NSG526/NSG 526 Final Exam V1 | Family
Nursing Q&A with Rationale | Herzing
University
1. According to the Calgary Family Assessment Model (CFAM), which component is a primary
category of structural assessment?
A. Internal structure
B. Expressive communication
C. Problem-solving
D. Family development
Correct Answer: A
Rationale: Internal structure is one of the three subcategories of structural assessment in
CFAM. It includes aspects such as family composition, gender, and sexual orientation.
Understanding internal structure allows the nurse to identify who belongs to the family
unit and how they are organized.
2. Which theory emphasizes that a family is greater than the sum of its parts and that change
in one member affects all members?
A. Family Systems Theory
B. Social Exchange Theory
C. Biomedical Theory
,D. Conflict Theory
Correct Answer: A
Rationale: Family Systems Theory posits that the family is an emotional unit where
members are intensely connected. Changes in one person’s functioning are predictably
followed by reciprocal changes in the functioning of others. This holistic approach is
essential for assessing family dynamics in a clinical setting.
3. In the ABCX Model of Family Stress, what does the ‘B’ factor represent?
A. The stressor event
B. The family’s perception of the event
C. The family’s resources or strengths
D. The crisis or state of equilibrium
Correct Answer: C
Rationale: The ‘B’ factor in the ABCX model refers to the family’s resources and their
ability to meet the demands of the stressor. These resources can be individual, family-
based, or community-oriented. Adequate resources often prevent a stressor from becoming
a full-blown crisis.
4. A nurse is creating a genogram. What symbol is typically used to represent a deceased
male family member?
A. A square with an ‘X’ through it
, B. A circle with a dash through it
C. A triangle with a solid fill
D. A dotted square
Correct Answer: A
Rationale: In standardized genogram symbols, a square represents a male and an ‘X’
through the shape indicates that the individual is deceased. Genograms provide a visual
map of at least three generations of family history. This helps nurses identify patterns of
illness and hereditary risks within the family lineage.
5. Which type of question is used in the Calgary Family Intervention Model (CFIM) to invite
family members to reflect on their relationships?
A. Circular questions
B. Closed-ended questions
C. Linear questions
D. Directive questions
Correct Answer: A
Rationale: Circular questions are designed to reveal the interactions and relationships
between family members. They help family members see their problems from a different
perspective by focusing on the effect of one person’s behavior on another. This shift in
thinking is a key intervention for promoting change in family dynamics.
Nursing Q&A with Rationale | Herzing
University
1. According to the Calgary Family Assessment Model (CFAM), which component is a primary
category of structural assessment?
A. Internal structure
B. Expressive communication
C. Problem-solving
D. Family development
Correct Answer: A
Rationale: Internal structure is one of the three subcategories of structural assessment in
CFAM. It includes aspects such as family composition, gender, and sexual orientation.
Understanding internal structure allows the nurse to identify who belongs to the family
unit and how they are organized.
2. Which theory emphasizes that a family is greater than the sum of its parts and that change
in one member affects all members?
A. Family Systems Theory
B. Social Exchange Theory
C. Biomedical Theory
,D. Conflict Theory
Correct Answer: A
Rationale: Family Systems Theory posits that the family is an emotional unit where
members are intensely connected. Changes in one person’s functioning are predictably
followed by reciprocal changes in the functioning of others. This holistic approach is
essential for assessing family dynamics in a clinical setting.
3. In the ABCX Model of Family Stress, what does the ‘B’ factor represent?
A. The stressor event
B. The family’s perception of the event
C. The family’s resources or strengths
D. The crisis or state of equilibrium
Correct Answer: C
Rationale: The ‘B’ factor in the ABCX model refers to the family’s resources and their
ability to meet the demands of the stressor. These resources can be individual, family-
based, or community-oriented. Adequate resources often prevent a stressor from becoming
a full-blown crisis.
4. A nurse is creating a genogram. What symbol is typically used to represent a deceased
male family member?
A. A square with an ‘X’ through it
, B. A circle with a dash through it
C. A triangle with a solid fill
D. A dotted square
Correct Answer: A
Rationale: In standardized genogram symbols, a square represents a male and an ‘X’
through the shape indicates that the individual is deceased. Genograms provide a visual
map of at least three generations of family history. This helps nurses identify patterns of
illness and hereditary risks within the family lineage.
5. Which type of question is used in the Calgary Family Intervention Model (CFIM) to invite
family members to reflect on their relationships?
A. Circular questions
B. Closed-ended questions
C. Linear questions
D. Directive questions
Correct Answer: A
Rationale: Circular questions are designed to reveal the interactions and relationships
between family members. They help family members see their problems from a different
perspective by focusing on the effect of one person’s behavior on another. This shift in
thinking is a key intervention for promoting change in family dynamics.
