NURS 5432 Family I Midterm
Exam - Modules 1-6 with Solutions
Course
NURS 5432
Question 1: Family as a System (Module 1)
Which statement best reflects the concept of the family as a system?
A. Each family member functions independently
B. The family is the sum of individual members
C. A change in one member affects the entire family
D. Families are static and resistant to change
Answer: C
Rationale:
Family Systems Theory emphasizes interdependence—any change in one member influences
the whole system.
Question 2: Family Nursing Theories (Module 1)
Which theory focuses on boundaries, subsystems, and hierarchies within the family?
A. Developmental Theory
B. Structural–Functional Theory
C. Family Stress Theory
D. Interactional Theory
Answer: B
Rationale:
Structural–Functional Theory examines roles, boundaries, authority, and organization within
families.
Question 3: Family Assessment Models (Module 2)
Which model integrates structure, development, and function in family assessment?
A. Calgary Family Assessment Model (CFAM)
B. Orem’s Self-Care Model
C. Roy Adaptation Model
D. Neuman Systems Model
,Answer: A
Rationale:
CFAM is the primary family nursing assessment framework, covering structure, development,
and function.
Question 4: Genograms and Ecomaps (Module 2)
What is the primary purpose of an ecomap?
A. Display genetic inheritance
B. Identify health diagnoses
C. Illustrate family–environment interactions
D. Measure family coping ability
Answer: C
Rationale:
Ecomaps show connections between the family and external systems (work, school,
healthcare, community).
Question 5: Family Development Theory (Module 3)
A couple with adolescent children is most likely dealing with which developmental task?
A. Establishing couple intimacy
B. Launching children into independence
C. Managing increased dependency
D. Building parental authority
Answer: B
Rationale:
Families with adolescents focus on supporting autonomy while maintaining connection.
Question 6: Culture and Family Nursing (Module 4)
Which nursing action best demonstrates cultural humility?
A. Applying the same care plan to all families
B. Avoiding cultural discussions
C. Acknowledging one’s own biases and learning from the family
D. Relying only on cultural stereotypes
,Answer: C
Rationale:
Cultural humility requires self-reflection, openness, and partnership with families.
Question 7: Family Communication Patterns (Module 4)
Which communication pattern is most therapeutic in family nursing?
A. Closed and hierarchical
B. Indirect and avoidant
C. Open and respectful
D. Dominant and authoritative
Answer: C
Rationale:
Open communication promotes trust, collaboration, and shared decision-making.
Question 8: Family Stress and Coping (Module 5)
According to the ABC-X Model, what does “B” represent?
A. The stressor event
B. Family perception of the stressor
C. Family resources
D. Crisis
Answer: C
Rationale:
“B” refers to resources the family uses to cope with stress.
Question 9: Ethical Principles in Family Nursing (Module 6)
Which ethical principle is most challenged when family wishes conflict with patient autonomy?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
, Rationale:
Autonomy prioritizes the patient’s right to make informed decisions, even when family
disagrees.
Question 10: Family Nursing Interventions (Module 6)
Which intervention best supports a strengths-based approach?
A. Focusing on deficits and problems
B. Identifying family weaknesses
C. Reinforcing family coping strategies
D. Limiting family involvement
Answer: C
Rationale:
Strengths-based nursing builds on existing family resources, resilience, and capabilities.
Question 11: Family Structure (Module 1)
Which family type consists of two adults and children from previous relationships?
A. Nuclear family
B. Extended family
C. Blended family
D. Communal family
Answer: C
Rationale:
A blended family forms when partners bring children from prior relationships into a new family
unit.
Question 12: Family Systems Theory (Module 1)
The concept of homeostasis in families refers to:
A. Family conflict resolution
B. Maintenance of stability through change
C. Role conflict among members
D. Emotional disengagement
Answer: B
Exam - Modules 1-6 with Solutions
Course
NURS 5432
Question 1: Family as a System (Module 1)
Which statement best reflects the concept of the family as a system?
A. Each family member functions independently
B. The family is the sum of individual members
C. A change in one member affects the entire family
D. Families are static and resistant to change
Answer: C
Rationale:
Family Systems Theory emphasizes interdependence—any change in one member influences
the whole system.
Question 2: Family Nursing Theories (Module 1)
Which theory focuses on boundaries, subsystems, and hierarchies within the family?
A. Developmental Theory
B. Structural–Functional Theory
C. Family Stress Theory
D. Interactional Theory
Answer: B
Rationale:
Structural–Functional Theory examines roles, boundaries, authority, and organization within
families.
Question 3: Family Assessment Models (Module 2)
Which model integrates structure, development, and function in family assessment?
A. Calgary Family Assessment Model (CFAM)
B. Orem’s Self-Care Model
C. Roy Adaptation Model
D. Neuman Systems Model
,Answer: A
Rationale:
CFAM is the primary family nursing assessment framework, covering structure, development,
and function.
Question 4: Genograms and Ecomaps (Module 2)
What is the primary purpose of an ecomap?
A. Display genetic inheritance
B. Identify health diagnoses
C. Illustrate family–environment interactions
D. Measure family coping ability
Answer: C
Rationale:
Ecomaps show connections between the family and external systems (work, school,
healthcare, community).
Question 5: Family Development Theory (Module 3)
A couple with adolescent children is most likely dealing with which developmental task?
A. Establishing couple intimacy
B. Launching children into independence
C. Managing increased dependency
D. Building parental authority
Answer: B
Rationale:
Families with adolescents focus on supporting autonomy while maintaining connection.
Question 6: Culture and Family Nursing (Module 4)
Which nursing action best demonstrates cultural humility?
A. Applying the same care plan to all families
B. Avoiding cultural discussions
C. Acknowledging one’s own biases and learning from the family
D. Relying only on cultural stereotypes
,Answer: C
Rationale:
Cultural humility requires self-reflection, openness, and partnership with families.
Question 7: Family Communication Patterns (Module 4)
Which communication pattern is most therapeutic in family nursing?
A. Closed and hierarchical
B. Indirect and avoidant
C. Open and respectful
D. Dominant and authoritative
Answer: C
Rationale:
Open communication promotes trust, collaboration, and shared decision-making.
Question 8: Family Stress and Coping (Module 5)
According to the ABC-X Model, what does “B” represent?
A. The stressor event
B. Family perception of the stressor
C. Family resources
D. Crisis
Answer: C
Rationale:
“B” refers to resources the family uses to cope with stress.
Question 9: Ethical Principles in Family Nursing (Module 6)
Which ethical principle is most challenged when family wishes conflict with patient autonomy?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
, Rationale:
Autonomy prioritizes the patient’s right to make informed decisions, even when family
disagrees.
Question 10: Family Nursing Interventions (Module 6)
Which intervention best supports a strengths-based approach?
A. Focusing on deficits and problems
B. Identifying family weaknesses
C. Reinforcing family coping strategies
D. Limiting family involvement
Answer: C
Rationale:
Strengths-based nursing builds on existing family resources, resilience, and capabilities.
Question 11: Family Structure (Module 1)
Which family type consists of two adults and children from previous relationships?
A. Nuclear family
B. Extended family
C. Blended family
D. Communal family
Answer: C
Rationale:
A blended family forms when partners bring children from prior relationships into a new family
unit.
Question 12: Family Systems Theory (Module 1)
The concept of homeostasis in families refers to:
A. Family conflict resolution
B. Maintenance of stability through change
C. Role conflict among members
D. Emotional disengagement
Answer: B
