NSG526/NSG 526 Exam 2 V3 | Family
Nursing Q&A with Rationale | Herzing
University
1. A nurse is conducting a family assessment using the Calgary Family Assessment Model
(CFAM). Which category should the nurse focus on when observing the family’s
communication patterns and problem-solving abilities?
A. Structural
B. Contextual
C. Developmental
D. Functional
Correct Answer: D
Rationale: The functional category of the CFAM assesses how family members interact and
behave toward one another. This specifically includes subcategories such as expressive
functioning, which encompasses communication and problem-solving. Understanding
these dynamics is essential for identifying areas where the family may need intervention to
improve their internal cohesion.
2. In Bowen’s Family Systems Theory, which concept refers to the process of including a third
person to decrease anxiety between two individuals?
A. Differentiation of self
,B. Emotional cutoff
C. Triangulation
D. Multigenerational transmission
Correct Answer: C
Rationale: Triangulation occurs when a two-person system experiences tension and
brings in a third person to stabilize the relationship. While it reduces immediate anxiety, it
prevents the original two people from resolving their conflict directly. This process is a key
focus in family therapy as it often perpetuates dysfunctional cycles across generations.
3. Which component of Hill’s ABC-X Model represents the family’s resources or strengths to
meet the demands of a stressor?
A. B
B. A
C. C
D. X
Correct Answer: A
Rationale: In the ABC-X model, ‘B’ represents the family’s crisis-meeting resources, such as
social support, financial stability, or coping skills. ‘A’ represents the stressor event itself,
while ‘C’ is the family’s perception of that event. The interaction of these factors determines
‘X’, which is the level of crisis experienced by the family unit.
, 4. According to Duvall’s Family Life Cycle, what is the primary developmental task for families
with preschool children?
A. Balancing freedom with responsibility
B. Adjusting to the needs of the newborn
C. Establishing a mutually satisfying marriage
D. Coping with energy depletion and lack of privacy
Correct Answer: D
Rationale: Families with preschool children often face the challenge of energy depletion
due to the high demands of young children, leading to a significant loss of privacy for the
parents. The primary task involves adapting to the child’s needs while maintaining the
marital relationship and individual identities. Success in this stage requires effective
resource management and shared parental responsibilities.
5. When constructing a genogram, which symbol is universally used to represent a male
family member?
A. A circle
B. A triangle
C. A square
D. A diamond
Correct Answer: C
Nursing Q&A with Rationale | Herzing
University
1. A nurse is conducting a family assessment using the Calgary Family Assessment Model
(CFAM). Which category should the nurse focus on when observing the family’s
communication patterns and problem-solving abilities?
A. Structural
B. Contextual
C. Developmental
D. Functional
Correct Answer: D
Rationale: The functional category of the CFAM assesses how family members interact and
behave toward one another. This specifically includes subcategories such as expressive
functioning, which encompasses communication and problem-solving. Understanding
these dynamics is essential for identifying areas where the family may need intervention to
improve their internal cohesion.
2. In Bowen’s Family Systems Theory, which concept refers to the process of including a third
person to decrease anxiety between two individuals?
A. Differentiation of self
,B. Emotional cutoff
C. Triangulation
D. Multigenerational transmission
Correct Answer: C
Rationale: Triangulation occurs when a two-person system experiences tension and
brings in a third person to stabilize the relationship. While it reduces immediate anxiety, it
prevents the original two people from resolving their conflict directly. This process is a key
focus in family therapy as it often perpetuates dysfunctional cycles across generations.
3. Which component of Hill’s ABC-X Model represents the family’s resources or strengths to
meet the demands of a stressor?
A. B
B. A
C. C
D. X
Correct Answer: A
Rationale: In the ABC-X model, ‘B’ represents the family’s crisis-meeting resources, such as
social support, financial stability, or coping skills. ‘A’ represents the stressor event itself,
while ‘C’ is the family’s perception of that event. The interaction of these factors determines
‘X’, which is the level of crisis experienced by the family unit.
, 4. According to Duvall’s Family Life Cycle, what is the primary developmental task for families
with preschool children?
A. Balancing freedom with responsibility
B. Adjusting to the needs of the newborn
C. Establishing a mutually satisfying marriage
D. Coping with energy depletion and lack of privacy
Correct Answer: D
Rationale: Families with preschool children often face the challenge of energy depletion
due to the high demands of young children, leading to a significant loss of privacy for the
parents. The primary task involves adapting to the child’s needs while maintaining the
marital relationship and individual identities. Success in this stage requires effective
resource management and shared parental responsibilities.
5. When constructing a genogram, which symbol is universally used to represent a male
family member?
A. A circle
B. A triangle
C. A square
D. A diamond
Correct Answer: C
