NSG526/NSG 526 Exam 4 V2 | Family
Nursing Q&A with Rationale | Herzing
University
1. When utilizing the Calgary Family Assessment Model (CFAM), which subcategory falls
under the ‘Internal Structure’ domain?
A. Family composition
B. Social class
C. Activities of daily living
D. Extended family
Correct Answer: A
Rationale: Family composition is a primary subcategory of Internal Structure within the
CFAM. This component focuses on identifying who the family members are and their
relationship to one another. Understanding this structure is essential before moving on to
functional or developmental assessments.
2. In Bowen’s Family Systems Theory, what occurs when a third person is brought into a
stressful relationship between two people?
A. Triangulation
B. Differentiation
C. Enmeshment
,D. Multigenerational transmission
Correct Answer: A
Rationale: Triangulation is a key concept in Bowenian theory where a third party is
recruited to stabilize a high-anxiety dyad. While it reduces immediate tension, it prevents
the original two individuals from resolving their conflict directly. This process often leads
to long-term dysfunction if the triangle becomes fixed.
3. A family consists of a mother, a father, and their biological children. Which term best
describes this family structure?
A. Extended family
B. Blended family
C. Binuclear family
D. Nuclear family
Correct Answer: D
Rationale: A nuclear family is traditionally defined as two parents and their legal or
biological children living in the same household. This structure has evolved over time but
remains a foundational concept in family nursing assessments. It is distinct from blended
families, which involve children from previous relationships.
4. According to Duvall’s Developmental Stages of the Family, what is the primary task of
families with preschool children?
A. Developing peer relationships
, B. Adjusting to the first child
C. Balancing freedom with responsibility
D. Adapting to the critical needs and interests of preschool children
Correct Answer: D
Rationale: Duvall’s third stage focuses specifically on the needs of preschool-age children,
which include socialization and safety. Parents must adapt their routines and
communication styles to foster the child’s autonomy and curiosity. Successful navigation of
this stage helps prepare the family for the school-age transition.
5. Which tool is most effective for visualizing the family’s relationship with external systems
like school, work, and community?
A. Ecomap
B. Genogram
C. Apgar scale
D. Culturogram
Correct Answer: A
Rationale: The ecomap is a visual diagram that captures the flow of resources and the
nature of relationships between the family and the outside world. It helps the nurse
identify sources of support and potential stressors in the environment. This assessment
tool complements the genogram, which focuses on internal family lineage.
Nursing Q&A with Rationale | Herzing
University
1. When utilizing the Calgary Family Assessment Model (CFAM), which subcategory falls
under the ‘Internal Structure’ domain?
A. Family composition
B. Social class
C. Activities of daily living
D. Extended family
Correct Answer: A
Rationale: Family composition is a primary subcategory of Internal Structure within the
CFAM. This component focuses on identifying who the family members are and their
relationship to one another. Understanding this structure is essential before moving on to
functional or developmental assessments.
2. In Bowen’s Family Systems Theory, what occurs when a third person is brought into a
stressful relationship between two people?
A. Triangulation
B. Differentiation
C. Enmeshment
,D. Multigenerational transmission
Correct Answer: A
Rationale: Triangulation is a key concept in Bowenian theory where a third party is
recruited to stabilize a high-anxiety dyad. While it reduces immediate tension, it prevents
the original two individuals from resolving their conflict directly. This process often leads
to long-term dysfunction if the triangle becomes fixed.
3. A family consists of a mother, a father, and their biological children. Which term best
describes this family structure?
A. Extended family
B. Blended family
C. Binuclear family
D. Nuclear family
Correct Answer: D
Rationale: A nuclear family is traditionally defined as two parents and their legal or
biological children living in the same household. This structure has evolved over time but
remains a foundational concept in family nursing assessments. It is distinct from blended
families, which involve children from previous relationships.
4. According to Duvall’s Developmental Stages of the Family, what is the primary task of
families with preschool children?
A. Developing peer relationships
, B. Adjusting to the first child
C. Balancing freedom with responsibility
D. Adapting to the critical needs and interests of preschool children
Correct Answer: D
Rationale: Duvall’s third stage focuses specifically on the needs of preschool-age children,
which include socialization and safety. Parents must adapt their routines and
communication styles to foster the child’s autonomy and curiosity. Successful navigation of
this stage helps prepare the family for the school-age transition.
5. Which tool is most effective for visualizing the family’s relationship with external systems
like school, work, and community?
A. Ecomap
B. Genogram
C. Apgar scale
D. Culturogram
Correct Answer: A
Rationale: The ecomap is a visual diagram that captures the flow of resources and the
nature of relationships between the family and the outside world. It helps the nurse
identify sources of support and potential stressors in the environment. This assessment
tool complements the genogram, which focuses on internal family lineage.
