Chamberlain University – NR222
Health and Wellness – Quiz 2
(2026-2027)
Domain A: Nursing Theory & Health/Wellness Models (Q1–Q8)
Q1:
A home health nurse conducts an assessment focusing on the client’s water supply,
sanitation, sunlight exposure, and ventilation. Which nursing theorist’s work primarily
supports this assessment framework?
A. Hildegard Peplau
B. Florence Nightingale [CORRECT]
C. Sister Callista Roy
D. Madeleine Leininger
Rationale: Florence Nightingale’s Environmental Theory posits that the environment (clean
water, fresh air, sunlight, and drainage) is a major component of health and recovery. The
nurse’s role is to manipulate these environmental factors to support healing. Peplau (A)
focused on the interpersonal relationship. Roy (C) focuses on adaptation. Leininger (D)
focuses on transcultural care.
Q2:
A nurse is caring for a client who reports severe abdominal pain (8/10), is anxious about
losing their job, and is arguing with their spouse on the phone. Using Maslow’s Hierarchy of
Needs, which issue should the nurse address first?
A. The relationship conflict (Love/Belonging)
B. The anxiety about job loss (Safety/Security)
C. The severe abdominal pain (Physiological) [CORRECT]
D. The client’s self-esteem regarding the illness
, Rationale: According to Maslow’s Hierarchy, physiological needs (oxygen, food, pain relief,
elimination) are the priority because they are necessary for survival. Pain management (C)
takes precedence over safety (B), love/belonging (A), or self-esteem needs.
Q3:
A 28-year-old client who smokes states, “I know lung cancer is dangerous, but I don’t think it
will happen to me. I’m young and healthy.” According to the Health Belief Model, this
statement reflects a lack of:
A. Perceived severity
B. Perceived susceptibility [CORRECT]
C. Perceived benefits
D. Perceived barriers
Rationale: Perceived susceptibility refers to an individual’s belief about their personal risk of
acquiring a condition. The client acknowledges the severity of lung cancer (A) but denies
personal vulnerability. Perceived benefits (C) relate to the advantages of taking action.
Perceived barriers (D) are obstacles to taking action.
Q4:
A client with pre-diabetes begins walking 30 minutes daily after learning this can delay or
prevent the onset of Type 2 diabetes. This decision reflects which component of the Health
Belief Model?
A. Perceived barriers
B. Cues to action
C. Perceived susceptibility
D. Perceived benefits [CORRECT]
Rationale: The client believes that the specific action (walking) will provide a positive
outcome (preventing diabetes). This is the definition of perceived benefits—the belief that the
recommended health action will be effective in reducing risk or severity.
Q5:
A client who drinks alcohol daily states, “I don’t have a drinking problem. I just like to relax
after work like everyone else.” According to the Transtheoretical Model (Stages of Change),
this client is in which stage?
Health and Wellness – Quiz 2
(2026-2027)
Domain A: Nursing Theory & Health/Wellness Models (Q1–Q8)
Q1:
A home health nurse conducts an assessment focusing on the client’s water supply,
sanitation, sunlight exposure, and ventilation. Which nursing theorist’s work primarily
supports this assessment framework?
A. Hildegard Peplau
B. Florence Nightingale [CORRECT]
C. Sister Callista Roy
D. Madeleine Leininger
Rationale: Florence Nightingale’s Environmental Theory posits that the environment (clean
water, fresh air, sunlight, and drainage) is a major component of health and recovery. The
nurse’s role is to manipulate these environmental factors to support healing. Peplau (A)
focused on the interpersonal relationship. Roy (C) focuses on adaptation. Leininger (D)
focuses on transcultural care.
Q2:
A nurse is caring for a client who reports severe abdominal pain (8/10), is anxious about
losing their job, and is arguing with their spouse on the phone. Using Maslow’s Hierarchy of
Needs, which issue should the nurse address first?
A. The relationship conflict (Love/Belonging)
B. The anxiety about job loss (Safety/Security)
C. The severe abdominal pain (Physiological) [CORRECT]
D. The client’s self-esteem regarding the illness
, Rationale: According to Maslow’s Hierarchy, physiological needs (oxygen, food, pain relief,
elimination) are the priority because they are necessary for survival. Pain management (C)
takes precedence over safety (B), love/belonging (A), or self-esteem needs.
Q3:
A 28-year-old client who smokes states, “I know lung cancer is dangerous, but I don’t think it
will happen to me. I’m young and healthy.” According to the Health Belief Model, this
statement reflects a lack of:
A. Perceived severity
B. Perceived susceptibility [CORRECT]
C. Perceived benefits
D. Perceived barriers
Rationale: Perceived susceptibility refers to an individual’s belief about their personal risk of
acquiring a condition. The client acknowledges the severity of lung cancer (A) but denies
personal vulnerability. Perceived benefits (C) relate to the advantages of taking action.
Perceived barriers (D) are obstacles to taking action.
Q4:
A client with pre-diabetes begins walking 30 minutes daily after learning this can delay or
prevent the onset of Type 2 diabetes. This decision reflects which component of the Health
Belief Model?
A. Perceived barriers
B. Cues to action
C. Perceived susceptibility
D. Perceived benefits [CORRECT]
Rationale: The client believes that the specific action (walking) will provide a positive
outcome (preventing diabetes). This is the definition of perceived benefits—the belief that the
recommended health action will be effective in reducing risk or severity.
Q5:
A client who drinks alcohol daily states, “I don’t have a drinking problem. I just like to relax
after work like everyone else.” According to the Transtheoretical Model (Stages of Change),
this client is in which stage?
