NR 222 Health and Wellness Exam 2 Final Comprehensive
Exam | Chamberlain College of Nursing | 2026/2027
Academic Year | Verified Practice Questions with Answers
& Detailed Rationales | Health Promotion, Ethics, Cultural
Competence & Patient Education Test Bank
INTRODUCTION
The questions are organized across four core domains: Domain 1 – Ethical and
Legal Considerations in Health and Wellness; Domain 2 – Cultural Competence
and Family-Centered Care; Domain 3 – Patient Education, Health Literacy, and
Communication; and Domain 4 – Health Promotion Models and Wellness
Interventions. Each question is accompanied by the correct answer and a detailed
rationale grounded in foundational health and wellness nursing methodology,
including principles drawn from university-level nursing curricula and established
frameworks such as Pender's Health Promotion Model and Edelman & Kudzma's
Health Promotion Throughout the Lifespan. The content emphasizes ethical
decision-making, culturally responsive care, effective patient education, and
application of evidence-based health promotion models in clinical and community
settings.
ACTUAL QUESTIONS
Domain 1: Ethical and Legal Considerations in Health and Wellness
Question 1. A nurse is caring for a competent adult client who refuses a
recommended wellness screening. Which ethical principle primarily guides
the nurse's response?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Correct Answer: B
Rationale: Autonomy respects the client's right to make informed decisions about
personal health, including refusal of recommended interventions, provided the
client has decision-making capacity. Beneficence focuses on doing good, justice on
fairness, and nonmaleficence on avoiding harm.
,Question 2. Which action best demonstrates the nurse's adherence to the
ethical principle of nonmaleficence when promoting wellness in an older
adult?
A. Encouraging participation in a high-intensity exercise class without medical
clearance
B. Assessing fall risk before recommending a home exercise program
C. Withholding information about potential side effects of a new supplement
D. Insisting the client accept all recommended vaccinations
Correct Answer: B
Rationale: Nonmaleficence requires the nurse to avoid causing harm. Assessing
fall risk before recommending exercise protects the client from injury and
exemplifies this principle within health promotion.
Question 3. A nurse documents a client's refusal of a flu vaccination after
providing complete information about benefits and risks. This documentation
primarily supports which legal and ethical standard?
A. Informed consent and informed refusal
B. Mandatory reporting
C. Advance directive compliance
D. Duty to treat
Correct Answer: A
Rationale: Documenting a client's refusal after providing complete information
supports the legal and ethical standard of informed consent and informed refusal.
The client has the right to refuse treatment after being fully informed.
Question 4. Which situation exemplifies the ethical principle of justice in
health promotion?
A. Providing extra resources to clients who can pay for them
B. Ensuring equal access to wellness programs for all community members
regardless of ability to pay
C. Prioritizing care for younger clients over older clients
D. Allowing only insured clients to attend health education classes
Correct Answer: B
Rationale: Justice requires fair and equitable distribution of resources and care.
Ensuring equal access to wellness programs for all community members,
regardless of ability to pay, exemplifies this principle.
,Question 5. A nurse is caring for a client who lacks decision-making capacity.
Which action is most appropriate when making healthcare decisions?
A. Make decisions based on the nurse's personal beliefs
B. Consult the client's advance directive or healthcare proxy
C. Delay all decisions until the client regains capacity
D. Ask another client for advice
Correct Answer: B
Rationale: When a client lacks decision-making capacity, the nurse should consult
the client's advance directive or healthcare proxy to guide decisions that align with
the client's wishes and values.
Question 6. Which of the following is an example of a legal issue in health and
wellness nursing?
A. Providing competent care within the scope of practice
B. Failing to document a client's refusal of treatment
C. Maintaining client confidentiality
D. Obtaining informed consent
Correct Answer: B
Rationale: Failing to document a client's refusal of treatment is a legal issue that
can lead to liability. Accurate and complete documentation is a legal requirement
in nursing practice.
Question 7. What is the primary purpose of an advance directive?
A. To allow the nurse to make decisions for the client
B. To specify a client's wishes for end-of-life care and designate a healthcare
proxy
C. To transfer legal responsibility to the hospital
D. To override the client's autonomy
Correct Answer: B
Rationale: An advance directive is a legal document that allows a client to specify
their wishes for end-of-life care and designate a healthcare proxy to make
decisions on their behalf if they lose decision-making capacity.
Question 8. A nurse is caring for a minor child. Who is responsible for
providing informed consent for the child's treatment?
A. The child, if they are over 12 years old
B. The parent or legal guardian
C. The nurse
, D. The hospital administrator
Correct Answer: B
Rationale: For minor children, the parent or legal guardian is responsible for
providing informed consent for treatment, unless the minor is emancipated or
meets specific legal exceptions (e.g., treatment for STIs, substance abuse).
Question 9. Which ethical principle is violated when a nurse discloses a
client's HIV status to the client's employer without consent?
A. Beneficence
B. Autonomy
C. Confidentiality
D. Justice
Correct Answer: C
Rationale: Confidentiality is the ethical and legal obligation to protect a client's
private health information. Disclosing HIV status without consent violates the
client's right to privacy and confidentiality.
Question 10. A nurse is providing care to a client who is terminally ill and
requests information about hospice care. Which ethical principle is the nurse
demonstrating by providing this information?
A. Autonomy
B. Nonmaleficence
C. Justice
D. Paternalism
Correct Answer: A
Rationale: Respecting the client's right to make informed decisions about their
end-of-life care, including requesting information about hospice, demonstrates the
ethical principle of autonomy.
Question 11. What is the nurse's role in mandatory reporting?
A. To ignore suspected abuse if it is not confirmed
B. To report suspected abuse, neglect, or exploitation to the appropriate
authorities as required by law
C. To report only if the client gives permission
D. To investigate the suspected abuse personally
Correct Answer: B
Rationale: Mandatory reporting laws require nurses and other healthcare
Exam | Chamberlain College of Nursing | 2026/2027
Academic Year | Verified Practice Questions with Answers
& Detailed Rationales | Health Promotion, Ethics, Cultural
Competence & Patient Education Test Bank
INTRODUCTION
The questions are organized across four core domains: Domain 1 – Ethical and
Legal Considerations in Health and Wellness; Domain 2 – Cultural Competence
and Family-Centered Care; Domain 3 – Patient Education, Health Literacy, and
Communication; and Domain 4 – Health Promotion Models and Wellness
Interventions. Each question is accompanied by the correct answer and a detailed
rationale grounded in foundational health and wellness nursing methodology,
including principles drawn from university-level nursing curricula and established
frameworks such as Pender's Health Promotion Model and Edelman & Kudzma's
Health Promotion Throughout the Lifespan. The content emphasizes ethical
decision-making, culturally responsive care, effective patient education, and
application of evidence-based health promotion models in clinical and community
settings.
ACTUAL QUESTIONS
Domain 1: Ethical and Legal Considerations in Health and Wellness
Question 1. A nurse is caring for a competent adult client who refuses a
recommended wellness screening. Which ethical principle primarily guides
the nurse's response?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Correct Answer: B
Rationale: Autonomy respects the client's right to make informed decisions about
personal health, including refusal of recommended interventions, provided the
client has decision-making capacity. Beneficence focuses on doing good, justice on
fairness, and nonmaleficence on avoiding harm.
,Question 2. Which action best demonstrates the nurse's adherence to the
ethical principle of nonmaleficence when promoting wellness in an older
adult?
A. Encouraging participation in a high-intensity exercise class without medical
clearance
B. Assessing fall risk before recommending a home exercise program
C. Withholding information about potential side effects of a new supplement
D. Insisting the client accept all recommended vaccinations
Correct Answer: B
Rationale: Nonmaleficence requires the nurse to avoid causing harm. Assessing
fall risk before recommending exercise protects the client from injury and
exemplifies this principle within health promotion.
Question 3. A nurse documents a client's refusal of a flu vaccination after
providing complete information about benefits and risks. This documentation
primarily supports which legal and ethical standard?
A. Informed consent and informed refusal
B. Mandatory reporting
C. Advance directive compliance
D. Duty to treat
Correct Answer: A
Rationale: Documenting a client's refusal after providing complete information
supports the legal and ethical standard of informed consent and informed refusal.
The client has the right to refuse treatment after being fully informed.
Question 4. Which situation exemplifies the ethical principle of justice in
health promotion?
A. Providing extra resources to clients who can pay for them
B. Ensuring equal access to wellness programs for all community members
regardless of ability to pay
C. Prioritizing care for younger clients over older clients
D. Allowing only insured clients to attend health education classes
Correct Answer: B
Rationale: Justice requires fair and equitable distribution of resources and care.
Ensuring equal access to wellness programs for all community members,
regardless of ability to pay, exemplifies this principle.
,Question 5. A nurse is caring for a client who lacks decision-making capacity.
Which action is most appropriate when making healthcare decisions?
A. Make decisions based on the nurse's personal beliefs
B. Consult the client's advance directive or healthcare proxy
C. Delay all decisions until the client regains capacity
D. Ask another client for advice
Correct Answer: B
Rationale: When a client lacks decision-making capacity, the nurse should consult
the client's advance directive or healthcare proxy to guide decisions that align with
the client's wishes and values.
Question 6. Which of the following is an example of a legal issue in health and
wellness nursing?
A. Providing competent care within the scope of practice
B. Failing to document a client's refusal of treatment
C. Maintaining client confidentiality
D. Obtaining informed consent
Correct Answer: B
Rationale: Failing to document a client's refusal of treatment is a legal issue that
can lead to liability. Accurate and complete documentation is a legal requirement
in nursing practice.
Question 7. What is the primary purpose of an advance directive?
A. To allow the nurse to make decisions for the client
B. To specify a client's wishes for end-of-life care and designate a healthcare
proxy
C. To transfer legal responsibility to the hospital
D. To override the client's autonomy
Correct Answer: B
Rationale: An advance directive is a legal document that allows a client to specify
their wishes for end-of-life care and designate a healthcare proxy to make
decisions on their behalf if they lose decision-making capacity.
Question 8. A nurse is caring for a minor child. Who is responsible for
providing informed consent for the child's treatment?
A. The child, if they are over 12 years old
B. The parent or legal guardian
C. The nurse
, D. The hospital administrator
Correct Answer: B
Rationale: For minor children, the parent or legal guardian is responsible for
providing informed consent for treatment, unless the minor is emancipated or
meets specific legal exceptions (e.g., treatment for STIs, substance abuse).
Question 9. Which ethical principle is violated when a nurse discloses a
client's HIV status to the client's employer without consent?
A. Beneficence
B. Autonomy
C. Confidentiality
D. Justice
Correct Answer: C
Rationale: Confidentiality is the ethical and legal obligation to protect a client's
private health information. Disclosing HIV status without consent violates the
client's right to privacy and confidentiality.
Question 10. A nurse is providing care to a client who is terminally ill and
requests information about hospice care. Which ethical principle is the nurse
demonstrating by providing this information?
A. Autonomy
B. Nonmaleficence
C. Justice
D. Paternalism
Correct Answer: A
Rationale: Respecting the client's right to make informed decisions about their
end-of-life care, including requesting information about hospice, demonstrates the
ethical principle of autonomy.
Question 11. What is the nurse's role in mandatory reporting?
A. To ignore suspected abuse if it is not confirmed
B. To report suspected abuse, neglect, or exploitation to the appropriate
authorities as required by law
C. To report only if the client gives permission
D. To investigate the suspected abuse personally
Correct Answer: B
Rationale: Mandatory reporting laws require nurses and other healthcare
