NR 222: Final Exam — Version 1 | Health and Wellness 2026
|Chamberlain
1. A nurse is conducting a blood pressure screening at a local senior center. This
is an example of which level of prevention?
A. Primary Prevention
B. Tertiary Prevention
C. Secondary Prevention
D. Quaternary Prevention
Answer: C
Rationale: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages.
2. Which model of health views health as the absence of signs and symptoms of
disease?
A. Clinical Model
B. Role Performance Model
C. Adaptive Model
D. Eudaimonistic Model
Answer: A
Rationale: The Clinical Model defines health as the absence of illness or signs and
symptoms of disease.
,3. A patient states, “I have been thinking about starting a walking program, but I
am not sure I have the time.” Which stage of the Transtheoretical Model is this?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Answer: B
Rationale: In the contemplation stage, the individual is aware of the problem and
considering change but has not yet committed to taking action.
4. Which of the following is an example of a social determinant of health?
A. Access to safe housing
B. Physical activity level
C. Genetic predisposition
D. Personal age
Answer: A
Rationale: Social determinants of health are environmental conditions where people are
born, live, and work, such as housing, education, and income.
5. The nurse is teaching a patient how to self-administer insulin. This activity
targets which domain of learning?
A. Cognitive
B. Affective
C. Intrapersonal
D. Psychomotor
Answer: D
Rationale: The psychomotor domain involves physical movement, coordination, and use of
motor-skill areas.
, 6. According to Erikson, what is the primary developmental task of the middle-
aged adult?
A. Intimacy vs. Isolation
B. Generativity vs. Stagnation
C. Integrity vs. Despair
D. Identity vs. Role Confusion
Answer: B
Rationale: Middle adulthood (ages 40-65) focuses on generativity, which is the desire to
guide the next generation.
7. Which nursing action best demonstrates the principle of beneficence?
A. Providing pain medication to a patient in distress.
B. Protecting the patient’s privacy and confidentiality.
C. Obtaining informed consent before a procedure.
D. Reporting a medication error immediately.
Answer: A
Rationale: Beneficence involves taking positive actions to help others and doing good for
the patient.
8. A nurse uses the ‘Teach-Back’ method to evaluate a patient’s understanding.
Which phase of the nursing process does this represent?
A. Evaluation
B. Planning
C. Implementation
D. Assessment
Answer: A
Rationale: Evaluation involves determining whether the patient has met the learning
objectives or goals.
|Chamberlain
1. A nurse is conducting a blood pressure screening at a local senior center. This
is an example of which level of prevention?
A. Primary Prevention
B. Tertiary Prevention
C. Secondary Prevention
D. Quaternary Prevention
Answer: C
Rationale: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages.
2. Which model of health views health as the absence of signs and symptoms of
disease?
A. Clinical Model
B. Role Performance Model
C. Adaptive Model
D. Eudaimonistic Model
Answer: A
Rationale: The Clinical Model defines health as the absence of illness or signs and
symptoms of disease.
,3. A patient states, “I have been thinking about starting a walking program, but I
am not sure I have the time.” Which stage of the Transtheoretical Model is this?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Answer: B
Rationale: In the contemplation stage, the individual is aware of the problem and
considering change but has not yet committed to taking action.
4. Which of the following is an example of a social determinant of health?
A. Access to safe housing
B. Physical activity level
C. Genetic predisposition
D. Personal age
Answer: A
Rationale: Social determinants of health are environmental conditions where people are
born, live, and work, such as housing, education, and income.
5. The nurse is teaching a patient how to self-administer insulin. This activity
targets which domain of learning?
A. Cognitive
B. Affective
C. Intrapersonal
D. Psychomotor
Answer: D
Rationale: The psychomotor domain involves physical movement, coordination, and use of
motor-skill areas.
, 6. According to Erikson, what is the primary developmental task of the middle-
aged adult?
A. Intimacy vs. Isolation
B. Generativity vs. Stagnation
C. Integrity vs. Despair
D. Identity vs. Role Confusion
Answer: B
Rationale: Middle adulthood (ages 40-65) focuses on generativity, which is the desire to
guide the next generation.
7. Which nursing action best demonstrates the principle of beneficence?
A. Providing pain medication to a patient in distress.
B. Protecting the patient’s privacy and confidentiality.
C. Obtaining informed consent before a procedure.
D. Reporting a medication error immediately.
Answer: A
Rationale: Beneficence involves taking positive actions to help others and doing good for
the patient.
8. A nurse uses the ‘Teach-Back’ method to evaluate a patient’s understanding.
Which phase of the nursing process does this represent?
A. Evaluation
B. Planning
C. Implementation
D. Assessment
Answer: A
Rationale: Evaluation involves determining whether the patient has met the learning
objectives or goals.
