1. A patient states they have no intention of exercising in the next year and becomes defensive
when the topic is brought up. According to the Transtheoretical Model of Change, which stage is
this patient in?
A. Contemplation
B. Preparation
C. Action
D. Precontemplation
D. Precontemplation
The patient is not considering a change within the next 6 months and is defensive, which are
hallmark characteristics of the precontemplation stage where individuals are often unmotivated or
resistant.
2. A nurse helps a patient who just had a stroke learn to walk again using a new cane. This activity
best represents which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
C. Tertiary prevention
Tertiary prevention occurs when a defect or disability is permanent and irreversible, focusing on
rehabilitation to help the patient return to an optimal level of functioning despite their disabling
condition.
3. A nurse is collecting data about a patient's bowel and bladder function. According to Gordon’s
Functional Health Patterns, which pattern is the nurse assessing?
A. Nutritional-Metabolic
B. Activity-Exercise
C. Elimination
D. Cognitive-Perceptual
C. Elimination
The elimination pattern specifically describes the patterns of excretory function, which includes
bowel, bladder, and skin, making it the correct assessment focus for this data.
,4. A patient is learning to adjust their insulin dosage based on blood sugar readings, which
requires analysis and synthesis of information. Which domain of learning is primarily being used?
A. Psychomotor domain
B. Affective domain
C. Cognitive domain
D. Attentional domain
C. Cognitive domain
The cognitive domain refers to the development of new facts and concepts and building on or
applying knowledge to new situations, which is exactly what adjusting a dosage requires.
5. A nurse questions a physician's order because it is not safe for the patient. This action best
exemplifies which nursing role?
A. Care Manager
B. Consultant
C. Researcher
D. Advocate
D. Advocate
An advocate protects the patient's human and legal right to make choices about their care and
ensures they receive safe, appropriate care, including questioning unsafe medical orders.
6. A community health nurse provides a presentation on the risks of smoking to a group of
teenagers who have never smoked. Which level of prevention is the nurse practicing?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Restoration
A. Primary prevention
Primary prevention precedes disease and includes health promotion activities like health education
about risk factors to decrease the vulnerability of the individual to disease.
7. A patient states, "I am seriously thinking about starting a walking program next month." Which
stage of the Transtheoretical Model of Change is this patient demonstrating?
A. Precontemplation
B. Contemplation
C. Planning/Preparation
D. Action
,C. Planning/Preparation
The planning/preparation stage is characterized by a person seriously thinking about making a
change within the next month and making small or sporadic changes to prepare.
8. A nurse defines health as the absence of disease and tells a patient they do not need a physical
exam since they feel fine. Which model of health is this nurse using?
A. Adaptive model
B. Eudaimonistic model
C. Clinical model
D. Role performance model
C. Clinical model
The clinical model defines health by the absence of illness and disease signs and symptoms, and
people who use this model often do not seek preventative health services.
9. A nurse working to prevent duplication of services while maintaining quality and reducing costs
for a patient is functioning in which role?
A. Advocate
B. Care Manager
C. Healer
D. Educator
B. Care Manager
The care manager role is designed to prevent duplication of services, maintain quality and safety,
and reduce cost while helping the individual avoid ineffective care.
10. A patient with a new colostomy is learning how to change the ostomy pouch. This skill requires
the integration of mental and muscular activity. Which domain of learning is this?
A. Affective
B. Psychomotor
C. Cognitive
D. Interpersonal
B. Psychomotor
The psychomotor domain involves developing physical skills from simple to complex actions, and
learning to change an ostomy pouch requires this hands-on physical skill.
11. According to the WHO definition, health is best described as:
A. The ability to perform social roles.
B. The absence of signs and symptoms of disease.
, C. A state of complete physical, mental, and social well-being.
D. The ability to adapt to physiological change.
C. A state of complete physical, mental, and social well-being.
The World Health Organization (WHO) defines health as a state of complete physical, mental, and
social well-being and not merely the absence of disease or infirmity.
12. During which phase of the nursing process does the nurse identify appropriate nursing
diagnoses based on assessment findings?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
B. Diagnosis
The diagnosis step of the nursing process is specifically defined as identifying appropriate nursing
diagnoses based on the assessment findings to guide the care plan.
13. A nurse uses research findings about turning patients to prevent pneumonia. This is an
example of:
A. Tradition-based practice.
B. Trial and error.
C. Evidence-based practice.
D. Authority-based practice.
C. Evidence-based practice.
Evidence-based practice is defined as the conscientious, explicit, and judicious use of current best
evidence in making decisions about the care of individual patients.
14. A patient with a family history of heart disease attends a screening for high cholesterol. This
activity is an example of which level of prevention?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
B. Secondary
Secondary prevention ranges from providing screening activities to treating early stages of
disease, with the goal of identifying individuals in early, detectable stages of disease.
when the topic is brought up. According to the Transtheoretical Model of Change, which stage is
this patient in?
A. Contemplation
B. Preparation
C. Action
D. Precontemplation
D. Precontemplation
The patient is not considering a change within the next 6 months and is defensive, which are
hallmark characteristics of the precontemplation stage where individuals are often unmotivated or
resistant.
2. A nurse helps a patient who just had a stroke learn to walk again using a new cane. This activity
best represents which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
C. Tertiary prevention
Tertiary prevention occurs when a defect or disability is permanent and irreversible, focusing on
rehabilitation to help the patient return to an optimal level of functioning despite their disabling
condition.
3. A nurse is collecting data about a patient's bowel and bladder function. According to Gordon’s
Functional Health Patterns, which pattern is the nurse assessing?
A. Nutritional-Metabolic
B. Activity-Exercise
C. Elimination
D. Cognitive-Perceptual
C. Elimination
The elimination pattern specifically describes the patterns of excretory function, which includes
bowel, bladder, and skin, making it the correct assessment focus for this data.
,4. A patient is learning to adjust their insulin dosage based on blood sugar readings, which
requires analysis and synthesis of information. Which domain of learning is primarily being used?
A. Psychomotor domain
B. Affective domain
C. Cognitive domain
D. Attentional domain
C. Cognitive domain
The cognitive domain refers to the development of new facts and concepts and building on or
applying knowledge to new situations, which is exactly what adjusting a dosage requires.
5. A nurse questions a physician's order because it is not safe for the patient. This action best
exemplifies which nursing role?
A. Care Manager
B. Consultant
C. Researcher
D. Advocate
D. Advocate
An advocate protects the patient's human and legal right to make choices about their care and
ensures they receive safe, appropriate care, including questioning unsafe medical orders.
6. A community health nurse provides a presentation on the risks of smoking to a group of
teenagers who have never smoked. Which level of prevention is the nurse practicing?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Restoration
A. Primary prevention
Primary prevention precedes disease and includes health promotion activities like health education
about risk factors to decrease the vulnerability of the individual to disease.
7. A patient states, "I am seriously thinking about starting a walking program next month." Which
stage of the Transtheoretical Model of Change is this patient demonstrating?
A. Precontemplation
B. Contemplation
C. Planning/Preparation
D. Action
,C. Planning/Preparation
The planning/preparation stage is characterized by a person seriously thinking about making a
change within the next month and making small or sporadic changes to prepare.
8. A nurse defines health as the absence of disease and tells a patient they do not need a physical
exam since they feel fine. Which model of health is this nurse using?
A. Adaptive model
B. Eudaimonistic model
C. Clinical model
D. Role performance model
C. Clinical model
The clinical model defines health by the absence of illness and disease signs and symptoms, and
people who use this model often do not seek preventative health services.
9. A nurse working to prevent duplication of services while maintaining quality and reducing costs
for a patient is functioning in which role?
A. Advocate
B. Care Manager
C. Healer
D. Educator
B. Care Manager
The care manager role is designed to prevent duplication of services, maintain quality and safety,
and reduce cost while helping the individual avoid ineffective care.
10. A patient with a new colostomy is learning how to change the ostomy pouch. This skill requires
the integration of mental and muscular activity. Which domain of learning is this?
A. Affective
B. Psychomotor
C. Cognitive
D. Interpersonal
B. Psychomotor
The psychomotor domain involves developing physical skills from simple to complex actions, and
learning to change an ostomy pouch requires this hands-on physical skill.
11. According to the WHO definition, health is best described as:
A. The ability to perform social roles.
B. The absence of signs and symptoms of disease.
, C. A state of complete physical, mental, and social well-being.
D. The ability to adapt to physiological change.
C. A state of complete physical, mental, and social well-being.
The World Health Organization (WHO) defines health as a state of complete physical, mental, and
social well-being and not merely the absence of disease or infirmity.
12. During which phase of the nursing process does the nurse identify appropriate nursing
diagnoses based on assessment findings?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
B. Diagnosis
The diagnosis step of the nursing process is specifically defined as identifying appropriate nursing
diagnoses based on the assessment findings to guide the care plan.
13. A nurse uses research findings about turning patients to prevent pneumonia. This is an
example of:
A. Tradition-based practice.
B. Trial and error.
C. Evidence-based practice.
D. Authority-based practice.
C. Evidence-based practice.
Evidence-based practice is defined as the conscientious, explicit, and judicious use of current best
evidence in making decisions about the care of individual patients.
14. A patient with a family history of heart disease attends a screening for high cholesterol. This
activity is an example of which level of prevention?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
B. Secondary
Secondary prevention ranges from providing screening activities to treating early stages of
disease, with the goal of identifying individuals in early, detectable stages of disease.
