NR222 HEALTH WELLNESS COMPREHENSIVE EXAM
UPDATED QUESTIONS AND ANSWERS SURE A+
✔✔When taking care of patients, the nurse routinely asks them if they take any vitamins
or herbal medications, encourages family members to bring in music that the patient
likes to help the patient relax, and frequently prays with her patients if that is important
to them. The nurse is practicing which model?
A. Holistic
B. Health belief
C. Transtheoretical
D. Health promotion - ✔✔A. Holistic
The nurse is using a holistic model of care that considers emotional and spiritual well-
being and other dimensions of an individual to be important aspects of physical
wellness. The holistic health model of nursing attempts to create conditions that
promote optimal health. Nurses using the holistic nursing model recognize the natural
healing abilities of the body and incorporate complementary and alternative
interventions such as music therapy, reminiscence, relaxation therapy, therapeutic
touch, and guided imagery because they are effective, economical, noninvasive,
nonpharmacological complements to traditional medical care.
✔✔When illness occurs, different attitudes about it cause people to react in different
ways. What do medical sociologists call this reaction to illness?
A. Health belief
B. Illness behavior
C. Health promotion
D. Illness prevention - ✔✔B. Illness behavior
Illness behavior involves how people monitor their bodies, define and interpret their
symptoms, take remedial actions, and use the resources in the health care system.
Personal history, social situations, social norms, and past experiences can affect illness
behavior.
✔✔A patient at the community clinic asks the nurse about health promotion activities
that she can do because she is concerned about getting diabetes mellitus since her
grandfather and father both have the disease. This statement reflects that the patient is
in what stage of the health belief model?
A. Perceived threat of the disease
B. Likelihood of taking preventive health action
C. Analysis of perceived benefits of preventive action
D. Perceived susceptibility to the disease. - ✔✔D. Perceived susceptibility to the
disease.
,The health belief model addresses the relationship between a person's beliefs and
behaviors. It provides a way of understanding and predicting how patients will behave in
relation to their health and how they will comply with health care therapies. In the
perceived susceptibility to the disease phase, the patient recognizes the familial link to
the disease.
✔✔A nurse works in a special care unit for children with severe immunology problems
and is caring for a 3-year-old boy from Greece. The boy's father is with him while his
mother and sister are back in Greece. The nurse is having difficulty communicating with
the father. What action does the nurse take?
A. Care for the boy as she would any other patient
B. Ask the manager to talk with the father and keep him out of the unit
C. Have another nurse care for the boy because maybe that nurse will do better with
the father
D. Search for help with interpretation and understanding of the cultural differences by
contacting someone from the local Greek community - ✔✔D. Search for help with
interpretation and understanding of the cultural differences by contacting someone from
the local Greek community
The nurse needs to understand how the Greek culture impacts the father's health
beliefs and communication with health care providers. Cultural variables must be
incorporated into the child's plan of care. Cultural background influences beliefs, values,
and customs. It influences the approach to the health care system, personal health
practices, and the nurse-patient relationship. Cultural background may also influence an
individual's beliefs about causes of illness and remedies or practices to restore health. If
nurses are not aware of their own and other cultural patterns of behavior and language,
they may not be able to recognize and understand a patient's behavior and beliefs and
may have difficulty interacting with the patient.
✔✔A patient with a 20-year history of diabetes mellitus had a lower leg amputation.
Which statement made by the patient indicates that he is experiencing a problem with
body image?
A. "I just don't have any energy to get out of bed in the morning."
B. "I've been attending church regularly with my wife since I got out of the hospital."
C. " My wife has taken over paying the bills since I've been in the hospital."
D. "I don't go out very much because everyone stares at me." - ✔✔D. "I don't go out
very much because everyone stares at me."
The amputation resulted in a change in physical appearance that caused a change in
body image. Reactions of patients and families to changes in body image depend on
the type of changes (e.g., loss of a limb or an organ), their adaptive capacity, the rate at
which changes take place, and the support services available. When a change in body
image such as results from a leg amputation occurs, the patient generally adjusts in the
, following phases: shock, withdrawal, acknowledgment, acceptance, and rehabilitation.
The patient's statement indicates he is in the stage of withdrawal.
✔✔The patient states she joined a fitness club and attends the aerobics class three
nights a week. The patient is in what stage of behavioral change?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action - ✔✔D. Action
The patient is in the action stage of behavioral change. In this stage the patient is
actively engaged in strategies to change behavior. This stage may last up to 6 months.
✔✔The nurse is developing a health promotion program on healthy eating and exercise
for high school students using the health belief model as a framework. Which statement
made by a nursing student is related to the individual's perception of susceptibility to an
illness?
A. "I don't have time to exercise because I have to work after school every night."
B. "I'm worried about becoming overweight and getting diabetes because my father has
diabetes."
C. "The statistics of how many teenagers are overweight is scary."
D. "I've decided to start a walking club at school for interested students." - ✔✔B. "I'm
worried about becoming overweight and getting diabetes because my father has
diabetes."
The statement indicates that the patient is concerned about developing diabetes and
believes that there is a risk or susceptibility based on recognition of a familial link for the
disease. Once this link is recognized, the patient may perceive the personal risk for
diabetes.
✔✔The nurse assesses the following risk factors for coronary artery disease (CAD) in a
male patient. Which factors are classified as genetic and physiological? (Select all that
apply.)
A. Sedentary lifestyle
B. Father died from CAD at age 50
C. History of hypertension
D. Eats diet high in sodium
E. Elevated cholesterol level
F. Age is 44 years - ✔✔B. Father died from CAD at age 50
C. History of hypertension
E. Elevated cholesterol level
UPDATED QUESTIONS AND ANSWERS SURE A+
✔✔When taking care of patients, the nurse routinely asks them if they take any vitamins
or herbal medications, encourages family members to bring in music that the patient
likes to help the patient relax, and frequently prays with her patients if that is important
to them. The nurse is practicing which model?
A. Holistic
B. Health belief
C. Transtheoretical
D. Health promotion - ✔✔A. Holistic
The nurse is using a holistic model of care that considers emotional and spiritual well-
being and other dimensions of an individual to be important aspects of physical
wellness. The holistic health model of nursing attempts to create conditions that
promote optimal health. Nurses using the holistic nursing model recognize the natural
healing abilities of the body and incorporate complementary and alternative
interventions such as music therapy, reminiscence, relaxation therapy, therapeutic
touch, and guided imagery because they are effective, economical, noninvasive,
nonpharmacological complements to traditional medical care.
✔✔When illness occurs, different attitudes about it cause people to react in different
ways. What do medical sociologists call this reaction to illness?
A. Health belief
B. Illness behavior
C. Health promotion
D. Illness prevention - ✔✔B. Illness behavior
Illness behavior involves how people monitor their bodies, define and interpret their
symptoms, take remedial actions, and use the resources in the health care system.
Personal history, social situations, social norms, and past experiences can affect illness
behavior.
✔✔A patient at the community clinic asks the nurse about health promotion activities
that she can do because she is concerned about getting diabetes mellitus since her
grandfather and father both have the disease. This statement reflects that the patient is
in what stage of the health belief model?
A. Perceived threat of the disease
B. Likelihood of taking preventive health action
C. Analysis of perceived benefits of preventive action
D. Perceived susceptibility to the disease. - ✔✔D. Perceived susceptibility to the
disease.
,The health belief model addresses the relationship between a person's beliefs and
behaviors. It provides a way of understanding and predicting how patients will behave in
relation to their health and how they will comply with health care therapies. In the
perceived susceptibility to the disease phase, the patient recognizes the familial link to
the disease.
✔✔A nurse works in a special care unit for children with severe immunology problems
and is caring for a 3-year-old boy from Greece. The boy's father is with him while his
mother and sister are back in Greece. The nurse is having difficulty communicating with
the father. What action does the nurse take?
A. Care for the boy as she would any other patient
B. Ask the manager to talk with the father and keep him out of the unit
C. Have another nurse care for the boy because maybe that nurse will do better with
the father
D. Search for help with interpretation and understanding of the cultural differences by
contacting someone from the local Greek community - ✔✔D. Search for help with
interpretation and understanding of the cultural differences by contacting someone from
the local Greek community
The nurse needs to understand how the Greek culture impacts the father's health
beliefs and communication with health care providers. Cultural variables must be
incorporated into the child's plan of care. Cultural background influences beliefs, values,
and customs. It influences the approach to the health care system, personal health
practices, and the nurse-patient relationship. Cultural background may also influence an
individual's beliefs about causes of illness and remedies or practices to restore health. If
nurses are not aware of their own and other cultural patterns of behavior and language,
they may not be able to recognize and understand a patient's behavior and beliefs and
may have difficulty interacting with the patient.
✔✔A patient with a 20-year history of diabetes mellitus had a lower leg amputation.
Which statement made by the patient indicates that he is experiencing a problem with
body image?
A. "I just don't have any energy to get out of bed in the morning."
B. "I've been attending church regularly with my wife since I got out of the hospital."
C. " My wife has taken over paying the bills since I've been in the hospital."
D. "I don't go out very much because everyone stares at me." - ✔✔D. "I don't go out
very much because everyone stares at me."
The amputation resulted in a change in physical appearance that caused a change in
body image. Reactions of patients and families to changes in body image depend on
the type of changes (e.g., loss of a limb or an organ), their adaptive capacity, the rate at
which changes take place, and the support services available. When a change in body
image such as results from a leg amputation occurs, the patient generally adjusts in the
, following phases: shock, withdrawal, acknowledgment, acceptance, and rehabilitation.
The patient's statement indicates he is in the stage of withdrawal.
✔✔The patient states she joined a fitness club and attends the aerobics class three
nights a week. The patient is in what stage of behavioral change?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action - ✔✔D. Action
The patient is in the action stage of behavioral change. In this stage the patient is
actively engaged in strategies to change behavior. This stage may last up to 6 months.
✔✔The nurse is developing a health promotion program on healthy eating and exercise
for high school students using the health belief model as a framework. Which statement
made by a nursing student is related to the individual's perception of susceptibility to an
illness?
A. "I don't have time to exercise because I have to work after school every night."
B. "I'm worried about becoming overweight and getting diabetes because my father has
diabetes."
C. "The statistics of how many teenagers are overweight is scary."
D. "I've decided to start a walking club at school for interested students." - ✔✔B. "I'm
worried about becoming overweight and getting diabetes because my father has
diabetes."
The statement indicates that the patient is concerned about developing diabetes and
believes that there is a risk or susceptibility based on recognition of a familial link for the
disease. Once this link is recognized, the patient may perceive the personal risk for
diabetes.
✔✔The nurse assesses the following risk factors for coronary artery disease (CAD) in a
male patient. Which factors are classified as genetic and physiological? (Select all that
apply.)
A. Sedentary lifestyle
B. Father died from CAD at age 50
C. History of hypertension
D. Eats diet high in sodium
E. Elevated cholesterol level
F. Age is 44 years - ✔✔B. Father died from CAD at age 50
C. History of hypertension
E. Elevated cholesterol level
