BSN 325 Exam 2: Population-Based Chronic
Illness and Health Promotion Updated and
Verified Questions and Answers
1. Which of the following is the primary goal of chronic disease self-
management programs?
A. Curing the chronic condition entirely
B. Empowering the patient to increase self-efficacy in managing symptoms
C. Increasing the patient’s dependence on the healthcare team
D. Focusing exclusively on pharmaceutical interventions
Answer: B
Explanation: Self-management programs are designed to help patients develop the
confidence (self-efficacy) and skills needed to manage the daily challenges of living with a
chronic condition.
2. A nurse is identifying social determinants of health in a community. Which
factor should be included?
A. Cellular response to chronic inflammation
B. Individual genetic predispositions to disease
C. The patient’s personal choice of exercise routine
D. Access to safe housing and healthy food options
Answer: D
Explanation: Social determinants of health are the conditions in the environments where
people are born, live, learn, work, and play, such as housing, food security, and
neighborhood safety.
,3. A patient states, ‘I have been thinking about quitting smoking, but I am not
ready to start yet.’ According to the Transtheoretical Model, which stage is this?
A. Contemplation
B. Precontemplation
C. Preparation
D. Action
Answer: A
Explanation: In the contemplation stage, the individual is aware a problem exists and is
seriously thinking about overcoming it but has not yet made a commitment to take action.
4. What is the most effective strategy for a nurse to ensure a patient with low
health literacy understands discharge instructions?
A. Providing a detailed medical brochure with complex diagrams
B. Asking the patient to explain the instructions back in their own words
C. Giving the patient a website link for further reading
D. Speaking loudly and slowly to the patient
Answer: B
Explanation: The ‘Teach-Back’ method is the gold standard for verifying understanding,
especially for patients with low health literacy.
5. Which of the following is an example of primary prevention for chronic
illness?
A. Conducting a colonoscopy for a 50-year-old adult
B. Administering a HPV vaccination to an adolescent
C. Providing physical therapy after a stroke
D. Monitoring blood glucose levels in a diabetic patient
Answer: B
Explanation: Primary prevention aims to prevent the onset of disease through measures
such as immunizations and healthy lifestyle education.
, 6. A community health nurse is conducting a blood pressure screening at a local
senior center. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Primordial prevention
D. Tertiary prevention
Answer: B
Explanation: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages.
7. Which intervention is categorized as tertiary prevention for a patient with
heart failure?
A. Teaching a high school class about heart-healthy diets
B. Enrolling a patient in a cardiac rehabilitation program
C. Checking a patient’s cholesterol levels during an annual physical
D. Encouraging a patient to quit smoking before symptoms appear
Answer: B
Explanation: Tertiary prevention aims to soften the impact of an ongoing illness that has
lasting effects, such as rehabilitation programs.
8. The Health Belief Model suggests that a person’s motivation to change health
behavior is primarily driven by:
A. The influence of their peer group and social media
B. Perceived susceptibility to and severity of a health condition
C. The availability of free healthcare services in the area
D. Their current socioeconomic status and education level
Answer: B
Explanation: The Health Belief Model posits that personal beliefs about a disease
(susceptibility, severity, benefits, and barriers) drive health-related actions.
Illness and Health Promotion Updated and
Verified Questions and Answers
1. Which of the following is the primary goal of chronic disease self-
management programs?
A. Curing the chronic condition entirely
B. Empowering the patient to increase self-efficacy in managing symptoms
C. Increasing the patient’s dependence on the healthcare team
D. Focusing exclusively on pharmaceutical interventions
Answer: B
Explanation: Self-management programs are designed to help patients develop the
confidence (self-efficacy) and skills needed to manage the daily challenges of living with a
chronic condition.
2. A nurse is identifying social determinants of health in a community. Which
factor should be included?
A. Cellular response to chronic inflammation
B. Individual genetic predispositions to disease
C. The patient’s personal choice of exercise routine
D. Access to safe housing and healthy food options
Answer: D
Explanation: Social determinants of health are the conditions in the environments where
people are born, live, learn, work, and play, such as housing, food security, and
neighborhood safety.
,3. A patient states, ‘I have been thinking about quitting smoking, but I am not
ready to start yet.’ According to the Transtheoretical Model, which stage is this?
A. Contemplation
B. Precontemplation
C. Preparation
D. Action
Answer: A
Explanation: In the contemplation stage, the individual is aware a problem exists and is
seriously thinking about overcoming it but has not yet made a commitment to take action.
4. What is the most effective strategy for a nurse to ensure a patient with low
health literacy understands discharge instructions?
A. Providing a detailed medical brochure with complex diagrams
B. Asking the patient to explain the instructions back in their own words
C. Giving the patient a website link for further reading
D. Speaking loudly and slowly to the patient
Answer: B
Explanation: The ‘Teach-Back’ method is the gold standard for verifying understanding,
especially for patients with low health literacy.
5. Which of the following is an example of primary prevention for chronic
illness?
A. Conducting a colonoscopy for a 50-year-old adult
B. Administering a HPV vaccination to an adolescent
C. Providing physical therapy after a stroke
D. Monitoring blood glucose levels in a diabetic patient
Answer: B
Explanation: Primary prevention aims to prevent the onset of disease through measures
such as immunizations and healthy lifestyle education.
, 6. A community health nurse is conducting a blood pressure screening at a local
senior center. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Primordial prevention
D. Tertiary prevention
Answer: B
Explanation: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages.
7. Which intervention is categorized as tertiary prevention for a patient with
heart failure?
A. Teaching a high school class about heart-healthy diets
B. Enrolling a patient in a cardiac rehabilitation program
C. Checking a patient’s cholesterol levels during an annual physical
D. Encouraging a patient to quit smoking before symptoms appear
Answer: B
Explanation: Tertiary prevention aims to soften the impact of an ongoing illness that has
lasting effects, such as rehabilitation programs.
8. The Health Belief Model suggests that a person’s motivation to change health
behavior is primarily driven by:
A. The influence of their peer group and social media
B. Perceived susceptibility to and severity of a health condition
C. The availability of free healthcare services in the area
D. Their current socioeconomic status and education level
Answer: B
Explanation: The Health Belief Model posits that personal beliefs about a disease
(susceptibility, severity, benefits, and barriers) drive health-related actions.
