate a family’s
structure. Which of the following components should the nurse assess under the ‘Internal
Structure’ category?
A. Social class and religion
B. Family composition and gender
C. Extended family and larger systems
D. Communication and problem solving
Correct Answer: B
Rationale: Internal structure in the CFAM model focuses on the elements that make up the
immediate family unit. This includes assessing family composition, gender, sexual
orientation, and rank order of members. Understanding these elements is crucial for the
nurse to identify the basic framework of the family system.
2. According to Bowen’s Family Systems Theory, what is the primary purpose of
‘triangulation’ in a family?
A. To improve communication between three people
B. To promote differentiation of self among all members
,C. To reduce anxiety between two people by involving a third
D. To establish clear boundaries between generations
Correct Answer: C
Rationale: Triangulation is a key concept in Bowenian theory where a two-person system
under stress draws in a third person to stabilize the relationship. While it temporarily
reduces tension, it often prevents the original two people from resolving their issues
directly. The nurse must identify these triangles to help the family address the underlying
anxiety and move toward differentiation.
3. In the context of the ABC-X Model of Family Stress, what does the ‘B’ factor represent?
A. The stressor event itself
B. The family’s definition of the event
C. The family’s resources and strengths
D. The resulting crisis or adaptation
Correct Answer: C
Rationale: The B factor in Hill’s ABC-X model refers to the family’s resources available to
meet the demands of the stressor. These resources can include social support, financial
stability, and internal coping mechanisms. By assessing the B factor, the nurse can
determine how well-equipped the family is to prevent the stressor from becoming a crisis.
, 4. A family is in the stage of the life cycle where the oldest child is 14 years old. According to
Duvall’s Family Life Cycle, which stage is this?
A. Families with Adolescents
B. Families with School-Age Children
C. Families with Preschool Children
D. Launching Center Families
Correct Answer: A
Rationale: Duvall’s Stage 5 is defined by families whose oldest child is between the ages of
13 and 20. This stage focuses on the developmental task of balancing freedom with
responsibility as the teenager moves toward autonomy. The nurse’s role involves helping
parents navigate the shifting power dynamics and communication styles typical of this
period.
5. Which symbol is standardly used in a genogram to represent a female family member?
A. Circle
B. Triangle
C. Square
D. Diamond
Correct Answer: A
