NR 222 HEALTH AND WELLNESS
EXAM 3: COMPREHENSIVE REVIEW
TEST BANK WITH 300 EXAM-STYLE
QUESTIONS, CORRECT ANSWERS,
AND DETAILED RATIONALES
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.
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
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 disease.
Question 3: Which model of health is best described as emphasizing the interactions
between physical, social, psychological, and spiritual aspects of life and the
,environment to create meaning and contribute to goal attainment?
A. Clinical Model
B. Role Performance Model
C. Eudaimonistic Model
D. Adaptive Model
Rationale: The Eudaimonistic model of health emphasizes the interactions between
physical, social, psychological, and spiritual aspects of life and the environment that
contribute to goal attainment and create meaning. This model is a key component of
holistic health nursing.
Question 4: The nurse is caring for a patient who recently immigrated and is
experiencing difficulty navigating the healthcare system. The nurse recognizes that
which of the following is the best definition of culture?
A. A person's race or ethnicity.
B. The shared beliefs, values, customs, and behaviors of a group.
C. A person's socioeconomic status.
D. The language a person speaks.
Rationale: Culture encompasses shared beliefs, values, customs, and behaviors that are
transmitted across generations. While race, ethnicity, and language are aspects of
culture, they do not fully define it.
Question 5: The nurse understands that ethnicity refers to:
A. Biological characteristics.
B. Shared cultural heritage, ancestry, and often language.
C. Religious beliefs.
D. Geographic location.
Rationale: Ethnicity is based on shared cultural heritage, ancestry, and often common
language. Race, on the other hand, refers to shared physical and biological
characteristics.
Question 6: A nurse is providing education about improving self-awareness to a
small group of women who have been victims of domestic violence. The nurse
should recommend that clients improve self-awareness by which of the following?
A. Avoiding discussing the traumatic event.
B. Listening to oneself and paying attention to emotions, thoughts, and
reactions.
C. Focusing solely on the needs of others.
D. Suppressing negative feelings to maintain composure.
Rationale: Improving self-awareness involves listening to oneself and paying attention
to emotions, thoughts, and reactions. This practice helps individuals understand their
internal state and is a critical step in healing and personal growth.
Question 7: Which Quality and Safety in the Education of Nurses (QSEN)
competency is exemplified when a critical care nurse uses a computerized decision
,support system to correctly position ventilated patients to reduce pneumonia?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics
Rationale: Using decision support systems is a direct example of the Informatics
competency. This competency involves using information and technology to
communicate, manage knowledge, mitigate error, and support decision-making.
Question 8: A nurse is caring for an older-adult couple in a community-based
assisted living facility. The nurse notes that the couple has many expired medications
and multiple medications for their respective chronic illnesses. They note that they
go to two different health care providers. The nurse begins to work with the couple
to determine what they know about their medications and helps them decide on one
care provider. This is an example of which QSEN competency?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics
Rationale: Helping patients understand the consequences and complications of
multiple medications helps to build the competency in safety. This competency involves
minimizing risk of harm to patients and providers through both system effectiveness
and individual performance.
Question 9: The nurses on an acute care medical floor notice an increase in pressure
ulcer formation in their patients. A nurse consultant decides to compare two types of
treatment: the procedure currently used to assess for pressure ulcer risk and a new
assessment instrument to identify at-risk patients. The nurse consultant exemplifies
which career?
A. Clinical nurse specialist
B. Nurse administrator
C. Nurse educator
D. Nurse researcher
Rationale: The nurse researcher investigates problems to improve nursing care and to
further define and expand the scope of nursing practice. This role often involves
working in an academic setting, hospital, or independent professional or community
service agency.
Question 10: Nurses at a community hospital are in an education program to learn
how to use a new pressure-relieving device for patients at risk for pressure ulcers.
This is which type of education?
A. Continuing education
B. Graduate education
C. In-service education
, D. Professional Registered Nurse Education
Rationale: In-service education programs are instruction or training provided by a
health care agency or institution. These programs are designed to increase the
knowledge, skills, and competencies of nurses and other health care professionals
employed by the institution.
Question 11: Which of the following are components of the paradigm of nursing?
A. The person, health, environment, and theory
B. Health, theory, concepts, and environment
C. Nurses, physicians, health, and patient needs
D. The person, health, environment/situation, and nursing
Rationale: The nursing paradigm focuses on the person, health, environment/situation,
and nursing. All the elements interact with one another, with the patient being central.
Question 12: A beginning nursing student or any nurse entering a situation in which
there is no previous level of experience is known as a:
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Rationale: A novice is a beginner who has no experience with the situation. The learner
learns via a specific set of rules or procedures, which are usually stepwise and linear.
Question 13: A nurse who has had some level of experience with a situation, even if
only observational, is known as a:
A. Novice
B. Advanced Beginner
C. Competent
D. Expert
Rationale: An advanced beginner is a nurse who has had some level of experience with
the situation. This experience may be only observational in nature, but the nurse can
identify meaningful aspects or principles of nursing care.
Question 14: When teaching a patient how to control their blood sugar levels, what
type of learning is this?
A. Affective learning
B. Psychomotor learning
C. Cognitive learning
D. Experiential learning
Rationale: Cognitive learning involves the acquisition of knowledge and understanding.
Teaching a patient how to control blood sugar levels involves imparting information
and knowledge, which is a cognitive process.
EXAM 3: COMPREHENSIVE REVIEW
TEST BANK WITH 300 EXAM-STYLE
QUESTIONS, CORRECT ANSWERS,
AND DETAILED RATIONALES
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.
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
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 disease.
Question 3: Which model of health is best described as emphasizing the interactions
between physical, social, psychological, and spiritual aspects of life and the
,environment to create meaning and contribute to goal attainment?
A. Clinical Model
B. Role Performance Model
C. Eudaimonistic Model
D. Adaptive Model
Rationale: The Eudaimonistic model of health emphasizes the interactions between
physical, social, psychological, and spiritual aspects of life and the environment that
contribute to goal attainment and create meaning. This model is a key component of
holistic health nursing.
Question 4: The nurse is caring for a patient who recently immigrated and is
experiencing difficulty navigating the healthcare system. The nurse recognizes that
which of the following is the best definition of culture?
A. A person's race or ethnicity.
B. The shared beliefs, values, customs, and behaviors of a group.
C. A person's socioeconomic status.
D. The language a person speaks.
Rationale: Culture encompasses shared beliefs, values, customs, and behaviors that are
transmitted across generations. While race, ethnicity, and language are aspects of
culture, they do not fully define it.
Question 5: The nurse understands that ethnicity refers to:
A. Biological characteristics.
B. Shared cultural heritage, ancestry, and often language.
C. Religious beliefs.
D. Geographic location.
Rationale: Ethnicity is based on shared cultural heritage, ancestry, and often common
language. Race, on the other hand, refers to shared physical and biological
characteristics.
Question 6: A nurse is providing education about improving self-awareness to a
small group of women who have been victims of domestic violence. The nurse
should recommend that clients improve self-awareness by which of the following?
A. Avoiding discussing the traumatic event.
B. Listening to oneself and paying attention to emotions, thoughts, and
reactions.
C. Focusing solely on the needs of others.
D. Suppressing negative feelings to maintain composure.
Rationale: Improving self-awareness involves listening to oneself and paying attention
to emotions, thoughts, and reactions. This practice helps individuals understand their
internal state and is a critical step in healing and personal growth.
Question 7: Which Quality and Safety in the Education of Nurses (QSEN)
competency is exemplified when a critical care nurse uses a computerized decision
,support system to correctly position ventilated patients to reduce pneumonia?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics
Rationale: Using decision support systems is a direct example of the Informatics
competency. This competency involves using information and technology to
communicate, manage knowledge, mitigate error, and support decision-making.
Question 8: A nurse is caring for an older-adult couple in a community-based
assisted living facility. The nurse notes that the couple has many expired medications
and multiple medications for their respective chronic illnesses. They note that they
go to two different health care providers. The nurse begins to work with the couple
to determine what they know about their medications and helps them decide on one
care provider. This is an example of which QSEN competency?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics
Rationale: Helping patients understand the consequences and complications of
multiple medications helps to build the competency in safety. This competency involves
minimizing risk of harm to patients and providers through both system effectiveness
and individual performance.
Question 9: The nurses on an acute care medical floor notice an increase in pressure
ulcer formation in their patients. A nurse consultant decides to compare two types of
treatment: the procedure currently used to assess for pressure ulcer risk and a new
assessment instrument to identify at-risk patients. The nurse consultant exemplifies
which career?
A. Clinical nurse specialist
B. Nurse administrator
C. Nurse educator
D. Nurse researcher
Rationale: The nurse researcher investigates problems to improve nursing care and to
further define and expand the scope of nursing practice. This role often involves
working in an academic setting, hospital, or independent professional or community
service agency.
Question 10: Nurses at a community hospital are in an education program to learn
how to use a new pressure-relieving device for patients at risk for pressure ulcers.
This is which type of education?
A. Continuing education
B. Graduate education
C. In-service education
, D. Professional Registered Nurse Education
Rationale: In-service education programs are instruction or training provided by a
health care agency or institution. These programs are designed to increase the
knowledge, skills, and competencies of nurses and other health care professionals
employed by the institution.
Question 11: Which of the following are components of the paradigm of nursing?
A. The person, health, environment, and theory
B. Health, theory, concepts, and environment
C. Nurses, physicians, health, and patient needs
D. The person, health, environment/situation, and nursing
Rationale: The nursing paradigm focuses on the person, health, environment/situation,
and nursing. All the elements interact with one another, with the patient being central.
Question 12: A beginning nursing student or any nurse entering a situation in which
there is no previous level of experience is known as a:
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Rationale: A novice is a beginner who has no experience with the situation. The learner
learns via a specific set of rules or procedures, which are usually stepwise and linear.
Question 13: A nurse who has had some level of experience with a situation, even if
only observational, is known as a:
A. Novice
B. Advanced Beginner
C. Competent
D. Expert
Rationale: An advanced beginner is a nurse who has had some level of experience with
the situation. This experience may be only observational in nature, but the nurse can
identify meaningful aspects or principles of nursing care.
Question 14: When teaching a patient how to control their blood sugar levels, what
type of learning is this?
A. Affective learning
B. Psychomotor learning
C. Cognitive learning
D. Experiential learning
Rationale: Cognitive learning involves the acquisition of knowledge and understanding.
Teaching a patient how to control blood sugar levels involves imparting information
and knowledge, which is a cognitive process.
