NR 222 Health & Wellness Exam 3
Study Guide | Chamberlain College
of Nursing | Complete Question
Bank with Verified Answers &
Evidence-Based Rationales |
Latest 2026/2027 Version (Graded
A+)
Accelerate your nursing journey and secure an elite score
on your final assessments with this premium, high-density
practice test bank for Chamberlain College of Nursing
NR 222: Health & Wellness Exam 3. This comprehensive
study resource translates core wellness domains—
including health promotion models, cultural competency,
developmental stages, therapeutic communication, and
multi-tier public health interventions—into high-yield
exam questions complete with bolded correct
answers and detailed rationales. Expertly designed with
minimized spacing to optimize document length and cut
down on printing costs, this top-rated document is your
ultimate tool to achieve an A+ on your exam.
,CHAMBERLAIN COLLEGE OF NURSING || NR 222 HEALTH
& WELLNESS EXAM 3
MODULE 1: HEALTH PROMOTION MODELS & PUBLIC HEALTH
FRAMEWORKS
Question 1
When applying Pender’s Health Promotion Model to a patient who wants to
implement a regular exercise routine, the nurse understands that which factor is the
most significant predictor of the patient committing to this health-promoting behavior?
A. The explicit financial cost of joining a local commercial gym.
B. Perceived self-efficacy and prior related health-promoting behaviors.
C. The patient's exact age and genetic metabolic rate.
D. The baseline number of registered nurses working in the community.
Correct Answer: B. Perceived self-efficacy and prior related health-promoting
behaviors.
Rationale: Nola Pender’s Health Promotion Model emphasizes that cognitive-perceptual
factors shape health actions. An individual’s belief in their personal capability to
succeed (perceived self-efficacy) paired with positive past experiences with similar
behaviors are the strongest predictors of a person adopting and sustaining new lifestyle
enhancements.
Question 2
A public health nurse organizes a community-wide educational seminar regarding the
importance of annual mammograms and colonoscopies for early cancer detection. This
initiative is classified under which level of prevention?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Correct Answer: B. Secondary Prevention
Rationale: Prevention is divided into three tiers. Primary prevention stops a disease
before it takes hold (e.g., vaccines or healthy diet education). Secondary prevention
focuses on early detection, screening, and rapid intervention to halt disease progression
in its asymptomatic stages. Tertiary prevention limits disability or provides rehabilitation
for established conditions.
,Question 3
According to the Transtheoretical Model (Stages of Change), a client who states, "I
have been reading about the benefits of smoking cessation and plan to buy nicotine
patches next week to quit within the next 30 days," is operating within which distinct
stage?
A. Precontemplation stage
B. Contemplation stage
C. Preparation stage
D. Action stage
Correct Answer: C. Preparation stage
Rationale: The Stages of Change model tracks behavioral shifts sequentially. In
precontemplation, the individual has no intention to change. In contemplation, they
acknowledge the problem but are ambivalent. In the preparation stage, the client
intends to take active steps toward change in the immediate future (typically within the
next month) and often makes small behavioral preparations.
Question 4
What is the primary overarching operational goal of the national Healthy People 2030
public health initiative?
A. To automate the billing transactions of large private medical networks.
B. To attain healthy, thriving lives and well-being free of preventable disease,
disability, injury, and premature death across all lifespans.
C. To mandate that all medical diagnostic testing occur inside emergency departments.
D. To eliminate all qualitative nursing research methodologies from academic study.
Correct Answer: B. To attain healthy, thriving lives and well-being free of
preventable disease, disability, injury, and premature death across all lifespans.
Rationale: Healthy People 2030 is a data-driven national roadmap designed to improve
public health. Its core mission focuses on eliminating health disparities, achieving health
equity, promoting health literacy, and enabling individuals to achieve their full potential
for health and wellness across the entire life cycle.
MODULE 2: THERAPEUTIC COMMUNICATION, FAMILY DYNAMICS, &
DEVELOPMENTAL STAGES
Question 5
During a client interview, the nurse states: "You mentioned that you feel anxious when
, your blood sugar rises. Can you describe what physical sensations you experience
when that happens?" Which therapeutic communication technique is the nurse utilizing?
A. Reflection
B. Clarifying / Focusing
C. Passive sympathy
D. Giving generalized reassurance
Correct Answer: B. Clarifying / Focusing
Rationale: Focusing or clarifying directs the conversation toward a specific, relevant
topic or detail mentioned by the client. This technique prompts the patient to expand on
a key symptom or feeling, helping the nurse gather precise subjective data rather than
generic statements.
Question 6
According to Erik Erikson’s stages of psychosocial development, an 82-year-old
retired schoolteacher who reflects on her life choices with a deep sense of fulfillment
and satisfaction is working through which developmental crisis?
A. Identity vs. Role Confusion
B. Generativity vs. Stagnation
C. Autonomy vs. Shame and Doubt
D. Ego Integrity vs. Despair
Correct Answer: D. Ego Integrity vs. Despair
Rationale: Late adulthood (ages 65 and older) centers on the psychosocial task of Ego
Integrity vs. Despair. Individuals look back on their lives; successfully navigating this
stage yields a sense of wisdom and closure, while unresolved regrets or a sense of
missed potential lead to bitterness and despair.
Question 7
A nurse uses Gordon’s Functional Health Patterns to structure a comprehensive
family assessment. What is the fundamental utility of organizing nursing data into these
11 standardized holistic categories?
A. To calculate the patient's estimated glomerular filtration rate.
B. To systematically evaluate the individual's or family's baseline functional
health patterns, strengths, and risks to identify adaptive or maladaptive coping
responses.
C. To reduce the overhead operational debt of hospital billing offices.
D. To select the appropriate model of electronic syringe pump to use on a ward.
Study Guide | Chamberlain College
of Nursing | Complete Question
Bank with Verified Answers &
Evidence-Based Rationales |
Latest 2026/2027 Version (Graded
A+)
Accelerate your nursing journey and secure an elite score
on your final assessments with this premium, high-density
practice test bank for Chamberlain College of Nursing
NR 222: Health & Wellness Exam 3. This comprehensive
study resource translates core wellness domains—
including health promotion models, cultural competency,
developmental stages, therapeutic communication, and
multi-tier public health interventions—into high-yield
exam questions complete with bolded correct
answers and detailed rationales. Expertly designed with
minimized spacing to optimize document length and cut
down on printing costs, this top-rated document is your
ultimate tool to achieve an A+ on your exam.
,CHAMBERLAIN COLLEGE OF NURSING || NR 222 HEALTH
& WELLNESS EXAM 3
MODULE 1: HEALTH PROMOTION MODELS & PUBLIC HEALTH
FRAMEWORKS
Question 1
When applying Pender’s Health Promotion Model to a patient who wants to
implement a regular exercise routine, the nurse understands that which factor is the
most significant predictor of the patient committing to this health-promoting behavior?
A. The explicit financial cost of joining a local commercial gym.
B. Perceived self-efficacy and prior related health-promoting behaviors.
C. The patient's exact age and genetic metabolic rate.
D. The baseline number of registered nurses working in the community.
Correct Answer: B. Perceived self-efficacy and prior related health-promoting
behaviors.
Rationale: Nola Pender’s Health Promotion Model emphasizes that cognitive-perceptual
factors shape health actions. An individual’s belief in their personal capability to
succeed (perceived self-efficacy) paired with positive past experiences with similar
behaviors are the strongest predictors of a person adopting and sustaining new lifestyle
enhancements.
Question 2
A public health nurse organizes a community-wide educational seminar regarding the
importance of annual mammograms and colonoscopies for early cancer detection. This
initiative is classified under which level of prevention?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Correct Answer: B. Secondary Prevention
Rationale: Prevention is divided into three tiers. Primary prevention stops a disease
before it takes hold (e.g., vaccines or healthy diet education). Secondary prevention
focuses on early detection, screening, and rapid intervention to halt disease progression
in its asymptomatic stages. Tertiary prevention limits disability or provides rehabilitation
for established conditions.
,Question 3
According to the Transtheoretical Model (Stages of Change), a client who states, "I
have been reading about the benefits of smoking cessation and plan to buy nicotine
patches next week to quit within the next 30 days," is operating within which distinct
stage?
A. Precontemplation stage
B. Contemplation stage
C. Preparation stage
D. Action stage
Correct Answer: C. Preparation stage
Rationale: The Stages of Change model tracks behavioral shifts sequentially. In
precontemplation, the individual has no intention to change. In contemplation, they
acknowledge the problem but are ambivalent. In the preparation stage, the client
intends to take active steps toward change in the immediate future (typically within the
next month) and often makes small behavioral preparations.
Question 4
What is the primary overarching operational goal of the national Healthy People 2030
public health initiative?
A. To automate the billing transactions of large private medical networks.
B. To attain healthy, thriving lives and well-being free of preventable disease,
disability, injury, and premature death across all lifespans.
C. To mandate that all medical diagnostic testing occur inside emergency departments.
D. To eliminate all qualitative nursing research methodologies from academic study.
Correct Answer: B. To attain healthy, thriving lives and well-being free of
preventable disease, disability, injury, and premature death across all lifespans.
Rationale: Healthy People 2030 is a data-driven national roadmap designed to improve
public health. Its core mission focuses on eliminating health disparities, achieving health
equity, promoting health literacy, and enabling individuals to achieve their full potential
for health and wellness across the entire life cycle.
MODULE 2: THERAPEUTIC COMMUNICATION, FAMILY DYNAMICS, &
DEVELOPMENTAL STAGES
Question 5
During a client interview, the nurse states: "You mentioned that you feel anxious when
, your blood sugar rises. Can you describe what physical sensations you experience
when that happens?" Which therapeutic communication technique is the nurse utilizing?
A. Reflection
B. Clarifying / Focusing
C. Passive sympathy
D. Giving generalized reassurance
Correct Answer: B. Clarifying / Focusing
Rationale: Focusing or clarifying directs the conversation toward a specific, relevant
topic or detail mentioned by the client. This technique prompts the patient to expand on
a key symptom or feeling, helping the nurse gather precise subjective data rather than
generic statements.
Question 6
According to Erik Erikson’s stages of psychosocial development, an 82-year-old
retired schoolteacher who reflects on her life choices with a deep sense of fulfillment
and satisfaction is working through which developmental crisis?
A. Identity vs. Role Confusion
B. Generativity vs. Stagnation
C. Autonomy vs. Shame and Doubt
D. Ego Integrity vs. Despair
Correct Answer: D. Ego Integrity vs. Despair
Rationale: Late adulthood (ages 65 and older) centers on the psychosocial task of Ego
Integrity vs. Despair. Individuals look back on their lives; successfully navigating this
stage yields a sense of wisdom and closure, while unresolved regrets or a sense of
missed potential lead to bitterness and despair.
Question 7
A nurse uses Gordon’s Functional Health Patterns to structure a comprehensive
family assessment. What is the fundamental utility of organizing nursing data into these
11 standardized holistic categories?
A. To calculate the patient's estimated glomerular filtration rate.
B. To systematically evaluate the individual's or family's baseline functional
health patterns, strengths, and risks to identify adaptive or maladaptive coping
responses.
C. To reduce the overhead operational debt of hospital billing offices.
D. To select the appropriate model of electronic syringe pump to use on a ward.
