NURS 5433
NURS 5433 FNP II Midterm Exam Review (2026-2027) - Family
Nursing | UTA | Questions & Answers (Verified Answers) With
Detailed Rationales || Complete A+ Guide - UTA
Gradegurus
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,SECTION 1: FAMILY STRUCTURE AND DEFINITIONS
Question 1
Two generations of family, parents, and their own or adopted children residing in the
same household.
A) Chemical
B) Electrical
C) Electromagnetic
D) Nuclear
Correct Answer: D) Nuclear
Rationale: A nuclear family consists of two generations—parents and their biological or
adopted children—living together in the same household. This is the traditional family
structure that has been historically viewed as the "standard" family unit. The term
"nuclear" comes from the Latin nucleus, meaning "kernel" or "core," representing the
central family unit.
Question 2
The 4 levels of Environmental systems
A) Microsystem, Mesosystems, Exosystems, Macrosystems
B) Postmodernism, Systems Theory, Cybernetics, Communication Theory
C) Change Theory, Biology of Cognition, Family Systems, Developmental Theory
D) Individual, Family, Community, Society
Correct Answer: A) Microsystem, Mesosystems, Exosystems, Macrosystems
,Rationale: Bronfenbrenner's Ecological Systems Model identifies four primary
environmental systems (plus the chronosystem for time) that influence human
development. Microsystem is the most immediate environment (family, school),
Mesosystem involves interactions between microsystems, Exosystem includes indirect
influences (parent's workplace), and Macrosystem encompasses broader cultural values
and beliefs.
Question 3
The focus is on the circular interactions among members of family systems, which
result in functional or dysfunctional outcomes.
A) Family systems theory
B) Health belief theory
C) Group theory
D) Developmental theory
Correct Answer: A) Family systems theory
Rationale: Family Systems Theory emphasizes circular causality—the idea that
interactions between family members are reciprocal and create patterns of behavior.
Rather than viewing problems as linear (A causes B), this theory examines how family
members influence each other in a continuous feedback loop. Functional outcomes
occur when patterns are adaptive, while dysfunctional outcomes result from maladaptive
interaction patterns.
Question 4
One or more of the parents have been married previously and they bring with the
children from their previous marriage.
A) Blended/Reconstituted
B) Binuclear
, C) Nuclear
D) Extended/Multigenerational
Correct Answer: A) Blended/Reconstituted
Rationale: A blended or reconstituted family forms when one or both partners in a new
relationship bring children from previous relationships into the new family unit. These
families face unique challenges including role negotiation, step-parenting dynamics, and
integrating different family cultures. The term "reconstituted" emphasizes that the family
has been formed from previously existing family units.
Question 5
The focus is how families remain stable or change when there is change within the
family structure or from outside influences.
A) Information Theory
B) Change Theory
C) Complexity Theory
D) Communication Theory
Correct Answer: B) Change Theory
Rationale: Change Theory examines how systems (including families) maintain stability
while simultaneously adapting to internal and external pressures. Von Bertalanffy (1968)
emphasized that systems can achieve balance among forces operating within them and
on them, suggesting that change and stability can coexist. This theory is essential for
understanding how families navigate transitions and stressors.
Question 6
Smoking and substance use are critical behavioural health determinants that lead to
multiple health disparities among families in the United States and Canada. Smoking is
a significant behavioural health determinant. It harms most body organs, reduces
circulation, and causes several diseases, including coronary artery disease, COPD,
NURS 5433 FNP II Midterm Exam Review (2026-2027) - Family
Nursing | UTA | Questions & Answers (Verified Answers) With
Detailed Rationales || Complete A+ Guide - UTA
Gradegurus
➢
➢
➢
➢
➢
,SECTION 1: FAMILY STRUCTURE AND DEFINITIONS
Question 1
Two generations of family, parents, and their own or adopted children residing in the
same household.
A) Chemical
B) Electrical
C) Electromagnetic
D) Nuclear
Correct Answer: D) Nuclear
Rationale: A nuclear family consists of two generations—parents and their biological or
adopted children—living together in the same household. This is the traditional family
structure that has been historically viewed as the "standard" family unit. The term
"nuclear" comes from the Latin nucleus, meaning "kernel" or "core," representing the
central family unit.
Question 2
The 4 levels of Environmental systems
A) Microsystem, Mesosystems, Exosystems, Macrosystems
B) Postmodernism, Systems Theory, Cybernetics, Communication Theory
C) Change Theory, Biology of Cognition, Family Systems, Developmental Theory
D) Individual, Family, Community, Society
Correct Answer: A) Microsystem, Mesosystems, Exosystems, Macrosystems
,Rationale: Bronfenbrenner's Ecological Systems Model identifies four primary
environmental systems (plus the chronosystem for time) that influence human
development. Microsystem is the most immediate environment (family, school),
Mesosystem involves interactions between microsystems, Exosystem includes indirect
influences (parent's workplace), and Macrosystem encompasses broader cultural values
and beliefs.
Question 3
The focus is on the circular interactions among members of family systems, which
result in functional or dysfunctional outcomes.
A) Family systems theory
B) Health belief theory
C) Group theory
D) Developmental theory
Correct Answer: A) Family systems theory
Rationale: Family Systems Theory emphasizes circular causality—the idea that
interactions between family members are reciprocal and create patterns of behavior.
Rather than viewing problems as linear (A causes B), this theory examines how family
members influence each other in a continuous feedback loop. Functional outcomes
occur when patterns are adaptive, while dysfunctional outcomes result from maladaptive
interaction patterns.
Question 4
One or more of the parents have been married previously and they bring with the
children from their previous marriage.
A) Blended/Reconstituted
B) Binuclear
, C) Nuclear
D) Extended/Multigenerational
Correct Answer: A) Blended/Reconstituted
Rationale: A blended or reconstituted family forms when one or both partners in a new
relationship bring children from previous relationships into the new family unit. These
families face unique challenges including role negotiation, step-parenting dynamics, and
integrating different family cultures. The term "reconstituted" emphasizes that the family
has been formed from previously existing family units.
Question 5
The focus is how families remain stable or change when there is change within the
family structure or from outside influences.
A) Information Theory
B) Change Theory
C) Complexity Theory
D) Communication Theory
Correct Answer: B) Change Theory
Rationale: Change Theory examines how systems (including families) maintain stability
while simultaneously adapting to internal and external pressures. Von Bertalanffy (1968)
emphasized that systems can achieve balance among forces operating within them and
on them, suggesting that change and stability can coexist. This theory is essential for
understanding how families navigate transitions and stressors.
Question 6
Smoking and substance use are critical behavioural health determinants that lead to
multiple health disparities among families in the United States and Canada. Smoking is
a significant behavioural health determinant. It harms most body organs, reduces
circulation, and causes several diseases, including coronary artery disease, COPD,
