TEST BANK - WRIGHT AND LEAHEY'S NURSES AND FAMILIES: A GUIDE
TO FAMILY ASSESSMENT AND INTERVENTION, 8TH EDITION (SHAJANI,
2023), CHAPTER 1-13 | ALL CHAPTERS QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF
1
Which statement best describes the family systems perspective used in family
nursing?
a. Focuses on individual pathology within the family.
b. Views the family as an interrelated whole where change in one part affects
the entire system.
c. Prioritizes only the biological relationships when assessing family health.
d. Uses diagnosis from the DSM as the primary assessment tool.
Rationale: Family systems perspective emphasizes interdependence and
reciprocal influence among family members — interventions target relationships
and patterns rather than only individuals.
2
Wright and Leahey’s definition of “family” emphasizes:
a. Legal status only.
b. Biological ties only.
c. Self-identified relational system that provides mutual support and meaning.
d. Household membership determined by census criteria.
Rationale: The authors define family broadly — created by members’
perceptions and relationships rather than formal/legal criteria alone.
3
What is the primary purpose of a genogram in family nursing?
a. To list household chores.
b. To map family structure, health patterns, and intergenerational relationships
visually.
c. To provide a psychiatric diagnosis.
,d. To measure family income.
Rationale: Genograms visually represent family structure, medical/social
patterns, and relational dynamics across generations.
4
Which tool best illustrates social connections and resources external to the
family?
a. Genogram.
b. Ecomap.
c. Family APGAR.
d. Mini-Mental State Exam.
Rationale: Ecomaps display connections between the family and community
systems (formal and informal supports) and the quality of those linkages.
5
In family nursing assessment, “family as client” means:
a. Only the sick family member receives care.
b. The nurse focuses exclusively on family finances.
c. The family system is the primary unit of care — interventions aim at family
patterns and functioning.
d. Legal representation for family members.
Rationale: When the family is the client, the nurse assesses and intervenes at
the system level to achieve health goals for the collective.
6
Which interviewing stance aligns with Wright & Leahey’s recommended
therapeutic approach?
a. Directive and authoritative.
b. Detached and objective.
c. Collaborative, curious, and nonjudgmental.
d. Primarily didactic and prescriptive.
Rationale: The authors endorse a collaborative, respectful stance that privileges
the family’s expertise and strengths.
7
, What is a central goal of strength-based family assessment?
a. Cataloguing deficits only.
b. Identifying family resources, competencies, and coping strategies to support
interventions.
c. Preparing families for institutionalization.
d. Creating a legal inventory of assets.
Rationale: Strength-based approaches find what families do well and leverage
those resources to promote change.
8
When constructing a genogram, a nurse documents a pattern of hypertension
across three generations. This is an example of:
a. A psychosocial stressor.
b. A family health pattern with potential genetic and environmental influences.
c. A purely sociocultural issue.
d. An ecomap variable.
Rationale: Genograms show intergenerational health patterns that may reflect
genetic predisposition and shared lifestyle/environmental factors.
9
Which intervention best exemplifies a family-centered approach to chronic illness
management?
a. Educating only the patient about medication.
b. Engaging family members in goal setting, symptom monitoring, and shared
problem-solving.
c. Discharging family responsibilities to a home health aide without family input.
d. Providing a pamphlet to the family.
Rationale: Family-centered care involves active family participation in planning
and managing chronic illness to support sustainable outcomes.
10
In evaluating family functioning, which dimension examines how families
communicate about feelings and problems?
a. Structure.
b. Resilience.
TO FAMILY ASSESSMENT AND INTERVENTION, 8TH EDITION (SHAJANI,
2023), CHAPTER 1-13 | ALL CHAPTERS QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF
1
Which statement best describes the family systems perspective used in family
nursing?
a. Focuses on individual pathology within the family.
b. Views the family as an interrelated whole where change in one part affects
the entire system.
c. Prioritizes only the biological relationships when assessing family health.
d. Uses diagnosis from the DSM as the primary assessment tool.
Rationale: Family systems perspective emphasizes interdependence and
reciprocal influence among family members — interventions target relationships
and patterns rather than only individuals.
2
Wright and Leahey’s definition of “family” emphasizes:
a. Legal status only.
b. Biological ties only.
c. Self-identified relational system that provides mutual support and meaning.
d. Household membership determined by census criteria.
Rationale: The authors define family broadly — created by members’
perceptions and relationships rather than formal/legal criteria alone.
3
What is the primary purpose of a genogram in family nursing?
a. To list household chores.
b. To map family structure, health patterns, and intergenerational relationships
visually.
c. To provide a psychiatric diagnosis.
,d. To measure family income.
Rationale: Genograms visually represent family structure, medical/social
patterns, and relational dynamics across generations.
4
Which tool best illustrates social connections and resources external to the
family?
a. Genogram.
b. Ecomap.
c. Family APGAR.
d. Mini-Mental State Exam.
Rationale: Ecomaps display connections between the family and community
systems (formal and informal supports) and the quality of those linkages.
5
In family nursing assessment, “family as client” means:
a. Only the sick family member receives care.
b. The nurse focuses exclusively on family finances.
c. The family system is the primary unit of care — interventions aim at family
patterns and functioning.
d. Legal representation for family members.
Rationale: When the family is the client, the nurse assesses and intervenes at
the system level to achieve health goals for the collective.
6
Which interviewing stance aligns with Wright & Leahey’s recommended
therapeutic approach?
a. Directive and authoritative.
b. Detached and objective.
c. Collaborative, curious, and nonjudgmental.
d. Primarily didactic and prescriptive.
Rationale: The authors endorse a collaborative, respectful stance that privileges
the family’s expertise and strengths.
7
, What is a central goal of strength-based family assessment?
a. Cataloguing deficits only.
b. Identifying family resources, competencies, and coping strategies to support
interventions.
c. Preparing families for institutionalization.
d. Creating a legal inventory of assets.
Rationale: Strength-based approaches find what families do well and leverage
those resources to promote change.
8
When constructing a genogram, a nurse documents a pattern of hypertension
across three generations. This is an example of:
a. A psychosocial stressor.
b. A family health pattern with potential genetic and environmental influences.
c. A purely sociocultural issue.
d. An ecomap variable.
Rationale: Genograms show intergenerational health patterns that may reflect
genetic predisposition and shared lifestyle/environmental factors.
9
Which intervention best exemplifies a family-centered approach to chronic illness
management?
a. Educating only the patient about medication.
b. Engaging family members in goal setting, symptom monitoring, and shared
problem-solving.
c. Discharging family responsibilities to a home health aide without family input.
d. Providing a pamphlet to the family.
Rationale: Family-centered care involves active family participation in planning
and managing chronic illness to support sustainable outcomes.
10
In evaluating family functioning, which dimension examines how families
communicate about feelings and problems?
a. Structure.
b. Resilience.
