,NR 222 Health & Wellness Exam Prep —
Comprehensive Review + Practice
MCQs — Chamberlain College of
Nursing 2025/2026
1. The World Health Organization (WHO) defines health as:
A. The absence of disease or infirmity
B. A state of complete physical, mental, and social well-being
C. The ability to perform activities of daily living independently
D. Freedom from chronic pain and disability
Correct Answer: B
Rationale: The WHO's holistic definition explicitly states that health is "a state of complete physical, mental,
and social well-being and not merely the absence of disease or infirmity." This definition is foundational to NR-
222's emphasis on wellness across multiple domains.
2. A nurse is teaching a community group about wellness. Which statement best reflects the concept of
wellness?
A. Wellness is the absence of illness
B. Wellness is a static state achieved once good health is attained
C. Wellness is the dynamic, ever-changing process of trying to achieve one's potential
D. Wellness is determined solely by genetic factors
Correct Answer: C
,Rationale: Wellness is defined as the dynamic, ever-changing process of trying to achieve one's potential in
each of the interrelated dimensions of health. It is not a static endpoint but an ongoing process.
3. According to the Health Belief Model, which factor most directly explains why a patient who believes they
are susceptible to diabetes still does not attend a free screening clinic?
A. Perceived severity of diabetes
B. Perceived barriers to action
C. Cues to action
D. Perceived susceptibility
Correct Answer: B
Rationale: Perceived barriers (e.g., time, cost, transportation, embarrassment) directly impede action even
when susceptibility is high. This is the construct that bridges belief and behavior in the Health Belief Model.
4. A nurse is assessing a patient's readiness to change using the Transtheoretical Model. The patient states, "I
know I should quit smoking, and I'm thinking about doing it in the next month." Which stage of change is the
patient in?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Correct Answer: C
, Rationale: In the Preparation stage, the individual intends to take action within the next month and may have
taken some initial steps. Contemplation involves intention within 6 months; Precontemplation involves no
intention; Action involves active behavior change within the past 6 months.
5. A patient in the Precontemplation stage of change is best described as:
A. Aware of the problem and intending to change within 6 months
B. Unaware of or not acknowledging the need to change
C. Actively engaging in behavior change for less than 6 months
D. Working to prevent relapse after 6 months of successful change
Correct Answer: B
Rationale: Precontemplation is characterized by lack of awareness or acknowledgment of the problem
behavior. The patient has no intention to change in the foreseeable future (typically measured as 6 months).
6. Which statement accurately describes the relationship between incidence and prevalence in a chronic
disease with low mortality?
A. Prevalence decreases as incidence increases
B. Prevalence is always equal to incidence
C. Prevalence increases as incidence increases and duration of disease lengthens
D. Prevalence is unrelated to incidence
Correct Answer: C
Comprehensive Review + Practice
MCQs — Chamberlain College of
Nursing 2025/2026
1. The World Health Organization (WHO) defines health as:
A. The absence of disease or infirmity
B. A state of complete physical, mental, and social well-being
C. The ability to perform activities of daily living independently
D. Freedom from chronic pain and disability
Correct Answer: B
Rationale: The WHO's holistic definition explicitly states that health is "a state of complete physical, mental,
and social well-being and not merely the absence of disease or infirmity." This definition is foundational to NR-
222's emphasis on wellness across multiple domains.
2. A nurse is teaching a community group about wellness. Which statement best reflects the concept of
wellness?
A. Wellness is the absence of illness
B. Wellness is a static state achieved once good health is attained
C. Wellness is the dynamic, ever-changing process of trying to achieve one's potential
D. Wellness is determined solely by genetic factors
Correct Answer: C
,Rationale: Wellness is defined as the dynamic, ever-changing process of trying to achieve one's potential in
each of the interrelated dimensions of health. It is not a static endpoint but an ongoing process.
3. According to the Health Belief Model, which factor most directly explains why a patient who believes they
are susceptible to diabetes still does not attend a free screening clinic?
A. Perceived severity of diabetes
B. Perceived barriers to action
C. Cues to action
D. Perceived susceptibility
Correct Answer: B
Rationale: Perceived barriers (e.g., time, cost, transportation, embarrassment) directly impede action even
when susceptibility is high. This is the construct that bridges belief and behavior in the Health Belief Model.
4. A nurse is assessing a patient's readiness to change using the Transtheoretical Model. The patient states, "I
know I should quit smoking, and I'm thinking about doing it in the next month." Which stage of change is the
patient in?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Correct Answer: C
, Rationale: In the Preparation stage, the individual intends to take action within the next month and may have
taken some initial steps. Contemplation involves intention within 6 months; Precontemplation involves no
intention; Action involves active behavior change within the past 6 months.
5. A patient in the Precontemplation stage of change is best described as:
A. Aware of the problem and intending to change within 6 months
B. Unaware of or not acknowledging the need to change
C. Actively engaging in behavior change for less than 6 months
D. Working to prevent relapse after 6 months of successful change
Correct Answer: B
Rationale: Precontemplation is characterized by lack of awareness or acknowledgment of the problem
behavior. The patient has no intention to change in the foreseeable future (typically measured as 6 months).
6. Which statement accurately describes the relationship between incidence and prevalence in a chronic
disease with low mortality?
A. Prevalence decreases as incidence increases
B. Prevalence is always equal to incidence
C. Prevalence increases as incidence increases and duration of disease lengthens
D. Prevalence is unrelated to incidence
Correct Answer: C
