NSG526/NSG 526 Exam 4 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
internal structure. Which of the following is considered a component of this subcategory?
A. Extended family
B. Social class
C. Family composition
D. Religious affiliation
Correct Answer: C
Rationale: Family composition is a primary element of the internal structure within the
CFAM framework. The internal structure focuses on the members within the household
and their immediate relationships. This differs from external structure or context, which
include extended family and social class respectively.
2. Which concept in Bowen’s Family Systems Theory refers to the ability of an individual to
distinguish between intellectual and emotional functioning?
A. Triangulation
B. Multigenerational transmission process
C. Nuclear family emotional process
,D. Differentiation of self
Correct Answer: D
Rationale: Differentiation of self is the cornerstone of Bowen’s theory, describing how an
individual maintains their own identity while staying connected to the family. High
differentiation allows for better stress management without becoming emotionally
reactive. This process is essential for healthy family functioning and individual mental
health.
3. During a family assessment, the nurse notices that a mother frequently asks her eldest
daughter to mediate conflicts between her and the father. This is an example of:
A. Triangulation
B. Enmeshment
C. Circular causality
D. Family resilience
Correct Answer: A
Rationale: Triangulation occurs when a third person is brought into a dyadic relationship
to decrease tension or anxiety. In this case, the daughter is being used to stabilize the
parents’ relationship, which can create developmental stress for the child. It is a common
dysfunctional coping mechanism identified in family systems theory.
, 4. Which of the following interventions is categorized under the ‘Cognitive Domain’ of the
Calgary Family Intervention Model (CFIM)?
A. Encouraging the expression of feelings
B. Providing information about a chronic illness
C. Assisting the family to find respite care
D. Validating emotional responses to trauma
Correct Answer: B
Rationale: Interventions in the cognitive domain focus on changing the family’s perception
or understanding of their situation. Providing education and information empowers the
family to make informed decisions and reduces uncertainty. This domain is distinct from
the affective (emotional) and behavioral (action-oriented) domains.
5. In Minuchin’s Structural Family Therapy, what term describes a family where boundaries
are overly permeable and members are excessively reactive to one another?
A. Disengaged
B. Differentiated
C. Enmeshed
D. Rigid
Correct Answer: C
Nursing Q&A with Rationale | Herzing
University
1. A nurse is using the Calgary Family Assessment Model (CFAM) to evaluate a family’s
internal structure. Which of the following is considered a component of this subcategory?
A. Extended family
B. Social class
C. Family composition
D. Religious affiliation
Correct Answer: C
Rationale: Family composition is a primary element of the internal structure within the
CFAM framework. The internal structure focuses on the members within the household
and their immediate relationships. This differs from external structure or context, which
include extended family and social class respectively.
2. Which concept in Bowen’s Family Systems Theory refers to the ability of an individual to
distinguish between intellectual and emotional functioning?
A. Triangulation
B. Multigenerational transmission process
C. Nuclear family emotional process
,D. Differentiation of self
Correct Answer: D
Rationale: Differentiation of self is the cornerstone of Bowen’s theory, describing how an
individual maintains their own identity while staying connected to the family. High
differentiation allows for better stress management without becoming emotionally
reactive. This process is essential for healthy family functioning and individual mental
health.
3. During a family assessment, the nurse notices that a mother frequently asks her eldest
daughter to mediate conflicts between her and the father. This is an example of:
A. Triangulation
B. Enmeshment
C. Circular causality
D. Family resilience
Correct Answer: A
Rationale: Triangulation occurs when a third person is brought into a dyadic relationship
to decrease tension or anxiety. In this case, the daughter is being used to stabilize the
parents’ relationship, which can create developmental stress for the child. It is a common
dysfunctional coping mechanism identified in family systems theory.
, 4. Which of the following interventions is categorized under the ‘Cognitive Domain’ of the
Calgary Family Intervention Model (CFIM)?
A. Encouraging the expression of feelings
B. Providing information about a chronic illness
C. Assisting the family to find respite care
D. Validating emotional responses to trauma
Correct Answer: B
Rationale: Interventions in the cognitive domain focus on changing the family’s perception
or understanding of their situation. Providing education and information empowers the
family to make informed decisions and reduces uncertainty. This domain is distinct from
the affective (emotional) and behavioral (action-oriented) domains.
5. In Minuchin’s Structural Family Therapy, what term describes a family where boundaries
are overly permeable and members are excessively reactive to one another?
A. Disengaged
B. Differentiated
C. Enmeshed
D. Rigid
Correct Answer: C
