HERZING NSG 526 FINAL EXAM:
ADVANCED FAMILY NURSING
QUESTIONS & VERIFIED ANSWERS |
GUARANTEE PASS 2026/2027
1. According to Bowen’s Family Systems Theory, which concept describes the process by
which a family projects its own tensions and anxiety onto a specific member, often a child?
A. Triangulation
B. Multigenerational Transmission
C. Emotional Cutoff
D. Family Projection Process
Answer: D
Conceptual Explanation: The Family Projection Process is the mechanism by which
parents transmit their emotional problems to a child, which can impair the child’s
functioning and increase vulnerability to clinical symptoms.
2. In the Calgary Family Assessment Model (CFAM), which of the following is considered an
element of ‘Internal Structure’?
A. Subsystems
B. Social class
,C. Extended family
D. Religion and spirituality
Answer: A
Conceptual Explanation: Internal Structure in CFAM includes family composition, gender,
sexual orientation, rank order, subsystems, and boundaries. Extended family is part of
External Structure.
3. A nurse uses circular questioning to explore family dynamics. What is the primary goal of
this technique in the Calgary Family Intervention Model (CFIM)?
A. To gather quantitative data about family health history
B. To provide direct advice on behavioral changes
C. To establish a hierarchy between the nurse and the family
D. To facilitate change by highlighting relationships and differences
Answer: D
Conceptual Explanation: Circular questions are designed to reveal the relationships
between family members and the differences in their perspectives, which helps the family
discover new solutions.
, 4. According to Duvall’s Family Development Theory, which stage is characterized by the
primary task of ‘renegotiating marital identity’ and ‘developing adult-to-adult relationships’
with children?
A. Families as launching centers
B. Families with adolescents
C. Middle-aged families
D. Families with school-age children
Answer: A
Conceptual Explanation: The ‘launching center’ stage involves the transition of young
adults moving out, requiring parents to renegotiate their marriage and adjust to adult-to-
adult relationships with their children.
5. In the context of the Resiliency Model of Family Stress, the ‘Double ABC-X’ model, what
does the ‘double A’ factor represent?
A. Pile-up of stressors over time
B. Available family resources
C. The family’s perception of the initial stressor
D. Adaptive coping mechanisms
Answer: A
ADVANCED FAMILY NURSING
QUESTIONS & VERIFIED ANSWERS |
GUARANTEE PASS 2026/2027
1. According to Bowen’s Family Systems Theory, which concept describes the process by
which a family projects its own tensions and anxiety onto a specific member, often a child?
A. Triangulation
B. Multigenerational Transmission
C. Emotional Cutoff
D. Family Projection Process
Answer: D
Conceptual Explanation: The Family Projection Process is the mechanism by which
parents transmit their emotional problems to a child, which can impair the child’s
functioning and increase vulnerability to clinical symptoms.
2. In the Calgary Family Assessment Model (CFAM), which of the following is considered an
element of ‘Internal Structure’?
A. Subsystems
B. Social class
,C. Extended family
D. Religion and spirituality
Answer: A
Conceptual Explanation: Internal Structure in CFAM includes family composition, gender,
sexual orientation, rank order, subsystems, and boundaries. Extended family is part of
External Structure.
3. A nurse uses circular questioning to explore family dynamics. What is the primary goal of
this technique in the Calgary Family Intervention Model (CFIM)?
A. To gather quantitative data about family health history
B. To provide direct advice on behavioral changes
C. To establish a hierarchy between the nurse and the family
D. To facilitate change by highlighting relationships and differences
Answer: D
Conceptual Explanation: Circular questions are designed to reveal the relationships
between family members and the differences in their perspectives, which helps the family
discover new solutions.
, 4. According to Duvall’s Family Development Theory, which stage is characterized by the
primary task of ‘renegotiating marital identity’ and ‘developing adult-to-adult relationships’
with children?
A. Families as launching centers
B. Families with adolescents
C. Middle-aged families
D. Families with school-age children
Answer: A
Conceptual Explanation: The ‘launching center’ stage involves the transition of young
adults moving out, requiring parents to renegotiate their marriage and adjust to adult-to-
adult relationships with their children.
5. In the context of the Resiliency Model of Family Stress, the ‘Double ABC-X’ model, what
does the ‘double A’ factor represent?
A. Pile-up of stressors over time
B. Available family resources
C. The family’s perception of the initial stressor
D. Adaptive coping mechanisms
Answer: A
