NSG 526 Exam 4 Actual Exam V3 | NSG 526 Family Nursing (NSG526
Exam 4) | Herzing University PDF
1. When conducting a structural assessment using the Calgary Family Assessment Model
(CFAM), which element focuses on the family’s ties to social agencies and larger community
systems?
A. External Structure
B. Internal Structure
C. Functional Assessment
D. Contextual Structure
Answer: A
Rationale: The external structure in CFAM refers to the family’s relationship with larger
systems such as extended family, health care, and social agencies. Assessing this helps the
nurse identify external resources and stressors that influence family stability. This
distinction is vital for understanding how the family unit interacts with its environment to
maintain health.
2. A nurse is working with a family where the adolescent son has been diagnosed with Type 1
Diabetes. According to the Family Systems Theory, how should the nurse interpret the impact
of this diagnosis?
A. The diagnosis affects only the adolescent and his primary caregiver.
B. A change in one family member affects all other members and the system as a whole.
C. The family will maintain equilibrium regardless of the stressors involved.
D. Individual health behaviors are independent of family communication patterns.
Answer: B
Rationale: Family Systems Theory posits that families are integrated wholes where
changes in one part resonate throughout the entire system. In this scenario, the son’s
diagnosis necessitates adjustments in dietary habits, scheduling, and emotional support
from every member. The nurse must facilitate interventions that acknowledge these
systemic interdependencies to ensure long-term management success.
3. In the context of the Calgary Family Intervention Model (CFIM), which type of intervention
is primarily aimed at changing the family’s belief system regarding a chronic illness?
A. Behavioral interventions
B. Cognitive interventions
,C. Affective interventions
D. Structural interventions
Answer: B
Rationale: Cognitive interventions are designed to challenge and change the family’s
perceptions and beliefs about their health situation. By altering the family’s narrative, the
nurse can help them find new ways of coping and meaning-making. This approach is
essential when a family’s current beliefs are creating barriers to effective self-management
or emotional well-being.
4. A family is struggling with the ‘empty nest’ stage of the family life cycle. What
developmental task is most critical for the parental couple at this time?
A. Establishing a marital system that accommodates children
B. Taking on the primary caregiving role for aging grandparents
C. Focusing on career advancement to the exclusion of family needs
D. Renegotiating the marital system as a dyad and developing adult-to-adult relationships
with children
Answer: D
Rationale: The ‘launching children’ stage requires parents to shift their focus from active
parenting to re-establishing their relationship as a couple. It also involves adjusting to a
new relationship dynamic with their adult children that respects autonomy. Failure to
successfully navigate this transition can lead to marital strain or difficulty in children
achieving independence.
5. When utilizing a Genogram, which of the following provides the most accurate clinical
value for the nurse?
A. It identifies biological and relational patterns across at least three generations.
B. It maps the family’s relationship with external social systems like schools.
C. It measures the functional ability of the family to perform daily tasks.
D. It tracks the family’s financial resources over time.
Answer: A
Rationale: A genogram serves as a visual tool to identify hereditary health risks and
repetitive family patterns over three or more generations. It allows nurses to see complex
relationship dynamics and historical health data at a glance. This structural assessment
tool is foundational for planning preventative care and understanding family legacies.
, 6. Which question represents a ‘circular question’ designed to elicit information about the
relationship between family members during a conflict?
A. ‘When did your husband first start showing signs of depression?’
B. ‘How many times a week does your family eat dinner together?’
C. ‘Who in the family is most worried about your daughter’s behavior, and how do they
show it?’
D. ‘Are you satisfied with the care your mother is receiving at the facility?’
Answer: C
Rationale: Circular questions focus on the relationships and differences between family
members rather than isolated facts. They help the nurse and the family explore the
systemic nature of their problems and how individuals influence one another. By asking
who is ‘most’ worried, the nurse invites a comparison that reveals family roles and
emotional proximity.
7. A nurse is assessing a family’s ‘expressive functioning.’ Which area should the nurse focus
on during this part of the assessment?
A. The family’s ability to perform activities of daily living.
B. The distribution of power and decision-making within the household.
C. The family’s religious and cultural background.
D. Emotional communication, nonverbal communication, and problem-solving.
Answer: D
Rationale: Expressive functioning in the CFAM refers to the way family members
communicate and interact emotionally. This includes verbal and non-verbal cues, the
ability to solve problems, and the expression of needs. Understanding this domain is crucial
because effective expressive functioning is often linked to better health outcomes and
resilience.
8. During an assessment of a refugee family, the nurse identifies that the family is
experiencing ‘acculturative stress.’ Which action is the priority for the nurse?
A. Immediate referral to a psychiatrist for medication management.
B. Assessing the family’s cultural strengths and their preferred level of integration.
C. Insisting that the family only use English during clinic visits to speed up adaptation.
D. Telling the family to ignore their past traditions to avoid confusion.
Answer: B
Exam 4) | Herzing University PDF
1. When conducting a structural assessment using the Calgary Family Assessment Model
(CFAM), which element focuses on the family’s ties to social agencies and larger community
systems?
A. External Structure
B. Internal Structure
C. Functional Assessment
D. Contextual Structure
Answer: A
Rationale: The external structure in CFAM refers to the family’s relationship with larger
systems such as extended family, health care, and social agencies. Assessing this helps the
nurse identify external resources and stressors that influence family stability. This
distinction is vital for understanding how the family unit interacts with its environment to
maintain health.
2. A nurse is working with a family where the adolescent son has been diagnosed with Type 1
Diabetes. According to the Family Systems Theory, how should the nurse interpret the impact
of this diagnosis?
A. The diagnosis affects only the adolescent and his primary caregiver.
B. A change in one family member affects all other members and the system as a whole.
C. The family will maintain equilibrium regardless of the stressors involved.
D. Individual health behaviors are independent of family communication patterns.
Answer: B
Rationale: Family Systems Theory posits that families are integrated wholes where
changes in one part resonate throughout the entire system. In this scenario, the son’s
diagnosis necessitates adjustments in dietary habits, scheduling, and emotional support
from every member. The nurse must facilitate interventions that acknowledge these
systemic interdependencies to ensure long-term management success.
3. In the context of the Calgary Family Intervention Model (CFIM), which type of intervention
is primarily aimed at changing the family’s belief system regarding a chronic illness?
A. Behavioral interventions
B. Cognitive interventions
,C. Affective interventions
D. Structural interventions
Answer: B
Rationale: Cognitive interventions are designed to challenge and change the family’s
perceptions and beliefs about their health situation. By altering the family’s narrative, the
nurse can help them find new ways of coping and meaning-making. This approach is
essential when a family’s current beliefs are creating barriers to effective self-management
or emotional well-being.
4. A family is struggling with the ‘empty nest’ stage of the family life cycle. What
developmental task is most critical for the parental couple at this time?
A. Establishing a marital system that accommodates children
B. Taking on the primary caregiving role for aging grandparents
C. Focusing on career advancement to the exclusion of family needs
D. Renegotiating the marital system as a dyad and developing adult-to-adult relationships
with children
Answer: D
Rationale: The ‘launching children’ stage requires parents to shift their focus from active
parenting to re-establishing their relationship as a couple. It also involves adjusting to a
new relationship dynamic with their adult children that respects autonomy. Failure to
successfully navigate this transition can lead to marital strain or difficulty in children
achieving independence.
5. When utilizing a Genogram, which of the following provides the most accurate clinical
value for the nurse?
A. It identifies biological and relational patterns across at least three generations.
B. It maps the family’s relationship with external social systems like schools.
C. It measures the functional ability of the family to perform daily tasks.
D. It tracks the family’s financial resources over time.
Answer: A
Rationale: A genogram serves as a visual tool to identify hereditary health risks and
repetitive family patterns over three or more generations. It allows nurses to see complex
relationship dynamics and historical health data at a glance. This structural assessment
tool is foundational for planning preventative care and understanding family legacies.
, 6. Which question represents a ‘circular question’ designed to elicit information about the
relationship between family members during a conflict?
A. ‘When did your husband first start showing signs of depression?’
B. ‘How many times a week does your family eat dinner together?’
C. ‘Who in the family is most worried about your daughter’s behavior, and how do they
show it?’
D. ‘Are you satisfied with the care your mother is receiving at the facility?’
Answer: C
Rationale: Circular questions focus on the relationships and differences between family
members rather than isolated facts. They help the nurse and the family explore the
systemic nature of their problems and how individuals influence one another. By asking
who is ‘most’ worried, the nurse invites a comparison that reveals family roles and
emotional proximity.
7. A nurse is assessing a family’s ‘expressive functioning.’ Which area should the nurse focus
on during this part of the assessment?
A. The family’s ability to perform activities of daily living.
B. The distribution of power and decision-making within the household.
C. The family’s religious and cultural background.
D. Emotional communication, nonverbal communication, and problem-solving.
Answer: D
Rationale: Expressive functioning in the CFAM refers to the way family members
communicate and interact emotionally. This includes verbal and non-verbal cues, the
ability to solve problems, and the expression of needs. Understanding this domain is crucial
because effective expressive functioning is often linked to better health outcomes and
resilience.
8. During an assessment of a refugee family, the nurse identifies that the family is
experiencing ‘acculturative stress.’ Which action is the priority for the nurse?
A. Immediate referral to a psychiatrist for medication management.
B. Assessing the family’s cultural strengths and their preferred level of integration.
C. Insisting that the family only use English during clinic visits to speed up adaptation.
D. Telling the family to ignore their past traditions to avoid confusion.
Answer: B
