NSG 526 Exam 1 Actual Exam V1 | NSG 526 Family Nursing (NSG526
Exam 1) | Herzing University PDF
1. Which concept of the Family Systems Theory suggests that a change in one family member
affects all other family members and the family as a whole?
A. Equifinality
B. Circular Causality
C. Wholeness
D. Nonsummativity
Answer: C
Rationale: Wholeness refers to the idea that the family is a complex organized system
where the parts are interrelated. This principle implies that a change in one person triggers
a sequence of changes in others. Therefore, nursing interventions must consider the entire
unit rather than just the individual patient.
2. According to Duvall’s Family Development Theory, what is the primary developmental task
for a family in the ‘Stage of Families with Preschoolers’?
A. Adjusting to the loss of privacy and a crowded home.
B. Integrating the child into the family while maintaining a satisfying marriage.
C. Developing a stable marriage while adjusting to parenthood.
D. Adapting to the critical needs and interests of children in growth-promoting ways.
Answer: D
Rationale: During the preschool stage, families must balance the child’s need for autonomy
with safety and social limits. This stage requires significant energy to foster the child’s
development while keeping the parental relationship intact. Nurses should assess how
parents are managing these competing demands to ensure family health.
3. When conducting a Calgary Family Assessment Model (CFAM) assessment, which of the
following falls under the ‘Structural’ category?
A. Problem-solving skills
B. Activities of daily living
C. Internal and external boundaries
D. Family roles and power
Answer: C
,Rationale: Structural assessment in CFAM examines the family’s internal, external, and
context variables, including composition and boundaries. Boundaries define who is in the
system and how much information flows between members and the environment. This
assessment helps nurses identify the level of family cohesion and external support.
4. A nurse uses a Genogram primarily to assess which aspect of the family?
A. The quality of relationships with community agencies.
B. The family’s socioeconomic status and housing conditions.
C. The daily routine and instrumental functioning of members.
D. Three generations of family history and health patterns.
Answer: D
Rationale: A genogram provides a visual representation of family composition and health
history over at least three generations. It allows the nurse to identify recurring medical
conditions, behavioral patterns, and relationship dynamics. This tool is essential for risk
assessment and identifying hereditary health vulnerabilities.
5. An Ecomap is an assessment tool used by family nurses to identify:
A. Hereditary diseases across multiple generations.
B. The family’s internal power structure.
C. The developmental stage of the youngest child.
D. Connections and quality of relationships with outside systems.
Answer: D
Rationale: The ecomap illustrates the family’s interactions with external systems like
work, school, church, and healthcare. It helps identify sources of social support or external
stressors that influence family well-being. Nurses use this information to determine if the
family is isolated or overwhelmed by external demands.
6. In Family Systems Theory, ‘Circular Causality’ implies that:
A. Events and behaviors are interconnected in a recurring loop.
B. Family problems are caused by past childhood traumas only.
C. One person’s behavior is the sole cause of the family’s problems.
D. Communication is always linear from parent to child.
Answer: A
Rationale: Circular causality suggests that behaviors are mutually influential rather than
one causing the other in a straight line. For example, a child’s acting out may lead to
parental conflict, which in turn increases the child’s anxiety. Understanding this concept
, helps nurses move away from blaming individuals and toward addressing interactional
patterns.
7. A family nurse is commending a family for their ability to manage a child’s chronic illness.
This intervention is an example of:
A. Strengths-based nursing
B. Problem-solving training
C. Cognitive reframing
D. Structural reorganization
Answer: A
Rationale: Commending family strengths is a therapeutic intervention that builds
resilience and self-efficacy. By identifying what the family is doing well, the nurse
empowers them to apply those skills to other challenges. This approach fosters a
collaborative relationship between the nurse and the family unit.
8. Which of the following describes the ‘Sandwich Generation’ in family nursing?
A. Middle-aged adults caring for both their children and aging parents.
B. Adolescents caught between peer pressure and parental expectations.
C. Young adults living with multiple roommates to save money.
D. Grandparents who have full legal custody of their grandchildren.
Answer: A
Rationale: The sandwich generation faces unique stressors due to dual caregiving roles for
younger and older family members. This demographic is at high risk for caregiver burnout,
financial strain, and decreased self-care. Family nurses must assess these individuals for
physical and mental health risks associated with chronic stress.
9. During a family interview, the nurse asks, ‘Who is most affected when your daughter
refuses to take her medication?’ This is an example of:
A. A linear question
B. A closed-ended question
C. A circular question
D. A leading question
Answer: C
Rationale: Circular questions are designed to reveal relationships and differences between
family members’ perspectives. They help the family and the nurse understand the impact of
Exam 1) | Herzing University PDF
1. Which concept of the Family Systems Theory suggests that a change in one family member
affects all other family members and the family as a whole?
A. Equifinality
B. Circular Causality
C. Wholeness
D. Nonsummativity
Answer: C
Rationale: Wholeness refers to the idea that the family is a complex organized system
where the parts are interrelated. This principle implies that a change in one person triggers
a sequence of changes in others. Therefore, nursing interventions must consider the entire
unit rather than just the individual patient.
2. According to Duvall’s Family Development Theory, what is the primary developmental task
for a family in the ‘Stage of Families with Preschoolers’?
A. Adjusting to the loss of privacy and a crowded home.
B. Integrating the child into the family while maintaining a satisfying marriage.
C. Developing a stable marriage while adjusting to parenthood.
D. Adapting to the critical needs and interests of children in growth-promoting ways.
Answer: D
Rationale: During the preschool stage, families must balance the child’s need for autonomy
with safety and social limits. This stage requires significant energy to foster the child’s
development while keeping the parental relationship intact. Nurses should assess how
parents are managing these competing demands to ensure family health.
3. When conducting a Calgary Family Assessment Model (CFAM) assessment, which of the
following falls under the ‘Structural’ category?
A. Problem-solving skills
B. Activities of daily living
C. Internal and external boundaries
D. Family roles and power
Answer: C
,Rationale: Structural assessment in CFAM examines the family’s internal, external, and
context variables, including composition and boundaries. Boundaries define who is in the
system and how much information flows between members and the environment. This
assessment helps nurses identify the level of family cohesion and external support.
4. A nurse uses a Genogram primarily to assess which aspect of the family?
A. The quality of relationships with community agencies.
B. The family’s socioeconomic status and housing conditions.
C. The daily routine and instrumental functioning of members.
D. Three generations of family history and health patterns.
Answer: D
Rationale: A genogram provides a visual representation of family composition and health
history over at least three generations. It allows the nurse to identify recurring medical
conditions, behavioral patterns, and relationship dynamics. This tool is essential for risk
assessment and identifying hereditary health vulnerabilities.
5. An Ecomap is an assessment tool used by family nurses to identify:
A. Hereditary diseases across multiple generations.
B. The family’s internal power structure.
C. The developmental stage of the youngest child.
D. Connections and quality of relationships with outside systems.
Answer: D
Rationale: The ecomap illustrates the family’s interactions with external systems like
work, school, church, and healthcare. It helps identify sources of social support or external
stressors that influence family well-being. Nurses use this information to determine if the
family is isolated or overwhelmed by external demands.
6. In Family Systems Theory, ‘Circular Causality’ implies that:
A. Events and behaviors are interconnected in a recurring loop.
B. Family problems are caused by past childhood traumas only.
C. One person’s behavior is the sole cause of the family’s problems.
D. Communication is always linear from parent to child.
Answer: A
Rationale: Circular causality suggests that behaviors are mutually influential rather than
one causing the other in a straight line. For example, a child’s acting out may lead to
parental conflict, which in turn increases the child’s anxiety. Understanding this concept
, helps nurses move away from blaming individuals and toward addressing interactional
patterns.
7. A family nurse is commending a family for their ability to manage a child’s chronic illness.
This intervention is an example of:
A. Strengths-based nursing
B. Problem-solving training
C. Cognitive reframing
D. Structural reorganization
Answer: A
Rationale: Commending family strengths is a therapeutic intervention that builds
resilience and self-efficacy. By identifying what the family is doing well, the nurse
empowers them to apply those skills to other challenges. This approach fosters a
collaborative relationship between the nurse and the family unit.
8. Which of the following describes the ‘Sandwich Generation’ in family nursing?
A. Middle-aged adults caring for both their children and aging parents.
B. Adolescents caught between peer pressure and parental expectations.
C. Young adults living with multiple roommates to save money.
D. Grandparents who have full legal custody of their grandchildren.
Answer: A
Rationale: The sandwich generation faces unique stressors due to dual caregiving roles for
younger and older family members. This demographic is at high risk for caregiver burnout,
financial strain, and decreased self-care. Family nurses must assess these individuals for
physical and mental health risks associated with chronic stress.
9. During a family interview, the nurse asks, ‘Who is most affected when your daughter
refuses to take her medication?’ This is an example of:
A. A linear question
B. A closed-ended question
C. A circular question
D. A leading question
Answer: C
Rationale: Circular questions are designed to reveal relationships and differences between
family members’ perspectives. They help the family and the nurse understand the impact of
