Chamberlain University NR 222 Exam 1 (docx) |
2026/2027 | Health Promotion & Wellness Q&A |
Nursing
1. During a wellness visit, a nurse helps an adult identify a personally meaningful walking goal. Which nursing
approach is illustrated?
A) Collaborative health promotion
B) Prescribing exercise without discussion
C) Treating an acute disease
D) Replacing the patient's preferences
Correct Answer: Collaborative health promotion
Rationale: Collaborative goal setting supports autonomy and makes a healthy behavior more feasible. Health
promotion strengthens people's capacity to improve well-being rather than merely treating an existing condition.
A prescriptive plan that ignores preferences may undermine motivation, whereas acute disease treatment
addresses a different immediate purpose.
2. An individual with controlled diabetes reports strong relationships and satisfying daily activities. How should
the nurse interpret this description?
A) Chronic illness always excludes wellness
B) Wellness can coexist with chronic disease
C) Wellness means no medication is required
D) Social functioning is unrelated to health
Correct Answer: Wellness can coexist with chronic disease
Rationale: Wellness is multidimensional and does not require complete absence of disease. A person living with
diabetes may achieve meaningful physical, emotional, and social well-being through effective self-management
and supportive relationships. Equating wellness with a disease-free state overlooks individual functioning and
personal definitions of health.
3. At a community fair, nurses arrange immunizations for eligible adults. Which prevention level does this
represent?
A) Secondary prevention
B) Tertiary prevention
C) Primary prevention
D) Rehabilitation after disability
Correct Answer: Primary prevention
Rationale: Immunization aims to prevent a disease before it develops, making it primary prevention. Secondary
prevention detects disease early, while tertiary prevention limits complications after a condition is established.
,Rehabilitation may be part of tertiary prevention but does not describe vaccination offered to people before
illness.
4. A nurse refers an eligible asymptomatic adult for a recommended blood pressure screening. What is the
preventive purpose?
A) Preventing all future risk exposures
B) Restoring function after stroke
C) Treating advanced organ damage
D) Detecting a condition early
Correct Answer: Detecting a condition early
Rationale: Screening identifies a potential problem before symptoms or serious complications emerge. That is
the defining purpose of secondary prevention and may allow earlier assessment and treatment. Primary
prevention reduces the chance of onset, while tertiary strategies manage established illness and limit disability.
5. Following a stroke, a person attends therapy to regain safe mobility. Which level of prevention applies?
A) Tertiary prevention
B) Primary prevention
C) Secondary prevention
D) Population surveillance only
Correct Answer: Tertiary prevention
Rationale: Rehabilitation following a stroke seeks to reduce disability and maximize function after disease has
occurred. This is tertiary prevention, which also includes preventing additional complications of established
conditions. Primary strategies act before disease develops, and secondary strategies emphasize early detection
rather than recovery from an established injury.
6. A person declines blood pressure checks because they believe hypertension cannot affect them. Which
Health Belief Model construct is most relevant?
A) Perceived benefit
B) Perceived susceptibility
C) Self-efficacy
D) Cue to action
Correct Answer: Perceived susceptibility
Rationale: Perceived susceptibility concerns an individual's belief about their likelihood of developing a
condition. Someone who believes they are not at risk may see little reason to seek screening. Perceived benefits
concern the value of an action, self-efficacy concerns confidence, and cues to action prompt behavior.
7. An adult wants a flu vaccine but lacks transportation to the clinic. Which construct most directly explains the
obstacle?
A) Perceived severity
,B) Perceived susceptibility
C) Perceived barriers
D) Perceived benefits
Correct Answer: Perceived barriers
Rationale: Perceived barriers are obstacles a person expects or experiences when taking a recommended
health action. Transportation can prevent vaccination despite an individual's positive attitude toward its
benefits. The nurse can explore alternative access, such as a local vaccination site, instead of assuming the
person lacks motivation.
8. A learner says, “I can prepare a healthy lunch three days this week.” Which concept does this statement
demonstrate?
A) Perceived severity
B) External locus of control
C) Disease surveillance
D) Self-efficacy
Correct Answer: Self-efficacy
Rationale: Self-efficacy is confidence in one's ability to perform a specific behavior. The learner's statement
identifies a manageable action they believe they can complete, which can support follow-through. It is distinct
from beliefs about disease severity or susceptibility and can be strengthened through practice and achievable
goals.
9. A smoker states they do not intend to change their smoking behavior. Which stage of change is represented?
A) Precontemplation
B) Preparation
C) Action
D) Maintenance
Correct Answer: Precontemplation
Rationale: Precontemplation describes a person who is not currently intending to change a behavior. The nurse
can explore perspectives without assuming immediate readiness to act. Preparation involves plans to change
soon, action involves active behavioral changes, and maintenance focuses on sustaining changes already
achieved.
10. An adult recognizes that inactivity is harmful but remains uncertain about starting exercise. Which stage fits
best?
A) Precontemplation
B) Contemplation
C) Action
, D) Maintenance
Correct Answer: Contemplation
Rationale: Contemplation involves awareness of a problem and consideration of change alongside uncertainty
or ambivalence. Exploring the person's perceived advantages and disadvantages can support informed
decision-making. Precontemplation lacks current intention to change, while action and maintenance require
actual behavior change rather than consideration alone.
11. A student purchases walking shoes and schedules exercise for next week. What stage of change is
illustrated?
A) Maintenance
B) Precontemplation
C) Preparation
D) Relapse
Correct Answer: Preparation
Rationale: Preparation involves intending to act soon and taking practical steps toward behavior change. Buying
shoes and planning specific exercise sessions show movement beyond simply considering activity.
Maintenance requires sustained behavior over time, and relapse refers to returning to a previous behavior after
change.
12. An adult has consistently followed a walking plan for eight months and is planning how to continue during
winter. Which stage is evident?
A) Contemplation
B) Preparation
C) Precontemplation
D) Maintenance
Correct Answer: Maintenance
Rationale: Maintenance focuses on sustaining a behavior change and anticipating situations that might threaten
progress. Eight months of consistent walking and winter planning demonstrate continued commitment after
initial action. Contemplation and preparation occur before regular behavior is established, while
precontemplation involves no present intention to change.
13. A shelter nurse meets someone who has not eaten all day and asks for help with long-term career planning.
What need should be addressed first?
A) Access to food and hydration
B) Professional achievement planning
C) Social recognition
D) Self-actualization exercises
2026/2027 | Health Promotion & Wellness Q&A |
Nursing
1. During a wellness visit, a nurse helps an adult identify a personally meaningful walking goal. Which nursing
approach is illustrated?
A) Collaborative health promotion
B) Prescribing exercise without discussion
C) Treating an acute disease
D) Replacing the patient's preferences
Correct Answer: Collaborative health promotion
Rationale: Collaborative goal setting supports autonomy and makes a healthy behavior more feasible. Health
promotion strengthens people's capacity to improve well-being rather than merely treating an existing condition.
A prescriptive plan that ignores preferences may undermine motivation, whereas acute disease treatment
addresses a different immediate purpose.
2. An individual with controlled diabetes reports strong relationships and satisfying daily activities. How should
the nurse interpret this description?
A) Chronic illness always excludes wellness
B) Wellness can coexist with chronic disease
C) Wellness means no medication is required
D) Social functioning is unrelated to health
Correct Answer: Wellness can coexist with chronic disease
Rationale: Wellness is multidimensional and does not require complete absence of disease. A person living with
diabetes may achieve meaningful physical, emotional, and social well-being through effective self-management
and supportive relationships. Equating wellness with a disease-free state overlooks individual functioning and
personal definitions of health.
3. At a community fair, nurses arrange immunizations for eligible adults. Which prevention level does this
represent?
A) Secondary prevention
B) Tertiary prevention
C) Primary prevention
D) Rehabilitation after disability
Correct Answer: Primary prevention
Rationale: Immunization aims to prevent a disease before it develops, making it primary prevention. Secondary
prevention detects disease early, while tertiary prevention limits complications after a condition is established.
,Rehabilitation may be part of tertiary prevention but does not describe vaccination offered to people before
illness.
4. A nurse refers an eligible asymptomatic adult for a recommended blood pressure screening. What is the
preventive purpose?
A) Preventing all future risk exposures
B) Restoring function after stroke
C) Treating advanced organ damage
D) Detecting a condition early
Correct Answer: Detecting a condition early
Rationale: Screening identifies a potential problem before symptoms or serious complications emerge. That is
the defining purpose of secondary prevention and may allow earlier assessment and treatment. Primary
prevention reduces the chance of onset, while tertiary strategies manage established illness and limit disability.
5. Following a stroke, a person attends therapy to regain safe mobility. Which level of prevention applies?
A) Tertiary prevention
B) Primary prevention
C) Secondary prevention
D) Population surveillance only
Correct Answer: Tertiary prevention
Rationale: Rehabilitation following a stroke seeks to reduce disability and maximize function after disease has
occurred. This is tertiary prevention, which also includes preventing additional complications of established
conditions. Primary strategies act before disease develops, and secondary strategies emphasize early detection
rather than recovery from an established injury.
6. A person declines blood pressure checks because they believe hypertension cannot affect them. Which
Health Belief Model construct is most relevant?
A) Perceived benefit
B) Perceived susceptibility
C) Self-efficacy
D) Cue to action
Correct Answer: Perceived susceptibility
Rationale: Perceived susceptibility concerns an individual's belief about their likelihood of developing a
condition. Someone who believes they are not at risk may see little reason to seek screening. Perceived benefits
concern the value of an action, self-efficacy concerns confidence, and cues to action prompt behavior.
7. An adult wants a flu vaccine but lacks transportation to the clinic. Which construct most directly explains the
obstacle?
A) Perceived severity
,B) Perceived susceptibility
C) Perceived barriers
D) Perceived benefits
Correct Answer: Perceived barriers
Rationale: Perceived barriers are obstacles a person expects or experiences when taking a recommended
health action. Transportation can prevent vaccination despite an individual's positive attitude toward its
benefits. The nurse can explore alternative access, such as a local vaccination site, instead of assuming the
person lacks motivation.
8. A learner says, “I can prepare a healthy lunch three days this week.” Which concept does this statement
demonstrate?
A) Perceived severity
B) External locus of control
C) Disease surveillance
D) Self-efficacy
Correct Answer: Self-efficacy
Rationale: Self-efficacy is confidence in one's ability to perform a specific behavior. The learner's statement
identifies a manageable action they believe they can complete, which can support follow-through. It is distinct
from beliefs about disease severity or susceptibility and can be strengthened through practice and achievable
goals.
9. A smoker states they do not intend to change their smoking behavior. Which stage of change is represented?
A) Precontemplation
B) Preparation
C) Action
D) Maintenance
Correct Answer: Precontemplation
Rationale: Precontemplation describes a person who is not currently intending to change a behavior. The nurse
can explore perspectives without assuming immediate readiness to act. Preparation involves plans to change
soon, action involves active behavioral changes, and maintenance focuses on sustaining changes already
achieved.
10. An adult recognizes that inactivity is harmful but remains uncertain about starting exercise. Which stage fits
best?
A) Precontemplation
B) Contemplation
C) Action
, D) Maintenance
Correct Answer: Contemplation
Rationale: Contemplation involves awareness of a problem and consideration of change alongside uncertainty
or ambivalence. Exploring the person's perceived advantages and disadvantages can support informed
decision-making. Precontemplation lacks current intention to change, while action and maintenance require
actual behavior change rather than consideration alone.
11. A student purchases walking shoes and schedules exercise for next week. What stage of change is
illustrated?
A) Maintenance
B) Precontemplation
C) Preparation
D) Relapse
Correct Answer: Preparation
Rationale: Preparation involves intending to act soon and taking practical steps toward behavior change. Buying
shoes and planning specific exercise sessions show movement beyond simply considering activity.
Maintenance requires sustained behavior over time, and relapse refers to returning to a previous behavior after
change.
12. An adult has consistently followed a walking plan for eight months and is planning how to continue during
winter. Which stage is evident?
A) Contemplation
B) Preparation
C) Precontemplation
D) Maintenance
Correct Answer: Maintenance
Rationale: Maintenance focuses on sustaining a behavior change and anticipating situations that might threaten
progress. Eight months of consistent walking and winter planning demonstrate continued commitment after
initial action. Contemplation and preparation occur before regular behavior is established, while
precontemplation involves no present intention to change.
13. A shelter nurse meets someone who has not eaten all day and asks for help with long-term career planning.
What need should be addressed first?
A) Access to food and hydration
B) Professional achievement planning
C) Social recognition
D) Self-actualization exercises
