Herzing NSG 526 Exam 2 Family Nursing (2026) Actual
Questions & Verified Answers | Guarantee Pass
SECTION 1: FAMILY ASSESSMENT MODELS & THEORIES
(Questions 1-25)
Question 1
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
Correct 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.
Question 2
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
Correct 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. Expressive communication and problem-solving are
functional assessment categories; family development is a separate developmental
assessment category.
Question 3
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
C. Ethnicity, race, and social class
D. Activities of daily living and expressive communication
Correct 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
category helps the nurse determine if the family is capable of managing the practical
and emotional demands of a health crisis. Family composition and rank order, birth
order, and ethnicity/social class are structural assessments .
,Question 4
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
Correct 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. Ecomaps (A) are used for
external supports; the Apgar scale (D) measures family function, not resilience.
Question 5
Which tool is most effective for visualizing the family's relationship with external systems
like school, work, and community?
A. Ecomap
B. Genogram
, C. Apgar scale
D. Culturogram
Correct Answer: A
Rationale: The ecomap is a visual diagram that captures the flow of resources and the
nature of relationships between the family and the outside world . It helps the nurse
identify sources of support and potential stressors in the environment. This assessment
tool complements the genogram, which focuses on internal family lineage. The Apgar
scale measures family function, and the culturogram focuses on cultural influences.
Question 6
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
Correct Answer: A
Rationale: In standardized genogram symbols, a square represents a male and an 'X'
through the shape indicates that the individual is deceased . A circle represents a
female; a triangle represents pregnancy or miscarriage. Genograms provide a visual map
of at least three generations of family history, helping nurses identify patterns of illness
and hereditary risks within the family lineage.
Questions & Verified Answers | Guarantee Pass
SECTION 1: FAMILY ASSESSMENT MODELS & THEORIES
(Questions 1-25)
Question 1
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
Correct 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.
Question 2
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
Correct 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. Expressive communication and problem-solving are
functional assessment categories; family development is a separate developmental
assessment category.
Question 3
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
C. Ethnicity, race, and social class
D. Activities of daily living and expressive communication
Correct 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
category helps the nurse determine if the family is capable of managing the practical
and emotional demands of a health crisis. Family composition and rank order, birth
order, and ethnicity/social class are structural assessments .
,Question 4
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
Correct 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. Ecomaps (A) are used for
external supports; the Apgar scale (D) measures family function, not resilience.
Question 5
Which tool is most effective for visualizing the family's relationship with external systems
like school, work, and community?
A. Ecomap
B. Genogram
, C. Apgar scale
D. Culturogram
Correct Answer: A
Rationale: The ecomap is a visual diagram that captures the flow of resources and the
nature of relationships between the family and the outside world . It helps the nurse
identify sources of support and potential stressors in the environment. This assessment
tool complements the genogram, which focuses on internal family lineage. The Apgar
scale measures family function, and the culturogram focuses on cultural influences.
Question 6
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
Correct Answer: A
Rationale: In standardized genogram symbols, a square represents a male and an 'X'
through the shape indicates that the individual is deceased . A circle represents a
female; a triangle represents pregnancy or miscarriage. Genograms provide a visual map
of at least three generations of family history, helping nurses identify patterns of illness
and hereditary risks within the family lineage.
