Nipissing University -NURS 3016 Family
Nursing Chapter 9- Families and Chronic
Illness Questions With Complete Solutions
3 categories of CF 3 categories of CFAM and their components -correct answer 1.
Structural- Internal: family comp, gender, sexual orientation, rank, boundaries,
subsystems
- External: extended family and larger systems
- Context: Ethnicity, race, social class, religion, environment
2. Developmental- stages
- Tasks
- Attachments
3. Functional- Instrumental: ADL's
- Expressive: Emotional, verbal, nonverbal, and circular communication, problem
solving, roles, power, beliefs, alliances
Ethnicity -correct answer The concept of a family that is derived from a combination of
history, race, social class, and religion
Race -correct answer A basic construct that influences individual and group
identification. It both constrains and empowers identities
4 Approaches to family nursing and describe -correct answer 1. Family as a context:
Focuses on assessment and care of an individual client, the family is the focus and the
individual is the background
2. Family as a client: The nurse focuses on assessment of individual family members
not the family
3. Family as a system: Family is viewed as an interaction system
4. Family as a component of society: How the family interacts with society
6 Theoretical Foundations -correct answer 1. Postmodernism
2. Systems theory
3. Cybernetics
4. Communications theory
5. Change theory
6. Biology of cognition
Concepts of postmodernism -correct answer 1. Pluralism is a key focus of
postmodernism
2. Postmodernism is a debate about knowledge
Concepts of Systems theory -correct answer 1. A family is a part of a larger supra
system and is composed of many subsystems
2. The family as a whole is greater than the sum of all its parts
3. A change in one family member affects all family members
4. The family is able to create a balance between change and stability
,Nipissing University -NURS 3016 Family
Nursing Chapter 9- Families and Chronic
Illness Questions With Complete Solutions
5. Family members behaviours are best understood from a view of circular rather than
linear
Concepts of cybernetics -correct answer 1. Family systems possess self-regulating
ability
2. Feedback processes can simultaneously occur at several system levels with families
Concepts of communications theory -correct answer 1. All nonverbal communication is
meaningful
2. All communication has 2 major channels for transmission (digital and analog)
3. A dyadic relationship has varying degrees of symmetry and complementary
4. All communication has 2 levels: Content and relationship
Concepts of biology of cognition -correct answer 1. 2 possible avenues for explaining
our world are objectivity-in-parentheses
2. We bring forth our realities through interacting with the world, ourselves, and others
through language
Role strain -correct answer Results when family members lack role knowledge or have
no basis for choosing been several roles
Role conflict -correct answer Occurs when expectations about familial roles are
incompatible
Role overload -correct answer The individual lacks resources, time, and energy to meet
role demands
Conceptual model framework -correct answer A diagram that shows a set of
relationships between factors that are believed to make an impact
Linear questions -correct answer Investigative questions to inform the nurse
Circular questions -correct answer Questions to effect change. They aim to reveal
expectations of problems
Types of circular questions -correct answer - Behavioural: Explains how each members
behaviour affects others
- Difference: Explores the difference between things
- Hypothetical: Questions about the future
3 Domains of family function in circular questions -correct answer 1. Cognitive: Direct
questions
2. Behavioural: About family members behaviours
,Nipissing University -NURS 3016 Family
Nursing Chapter 9- Families and Chronic
Illness Questions With Complete Solutions
3. Affective: Who will be affected
4 types of conflict -correct answer 1. Criticism: Personal attack between each other
2. Contempt: Negative comments that cause distrust
3. Defensiveness: Blame each other over problems
4. Walling: Refuse to talk about a situation
Which type of conflict is the worst type? -correct answer Contempt
Neuman's systems model -correct answer Viewed family as a system and their primary
goal is to maintain stability by preserving the integrity of its structure by opening and
closing its boundaries
3 Ways conflict is addressed -correct answer 1. Validators: Talk about their problems
out expressing emotions and opinions
2. Volatiles: View each other as equals as they engage in loud passionate interactions
balanced by a caring and loving relationship
3. Avoiders: Simply are not to engage in conflicts
Circumplex model -correct answer Shows balance between functional family and
dysfunctional
5 Family functions -correct answer 1. Reproductive
2. Socialization
3. Affective
4. Economic
5. Health care
5 Family processes -correct answer 1. Coping
2. Roles
3. Communication
4. Decision making
5. Rituals and routines
Variations of household structure -correct answer Nuclear dyad: Married, no kids
Nuclear: Married or living together with kids
Binuclear: 2 post divorce families with children from new family
Extended: Nuclear + extended family
Blended: Husband and wife and children form past relationships
Single parent: One parent and children
Commune: Group of men women and children
Cohabilitation: Unmarried man and woman
Homosexual: Same sex couple
, Nipissing University -NURS 3016 Family
Nursing Chapter 9- Families and Chronic
Illness Questions With Complete Solutions
Single person: Lives alone
Concepts of change theory -correct answer 1. Change is dependent on the perception
of the problem
2. Change is determined by structure
3. Change is dependent on context
4. Change is dependent on co-evolving goals for treatment
5. Understanding alone does not lead to change
6. Change does not occur equally in all family members
7. Facilitating change is the nurses responsibility
8. Change occurs by fit or meshing between therapeutic offerings of the nurse and the
biopsychosocial-spiritual structures of family members
9. Change can be the result of a myriad of causes or reasons
Microsystem -correct answer The individual
Mesosystem -correct answer The individuals school, park, day-care, peers, doctors
office, church
Exosystem -correct answer friends of family, extended family, neighbours, legal
services, school board, community health services, workplace, media
Macrosystem -correct answer Broad ideology, laws, customs of ones culture
Chronosystem -correct answer Change is a persons environment over time (death of a
parent, disaster, war, critical events)
Order of BSE theory -correct answer Microsystem
Mesosystem
Exosystem
Macrosystem
Chronosystem
family health promotion -correct answer Refers to the activities that families engage in
to strengthen the family as a unit. Focuses on achieving maximum family well-being
throughout the family life course
Family resilience factors -correct answer Positive outlook, spirituality, family member
accord, flexibility, communication, financial management, time together, mutual
recreational interests, routines and rituals, social support
Nursing Chapter 9- Families and Chronic
Illness Questions With Complete Solutions
3 categories of CF 3 categories of CFAM and their components -correct answer 1.
Structural- Internal: family comp, gender, sexual orientation, rank, boundaries,
subsystems
- External: extended family and larger systems
- Context: Ethnicity, race, social class, religion, environment
2. Developmental- stages
- Tasks
- Attachments
3. Functional- Instrumental: ADL's
- Expressive: Emotional, verbal, nonverbal, and circular communication, problem
solving, roles, power, beliefs, alliances
Ethnicity -correct answer The concept of a family that is derived from a combination of
history, race, social class, and religion
Race -correct answer A basic construct that influences individual and group
identification. It both constrains and empowers identities
4 Approaches to family nursing and describe -correct answer 1. Family as a context:
Focuses on assessment and care of an individual client, the family is the focus and the
individual is the background
2. Family as a client: The nurse focuses on assessment of individual family members
not the family
3. Family as a system: Family is viewed as an interaction system
4. Family as a component of society: How the family interacts with society
6 Theoretical Foundations -correct answer 1. Postmodernism
2. Systems theory
3. Cybernetics
4. Communications theory
5. Change theory
6. Biology of cognition
Concepts of postmodernism -correct answer 1. Pluralism is a key focus of
postmodernism
2. Postmodernism is a debate about knowledge
Concepts of Systems theory -correct answer 1. A family is a part of a larger supra
system and is composed of many subsystems
2. The family as a whole is greater than the sum of all its parts
3. A change in one family member affects all family members
4. The family is able to create a balance between change and stability
,Nipissing University -NURS 3016 Family
Nursing Chapter 9- Families and Chronic
Illness Questions With Complete Solutions
5. Family members behaviours are best understood from a view of circular rather than
linear
Concepts of cybernetics -correct answer 1. Family systems possess self-regulating
ability
2. Feedback processes can simultaneously occur at several system levels with families
Concepts of communications theory -correct answer 1. All nonverbal communication is
meaningful
2. All communication has 2 major channels for transmission (digital and analog)
3. A dyadic relationship has varying degrees of symmetry and complementary
4. All communication has 2 levels: Content and relationship
Concepts of biology of cognition -correct answer 1. 2 possible avenues for explaining
our world are objectivity-in-parentheses
2. We bring forth our realities through interacting with the world, ourselves, and others
through language
Role strain -correct answer Results when family members lack role knowledge or have
no basis for choosing been several roles
Role conflict -correct answer Occurs when expectations about familial roles are
incompatible
Role overload -correct answer The individual lacks resources, time, and energy to meet
role demands
Conceptual model framework -correct answer A diagram that shows a set of
relationships between factors that are believed to make an impact
Linear questions -correct answer Investigative questions to inform the nurse
Circular questions -correct answer Questions to effect change. They aim to reveal
expectations of problems
Types of circular questions -correct answer - Behavioural: Explains how each members
behaviour affects others
- Difference: Explores the difference between things
- Hypothetical: Questions about the future
3 Domains of family function in circular questions -correct answer 1. Cognitive: Direct
questions
2. Behavioural: About family members behaviours
,Nipissing University -NURS 3016 Family
Nursing Chapter 9- Families and Chronic
Illness Questions With Complete Solutions
3. Affective: Who will be affected
4 types of conflict -correct answer 1. Criticism: Personal attack between each other
2. Contempt: Negative comments that cause distrust
3. Defensiveness: Blame each other over problems
4. Walling: Refuse to talk about a situation
Which type of conflict is the worst type? -correct answer Contempt
Neuman's systems model -correct answer Viewed family as a system and their primary
goal is to maintain stability by preserving the integrity of its structure by opening and
closing its boundaries
3 Ways conflict is addressed -correct answer 1. Validators: Talk about their problems
out expressing emotions and opinions
2. Volatiles: View each other as equals as they engage in loud passionate interactions
balanced by a caring and loving relationship
3. Avoiders: Simply are not to engage in conflicts
Circumplex model -correct answer Shows balance between functional family and
dysfunctional
5 Family functions -correct answer 1. Reproductive
2. Socialization
3. Affective
4. Economic
5. Health care
5 Family processes -correct answer 1. Coping
2. Roles
3. Communication
4. Decision making
5. Rituals and routines
Variations of household structure -correct answer Nuclear dyad: Married, no kids
Nuclear: Married or living together with kids
Binuclear: 2 post divorce families with children from new family
Extended: Nuclear + extended family
Blended: Husband and wife and children form past relationships
Single parent: One parent and children
Commune: Group of men women and children
Cohabilitation: Unmarried man and woman
Homosexual: Same sex couple
, Nipissing University -NURS 3016 Family
Nursing Chapter 9- Families and Chronic
Illness Questions With Complete Solutions
Single person: Lives alone
Concepts of change theory -correct answer 1. Change is dependent on the perception
of the problem
2. Change is determined by structure
3. Change is dependent on context
4. Change is dependent on co-evolving goals for treatment
5. Understanding alone does not lead to change
6. Change does not occur equally in all family members
7. Facilitating change is the nurses responsibility
8. Change occurs by fit or meshing between therapeutic offerings of the nurse and the
biopsychosocial-spiritual structures of family members
9. Change can be the result of a myriad of causes or reasons
Microsystem -correct answer The individual
Mesosystem -correct answer The individuals school, park, day-care, peers, doctors
office, church
Exosystem -correct answer friends of family, extended family, neighbours, legal
services, school board, community health services, workplace, media
Macrosystem -correct answer Broad ideology, laws, customs of ones culture
Chronosystem -correct answer Change is a persons environment over time (death of a
parent, disaster, war, critical events)
Order of BSE theory -correct answer Microsystem
Mesosystem
Exosystem
Macrosystem
Chronosystem
family health promotion -correct answer Refers to the activities that families engage in
to strengthen the family as a unit. Focuses on achieving maximum family well-being
throughout the family life course
Family resilience factors -correct answer Positive outlook, spirituality, family member
accord, flexibility, communication, financial management, time together, mutual
recreational interests, routines and rituals, social support
