, NR 222 Health & Wellness | Chamberlain College of Nursing |
Academic Year 2026/2027 | Examination 1 Comprehensive
Examination | 62 Verified Questions and Correct Answer
Rationales | |JUST RELEASED .
Section 1: Health, Wellness & Health Promotion Models (Questions 1–10)
Question 1: The nurse is incorporating the principles of the Health Belief Model when planning
care for a patient. Which question best addresses the "perceived susceptibility" construct?
A. "Do you believe that quitting smoking will reduce your risk of lung cancer?"
B. "What do you think your chances are of developing heart disease?"
C. "What things make it hard for you to exercise?"
D. "How confident are you that you can change your diet?"
CorreCt Answer: B. "What do you think your chances are of developing heart disease?"
rAtionAle: Perceived susceptibility refers to a person's belief about their chances of getting
a condition. Asking about their perceived risk of developing heart disease directly assesses this
construct. Perceived benefits (option A), perceived barriers (option C), and self-efficacy (option
D) are other constructs of the Health Belief Model.
Question 2: A patient tells the nurse, "I know I should exercise, but I don't have the energy after
work." According to the Health Belief Model, which construct is this patient expressing?
A. Perceived susceptibility
B. Perceived severity
C. Perceived barriers
D. Cues to action
CorreCt Answer: C. Perceived barriers
rAtionAle: Perceived barriers are the person's evaluation of the obstacles to adopting a
health behavior. Lack of energy is a perceived barrier.
Question 3: The nurse is assessing a patient's readiness to quit smoking using the
Transtheoretical Model. The patient states, "I'm thinking about quitting in the next month, but I
haven't done anything yet." Which stage is this patient in?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
, CorreCt Answer: B. Contemplation
rAtionAle: In the Contemplation stage, the person is aware of the problem and is seriously
thinking about changing within the next 6 months but has not yet taken action. Preparation
involves taking small steps, and Action involves actively making changes.
Question 4: A nurse is teaching a patient about the stages of change. Which statement
indicates the patient is in the Precontemplation stage?
A. "I've been exercising for 3 months now."
B. "I know I need to lose weight, but I don't want to think about it."
C. "I'm going to start a diet next week."
D. "I've kept my weight off for 6 months."
CorreCt Answer: B. "I know I need to add exercise, but I don't want to think about it."
rAtionAle: Precontemplation is the stage where the person has no intention of changing
behavior in the foreseeable future and may not even be aware of the need to change.
Question 5: Which level of prevention is represented by a community-wide vaccination
program?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
CorreCt Answer: A. Primary prevention
rAtionAle: Primary prevention aims to prevent disease or injury before it occurs. Vaccination
prevents the onset of infectious diseases.
Question 6: A nurse is providing care to a patient with diabetes who is receiving education on
foot care to prevent complications. This is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
CorreCt Answer: C. Tertiary prevention
rAtionAle: Tertiary prevention focuses on managing complications in patients with
established disease. Foot care education for a diabetic patient aims to prevent ulcers and
amputations.
Academic Year 2026/2027 | Examination 1 Comprehensive
Examination | 62 Verified Questions and Correct Answer
Rationales | |JUST RELEASED .
Section 1: Health, Wellness & Health Promotion Models (Questions 1–10)
Question 1: The nurse is incorporating the principles of the Health Belief Model when planning
care for a patient. Which question best addresses the "perceived susceptibility" construct?
A. "Do you believe that quitting smoking will reduce your risk of lung cancer?"
B. "What do you think your chances are of developing heart disease?"
C. "What things make it hard for you to exercise?"
D. "How confident are you that you can change your diet?"
CorreCt Answer: B. "What do you think your chances are of developing heart disease?"
rAtionAle: Perceived susceptibility refers to a person's belief about their chances of getting
a condition. Asking about their perceived risk of developing heart disease directly assesses this
construct. Perceived benefits (option A), perceived barriers (option C), and self-efficacy (option
D) are other constructs of the Health Belief Model.
Question 2: A patient tells the nurse, "I know I should exercise, but I don't have the energy after
work." According to the Health Belief Model, which construct is this patient expressing?
A. Perceived susceptibility
B. Perceived severity
C. Perceived barriers
D. Cues to action
CorreCt Answer: C. Perceived barriers
rAtionAle: Perceived barriers are the person's evaluation of the obstacles to adopting a
health behavior. Lack of energy is a perceived barrier.
Question 3: The nurse is assessing a patient's readiness to quit smoking using the
Transtheoretical Model. The patient states, "I'm thinking about quitting in the next month, but I
haven't done anything yet." Which stage is this patient in?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
, CorreCt Answer: B. Contemplation
rAtionAle: In the Contemplation stage, the person is aware of the problem and is seriously
thinking about changing within the next 6 months but has not yet taken action. Preparation
involves taking small steps, and Action involves actively making changes.
Question 4: A nurse is teaching a patient about the stages of change. Which statement
indicates the patient is in the Precontemplation stage?
A. "I've been exercising for 3 months now."
B. "I know I need to lose weight, but I don't want to think about it."
C. "I'm going to start a diet next week."
D. "I've kept my weight off for 6 months."
CorreCt Answer: B. "I know I need to add exercise, but I don't want to think about it."
rAtionAle: Precontemplation is the stage where the person has no intention of changing
behavior in the foreseeable future and may not even be aware of the need to change.
Question 5: Which level of prevention is represented by a community-wide vaccination
program?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
CorreCt Answer: A. Primary prevention
rAtionAle: Primary prevention aims to prevent disease or injury before it occurs. Vaccination
prevents the onset of infectious diseases.
Question 6: A nurse is providing care to a patient with diabetes who is receiving education on
foot care to prevent complications. This is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
CorreCt Answer: C. Tertiary prevention
rAtionAle: Tertiary prevention focuses on managing complications in patients with
established disease. Foot care education for a diabetic patient aims to prevent ulcers and
amputations.
