HERZING NSG 526 EXAM 2 FAMILY
NURSING QUESTIONS & VERIFIED
ANSWERS | GUARANTEE PASS 2026/2027
1. When assessing a family using the Calgary Family Assessment Model (CFAM), the nurse
identifies the ‘context’ of the family. Which of the following is a subcategory of context?
A. Subsystems
B. Extended family
C. Social class
D. Rank order
Answer: C
Conceptual Explanation: In the CFAM, Context includes subcategories like ethnicity, race,
social class, religion/spirituality, and environment. Subsystems and rank order are part of
Internal Structure, while extended family is part of External Structure.
2. A nurse observes a family where the parents’ relationship is strained, and they focus
excessively on the child’s behavioral issues to avoid their own conflict. According to Bowen’s
theory, this is an example of:
A. Emotional cutoff
B. Triangulation
,C. Differentiation of self
D. Multigenerational transmission
Answer: B
Conceptual Explanation: Triangulation occurs when a third person is brought into a
dyadic relationship to reduce tension or anxiety between the two original people.
3. In the Double ABCX Model of Family Stress, what does the ‘aA’ factor represent?
A. The pile-up of stressors over time
B. The family’s resources for coping
C. The initial stressor event
D. The family’s perception of the crisis
Answer: A
Conceptual Explanation: The ‘aA’ factor refers to the pile-up of stressors, which includes
the initial stressor, unresolved hardships, and new demands resulting from the family’s
attempt to cope.
4. According to Duvall’s Family Life Cycle stages, a family whose oldest child is 14 years old is
in which stage?
A. Families with school-age children
B. Middle-aged families
C. Families as launching centers
, D. Families with adolescents
Answer: D
Conceptual Explanation: Duvall’s Stage 5 is ‘Families with adolescents,’ defined by the
oldest child being between ages 13 and 20.
5. Which theoretical perspective views the family as a social system with requirements for
survival and focuses on the relationship between the family and the larger social system?
A. Symbolic Interactionism
B. Structural-Functional Theory
C. Family Systems Theory
D. Social Exchange Theory
Answer: B
Conceptual Explanation: Structural-Functional Theory focuses on how the family as a
social system performs functions for society and how it maintains its internal stability.
6. A nurse is constructing a genogram. What does a square with an ‘X’ through it represent?
A. A female family member who has died
B. A divorce between two members
C. A male family member who has died
D. A miscarriage or abortion
NURSING QUESTIONS & VERIFIED
ANSWERS | GUARANTEE PASS 2026/2027
1. When assessing a family using the Calgary Family Assessment Model (CFAM), the nurse
identifies the ‘context’ of the family. Which of the following is a subcategory of context?
A. Subsystems
B. Extended family
C. Social class
D. Rank order
Answer: C
Conceptual Explanation: In the CFAM, Context includes subcategories like ethnicity, race,
social class, religion/spirituality, and environment. Subsystems and rank order are part of
Internal Structure, while extended family is part of External Structure.
2. A nurse observes a family where the parents’ relationship is strained, and they focus
excessively on the child’s behavioral issues to avoid their own conflict. According to Bowen’s
theory, this is an example of:
A. Emotional cutoff
B. Triangulation
,C. Differentiation of self
D. Multigenerational transmission
Answer: B
Conceptual Explanation: Triangulation occurs when a third person is brought into a
dyadic relationship to reduce tension or anxiety between the two original people.
3. In the Double ABCX Model of Family Stress, what does the ‘aA’ factor represent?
A. The pile-up of stressors over time
B. The family’s resources for coping
C. The initial stressor event
D. The family’s perception of the crisis
Answer: A
Conceptual Explanation: The ‘aA’ factor refers to the pile-up of stressors, which includes
the initial stressor, unresolved hardships, and new demands resulting from the family’s
attempt to cope.
4. According to Duvall’s Family Life Cycle stages, a family whose oldest child is 14 years old is
in which stage?
A. Families with school-age children
B. Middle-aged families
C. Families as launching centers
, D. Families with adolescents
Answer: D
Conceptual Explanation: Duvall’s Stage 5 is ‘Families with adolescents,’ defined by the
oldest child being between ages 13 and 20.
5. Which theoretical perspective views the family as a social system with requirements for
survival and focuses on the relationship between the family and the larger social system?
A. Symbolic Interactionism
B. Structural-Functional Theory
C. Family Systems Theory
D. Social Exchange Theory
Answer: B
Conceptual Explanation: Structural-Functional Theory focuses on how the family as a
social system performs functions for society and how it maintains its internal stability.
6. A nurse is constructing a genogram. What does a square with an ‘X’ through it represent?
A. A female family member who has died
B. A divorce between two members
C. A male family member who has died
D. A miscarriage or abortion
