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NR 222 / NR 222 – HEALTH AND WELLNESS EXAM #3 \
Chamberlain University | 100 Newest Actual Exam
Questions \ Verified Detailed Answers | A Grade
Guaranteed
SECTION 1: HEALTH PROMOTION & NURSING PROCESS (1–20)
Question 1
A nurse is teaching a community group about primary prevention. Which
intervention is an example of primary prevention?
A) Blood pressure screening at a health fair
B) Annual mammogram for women over 40
C) Immunization against influenza
D) Cardiac rehabilitation after myocardial infarction
E) Physical therapy after a stroke
CORRECT ANSWER : C) Immunization against influenza
RATIONALE:
Primary prevention aims to prevent disease or injury BEFORE it occurs.
Immunization (vaccination) is a classic primary prevention strategy because it
prevents the individual from contracting the disease. Blood pressure screening
(option A) and mammograms (option B) are SECONDARY prevention (early
detection). Cardiac rehabilitation (option D) and physical therapy after stroke
(option E) are TERTIARY prevention (rehabilitation and preventing complications).
Question 2
Which level of prevention is the nurse implementing when teaching a patient with
diabetes how to perform daily foot examinations to prevent ulcers?
A) Primary prevention
B) Secondary prevention
pg. 1
,2
C) Tertiary prevention
D) Quaternary prevention
E) Primordial prevention
CORRECT ANSWER : C) Tertiary prevention
RATIONALE:
Tertiary prevention focuses on minimizing complications and disability in patients
with established disease. Teaching a patient with diabetes (existing disease) how
to prevent foot ulcers (a complication) is tertiary prevention. Secondary
prevention would be screening for diabetes. Primary prevention would be
preventing diabetes from developing. Quaternary prevention aims to avoid
overmedicalization.
Question 3
A nurse is assessing a patient using the Health Belief Model. Which factor is a
primary component of this model that influences the likelihood of taking a health
action?
A) Perceived susceptibility and perceived severity of the condition
B) The patient's income level
C) The availability of health insurance
D) The patient's genetic predisposition
E) The number of previous hospitalizations
CORRECT ANSWER : A) Perceived susceptibility and perceived severity of the
condition
RATIONALE:
The Health Belief Model proposes that health behavior is determined by:
perceived SUSCEPTIBILITY (risk of getting the condition), perceived SEVERITY
(seriousness of the condition), perceived BENEFITS of taking action, perceived
BARRIERS to action, cues to action, and self-efficacy. Income, insurance, genetics,
and prior hospitalizations are not direct components of the Health Belief Model.
pg. 2
,3
Question 4
Which statement best describes the concept of health literacy?
A) The ability to read and write at a high school level
B) The degree to which individuals have the capacity to obtain, process, and
understand basic health information to make appropriate health decisions
C) The number of health-related books a person has read
D) The ability to understand medical terminology
E) The level of education a person has completed
CORRECT ANSWER : B) The degree to which individuals have the capacity to
obtain, process, and understand basic health information to make appropriate
health decisions
RATIONALE:
Health literacy, as defined by the CDC and Healthy People 2030, is the ability to
obtain, process, and understand basic health information to make appropriate
health decisions. It is NOT simply reading ability or education level. It
encompasses understanding prescriptions, appointment slips, health education
materials, and informed consent documents.
Question 5
A nurse is caring for a patient who identifies as a Jehovah's Witness and refuses a
life-saving blood transfusion. What is the MOST appropriate nursing action?
A) Administer the blood transfusion against the patient's wishes to save their life
B) Convince the patient's family to override the patient's decision
C) Respect the patient's autonomy and provide alternative treatments within
their belief system
D) Transfer the patient to another facility
E) Obtain a court order to administer the transfusion
CORRECT ANSWER : C) Respect the patient's autonomy and provide
alternative treatments within their belief system
RATIONALE:
Respect for patient AUTONOMY is a fundamental ethical principle. Competent
pg. 3
, 4
adults have the right to refuse any treatment, even life-saving treatment, based
on their religious or personal beliefs. The nurse must respect this decision,
advocate for the patient, and collaborate with the healthcare team to provide
alternative treatments (e.g., blood conservation techniques, volume expanders).
Transferring or seeking a court order overrides patient autonomy.
Question 6
Which of the following is a modifiable risk factor for cardiovascular disease?
A) Age
B) Family history of heart disease
C) Gender
D) Cigarette smoking
E) Ethnicity
CORRECT ANSWER : D) Cigarette smoking
RATIONALE:
Modifiable risk factors are those that can be changed or controlled through
lifestyle modifications: smoking, hypertension, hyperlipidemia, physical inactivity,
obesity, and diabetes. Non-modifiable risk factors include age, gender, family
history, and ethnicity.
Question 7
A community health nurse is conducting a needs assessment. Which method
gathers data directly from community members?
A) Reviewing hospital discharge records
B) Conducting focus groups with residents
C) Analyzing census data
D) Reviewing epidemiological reports
E) Reading published community health statistics
CORRECT ANSWER : B) Conducting focus groups with residents
pg. 4
NR 222 / NR 222 – HEALTH AND WELLNESS EXAM #3 \
Chamberlain University | 100 Newest Actual Exam
Questions \ Verified Detailed Answers | A Grade
Guaranteed
SECTION 1: HEALTH PROMOTION & NURSING PROCESS (1–20)
Question 1
A nurse is teaching a community group about primary prevention. Which
intervention is an example of primary prevention?
A) Blood pressure screening at a health fair
B) Annual mammogram for women over 40
C) Immunization against influenza
D) Cardiac rehabilitation after myocardial infarction
E) Physical therapy after a stroke
CORRECT ANSWER : C) Immunization against influenza
RATIONALE:
Primary prevention aims to prevent disease or injury BEFORE it occurs.
Immunization (vaccination) is a classic primary prevention strategy because it
prevents the individual from contracting the disease. Blood pressure screening
(option A) and mammograms (option B) are SECONDARY prevention (early
detection). Cardiac rehabilitation (option D) and physical therapy after stroke
(option E) are TERTIARY prevention (rehabilitation and preventing complications).
Question 2
Which level of prevention is the nurse implementing when teaching a patient with
diabetes how to perform daily foot examinations to prevent ulcers?
A) Primary prevention
B) Secondary prevention
pg. 1
,2
C) Tertiary prevention
D) Quaternary prevention
E) Primordial prevention
CORRECT ANSWER : C) Tertiary prevention
RATIONALE:
Tertiary prevention focuses on minimizing complications and disability in patients
with established disease. Teaching a patient with diabetes (existing disease) how
to prevent foot ulcers (a complication) is tertiary prevention. Secondary
prevention would be screening for diabetes. Primary prevention would be
preventing diabetes from developing. Quaternary prevention aims to avoid
overmedicalization.
Question 3
A nurse is assessing a patient using the Health Belief Model. Which factor is a
primary component of this model that influences the likelihood of taking a health
action?
A) Perceived susceptibility and perceived severity of the condition
B) The patient's income level
C) The availability of health insurance
D) The patient's genetic predisposition
E) The number of previous hospitalizations
CORRECT ANSWER : A) Perceived susceptibility and perceived severity of the
condition
RATIONALE:
The Health Belief Model proposes that health behavior is determined by:
perceived SUSCEPTIBILITY (risk of getting the condition), perceived SEVERITY
(seriousness of the condition), perceived BENEFITS of taking action, perceived
BARRIERS to action, cues to action, and self-efficacy. Income, insurance, genetics,
and prior hospitalizations are not direct components of the Health Belief Model.
pg. 2
,3
Question 4
Which statement best describes the concept of health literacy?
A) The ability to read and write at a high school level
B) The degree to which individuals have the capacity to obtain, process, and
understand basic health information to make appropriate health decisions
C) The number of health-related books a person has read
D) The ability to understand medical terminology
E) The level of education a person has completed
CORRECT ANSWER : B) The degree to which individuals have the capacity to
obtain, process, and understand basic health information to make appropriate
health decisions
RATIONALE:
Health literacy, as defined by the CDC and Healthy People 2030, is the ability to
obtain, process, and understand basic health information to make appropriate
health decisions. It is NOT simply reading ability or education level. It
encompasses understanding prescriptions, appointment slips, health education
materials, and informed consent documents.
Question 5
A nurse is caring for a patient who identifies as a Jehovah's Witness and refuses a
life-saving blood transfusion. What is the MOST appropriate nursing action?
A) Administer the blood transfusion against the patient's wishes to save their life
B) Convince the patient's family to override the patient's decision
C) Respect the patient's autonomy and provide alternative treatments within
their belief system
D) Transfer the patient to another facility
E) Obtain a court order to administer the transfusion
CORRECT ANSWER : C) Respect the patient's autonomy and provide
alternative treatments within their belief system
RATIONALE:
Respect for patient AUTONOMY is a fundamental ethical principle. Competent
pg. 3
, 4
adults have the right to refuse any treatment, even life-saving treatment, based
on their religious or personal beliefs. The nurse must respect this decision,
advocate for the patient, and collaborate with the healthcare team to provide
alternative treatments (e.g., blood conservation techniques, volume expanders).
Transferring or seeking a court order overrides patient autonomy.
Question 6
Which of the following is a modifiable risk factor for cardiovascular disease?
A) Age
B) Family history of heart disease
C) Gender
D) Cigarette smoking
E) Ethnicity
CORRECT ANSWER : D) Cigarette smoking
RATIONALE:
Modifiable risk factors are those that can be changed or controlled through
lifestyle modifications: smoking, hypertension, hyperlipidemia, physical inactivity,
obesity, and diabetes. Non-modifiable risk factors include age, gender, family
history, and ethnicity.
Question 7
A community health nurse is conducting a needs assessment. Which method
gathers data directly from community members?
A) Reviewing hospital discharge records
B) Conducting focus groups with residents
C) Analyzing census data
D) Reviewing epidemiological reports
E) Reading published community health statistics
CORRECT ANSWER : B) Conducting focus groups with residents
pg. 4
