NR 222 HEALTH AND WELLNESS
EXAM 2: COMPREHENSIVE TEST
BANK WITH 274 REVIEW
QUESTIONS, CORRECT ANSWERS,
AND DETAILED RATIONALES
Question 1: A patient is learning how to use a glucometer. This involves which
domain of learning?
A. Cognitive
B. Psychomotor
C. Affective
D. Attitudinal
Correct Answer: B. Psychomotor. Rationale: The psychomotor domain involves
the integration of mental and muscular activity, such as the physical task of
using a medical device.
Question 2: Which stage of the Transtheoretical Model is a person in if they intend
to take action in the next 30 days?
A. Precontemplation
B. Contemplation
C. Action
D. Preparation
Correct Answer: D. Preparation. Rationale: The Preparation stage involves
intending to take action in the immediate future, usually defined as the next
month.
Question 3: According to the Health Belief Model, a patient's belief about the
seriousness of a condition is known as:
A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
D. Perceived barriers
Correct Answer: B. Perceived severity. Rationale: Perceived severity refers to a
person's feelings on the seriousness of contracting an illness or leaving it
untreated.
,Question 4: Which type of prevention focuses on early detection and screening of
asymptomatic disease?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Correct Answer: C. Secondary prevention. Rationale: Secondary prevention
focuses on early identification and prompt treatment to limit disability, such as
cancer screenings.
Question 5: A nurse is teaching a group about the DASH diet. What is the primary
goal of this dietary plan?
A. Weight loss for obesity
B. Managing Type 1 Diabetes
C. Lowering blood pressure
D. Increasing muscle mass
Correct Answer: C. Lowering blood pressure. Rationale: The Dietary Approaches
to Stop Hypertension (DASH) diet is specifically designed to help treat or
prevent high blood pressure.
Question 6: In the nursing process of teaching, which step involves determining if
the patient met the learning objectives?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer: D. Evaluation. Rationale: Evaluation determines if the learner
has effectively achieved the desired learning outcomes and objectives.
Question 7: A patient needs to learn to use a walker. Which domain is required for
learning this skill?
A. Affective domain
B. Cognitive domain
C. Attentional domain
D. Psychomotor domain
Correct Answer: D. Psychomotor domain. Rationale: Learning to use a walker is
a physical skill that requires coordination and motor activity, which falls under
the psychomotor domain of learning.
Question 8: A hospital creates a Facebook page for the bariatric surgery program.
The owner of the site posts healthy recipes, lifestyle information, and information
,about upcoming workshops. This is an example of:
A. Health literacy
B. Coercive advertising
C. A teaching plan
D. Social marketing
Correct Answer: D. Social marketing. Rationale: Social marketing uses
commercial marketing principles to influence health behaviors for the benefit of
individuals and communities.
Question 9: Working families with an income too low to purchase health insurance
and too high to qualify for Medicaid would be an example of which of the following
issues?
A. Low health literacy
B. Health disparity
C. Federally subsidized health care
D. Poor quality health care
Correct Answer: B. Health disparity. Rationale: A health disparity is a difference
in health outcomes between groups, often linked to social, economic, or
environmental disadvantage.
Question 10: The nurse incorporates cultural considerations into the health teaching
plan by:
A. Assessing a person's beliefs
B. Using medical terminology
C. Presenting evidence-based information
D. Explaining that universal health practices are the best
Correct Answer: A. Assessing a person's beliefs. Rationale: Culturally competent
care requires understanding the patient's cultural values, beliefs, and practices
to provide effective and respectful education.
Question 11: A patient needs to learn how to use a walker correctly. Which learning
domain is primarily involved?
A. Affective
B. Cognitive
C. Psychomotor
D. Social
Correct Answer: C. Psychomotor. Rationale: The psychomotor domain involves
physical skills and coordinated motor activities. Learning to manipulate and
safely use a walker requires the patient to demonstrate a physical skill. The
cognitive domain concerns knowledge and thinking, while the affective domain
concerns attitudes, feelings, and values.
, Question 12: Which nursing action best promotes health literacy when teaching a
client about a new medication?
A. Use complex medical terminology
B. Provide lengthy written information only
C. Use plain language and ask the client to explain the instructions back
D. Ask the client to memorize the medication's mechanism of action
Correct Answer: C. Use plain language and ask the client to explain the
instructions back. Rationale: Health literacy improves when information is
presented clearly and the nurse verifies understanding. Teach-back allows the
nurse to determine whether the client can accurately explain the instructions
rather than simply asking whether the client understands.
Question 13: Which statement best describes the cognitive domain of learning?
A. It involves attitudes and values
B. It involves physical skills
C. It involves thinking, knowledge, and understanding
D. It involves interpersonal relationships only
Correct Answer: C. It involves thinking, knowledge, and understanding.
Rationale: The cognitive domain addresses intellectual abilities such as
remembering, understanding, applying, analyzing, and evaluating information.
The affective domain concerns attitudes and values, whereas the psychomotor
domain concerns physical skills.
Question 14: Which teaching strategy is most appropriate for developing the
affective domain?
A. Role-playing
B. Memorizing a list of symptoms
C. Performing a dressing change
D. Completing a mathematical calculation
Correct Answer: A. Role-playing. Rationale: Role-playing can help clients
explore feelings, attitudes, beliefs, and values. These are components of the
affective domain. Memorization primarily addresses cognitive learning, while
performing a dressing change emphasizes psychomotor learning.
Question 15: A nurse is preparing to teach a client about exercise. Which situation
provides the best opportunity for learning?
A. The client is experiencing severe pain
B. The client is distracted by several visitors
C. The client is alert and comfortable after pain has been controlled
D. The client has just received a sedating medication
EXAM 2: COMPREHENSIVE TEST
BANK WITH 274 REVIEW
QUESTIONS, CORRECT ANSWERS,
AND DETAILED RATIONALES
Question 1: A patient is learning how to use a glucometer. This involves which
domain of learning?
A. Cognitive
B. Psychomotor
C. Affective
D. Attitudinal
Correct Answer: B. Psychomotor. Rationale: The psychomotor domain involves
the integration of mental and muscular activity, such as the physical task of
using a medical device.
Question 2: Which stage of the Transtheoretical Model is a person in if they intend
to take action in the next 30 days?
A. Precontemplation
B. Contemplation
C. Action
D. Preparation
Correct Answer: D. Preparation. Rationale: The Preparation stage involves
intending to take action in the immediate future, usually defined as the next
month.
Question 3: According to the Health Belief Model, a patient's belief about the
seriousness of a condition is known as:
A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
D. Perceived barriers
Correct Answer: B. Perceived severity. Rationale: Perceived severity refers to a
person's feelings on the seriousness of contracting an illness or leaving it
untreated.
,Question 4: Which type of prevention focuses on early detection and screening of
asymptomatic disease?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Correct Answer: C. Secondary prevention. Rationale: Secondary prevention
focuses on early identification and prompt treatment to limit disability, such as
cancer screenings.
Question 5: A nurse is teaching a group about the DASH diet. What is the primary
goal of this dietary plan?
A. Weight loss for obesity
B. Managing Type 1 Diabetes
C. Lowering blood pressure
D. Increasing muscle mass
Correct Answer: C. Lowering blood pressure. Rationale: The Dietary Approaches
to Stop Hypertension (DASH) diet is specifically designed to help treat or
prevent high blood pressure.
Question 6: In the nursing process of teaching, which step involves determining if
the patient met the learning objectives?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer: D. Evaluation. Rationale: Evaluation determines if the learner
has effectively achieved the desired learning outcomes and objectives.
Question 7: A patient needs to learn to use a walker. Which domain is required for
learning this skill?
A. Affective domain
B. Cognitive domain
C. Attentional domain
D. Psychomotor domain
Correct Answer: D. Psychomotor domain. Rationale: Learning to use a walker is
a physical skill that requires coordination and motor activity, which falls under
the psychomotor domain of learning.
Question 8: A hospital creates a Facebook page for the bariatric surgery program.
The owner of the site posts healthy recipes, lifestyle information, and information
,about upcoming workshops. This is an example of:
A. Health literacy
B. Coercive advertising
C. A teaching plan
D. Social marketing
Correct Answer: D. Social marketing. Rationale: Social marketing uses
commercial marketing principles to influence health behaviors for the benefit of
individuals and communities.
Question 9: Working families with an income too low to purchase health insurance
and too high to qualify for Medicaid would be an example of which of the following
issues?
A. Low health literacy
B. Health disparity
C. Federally subsidized health care
D. Poor quality health care
Correct Answer: B. Health disparity. Rationale: A health disparity is a difference
in health outcomes between groups, often linked to social, economic, or
environmental disadvantage.
Question 10: The nurse incorporates cultural considerations into the health teaching
plan by:
A. Assessing a person's beliefs
B. Using medical terminology
C. Presenting evidence-based information
D. Explaining that universal health practices are the best
Correct Answer: A. Assessing a person's beliefs. Rationale: Culturally competent
care requires understanding the patient's cultural values, beliefs, and practices
to provide effective and respectful education.
Question 11: A patient needs to learn how to use a walker correctly. Which learning
domain is primarily involved?
A. Affective
B. Cognitive
C. Psychomotor
D. Social
Correct Answer: C. Psychomotor. Rationale: The psychomotor domain involves
physical skills and coordinated motor activities. Learning to manipulate and
safely use a walker requires the patient to demonstrate a physical skill. The
cognitive domain concerns knowledge and thinking, while the affective domain
concerns attitudes, feelings, and values.
, Question 12: Which nursing action best promotes health literacy when teaching a
client about a new medication?
A. Use complex medical terminology
B. Provide lengthy written information only
C. Use plain language and ask the client to explain the instructions back
D. Ask the client to memorize the medication's mechanism of action
Correct Answer: C. Use plain language and ask the client to explain the
instructions back. Rationale: Health literacy improves when information is
presented clearly and the nurse verifies understanding. Teach-back allows the
nurse to determine whether the client can accurately explain the instructions
rather than simply asking whether the client understands.
Question 13: Which statement best describes the cognitive domain of learning?
A. It involves attitudes and values
B. It involves physical skills
C. It involves thinking, knowledge, and understanding
D. It involves interpersonal relationships only
Correct Answer: C. It involves thinking, knowledge, and understanding.
Rationale: The cognitive domain addresses intellectual abilities such as
remembering, understanding, applying, analyzing, and evaluating information.
The affective domain concerns attitudes and values, whereas the psychomotor
domain concerns physical skills.
Question 14: Which teaching strategy is most appropriate for developing the
affective domain?
A. Role-playing
B. Memorizing a list of symptoms
C. Performing a dressing change
D. Completing a mathematical calculation
Correct Answer: A. Role-playing. Rationale: Role-playing can help clients
explore feelings, attitudes, beliefs, and values. These are components of the
affective domain. Memorization primarily addresses cognitive learning, while
performing a dressing change emphasizes psychomotor learning.
Question 15: A nurse is preparing to teach a client about exercise. Which situation
provides the best opportunity for learning?
A. The client is experiencing severe pain
B. The client is distracted by several visitors
C. The client is alert and comfortable after pain has been controlled
D. The client has just received a sedating medication
