Page 1 of 34
NSG 526 – FAMILY NURSING – FINAL EXAM 2026/2027
COMPLETE CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NURSING
Prepare for the NSG 526 Final Exam with this focused Family Nursing study resource
from Herzing University. It is designed to reinforce essential concepts in family-
centered care, nursing assessment, health promotion, communication, and clinical
decision-making. Use it to review key material, strengthen your understanding, and
identify areas that may require additional study. This resource provides a structured
supplement to your coursework and can help support a more confident approach to
final exam preparation.
MULTIPLE CHOICE.
Section 1: Family Assessment Models & Frameworks (Q1–Q30)
1. 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 family composition, gender,
and sexual orientation.
2. 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
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Answer: A
Rationale: Internal structure includes family composition, rank order,
gender, and sexual orientation.
3. In the Calgary Family Assessment Model (CFAM), which of the following
is an example of a developmental assessment?
A. Family composition
B. Stage of the family life cycle
C. Boundaries between subsystems
D. Emotional communication
Answer: B
Rationale: Developmental assessment in CFAM focuses on the family's
progression through stages of the family life cycle.
4. The Calgary Family Intervention Model (CFIM) uses which type of
question to invite family members to reflect on their relationships?
A. Circular questions
B. Closed-ended questions
C. Linear questions
D. Directive questions
Answer: A
Rationale: Circular questions are designed to reveal the interactions and
relationships between family members and help them see problems from
a different perspective.
5. A nurse is creating a genogram. What symbol is typically used to
represent a deceased male family member?
A. A square with an 'X' through it
B. A circle with a dash through it
C. A triangle with a solid fill
D. A dotted square
Answer: A
Rationale: In standardized genogram symbols, a square represents a male
and an 'X' through the shape indicates that the individual is deceased.
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6. In a genogram, a horizontal line connecting two individuals represents:
A. A divorce
B. A marriage or union
C. A parent-child relationship
D. A sibling relationship
Answer: B
Rationale: A horizontal line between two people on a genogram indicates
a marriage or committed union.
7. Which family assessment tool provides a visual map of at least three
generations of family history?
A. Ecomap
B. Genogram
C. Family APGAR
D. Family Circle Map
Answer: B
Rationale: Genograms map at least three generations to identify patterns
of illness and hereditary risks within the family lineage.
8. The Family APGAR assesses which domains of family functioning?
A. Adaptation, Partnership, Growth, Affection, Resolve
B. Assessment, Planning, Goal-setting, Action, Review
C. Adaptation, Participation, Growth, Affection, Resilience
D. Attachment, Parenting, Guidance, Affection, Resources
Answer: A
Rationale: The Family APGAR measures Adaptation, Partnership, Growth,
Affection, and Resolve.
9. An ecomap differs from a genogram in that an ecomap:
A. Only maps blood relationships
B. Depicts the family's relationships with external systems
C. Focuses exclusively on medical history
D. Is used only for pediatric families
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Answer: B
Rationale: An ecomap illustrates the family's connections to external
systems such as school, church, and healthcare providers.
10. Which theoretical framework emphasizes that a family is greater than
the sum of its parts and that change in one member affects all members?
A. Family Systems Theory
B. Social Exchange Theory
C. Biomedical Theory
D. Conflict Theory
Answer: A
Rationale: Family Systems Theory posits that the family is an emotional
unit where members are intensely connected. Changes in one person's
functioning are predictably followed by reciprocal changes in the
functioning of others.
11. In the ABCX Model of Family Stress, what does the 'B' factor
represent?
A. The stressor event
B. The family's perception of the event
C. The family's resources or strengths
D. The crisis or state of equilibrium
Answer: C
Rationale: The 'B' factor in the ABCX model refers to the family's
resources and their ability to meet the demands of the stressor.
12. In the ABCX Model of Family Stress, what does the 'C' factor
represent?
A. The stressor event
B. The family's perception of the event
C. The family's resources or strengths
D. The crisis or state of equilibrium
Answer: B
Rationale: The 'C' factor refers to the family's perception or definition of
the stressor event.
NSG 526 – FAMILY NURSING – FINAL EXAM 2026/2027
COMPLETE CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NURSING
Prepare for the NSG 526 Final Exam with this focused Family Nursing study resource
from Herzing University. It is designed to reinforce essential concepts in family-
centered care, nursing assessment, health promotion, communication, and clinical
decision-making. Use it to review key material, strengthen your understanding, and
identify areas that may require additional study. This resource provides a structured
supplement to your coursework and can help support a more confident approach to
final exam preparation.
MULTIPLE CHOICE.
Section 1: Family Assessment Models & Frameworks (Q1–Q30)
1. 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 family composition, gender,
and sexual orientation.
2. 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
, Page 2 of 34
Answer: A
Rationale: Internal structure includes family composition, rank order,
gender, and sexual orientation.
3. In the Calgary Family Assessment Model (CFAM), which of the following
is an example of a developmental assessment?
A. Family composition
B. Stage of the family life cycle
C. Boundaries between subsystems
D. Emotional communication
Answer: B
Rationale: Developmental assessment in CFAM focuses on the family's
progression through stages of the family life cycle.
4. The Calgary Family Intervention Model (CFIM) uses which type of
question to invite family members to reflect on their relationships?
A. Circular questions
B. Closed-ended questions
C. Linear questions
D. Directive questions
Answer: A
Rationale: Circular questions are designed to reveal the interactions and
relationships between family members and help them see problems from
a different perspective.
5. A nurse is creating a genogram. What symbol is typically used to
represent a deceased male family member?
A. A square with an 'X' through it
B. A circle with a dash through it
C. A triangle with a solid fill
D. A dotted square
Answer: A
Rationale: In standardized genogram symbols, a square represents a male
and an 'X' through the shape indicates that the individual is deceased.
, Page 3 of 34
6. In a genogram, a horizontal line connecting two individuals represents:
A. A divorce
B. A marriage or union
C. A parent-child relationship
D. A sibling relationship
Answer: B
Rationale: A horizontal line between two people on a genogram indicates
a marriage or committed union.
7. Which family assessment tool provides a visual map of at least three
generations of family history?
A. Ecomap
B. Genogram
C. Family APGAR
D. Family Circle Map
Answer: B
Rationale: Genograms map at least three generations to identify patterns
of illness and hereditary risks within the family lineage.
8. The Family APGAR assesses which domains of family functioning?
A. Adaptation, Partnership, Growth, Affection, Resolve
B. Assessment, Planning, Goal-setting, Action, Review
C. Adaptation, Participation, Growth, Affection, Resilience
D. Attachment, Parenting, Guidance, Affection, Resources
Answer: A
Rationale: The Family APGAR measures Adaptation, Partnership, Growth,
Affection, and Resolve.
9. An ecomap differs from a genogram in that an ecomap:
A. Only maps blood relationships
B. Depicts the family's relationships with external systems
C. Focuses exclusively on medical history
D. Is used only for pediatric families
, Page 4 of 34
Answer: B
Rationale: An ecomap illustrates the family's connections to external
systems such as school, church, and healthcare providers.
10. Which theoretical framework emphasizes that a family is greater than
the sum of its parts and that change in one member affects all members?
A. Family Systems Theory
B. Social Exchange Theory
C. Biomedical Theory
D. Conflict Theory
Answer: A
Rationale: Family Systems Theory posits that the family is an emotional
unit where members are intensely connected. Changes in one person's
functioning are predictably followed by reciprocal changes in the
functioning of others.
11. In the ABCX Model of Family Stress, what does the 'B' factor
represent?
A. The stressor event
B. The family's perception of the event
C. The family's resources or strengths
D. The crisis or state of equilibrium
Answer: C
Rationale: The 'B' factor in the ABCX model refers to the family's
resources and their ability to meet the demands of the stressor.
12. In the ABCX Model of Family Stress, what does the 'C' factor
represent?
A. The stressor event
B. The family's perception of the event
C. The family's resources or strengths
D. The crisis or state of equilibrium
Answer: B
Rationale: The 'C' factor refers to the family's perception or definition of
the stressor event.
