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NSG 526 EXAM 2 FAMILY NURSING HERZING 2026/2027
COMPLETE CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NURSING
Prepare for Herzing NSG 526 Exam 2 with this focused Family Nursing study resource.
It is designed to reinforce key concepts related to family-centered care, nursing
assessment, health promotion, and clinical decision-making across diverse family
settings. Use it to review important material, strengthen your understanding, and
identify areas that may require additional study. This resource provides a structured
supplement to your coursework and can support a more confident approach to exam
preparation.
MULTIPLE CHOICE.
Module 1: Family Assessment Models & Theories (Questions 1–40)
1. When applying Family Systems Theory to a clinical scenario, the nurse
understands that "circular causality" refers to which of the following?
A. A feedback loop where members' behaviors influence each other in a
repetitive, reciprocal manner
B. The belief that one family member's behavior causes a direct reaction in
another member
C. The linear progression of family development from marriage to old age
D. The hierarchical structure where parents dictate the behavior of children
Answer: A
Rationale: Circular causality is a core concept in Family Systems Theory
suggesting that events are interconnected through feedback loops rather
than simple cause-and-effect. This perspective helps the nurse
understand that change in one part of the system affects the entire
system, necessitating a holistic assessment. By identifying these
repetitive patterns, the nurse can intervene more effectively to disrupt
dysfunctional cycles.
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2. A nurse is constructing a genogram for a family. What is the primary
purpose of this tool in family nursing assessment?
A. To map out the external social supports and community resources
available to the family
B. To document the physical layout of the family home for safety assessments
C. To provide a visual representation of family structure and relevant health
history across generations
D. To measure the psychological resilience of individual family members
Answer: C
Rationale: A genogram is an essential assessment tool used to visualize
internal family structures, including relationships and multi-generational
health patterns. It typically spans at least three generations to identify
recurring medical or psychological issues that may impact the current
family unit. This allows the nurse to prioritize preventive education based
on hereditary and environmental risks.
3. According to Duvall's Family Development Theory, which task is
primary for a family in the "Launching Center" stage?
A. Maintaining a supportive home base as children leave for independence
B. Adjusting to the needs and interests of the preschool child
C. Renegotiating the marital relationship after the children have all left
D. Integrating new family members through marriage or adoption
Answer: A
Rationale: The Launching Center stage occurs when the first child leaves
home until the last child has departed, requiring the family to maintain a
flexible home base. This stage involves helping young adults establish
their own lives while the parents maintain a supportive relationship.
Failure to successfully navigate this transition can lead to significant
family stress or boundary issues.
4. In the Calgary Family Assessment Model (CFAM), which of the following
is considered a "functional" assessment category?
A. Family composition and rank order
B. Birth order and gender roles
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C. Ethnicity, race, and social class
D. Activities of daily living and expressive communication
Answer: D
Rationale: The functional assessment in CFAM focuses on how family
members actually behave toward each other in daily life. It is divided into
instrumental aspects, like ADLs, and expressive aspects, such as
emotional communication and problem-solving. This specific category
helps the nurse determine if the family is capable of managing the
practical and emotional demands of a health crisis.
5. When utilizing the Calgary Family Assessment Model (CFAM), which
subcategory falls under the "Internal Structure" domain?
A. Family composition
B. Social class
C. Activities of daily living
D. Extended family
Answer: A
Rationale: Family composition is a primary subcategory of Internal
Structure within the CFAM. This component focuses on identifying who
the family members are and their relationship to one another.
Understanding this structure is essential before moving on to functional
or developmental assessments. Social class is external structure, ADLs
are functional assessment, and extended family is considered part of the
broader structural assessment but is not the primary subcategory.
6. According to the Calgary Family Assessment Model (CFAM), which
component is a primary category of structural assessment?
A. Internal structure
B. Expressive communication
C. Problem-solving
D. Family development
Answer: A
Rationale: Internal structure is one of the three subcategories of
structural assessment in CFAM. It includes aspects such as family
composition, gender, and sexual orientation. Understanding internal
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structure allows the nurse to identify who belongs to the family unit and
how they are organized. Expressive communication and problem-solving
are functional assessment categories; family development is a separate
developmental assessment category.
7. A family consists of a mother, a father, and their biological children.
Which term best describes this family structure?
A. Blended family
B. Binuclear family
C. Nuclear family
D. Extended family
Answer: C
Rationale: A nuclear family is traditionally defined as two parents and
their legal or biological children living in the same household. This
structure has evolved over time but remains a foundational concept in
family nursing assessments. It is distinct from blended families, which
involve children from previous relationships; binuclear families have
children living with each parent at different times; extended families
include other relatives.
8. A nurse is assessing a family's external structure using the Calgary
Family Assessment Model. Which question would best assess this
domain?
A. "Who lives in your household?"
B. "How do you communicate when there is a disagreement?"
C. "What is your family's cultural background?"
D. "What is your extended family like?"
Answer: D
Rationale: External structure in CFAM focuses on the family's
relationships with extended family and larger systems, including kinship
networks. Questions about who lives in the household assess internal
structure; questions about communication assess functional
assessment; questions about cultural background assess internal
structure. The question about extended family best assesses external
structure.
NSG 526 EXAM 2 FAMILY NURSING HERZING 2026/2027
COMPLETE CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NURSING
Prepare for Herzing NSG 526 Exam 2 with this focused Family Nursing study resource.
It is designed to reinforce key concepts related to family-centered care, nursing
assessment, health promotion, and clinical decision-making across diverse family
settings. Use it to review important material, strengthen your understanding, and
identify areas that may require additional study. This resource provides a structured
supplement to your coursework and can support a more confident approach to exam
preparation.
MULTIPLE CHOICE.
Module 1: Family Assessment Models & Theories (Questions 1–40)
1. When applying Family Systems Theory to a clinical scenario, the nurse
understands that "circular causality" refers to which of the following?
A. A feedback loop where members' behaviors influence each other in a
repetitive, reciprocal manner
B. The belief that one family member's behavior causes a direct reaction in
another member
C. The linear progression of family development from marriage to old age
D. The hierarchical structure where parents dictate the behavior of children
Answer: A
Rationale: Circular causality is a core concept in Family Systems Theory
suggesting that events are interconnected through feedback loops rather
than simple cause-and-effect. This perspective helps the nurse
understand that change in one part of the system affects the entire
system, necessitating a holistic assessment. By identifying these
repetitive patterns, the nurse can intervene more effectively to disrupt
dysfunctional cycles.
, Page 2 of 44
2. A nurse is constructing a genogram for a family. What is the primary
purpose of this tool in family nursing assessment?
A. To map out the external social supports and community resources
available to the family
B. To document the physical layout of the family home for safety assessments
C. To provide a visual representation of family structure and relevant health
history across generations
D. To measure the psychological resilience of individual family members
Answer: C
Rationale: A genogram is an essential assessment tool used to visualize
internal family structures, including relationships and multi-generational
health patterns. It typically spans at least three generations to identify
recurring medical or psychological issues that may impact the current
family unit. This allows the nurse to prioritize preventive education based
on hereditary and environmental risks.
3. According to Duvall's Family Development Theory, which task is
primary for a family in the "Launching Center" stage?
A. Maintaining a supportive home base as children leave for independence
B. Adjusting to the needs and interests of the preschool child
C. Renegotiating the marital relationship after the children have all left
D. Integrating new family members through marriage or adoption
Answer: A
Rationale: The Launching Center stage occurs when the first child leaves
home until the last child has departed, requiring the family to maintain a
flexible home base. This stage involves helping young adults establish
their own lives while the parents maintain a supportive relationship.
Failure to successfully navigate this transition can lead to significant
family stress or boundary issues.
4. In the Calgary Family Assessment Model (CFAM), which of the following
is considered a "functional" assessment category?
A. Family composition and rank order
B. Birth order and gender roles
, Page 3 of 44
C. Ethnicity, race, and social class
D. Activities of daily living and expressive communication
Answer: D
Rationale: The functional assessment in CFAM focuses on how family
members actually behave toward each other in daily life. It is divided into
instrumental aspects, like ADLs, and expressive aspects, such as
emotional communication and problem-solving. This specific category
helps the nurse determine if the family is capable of managing the
practical and emotional demands of a health crisis.
5. When utilizing the Calgary Family Assessment Model (CFAM), which
subcategory falls under the "Internal Structure" domain?
A. Family composition
B. Social class
C. Activities of daily living
D. Extended family
Answer: A
Rationale: Family composition is a primary subcategory of Internal
Structure within the CFAM. This component focuses on identifying who
the family members are and their relationship to one another.
Understanding this structure is essential before moving on to functional
or developmental assessments. Social class is external structure, ADLs
are functional assessment, and extended family is considered part of the
broader structural assessment but is not the primary subcategory.
6. According to the Calgary Family Assessment Model (CFAM), which
component is a primary category of structural assessment?
A. Internal structure
B. Expressive communication
C. Problem-solving
D. Family development
Answer: A
Rationale: Internal structure is one of the three subcategories of
structural assessment in CFAM. It includes aspects such as family
composition, gender, and sexual orientation. Understanding internal
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structure allows the nurse to identify who belongs to the family unit and
how they are organized. Expressive communication and problem-solving
are functional assessment categories; family development is a separate
developmental assessment category.
7. A family consists of a mother, a father, and their biological children.
Which term best describes this family structure?
A. Blended family
B. Binuclear family
C. Nuclear family
D. Extended family
Answer: C
Rationale: A nuclear family is traditionally defined as two parents and
their legal or biological children living in the same household. This
structure has evolved over time but remains a foundational concept in
family nursing assessments. It is distinct from blended families, which
involve children from previous relationships; binuclear families have
children living with each parent at different times; extended families
include other relatives.
8. A nurse is assessing a family's external structure using the Calgary
Family Assessment Model. Which question would best assess this
domain?
A. "Who lives in your household?"
B. "How do you communicate when there is a disagreement?"
C. "What is your family's cultural background?"
D. "What is your extended family like?"
Answer: D
Rationale: External structure in CFAM focuses on the family's
relationships with extended family and larger systems, including kinship
networks. Questions about who lives in the household assess internal
structure; questions about communication assess functional
assessment; questions about cultural background assess internal
structure. The question about extended family best assesses external
structure.
