Wilkes University NSG 527 Final Exam (pdf) | 2026/2027 |
Psychopathology Theories Advanced Clinical Modalities Q&A |
Psychiatric Nursing
1. Which of the following are primary reasons for nurses to work with the
family unit? (Select all that apply)
A) The entire family is affected by the health problem of a family member
B) Promotion of healthy functioning of the whole family will positively affect
each member and their health status
C) By working with the whole family, the nurse may discover health problems
in other members
D) Working with families requires less documentation time
Correct Answer: A, B, C
Rationale: Family systems theory posits that a health issue affecting one
member impacts the entire unit. Working with the whole system allows for
broader assessment, intervention, and the identification of secondary issues,
ultimately promoting holistic health. Working with families does not
necessarily require less documentation time.
2. According to family stress theory (Hill's ABCX Model), what does the "X"
factor represent?
A) The stressful event itself
B) The family's resources at the time of the crisis
C) The family's perception of the event
D) The degree of crisis or non-crisis experienced by the family
Correct Answer: The degree of crisis or non-crisis experienced by the family
,Rationale: In the ABCX model, 'A' is the event, 'B' is the crisis meeting
resources, 'C' is the definition of the event, and 'X' is the outcome (crisis or
non-crisis).
3. A family is defined by the U.S. Bureau of the Census as:
A) Two or more persons sharing emotional closeness and commitment
B) Persons joined by bonds of marriage, blood, or adoption residing in the
same household
C) A group of individuals who share a common ancestry
D) Any group of people who live together
Correct Answer: Persons joined by bonds of marriage, blood, or adoption
residing in the same household
Rationale: The U.S. Bureau of the Census defines a family as persons joined
by bonds of marriage, blood, or adoption residing in the same household.
This definition is used for demographic and statistical purposes.
4. Which model conceptualizes the family as a set of interacting elements
distinguishable from its environment, viewing it in the context of
suprasystems and subsystems?
A) Family Developmental Theory
B) Structural-Functional Theory
C) Systems Theory
D) Resiliency Model
Correct Answer: Systems Theory
,Rationale: Systems Theory is the "grand theory" that views the family as an
open system with boundaries, interacting with larger systems
(suprasystems) and containing smaller units (subsystems).
5. A nurse focuses on a dyad (mother and infant) to assess feeding
dynamics. Which conceptual model is being applied?
A) Family as Context
B) Family as Sum of its Members
C) Family Subsystems as Client
D) Family as Component of Society
Correct Answer: Family Subsystems as Client
Rationale: A "subsystem" refers to a smaller unit within the family, such as a
marital dyad, parent-child dyad, or sibling triad. Here, the dyad is the
recipient of care.
6. What is the primary difference between "Family as Sum of its Members"
and "Family as Client"?
A) One focuses on illness, the other on wellness
B) One assesses individuals to treat the group; the other assesses the group
dynamics as the target
C) One is used in inpatient settings; the other in outpatient settings
D) One is based on biological models; the other on psychological models
Correct Answer: One assesses individuals to treat the group; the other
assesses the group dynamics as the target
, Rationale: "Family as Sum of its Members" treats the family by addressing
individual members' issues, while "Family as Client" views the family unit
itself as the primary focus of assessment and intervention.
7. During which stage of Health/Illness and Family Interaction does the
patient take on the "sick role" and begin adaptation?
A) Stage 3: Care Seeking
B) Stage 4: Referral and Obtaining Care
C) Stage 5: Acute Response to Illness
D) Stage 6: Adaptation to Illness and Recovery
Correct Answer: Stage 5: Acute Response to Illness
Rationale: Stage 5 is the "Acute Response." This is when the diagnosis is
given or the illness is acknowledged, and the patient formally adopts
behaviors associated with being sick.
8. According to the Transtheoretical Model (Stages of Change), a patient who
states, "I know I have a drinking problem, but I'm not ready to quit. I'm
thinking about what it would be like to cut back," is in which stage?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
Correct Answer: Contemplation
Rationale: Contemplation is characterized by awareness of the problem and
thinking about change, but not yet committing to action. The patient
acknowledges the issue but remains ambivalent.
Psychopathology Theories Advanced Clinical Modalities Q&A |
Psychiatric Nursing
1. Which of the following are primary reasons for nurses to work with the
family unit? (Select all that apply)
A) The entire family is affected by the health problem of a family member
B) Promotion of healthy functioning of the whole family will positively affect
each member and their health status
C) By working with the whole family, the nurse may discover health problems
in other members
D) Working with families requires less documentation time
Correct Answer: A, B, C
Rationale: Family systems theory posits that a health issue affecting one
member impacts the entire unit. Working with the whole system allows for
broader assessment, intervention, and the identification of secondary issues,
ultimately promoting holistic health. Working with families does not
necessarily require less documentation time.
2. According to family stress theory (Hill's ABCX Model), what does the "X"
factor represent?
A) The stressful event itself
B) The family's resources at the time of the crisis
C) The family's perception of the event
D) The degree of crisis or non-crisis experienced by the family
Correct Answer: The degree of crisis or non-crisis experienced by the family
,Rationale: In the ABCX model, 'A' is the event, 'B' is the crisis meeting
resources, 'C' is the definition of the event, and 'X' is the outcome (crisis or
non-crisis).
3. A family is defined by the U.S. Bureau of the Census as:
A) Two or more persons sharing emotional closeness and commitment
B) Persons joined by bonds of marriage, blood, or adoption residing in the
same household
C) A group of individuals who share a common ancestry
D) Any group of people who live together
Correct Answer: Persons joined by bonds of marriage, blood, or adoption
residing in the same household
Rationale: The U.S. Bureau of the Census defines a family as persons joined
by bonds of marriage, blood, or adoption residing in the same household.
This definition is used for demographic and statistical purposes.
4. Which model conceptualizes the family as a set of interacting elements
distinguishable from its environment, viewing it in the context of
suprasystems and subsystems?
A) Family Developmental Theory
B) Structural-Functional Theory
C) Systems Theory
D) Resiliency Model
Correct Answer: Systems Theory
,Rationale: Systems Theory is the "grand theory" that views the family as an
open system with boundaries, interacting with larger systems
(suprasystems) and containing smaller units (subsystems).
5. A nurse focuses on a dyad (mother and infant) to assess feeding
dynamics. Which conceptual model is being applied?
A) Family as Context
B) Family as Sum of its Members
C) Family Subsystems as Client
D) Family as Component of Society
Correct Answer: Family Subsystems as Client
Rationale: A "subsystem" refers to a smaller unit within the family, such as a
marital dyad, parent-child dyad, or sibling triad. Here, the dyad is the
recipient of care.
6. What is the primary difference between "Family as Sum of its Members"
and "Family as Client"?
A) One focuses on illness, the other on wellness
B) One assesses individuals to treat the group; the other assesses the group
dynamics as the target
C) One is used in inpatient settings; the other in outpatient settings
D) One is based on biological models; the other on psychological models
Correct Answer: One assesses individuals to treat the group; the other
assesses the group dynamics as the target
, Rationale: "Family as Sum of its Members" treats the family by addressing
individual members' issues, while "Family as Client" views the family unit
itself as the primary focus of assessment and intervention.
7. During which stage of Health/Illness and Family Interaction does the
patient take on the "sick role" and begin adaptation?
A) Stage 3: Care Seeking
B) Stage 4: Referral and Obtaining Care
C) Stage 5: Acute Response to Illness
D) Stage 6: Adaptation to Illness and Recovery
Correct Answer: Stage 5: Acute Response to Illness
Rationale: Stage 5 is the "Acute Response." This is when the diagnosis is
given or the illness is acknowledged, and the patient formally adopts
behaviors associated with being sick.
8. According to the Transtheoretical Model (Stages of Change), a patient who
states, "I know I have a drinking problem, but I'm not ready to quit. I'm
thinking about what it would be like to cut back," is in which stage?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
Correct Answer: Contemplation
Rationale: Contemplation is characterized by awareness of the problem and
thinking about change, but not yet committing to action. The patient
acknowledges the issue but remains ambivalent.
