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NSG 526 EXAM 1 – HERZING FAMILY NURSING 2026/2027
COMPLETE CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NURSING
Prepare for NSG 526 Exam 1 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
topics that may require additional study. This resource provides a structured
supplement to your coursework and can help build confidence before the exam.
MULTIPLE CHOICE.
Module 1: Calgary Family Assessment Model (CFAM) (Questions 1–30)
1. According to the Calgary Family Assessment Model (CFAM), which of
the following is categorized under 'Internal Structure'?
A. Birth order
B. Social class
C. Extended family
D. Religion
Answer: A
Rationale: In the Calgary Family Assessment Model, internal structure
specifically addresses the composition of the family, including gender,
sexual orientation, and rank or birth order. These elements define the
immediate makeup of the family unit and how members relate to one
another within the household. Identifying birth order helps the nurse
understand power dynamics and roles assigned to siblings.
2. Which subcategory falls under the 'Internal Structure' domain of the
CFAM?
A. Family composition
B. Social class
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C. Activities of daily living
D. Extended family
Answer: A
Rationale: Family composition is a primary subcategory of Internal
Structure within 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.
3. Which of the following is a primary category of structural assessment in
the Calgary Family Assessment Model (CFAM)?
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
structure allows the nurse to identify who belongs to the family unit and
how they are organized.
4. When utilizing the CFAM, which question would best assess the
family's external structure?
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.
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5. In the Calgary Family Assessment Model, which of the following is
considered a 'functional' assessment category?
A. Family composition and rank order
B. Birth order and gender roles
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.
6. Which of the following best describes the purpose of the Calgary Family
Intervention Model (CFIM)?
A. To provide a framework for family assessment
B. To guide family nursing interventions based on the CFAM assessment
C. To diagnose family mental health disorders
D. To evaluate individual patient outcomes
Answer: B
Rationale: The Calgary Family Intervention Model (CFIM) was developed
to accompany the CFAM. It provides a framework for planning and
implementing family nursing interventions based on the assessment data
gathered using the CFAM. The CFIM focuses on family functioning and
promotes change in cognitive, affective, and behavioral domains.
7. A nurse is using the CFAM to assess a family's functional status. Which
of the following would the nurse assess?
A. Family composition and rank order
B. Birth order and gender roles
C. Activities of daily living and expressive communication
D. Ethnicity, race, and social class
Answer: C
Rationale: The functional assessment in CFAM focuses on how family
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members behave toward each other in daily life. It is divided into
instrumental aspects (ADLs) and expressive aspects (emotional
communication, problem-solving). Family composition and rank order are
structural; birth order and gender roles are structural; ethnicity and social
class are external structural.
8. According to the CFAM, which of the following is an example of an
instrumental functional assessment?
A. Family composition
B. Activities of daily living
C. Social class
D. Extended family
Answer: B
Rationale: Instrumental functioning in CFAM includes activities of daily
living (ADLs), such as eating, bathing, and dressing. Expressive
functioning includes emotional communication and problem-solving.
Family composition and social class are structural; extended family is
external structural.
9. A nurse is using the CFAM to assess a family's structural category.
Which of the following would the nurse assess?
A. Family composition and external relationships
B. Family life cycle stage
C. Activities of daily living
D. Emotional communication
Answer: A
Rationale: The structural category in CFAM includes internal structure
(family composition, gender, sexual orientation) and external structure
(extended family, kinship networks, larger systems). Family life cycle
stage is developmental; ADLs and emotional communication are
functional.
10. A nurse is using the CFAM to assess a family's developmental stage.
Which of the following would the nurse assess?
A. Family composition
B. Family life cycle stage
NSG 526 EXAM 1 – HERZING FAMILY NURSING 2026/2027
COMPLETE CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NURSING
Prepare for NSG 526 Exam 1 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
topics that may require additional study. This resource provides a structured
supplement to your coursework and can help build confidence before the exam.
MULTIPLE CHOICE.
Module 1: Calgary Family Assessment Model (CFAM) (Questions 1–30)
1. According to the Calgary Family Assessment Model (CFAM), which of
the following is categorized under 'Internal Structure'?
A. Birth order
B. Social class
C. Extended family
D. Religion
Answer: A
Rationale: In the Calgary Family Assessment Model, internal structure
specifically addresses the composition of the family, including gender,
sexual orientation, and rank or birth order. These elements define the
immediate makeup of the family unit and how members relate to one
another within the household. Identifying birth order helps the nurse
understand power dynamics and roles assigned to siblings.
2. Which subcategory falls under the 'Internal Structure' domain of the
CFAM?
A. Family composition
B. Social class
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C. Activities of daily living
D. Extended family
Answer: A
Rationale: Family composition is a primary subcategory of Internal
Structure within 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.
3. Which of the following is a primary category of structural assessment in
the Calgary Family Assessment Model (CFAM)?
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
structure allows the nurse to identify who belongs to the family unit and
how they are organized.
4. When utilizing the CFAM, which question would best assess the
family's external structure?
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.
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5. In the Calgary Family Assessment Model, which of the following is
considered a 'functional' assessment category?
A. Family composition and rank order
B. Birth order and gender roles
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.
6. Which of the following best describes the purpose of the Calgary Family
Intervention Model (CFIM)?
A. To provide a framework for family assessment
B. To guide family nursing interventions based on the CFAM assessment
C. To diagnose family mental health disorders
D. To evaluate individual patient outcomes
Answer: B
Rationale: The Calgary Family Intervention Model (CFIM) was developed
to accompany the CFAM. It provides a framework for planning and
implementing family nursing interventions based on the assessment data
gathered using the CFAM. The CFIM focuses on family functioning and
promotes change in cognitive, affective, and behavioral domains.
7. A nurse is using the CFAM to assess a family's functional status. Which
of the following would the nurse assess?
A. Family composition and rank order
B. Birth order and gender roles
C. Activities of daily living and expressive communication
D. Ethnicity, race, and social class
Answer: C
Rationale: The functional assessment in CFAM focuses on how family
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members behave toward each other in daily life. It is divided into
instrumental aspects (ADLs) and expressive aspects (emotional
communication, problem-solving). Family composition and rank order are
structural; birth order and gender roles are structural; ethnicity and social
class are external structural.
8. According to the CFAM, which of the following is an example of an
instrumental functional assessment?
A. Family composition
B. Activities of daily living
C. Social class
D. Extended family
Answer: B
Rationale: Instrumental functioning in CFAM includes activities of daily
living (ADLs), such as eating, bathing, and dressing. Expressive
functioning includes emotional communication and problem-solving.
Family composition and social class are structural; extended family is
external structural.
9. A nurse is using the CFAM to assess a family's structural category.
Which of the following would the nurse assess?
A. Family composition and external relationships
B. Family life cycle stage
C. Activities of daily living
D. Emotional communication
Answer: A
Rationale: The structural category in CFAM includes internal structure
(family composition, gender, sexual orientation) and external structure
(extended family, kinship networks, larger systems). Family life cycle
stage is developmental; ADLs and emotional communication are
functional.
10. A nurse is using the CFAM to assess a family's developmental stage.
Which of the following would the nurse assess?
A. Family composition
B. Family life cycle stage
