NSG 527 ADVANCED FAMILY NURSING
PRACTICE EXAM QUESTIONS AND
ANSWERS
1. According to Bowen’s Family Systems Theory, a person who is ‘well-differentiated’ is best
described as having the ability to:
A. Emotionally detach from all family members to avoid conflict.
B. Balance emotional and intellectual functioning while maintaining autonomy within the
family.
C. Identify the primary ‘scapegoat’ in the family system to resolve tension.
D. Adopt the values and beliefs of the family elders to ensure stability.
Answer: B
Conceptual Explanation: Differentiation of self refers to the ability to distinguish between
intellectual and emotional processes, allowing an individual to remain connected to the
family while maintaining a separate identity.
,2. In the Calgary Family Assessment Model (CFAM), which category includes the subcategory
of ‘Boundaries’?
A. Functional Assessment
B. Developmental Assessment
C. Structural Assessment
D. Affective Assessment
Answer: C
Conceptual Explanation: Structural Assessment in CFAM involves internal, external, and
context subcategories. Internal structure specifically includes family composition, gender,
sexual orientation, rank order, and boundaries.
3. A nurse observes a mother and father arguing, after which the mother turns to her
adolescent daughter and complains about the father’s behavior. In Family Systems Theory,
this is an example of:
A. Subsystem stabilization
B. Triangulation
C. Enmeshment
D. Emotional Cutoff
Answer: B
, Conceptual Explanation: Triangulation occurs when a third person is pulled into a dyadic
conflict to decrease the tension between the original two people.
4. According to Duvall’s Family Development Stage Model, what is the primary
developmental task for a family in the ‘Launching Center’ stage?
A. Assisting young adults to become independent while maintaining supportive home ties.
B. Maintaining a home that is supportive for the parents’ aging process.
C. Reorganizing as a nuclear family to include children.
D. Developing a sense of family pride and tradition.
Answer: A
Conceptual Explanation: The Launching Center stage focuses on the period when children
leave the home, requiring parents to adjust to their departure while fostering
independence.
5. Which theoretical perspective views the family as a social system that must perform
specific functions to maintain the stability of the larger society?
A. Symbolic Interactionism
B. Structural-Functional Theory
C. Feminist Theory
D. Conflict Theory
Answer: B
PRACTICE EXAM QUESTIONS AND
ANSWERS
1. According to Bowen’s Family Systems Theory, a person who is ‘well-differentiated’ is best
described as having the ability to:
A. Emotionally detach from all family members to avoid conflict.
B. Balance emotional and intellectual functioning while maintaining autonomy within the
family.
C. Identify the primary ‘scapegoat’ in the family system to resolve tension.
D. Adopt the values and beliefs of the family elders to ensure stability.
Answer: B
Conceptual Explanation: Differentiation of self refers to the ability to distinguish between
intellectual and emotional processes, allowing an individual to remain connected to the
family while maintaining a separate identity.
,2. In the Calgary Family Assessment Model (CFAM), which category includes the subcategory
of ‘Boundaries’?
A. Functional Assessment
B. Developmental Assessment
C. Structural Assessment
D. Affective Assessment
Answer: C
Conceptual Explanation: Structural Assessment in CFAM involves internal, external, and
context subcategories. Internal structure specifically includes family composition, gender,
sexual orientation, rank order, and boundaries.
3. A nurse observes a mother and father arguing, after which the mother turns to her
adolescent daughter and complains about the father’s behavior. In Family Systems Theory,
this is an example of:
A. Subsystem stabilization
B. Triangulation
C. Enmeshment
D. Emotional Cutoff
Answer: B
, Conceptual Explanation: Triangulation occurs when a third person is pulled into a dyadic
conflict to decrease the tension between the original two people.
4. According to Duvall’s Family Development Stage Model, what is the primary
developmental task for a family in the ‘Launching Center’ stage?
A. Assisting young adults to become independent while maintaining supportive home ties.
B. Maintaining a home that is supportive for the parents’ aging process.
C. Reorganizing as a nuclear family to include children.
D. Developing a sense of family pride and tradition.
Answer: A
Conceptual Explanation: The Launching Center stage focuses on the period when children
leave the home, requiring parents to adjust to their departure while fostering
independence.
5. Which theoretical perspective views the family as a social system that must perform
specific functions to maintain the stability of the larger society?
A. Symbolic Interactionism
B. Structural-Functional Theory
C. Feminist Theory
D. Conflict Theory
Answer: B
