NR 222 Midterm V1 | NR 222 Foundation of
Nursing Process | Actual Q&A with
Rationale (NR222 Midterm) | Chamberlain
1. A nurse is preparing to provide a flu vaccine to a group of healthy adults in a community
clinic. Which level of prevention is being implemented?
A. Secondary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Primary prevention
Answer: D
Rationale: Primary prevention aims to prevent the onset of disease through health
promotion and specific protection. This level of intervention occurs before any pathology is
present in the individual. Immunizations are a hallmark example of primary prevention as
they build immunity against potential pathogens.
2. Which goal is a primary focus of the Healthy People 2030 initiative?
A. Eliminating health disparities and achieving health equity
B. Reducing the cost of elective surgical procedures
C. Increasing hospital bed capacity for emergency situations
D. Focusing solely on tertiary care for chronic conditions
,Answer: A
Rationale: Healthy People 2030 focuses on high-level goals to improve the health and well-
being of the population over the next decade. One of its central pillars is the elimination of
health disparities among different demographic groups. Achieving health equity ensures
that everyone has the opportunity to attain their full health potential.
3. According to the Transtheoretical Model of Change, a patient who is considering quitting
smoking within the next six months but has not yet taken action is in which stage?
A. Precontemplation
B. Preparation
C. Contemplation
D. Action
Answer: C
Rationale: The contemplation stage is characterized by the individual’s awareness that a
problem exists and the consideration of making a change. During this phase, the patient is
often weighing the pros and cons of changing their behavior. They intend to take action in
the foreseeable future, usually defined as within the next six months.
4. A nurse is screening a patient for breast cancer using a mammogram. This action represents
which level of prevention?
A. Primary prevention
B. Secondary prevention
, C. Tertiary prevention
D. Primordial prevention
Answer: B
Rationale: Secondary prevention focuses on early detection and prompt intervention to
limit the impact of a disease. Screenings like mammograms are intended to identify issues
before symptoms appear. By detecting disease early, the healthcare team can improve the
patient’s prognosis significantly.
5. Which component of the Health Belief Model describes a patient’s belief about the
seriousness of a condition?
A. Perceived susceptibility
B. Perceived benefits
C. Perceived severity
D. Cues to action
Answer: C
Rationale: Perceived severity refers to an individual’s subjective assessment of the clinical
and social consequences of a health condition. If a patient believes a disease could lead to
death or significant disability, they are more likely to adopt preventive behaviors. This
belief works in tandem with perceived susceptibility to determine the perceived threat of
the disease.
Nursing Process | Actual Q&A with
Rationale (NR222 Midterm) | Chamberlain
1. A nurse is preparing to provide a flu vaccine to a group of healthy adults in a community
clinic. Which level of prevention is being implemented?
A. Secondary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Primary prevention
Answer: D
Rationale: Primary prevention aims to prevent the onset of disease through health
promotion and specific protection. This level of intervention occurs before any pathology is
present in the individual. Immunizations are a hallmark example of primary prevention as
they build immunity against potential pathogens.
2. Which goal is a primary focus of the Healthy People 2030 initiative?
A. Eliminating health disparities and achieving health equity
B. Reducing the cost of elective surgical procedures
C. Increasing hospital bed capacity for emergency situations
D. Focusing solely on tertiary care for chronic conditions
,Answer: A
Rationale: Healthy People 2030 focuses on high-level goals to improve the health and well-
being of the population over the next decade. One of its central pillars is the elimination of
health disparities among different demographic groups. Achieving health equity ensures
that everyone has the opportunity to attain their full health potential.
3. According to the Transtheoretical Model of Change, a patient who is considering quitting
smoking within the next six months but has not yet taken action is in which stage?
A. Precontemplation
B. Preparation
C. Contemplation
D. Action
Answer: C
Rationale: The contemplation stage is characterized by the individual’s awareness that a
problem exists and the consideration of making a change. During this phase, the patient is
often weighing the pros and cons of changing their behavior. They intend to take action in
the foreseeable future, usually defined as within the next six months.
4. A nurse is screening a patient for breast cancer using a mammogram. This action represents
which level of prevention?
A. Primary prevention
B. Secondary prevention
, C. Tertiary prevention
D. Primordial prevention
Answer: B
Rationale: Secondary prevention focuses on early detection and prompt intervention to
limit the impact of a disease. Screenings like mammograms are intended to identify issues
before symptoms appear. By detecting disease early, the healthcare team can improve the
patient’s prognosis significantly.
5. Which component of the Health Belief Model describes a patient’s belief about the
seriousness of a condition?
A. Perceived susceptibility
B. Perceived benefits
C. Perceived severity
D. Cues to action
Answer: C
Rationale: Perceived severity refers to an individual’s subjective assessment of the clinical
and social consequences of a health condition. If a patient believes a disease could lead to
death or significant disability, they are more likely to adopt preventive behaviors. This
belief works in tandem with perceived susceptibility to determine the perceived threat of
the disease.
