NR222 Health and Wellness Exam 2 - Chamberlain
University 2026/2027 | Grade A Questions & 100%
Correct Verified Solutions
DOMAIN 1 – Foundational Models & Theoretical Frameworks (15 Q)
Q1. During a wellness visit a client with obesity and pre-diabetes states, “I know I need
to lose weight, but cooking healthy is so time-consuming after work.” Using Pender’s
Health Promotion Model the nurse identifies the client’s statement is primarily
describing a:
A. Perceived barrier to action
B. Interpersonal influence
C. Perceived self-efficacy
D. Activity-related affect
Correct Answer: A
Rationale: Perceived barriers are obstacles the client sees to performing a behavior
(time, cost, inconvenience). Interpersonal influence (B) involves others’ attitudes;
self-efficacy (C) is confidence in ability; activity-related affect (D) is emotional response
to the activity itself.
Q2. A client who has smoked one pack per day for 20 years says, “I’m thinking about
quitting in the next 6 months.” According to the Transtheoretical Model the client is in
which stage?
,A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Correct Answer: B
Rationale: Contemplation = seriously thinking about change within 6 months but no firm
commitment. Preparation (C) = intent within 30 days and some steps; Action (D) =
actively quitting.
Q3. A nurse is applying Maslow’s Hierarchy to prioritize care for a homeless veteran
with PTSD and poorly controlled diabetes. Which need should the nurse address first?
A. Encourage daily blood-glucose monitoring
B. Facilitate referral to a shelter and meal program
C. Teach stress-management techniques
D. Explore long-term life goals
Correct Answer: B
Rationale: Maslow’s basic physiological and safety needs (food, shelter, security) must
be met before higher-level needs such as health management (A), psychosocial growth
(C), or self-actualization (D).
Q4. A community offers free influenza vaccinations at a local church. This program
represents which level of prevention?
, A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Correct Answer: A
Rationale: Primary prevention prevents disease before it occurs (immunization).
Secondary = screening; Tertiary = rehab; Quaternary = avoiding excessive interventions.
Q5. A client with hypertension who checks BP daily and takes medication states, “I feel
good when I manage my health.” This statement reflects which concept of Pender’s
model?
A. Perceived benefit of action
B. Perceived barrier
C. Interpersonal influence
D. Competing demand
Correct Answer: A
Rationale: Perceived benefit = positive outcomes expected from behavior (feeling
good). Barriers (B) are obstacles; interpersonal influence (C) is social support;
competing demands (D) are alternative behaviors.
Q6. A nurse explains that wellness is different from health. Which client statement best
illustrates wellness?
University 2026/2027 | Grade A Questions & 100%
Correct Verified Solutions
DOMAIN 1 – Foundational Models & Theoretical Frameworks (15 Q)
Q1. During a wellness visit a client with obesity and pre-diabetes states, “I know I need
to lose weight, but cooking healthy is so time-consuming after work.” Using Pender’s
Health Promotion Model the nurse identifies the client’s statement is primarily
describing a:
A. Perceived barrier to action
B. Interpersonal influence
C. Perceived self-efficacy
D. Activity-related affect
Correct Answer: A
Rationale: Perceived barriers are obstacles the client sees to performing a behavior
(time, cost, inconvenience). Interpersonal influence (B) involves others’ attitudes;
self-efficacy (C) is confidence in ability; activity-related affect (D) is emotional response
to the activity itself.
Q2. A client who has smoked one pack per day for 20 years says, “I’m thinking about
quitting in the next 6 months.” According to the Transtheoretical Model the client is in
which stage?
,A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Correct Answer: B
Rationale: Contemplation = seriously thinking about change within 6 months but no firm
commitment. Preparation (C) = intent within 30 days and some steps; Action (D) =
actively quitting.
Q3. A nurse is applying Maslow’s Hierarchy to prioritize care for a homeless veteran
with PTSD and poorly controlled diabetes. Which need should the nurse address first?
A. Encourage daily blood-glucose monitoring
B. Facilitate referral to a shelter and meal program
C. Teach stress-management techniques
D. Explore long-term life goals
Correct Answer: B
Rationale: Maslow’s basic physiological and safety needs (food, shelter, security) must
be met before higher-level needs such as health management (A), psychosocial growth
(C), or self-actualization (D).
Q4. A community offers free influenza vaccinations at a local church. This program
represents which level of prevention?
, A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Correct Answer: A
Rationale: Primary prevention prevents disease before it occurs (immunization).
Secondary = screening; Tertiary = rehab; Quaternary = avoiding excessive interventions.
Q5. A client with hypertension who checks BP daily and takes medication states, “I feel
good when I manage my health.” This statement reflects which concept of Pender’s
model?
A. Perceived benefit of action
B. Perceived barrier
C. Interpersonal influence
D. Competing demand
Correct Answer: A
Rationale: Perceived benefit = positive outcomes expected from behavior (feeling
good). Barriers (B) are obstacles; interpersonal influence (C) is social support;
competing demands (D) are alternative behaviors.
Q6. A nurse explains that wellness is different from health. Which client statement best
illustrates wellness?
