Accurate Exam Coverage Area with Main Topics and Subtopics (Mostly Tested
Recent Coverage Areas)
1. Family Nursing Foundations and Theoretical Frameworks: Family-centered
care principles; Family Systems Theory (interdependence, homeostasis,
boundaries); Calgary Family Assessment Model (CFAM) structural,
developmental, and functional domains; Calgary Family Intervention Model
(CFIM) circular questioning; Duvall’s family developmental stages; Bowen’s
differentiation of self; ABC-X family stress model . 2 3 8
2. Family Assessment Tools and Genogram/Ecomap Interpretation: Standardized
genogram symbols (squares for males, circles for females, X for deceased);
three-generation family history mapping; ecomap external support systems;
family structure assessment (nuclear, blended, single-parent, extended);
internal structure components including gender, sexual orientation, and social
class . 3 8 12
3. Therapeutic Communication and Family Interviewing Techniques: Open-
ended questioning to establish rapport; circular questioning to reveal
relationship patterns; active listening and respectful responding; avoiding
judgmental language; assessing family perceptions and understanding of
illness; cultural humility in communication . 2 3 7
4. Maternal Physiological Changes and Postpartum Assessment: Uterine fundus
assessment and involution; bladder distention displacing the uterus; lochia
, assessment (rubra, serosa, alba); oxytocin’s role in uterine contraction;
afterpains during breastfeeding; Rh incompatibility and Rho(D) immune globulin
administration . 1 11 13
5. Antepartum Complications and Fetal Surveillance: Third-trimester bleeding
(placenta previa, abruption); contraindication of vaginal examination with
suspected placental complications; fetal heart rate assessment priority; preterm
labor assessment; folic acid for neural tube defect prevention; first-trimester
vaginal bleeding as warning sign . 1 11 13
6. Intrapartum Nursing Care and Labor Stages: First stage (cervical dilation 0–10
cm), second stage (delivery of baby), third stage (delivery of placenta); true
versus false labor contraction characteristics; oxytocin induction mechanism;
magnesium sulfate toxicity monitoring (deep tendon reflexes, respiratory rate,
calcium gluconate antidote); continuous fetal monitoring for distress . 9 13
7. Newborn and Pediatric Health Supervision: Newborn jaundice and bilirubin
management; phototherapy and kernicterus risk; immunization schedules
(MMR/Varicella at 12–15 months); Denver Developmental Screening Test
purpose; failure to thrive criteria (weight below 3rd–5th percentile); Reye
syndrome risk with aspirin during viral illness . 4 9
8. Pediatric Pain Assessment and Fluid Management: Wong-Baker FACES scale
for children ages 3 and older; FLACC scale components (Face, Legs, Activity,
Cry, Consolability); Holliday-Segar maintenance fluid calculation (100/50/20
, mL/kg); tachycardia as earliest hypovolemia indicator; dehydration assessment
in children . 4
9. Cultural Competence and Community Health Promotion: Avoiding ethnic
assumptions; asking families about beliefs and preferences; traditional remedy
assessment for benefits and risks; healthcare-seeking behavior influenced by
culture and access; family as partner in health promotion; community resources
for family support . 2 3 7
10. Critical Thinking and Integrated Family Nursing Scenarios: Caregiver burden
recognition (trapped, resentful feelings); psychosomatic family patterns
(enmeshment, conflict avoidance); family resilience and coping assessment;
transtheoretical model stages of change; SSRI safety during breastfeeding
(sertraline preferred); ethical decision-making and patient autonomy . 2 14
NSG 526 Final Exam – Herzing Family Nursing NGN
1. A nurse is assessing a family in which the mother reports feeling “trapped”
and “resentful” while providing daily care to her chronically ill father who
recently moved into the home. Which family systems concept best explains this
caregiver’s emotional response?
A. Triangulation
B. Caregiver burden
, C. Enmeshment
D. Role reversal
Correct Answer: B
Rationale: Caregiver burden refers to the multidimensional strain—physical,
emotional, financial, and social—experienced by those caring for a dependent
family member. The feelings of entrapment and resentment are hallmark features.
Triangulation involves a third person drawn into a dyad’s conflict, enmeshment
refers to diffuse boundaries with loss of autonomy, and role reversal involves a
child taking on parental roles . 14
2. According to the Calgary Family Assessment Model (CFAM), which
assessment domain specifically focuses on how family members communicate,
make decisions, and support one another on a daily basis?
A. Structural domain
B. Developmental domain
C. Functional domain
D. Environmental domain
Correct Answer: C
Rationale: In CFAM, the functional domain examines instrumental functioning
(daily living tasks) and expressive functioning (emotional support, communication
patterns, and problem-solving). The structural domain examines composition and
Recent Coverage Areas)
1. Family Nursing Foundations and Theoretical Frameworks: Family-centered
care principles; Family Systems Theory (interdependence, homeostasis,
boundaries); Calgary Family Assessment Model (CFAM) structural,
developmental, and functional domains; Calgary Family Intervention Model
(CFIM) circular questioning; Duvall’s family developmental stages; Bowen’s
differentiation of self; ABC-X family stress model . 2 3 8
2. Family Assessment Tools and Genogram/Ecomap Interpretation: Standardized
genogram symbols (squares for males, circles for females, X for deceased);
three-generation family history mapping; ecomap external support systems;
family structure assessment (nuclear, blended, single-parent, extended);
internal structure components including gender, sexual orientation, and social
class . 3 8 12
3. Therapeutic Communication and Family Interviewing Techniques: Open-
ended questioning to establish rapport; circular questioning to reveal
relationship patterns; active listening and respectful responding; avoiding
judgmental language; assessing family perceptions and understanding of
illness; cultural humility in communication . 2 3 7
4. Maternal Physiological Changes and Postpartum Assessment: Uterine fundus
assessment and involution; bladder distention displacing the uterus; lochia
, assessment (rubra, serosa, alba); oxytocin’s role in uterine contraction;
afterpains during breastfeeding; Rh incompatibility and Rho(D) immune globulin
administration . 1 11 13
5. Antepartum Complications and Fetal Surveillance: Third-trimester bleeding
(placenta previa, abruption); contraindication of vaginal examination with
suspected placental complications; fetal heart rate assessment priority; preterm
labor assessment; folic acid for neural tube defect prevention; first-trimester
vaginal bleeding as warning sign . 1 11 13
6. Intrapartum Nursing Care and Labor Stages: First stage (cervical dilation 0–10
cm), second stage (delivery of baby), third stage (delivery of placenta); true
versus false labor contraction characteristics; oxytocin induction mechanism;
magnesium sulfate toxicity monitoring (deep tendon reflexes, respiratory rate,
calcium gluconate antidote); continuous fetal monitoring for distress . 9 13
7. Newborn and Pediatric Health Supervision: Newborn jaundice and bilirubin
management; phototherapy and kernicterus risk; immunization schedules
(MMR/Varicella at 12–15 months); Denver Developmental Screening Test
purpose; failure to thrive criteria (weight below 3rd–5th percentile); Reye
syndrome risk with aspirin during viral illness . 4 9
8. Pediatric Pain Assessment and Fluid Management: Wong-Baker FACES scale
for children ages 3 and older; FLACC scale components (Face, Legs, Activity,
Cry, Consolability); Holliday-Segar maintenance fluid calculation (100/50/20
, mL/kg); tachycardia as earliest hypovolemia indicator; dehydration assessment
in children . 4
9. Cultural Competence and Community Health Promotion: Avoiding ethnic
assumptions; asking families about beliefs and preferences; traditional remedy
assessment for benefits and risks; healthcare-seeking behavior influenced by
culture and access; family as partner in health promotion; community resources
for family support . 2 3 7
10. Critical Thinking and Integrated Family Nursing Scenarios: Caregiver burden
recognition (trapped, resentful feelings); psychosomatic family patterns
(enmeshment, conflict avoidance); family resilience and coping assessment;
transtheoretical model stages of change; SSRI safety during breastfeeding
(sertraline preferred); ethical decision-making and patient autonomy . 2 14
NSG 526 Final Exam – Herzing Family Nursing NGN
1. A nurse is assessing a family in which the mother reports feeling “trapped”
and “resentful” while providing daily care to her chronically ill father who
recently moved into the home. Which family systems concept best explains this
caregiver’s emotional response?
A. Triangulation
B. Caregiver burden
, C. Enmeshment
D. Role reversal
Correct Answer: B
Rationale: Caregiver burden refers to the multidimensional strain—physical,
emotional, financial, and social—experienced by those caring for a dependent
family member. The feelings of entrapment and resentment are hallmark features.
Triangulation involves a third person drawn into a dyad’s conflict, enmeshment
refers to diffuse boundaries with loss of autonomy, and role reversal involves a
child taking on parental roles . 14
2. According to the Calgary Family Assessment Model (CFAM), which
assessment domain specifically focuses on how family members communicate,
make decisions, and support one another on a daily basis?
A. Structural domain
B. Developmental domain
C. Functional domain
D. Environmental domain
Correct Answer: C
Rationale: In CFAM, the functional domain examines instrumental functioning
(daily living tasks) and expressive functioning (emotional support, communication
patterns, and problem-solving). The structural domain examines composition and
