180
HERZING UNI VERSI TY
NSG 526
· 2026
Exam 1
FA M I L Y N U R S I N G
A comprehensive 180-question multiple-choice
exam with verified answers and rationales. Covers
family theory foundations, assessment, structure,
life-cycle development, stress & coping, the family
nursing process, and family health promotion.
Family Theory Family Assessment Family Structure Life Cycle
Stress & Coping Nursing Process Health Promotion
H E R Z I N G U N I VE R S I T Y · N S G 5 2 6 A+ G U AR AN TE E
,NSG 526 · Exam 1 · Family Nursing Herzing University · 2026
NSG 526 — Exam 1
Herzing University · Family Nursing · 2026
Mixed (foundational →
180 Multiple-Choice A–D options; inline answer + rationale
board-prep)
Family theory, assessment,
structure, life cycle, stress &
A+ Guarantee 180 minutes
coping, nursing process, health
promotion
Instructions. This exam consists of 180 multiple-choice questions covering Family Nursing theory, assessment,
structure, life-cycle development, stress & coping, family nursing process, and family health promotion. Each
question is followed by four options labeled A–D. Select the single best answer. The correct answer and a
rationale appear immediately after each question. Review the rationale carefully — it explains not only the correct
option but also why the distractors are incorrect, supporting both exam preparation and clinical reasoning.
How to use this exam. Questions are arranged in continuous flow without sections, simulating an actual exam
booklet. Read each stem carefully, note the topic tag in italics above each question for targeted review, and verify
your reasoning against the rationale. Topics are interleaved to mirror real exam conditions where questions span
multiple content areas within one test.
Family Theory Foundations
1. Which family nursing theorist is best known for the Family Systems Theory
emphasizing differentiation of self, triangular relationships, and
multigenerational transmission processes?
A. Murray Bowen
B. Wright & Leahey (Calgary)
C. Marilyn Friedman
D. Reuben Hill
Answer: A — Murray Bowen
Rationale.
Murray Bowen developed Family Systems Theory, which centers on
differentiation of self, emotional triangles, and multigenerational transmission
of emotional patterns. Wright & Leahey developed the Calgary Family
Assessment Model, Friedman developed a structural-functional model, and Hill
created the ABCX family stress model.
NSG 526 — Herzing Family Nursing Page 2
,NSG 526 · Exam 1 · Family Nursing Herzing University · 2026
Family Theory Foundations
2. A nurse is applying the Calgary Family Assessment Model (CFAM). Which
three major categories does this model assess?
A. Structural, Developmental, Functional
B. Cognitive, Behavioral, Affective
C. Physiological, Psychological, Spiritual
D. Internal, External, Relational
Answer: A — Structural, Developmental, Functional
Rationale.
The Calgary Family Assessment Model (Wright & Leahey) organizes
assessment into three categories: Structural (who is in the family and how
they are connected), Developmental (family life-cycle stage and tasks), and
Functional (how family members behave toward one another).
Family Theory Foundations
3. Which theoretical perspective views the family as a social system with
interdependent members where a change in one member affects all others?
A. Family Systems Theory
B. Health Belief Model
C. Social Cognitive Theory
D. Transtheoretical Model
Answer: A — Family Systems Theory
Rationale.
Family Systems Theory, rooted in general systems theory, holds that the family
is an interconnected whole — a change in any part (member, role, relationship)
reverberates through the entire system. The other models focus on individual
health behavior change, not the family as a unit.
Family Theory Foundations
4. In Friedman's Structural-Functional Family Theory, the family is primarily
conceptualized as:
A. A small social system performing functions for society and its members
B. A biological organism adapting to environmental stressors
C. A linear sequence of developmental milestones
D. A set of dyadic relationships between two parents
Answer: A — A small social system performing functions for society and its
members
Rationale.
NSG 526 — Herzing Family Nursing Page 3
, NSG 526 · Exam 1 · Family Nursing Herzing University · 2026
Marilyn Friedman's structural-functional framework views the family as a small
social system that fulfills essential societal functions (socialization, affection,
economic, reproductive, health care) and responds to internal and external
demands. The model integrates structure (roles, hierarchy, subsystems) with
function.
NSG 526 — Herzing Family Nursing Page 4
HERZING UNI VERSI TY
NSG 526
· 2026
Exam 1
FA M I L Y N U R S I N G
A comprehensive 180-question multiple-choice
exam with verified answers and rationales. Covers
family theory foundations, assessment, structure,
life-cycle development, stress & coping, the family
nursing process, and family health promotion.
Family Theory Family Assessment Family Structure Life Cycle
Stress & Coping Nursing Process Health Promotion
H E R Z I N G U N I VE R S I T Y · N S G 5 2 6 A+ G U AR AN TE E
,NSG 526 · Exam 1 · Family Nursing Herzing University · 2026
NSG 526 — Exam 1
Herzing University · Family Nursing · 2026
Mixed (foundational →
180 Multiple-Choice A–D options; inline answer + rationale
board-prep)
Family theory, assessment,
structure, life cycle, stress &
A+ Guarantee 180 minutes
coping, nursing process, health
promotion
Instructions. This exam consists of 180 multiple-choice questions covering Family Nursing theory, assessment,
structure, life-cycle development, stress & coping, family nursing process, and family health promotion. Each
question is followed by four options labeled A–D. Select the single best answer. The correct answer and a
rationale appear immediately after each question. Review the rationale carefully — it explains not only the correct
option but also why the distractors are incorrect, supporting both exam preparation and clinical reasoning.
How to use this exam. Questions are arranged in continuous flow without sections, simulating an actual exam
booklet. Read each stem carefully, note the topic tag in italics above each question for targeted review, and verify
your reasoning against the rationale. Topics are interleaved to mirror real exam conditions where questions span
multiple content areas within one test.
Family Theory Foundations
1. Which family nursing theorist is best known for the Family Systems Theory
emphasizing differentiation of self, triangular relationships, and
multigenerational transmission processes?
A. Murray Bowen
B. Wright & Leahey (Calgary)
C. Marilyn Friedman
D. Reuben Hill
Answer: A — Murray Bowen
Rationale.
Murray Bowen developed Family Systems Theory, which centers on
differentiation of self, emotional triangles, and multigenerational transmission
of emotional patterns. Wright & Leahey developed the Calgary Family
Assessment Model, Friedman developed a structural-functional model, and Hill
created the ABCX family stress model.
NSG 526 — Herzing Family Nursing Page 2
,NSG 526 · Exam 1 · Family Nursing Herzing University · 2026
Family Theory Foundations
2. A nurse is applying the Calgary Family Assessment Model (CFAM). Which
three major categories does this model assess?
A. Structural, Developmental, Functional
B. Cognitive, Behavioral, Affective
C. Physiological, Psychological, Spiritual
D. Internal, External, Relational
Answer: A — Structural, Developmental, Functional
Rationale.
The Calgary Family Assessment Model (Wright & Leahey) organizes
assessment into three categories: Structural (who is in the family and how
they are connected), Developmental (family life-cycle stage and tasks), and
Functional (how family members behave toward one another).
Family Theory Foundations
3. Which theoretical perspective views the family as a social system with
interdependent members where a change in one member affects all others?
A. Family Systems Theory
B. Health Belief Model
C. Social Cognitive Theory
D. Transtheoretical Model
Answer: A — Family Systems Theory
Rationale.
Family Systems Theory, rooted in general systems theory, holds that the family
is an interconnected whole — a change in any part (member, role, relationship)
reverberates through the entire system. The other models focus on individual
health behavior change, not the family as a unit.
Family Theory Foundations
4. In Friedman's Structural-Functional Family Theory, the family is primarily
conceptualized as:
A. A small social system performing functions for society and its members
B. A biological organism adapting to environmental stressors
C. A linear sequence of developmental milestones
D. A set of dyadic relationships between two parents
Answer: A — A small social system performing functions for society and its
members
Rationale.
NSG 526 — Herzing Family Nursing Page 3
, NSG 526 · Exam 1 · Family Nursing Herzing University · 2026
Marilyn Friedman's structural-functional framework views the family as a small
social system that fulfills essential societal functions (socialization, affection,
economic, reproductive, health care) and responds to internal and external
demands. The model integrates structure (roles, hierarchy, subsystems) with
function.
NSG 526 — Herzing Family Nursing Page 4
