NR 222 Exam 4 V1 | NR 222 Foundation of
Nursing Process | Actual Q&A with
Rationale (NR222 Exam 4) | Chamberlain
1. A nurse is planning a health fair at a local community center that focuses on blood pressure
screenings and cholesterol checks. Which level of prevention is the nurse implementing?
A. Primary prevention
B. Rehabilitative prevention
C. Tertiary prevention
D. Secondary prevention
Correct Answer: D
Secondary prevention focuses on early detection and screening to identify health
problems in an early stage. Blood pressure and cholesterol screenings are classic examples
of this level because they allow for early intervention. These activities do not prevent the
disease itself but aim to reduce its impact through prompt treatment.
2. According to the Transtheoretical Model of Change, a client who states, ‘I have been
thinking about starting a walking program in the next month,’ is in which stage?
A. Precontemplation
B. Action
C. Preparation
,D. Contemplation
Correct Answer: D
The contemplation stage is characterized by the individual intending to take action in the
next six months. The client is aware that a problem exists but has not yet committed to a
specific plan. This stage involves weighing the pros and cons of changing health behaviors.
3. When a nurse teaches a patient how to self-administer insulin injections by having the
patient demonstrate the technique, which domain of learning is being utilized?
A. Cognitive
B. Affective
C. Psychosocial
D. Psychomotor
Correct Answer: D
The psychomotor domain involves the integration of mental and muscular activity, such as
performing a physical task or procedure. Demonstrating a skill like insulin injection is a
hallmark of this learning domain. It requires the patient to physically execute the
movements taught by the nurse.
4. Which of the following describes the ‘Cultural Desire’ component of Campinha-Bacote’s
model of cultural competence?
A. The ability to collect culturally relevant data.
, B. The process of seeking and obtaining educational base about diverse groups.
C. The motivation to ‘want to’ engage in the process of becoming culturally competent.
D. The self-examination of one’s own background.
Correct Answer: C
Cultural desire is the intrinsic motivation of the healthcare professional to engage in the
process of becoming culturally aware and skillful. It moves the professional to go beyond
just ‘having to’ follow rules to genuinely wanting to understand others. This component is
essential for building authentic therapeutic relationships with diverse populations.
5. A nurse is providing primary prevention to a group of adolescents. Which activity should
the nurse include?
A. Referring a patient to a physical therapy program after a stroke.
B. Conducting scoliosis screenings at a middle school.
C. Teaching a diabetic patient how to manage blood glucose.
D. Providing education on the importance of wearing seatbelts and helmets.
Correct Answer: D
Primary prevention aims to prevent injury or disease before it ever occurs. Education
regarding safety equipment like seatbelts and helmets is a proactive measure to protect
individuals. This differs from secondary prevention, which involves screening, and tertiary
prevention, which involves rehabilitation.
Nursing Process | Actual Q&A with
Rationale (NR222 Exam 4) | Chamberlain
1. A nurse is planning a health fair at a local community center that focuses on blood pressure
screenings and cholesterol checks. Which level of prevention is the nurse implementing?
A. Primary prevention
B. Rehabilitative prevention
C. Tertiary prevention
D. Secondary prevention
Correct Answer: D
Secondary prevention focuses on early detection and screening to identify health
problems in an early stage. Blood pressure and cholesterol screenings are classic examples
of this level because they allow for early intervention. These activities do not prevent the
disease itself but aim to reduce its impact through prompt treatment.
2. According to the Transtheoretical Model of Change, a client who states, ‘I have been
thinking about starting a walking program in the next month,’ is in which stage?
A. Precontemplation
B. Action
C. Preparation
,D. Contemplation
Correct Answer: D
The contemplation stage is characterized by the individual intending to take action in the
next six months. The client is aware that a problem exists but has not yet committed to a
specific plan. This stage involves weighing the pros and cons of changing health behaviors.
3. When a nurse teaches a patient how to self-administer insulin injections by having the
patient demonstrate the technique, which domain of learning is being utilized?
A. Cognitive
B. Affective
C. Psychosocial
D. Psychomotor
Correct Answer: D
The psychomotor domain involves the integration of mental and muscular activity, such as
performing a physical task or procedure. Demonstrating a skill like insulin injection is a
hallmark of this learning domain. It requires the patient to physically execute the
movements taught by the nurse.
4. Which of the following describes the ‘Cultural Desire’ component of Campinha-Bacote’s
model of cultural competence?
A. The ability to collect culturally relevant data.
, B. The process of seeking and obtaining educational base about diverse groups.
C. The motivation to ‘want to’ engage in the process of becoming culturally competent.
D. The self-examination of one’s own background.
Correct Answer: C
Cultural desire is the intrinsic motivation of the healthcare professional to engage in the
process of becoming culturally aware and skillful. It moves the professional to go beyond
just ‘having to’ follow rules to genuinely wanting to understand others. This component is
essential for building authentic therapeutic relationships with diverse populations.
5. A nurse is providing primary prevention to a group of adolescents. Which activity should
the nurse include?
A. Referring a patient to a physical therapy program after a stroke.
B. Conducting scoliosis screenings at a middle school.
C. Teaching a diabetic patient how to manage blood glucose.
D. Providing education on the importance of wearing seatbelts and helmets.
Correct Answer: D
Primary prevention aims to prevent injury or disease before it ever occurs. Education
regarding safety equipment like seatbelts and helmets is a proactive measure to protect
individuals. This differs from secondary prevention, which involves screening, and tertiary
prevention, which involves rehabilitation.
