NR222 Health and Wellness Exam 2 2026/2027 | Page 1 | Passing Score: 80%
CHAMBERLAIN UNIVERSITY
Exam 2: NR222
Health and Wellness Review
Official Exam 2026/2027
75 80% One-Time Cert
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Foundations of Health & Wellness Q1-Q15
Section 2 Health Promotion & Disease Prevention Q16-Q30
Section 3 Cultural Competence & Patient Education Q31-Q45
Section 4 Mental, Social & Spiritual Health Q46-Q60
Section 5 Health Behavior Change & Self-Management Q61-Q75
Instructions: Select the single best answer for each question. This exam is designed for Chamberlain NR222 Health and Wellness
NR222 Health and Wellness Exam 2 - 2026/2027 | Passing Score: 80% | Page 1 of 46
, SECTION 1 | Foundations of Health & Wellness | Q1-Q15 | NR222 Health & Wellness 2026/2027
Q1 Question 1 of 75
A 22-year-old college student visits the campus health clinic for a routine checkup. She
reports feeling generally healthy but admits to sleeping only 4-5 hours per night due to
studying and social activities. The nurse uses the World Health Organization definition of
health to guide the assessment.
A. Health is a state of complete physical, mental, and social well-being and not merely the
absence of disease or infirmity
B. Health is defined as the ability to perform activities of daily living without assistance
C. Health refers exclusively to the absence of diagnosed medical conditions
D. Health is the capacity to maintain homeostasis despite environmental stressors
Correct Answer: A
Rationale:
The WHO defines health as a state of complete physical, mental, and social well-being, not merely the
absence of disease. This holistic definition encompasses multiple dimensions beyond the physical, making
option A correct. Option D describes a physiological concept of homeostasis rather than the WHO's broader
biopsychosocial definition of health.
Q2 Question 2 of 75
A 45-year-old man with a family history of cardiovascular disease asks his primary care nurse
about the difference between health education and health promotion. The nurse explains the
distinction to help the patient understand the broader approach to wellness.
A. Health education focuses on increasing knowledge and awareness, while health promotion
enables people to increase control over and improve their health through policy and environmental
changes
B. Health education and health promotion are interchangeable terms with identical meanings
C. Health promotion is limited to providing pamphlets and brochures in clinical settings
D. Health education refers only to school-based programs for children and adolescents
Correct Answer: B
Rationale:
Health education is a subset of health promotion that focuses on increasing knowledge, while health
promotion is a broader concept that includes policy, environmental, and community-level interventions to
enable people to improve their health. Option A incorrectly defines health promotion as limited to clinical
materials, missing the population-level strategies that distinguish it from education alone.
NR222 Health and Wellness Exam 2 - 2026/2027 | Passing Score: 80% | Page 2 of 46
, SECTION 1 | Foundations of Health & Wellness | Q1-Q15 | NR222 Health & Wellness 2026/2027
Q3 Question 3 of 75
A 35-year-old woman expresses interest in improving her overall wellness after her annual
physical examination reveals elevated cholesterol. The nurse introduces the concept of the
wellness-illness continuum to help frame her understanding of where she currently stands.
A. The wellness-illness continuum views health as a dynamic range from high-level wellness to
severe illness, with individuals moving along the spectrum over time
B. The continuum places individuals in fixed categories of either completely well or completely ill
with no intermediate states
C. The wellness-illness continuum only applies to physical health and excludes mental or social
dimensions
D. The continuum suggests that once a person is diagnosed with illness, returning to wellness is
impossible
Correct Answer: C
Rationale:
The wellness-illness continuum describes health as a dynamic, ever-changing spectrum ranging from
high-level wellness to severe illness. Individuals can move in either direction along this continuum based on
their behaviors and circumstances. Option B is wrong because the continuum explicitly rejects fixed
categories, and option D contradicts the dynamic, reversible nature of the model.
Q4 Question 4 of 75
A nurse is conducting a community health assessment using the six dimensions of the
wellness model. A 50-year-old participant asks which dimension encompasses their ability to
find meaning and purpose in life through work and personal values.
A. The spiritual dimension involves finding meaning, purpose, and fulfillment in life through values,
beliefs, and connection to something greater than oneself
B. The intellectual dimension focuses exclusively on academic achievement and formal education
level
C. The emotional dimension is defined solely by the absence of diagnosed mental health disorders
D. The physical dimension addresses only the body's physiological functioning and laboratory
values
Correct Answer: D
Rationale:
The spiritual dimension of wellness encompasses the search for meaning, purpose, and fulfillment in life,
including connections to values and beliefs that transcend the self. Option A incorrectly limits intellectual
wellness to academics, while the intellectual dimension actually includes creative thinking, curiosity, and
lifelong learning beyond formal education.
NR222 Health and Wellness Exam 2 - 2026/2027 | Passing Score: 80% | Page 3 of 46
, SECTION 1 | Foundations of Health & Wellness | Q1-Q15 | NR222 Health & Wellness 2026/2027
Q5 Question 5 of 75
A 60-year-old retired teacher visits the clinic for a wellness visit. The nurse uses Maslow's
hierarchy of needs to prioritize the patient's assessment. The patient mentions she has been
skipping meals and feels lonely since her spouse passed away three months ago.
A. Belonging needs should take priority over physiological needs because loneliness poses a
greater health risk
B. The nurse should first address physiological needs such as nutrition before addressing
higher-level needs like belonging and love
C. Self-actualization needs should be addressed first to help the patient find new purpose in
retirement
D. All needs should be addressed simultaneously because Maslow's hierarchy does not apply to
grieving patients
Correct Answer: B
Rationale:
Maslow's hierarchy establishes that physiological needs such as food and shelter must be met before
higher-level needs like belonging and self-actualization can be effectively addressed. Since the patient is
skipping meals, this physiological deficit must be prioritized. Option B incorrectly prioritizes psychosocial
needs over basic physiological requirements, which contradicts the hierarchical model.
Q6 Question 6 of 75
A community health nurse is assessing the health of a neighborhood using the determinants
of health framework. She notes that the area has limited grocery stores, high crime rates, and
few recreational facilities. The nurse recognizes these as examples of a specific category of
health determinants.
A. These factors represent social determinants of health, which are conditions in the environment
where people live, learn, work, and play that affect health outcomes
B. These factors represent genetic determinants of health that are inherited and unchangeable
C. These factors are classified as behavioral determinants because they result from individual
lifestyle choices
D. These factors represent biological determinants of health related to physiological vulnerability
Correct Answer: B
Rationale:
Limited grocery stores, high crime, and lack of recreational facilities are social determinants of health -
environmental and social conditions that influence health outcomes and access to care. Option C incorrectly
attributes these community-level factors to individual behavioral choices, when they are structural conditions
beyond any single person's control.
NR222 Health and Wellness Exam 2 - 2026/2027 | Passing Score: 80% | Page 4 of 46
CHAMBERLAIN UNIVERSITY
Exam 2: NR222
Health and Wellness Review
Official Exam 2026/2027
75 80% One-Time Cert
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Foundations of Health & Wellness Q1-Q15
Section 2 Health Promotion & Disease Prevention Q16-Q30
Section 3 Cultural Competence & Patient Education Q31-Q45
Section 4 Mental, Social & Spiritual Health Q46-Q60
Section 5 Health Behavior Change & Self-Management Q61-Q75
Instructions: Select the single best answer for each question. This exam is designed for Chamberlain NR222 Health and Wellness
NR222 Health and Wellness Exam 2 - 2026/2027 | Passing Score: 80% | Page 1 of 46
, SECTION 1 | Foundations of Health & Wellness | Q1-Q15 | NR222 Health & Wellness 2026/2027
Q1 Question 1 of 75
A 22-year-old college student visits the campus health clinic for a routine checkup. She
reports feeling generally healthy but admits to sleeping only 4-5 hours per night due to
studying and social activities. The nurse uses the World Health Organization definition of
health to guide the assessment.
A. Health is a state of complete physical, mental, and social well-being and not merely the
absence of disease or infirmity
B. Health is defined as the ability to perform activities of daily living without assistance
C. Health refers exclusively to the absence of diagnosed medical conditions
D. Health is the capacity to maintain homeostasis despite environmental stressors
Correct Answer: A
Rationale:
The WHO defines health as a state of complete physical, mental, and social well-being, not merely the
absence of disease. This holistic definition encompasses multiple dimensions beyond the physical, making
option A correct. Option D describes a physiological concept of homeostasis rather than the WHO's broader
biopsychosocial definition of health.
Q2 Question 2 of 75
A 45-year-old man with a family history of cardiovascular disease asks his primary care nurse
about the difference between health education and health promotion. The nurse explains the
distinction to help the patient understand the broader approach to wellness.
A. Health education focuses on increasing knowledge and awareness, while health promotion
enables people to increase control over and improve their health through policy and environmental
changes
B. Health education and health promotion are interchangeable terms with identical meanings
C. Health promotion is limited to providing pamphlets and brochures in clinical settings
D. Health education refers only to school-based programs for children and adolescents
Correct Answer: B
Rationale:
Health education is a subset of health promotion that focuses on increasing knowledge, while health
promotion is a broader concept that includes policy, environmental, and community-level interventions to
enable people to improve their health. Option A incorrectly defines health promotion as limited to clinical
materials, missing the population-level strategies that distinguish it from education alone.
NR222 Health and Wellness Exam 2 - 2026/2027 | Passing Score: 80% | Page 2 of 46
, SECTION 1 | Foundations of Health & Wellness | Q1-Q15 | NR222 Health & Wellness 2026/2027
Q3 Question 3 of 75
A 35-year-old woman expresses interest in improving her overall wellness after her annual
physical examination reveals elevated cholesterol. The nurse introduces the concept of the
wellness-illness continuum to help frame her understanding of where she currently stands.
A. The wellness-illness continuum views health as a dynamic range from high-level wellness to
severe illness, with individuals moving along the spectrum over time
B. The continuum places individuals in fixed categories of either completely well or completely ill
with no intermediate states
C. The wellness-illness continuum only applies to physical health and excludes mental or social
dimensions
D. The continuum suggests that once a person is diagnosed with illness, returning to wellness is
impossible
Correct Answer: C
Rationale:
The wellness-illness continuum describes health as a dynamic, ever-changing spectrum ranging from
high-level wellness to severe illness. Individuals can move in either direction along this continuum based on
their behaviors and circumstances. Option B is wrong because the continuum explicitly rejects fixed
categories, and option D contradicts the dynamic, reversible nature of the model.
Q4 Question 4 of 75
A nurse is conducting a community health assessment using the six dimensions of the
wellness model. A 50-year-old participant asks which dimension encompasses their ability to
find meaning and purpose in life through work and personal values.
A. The spiritual dimension involves finding meaning, purpose, and fulfillment in life through values,
beliefs, and connection to something greater than oneself
B. The intellectual dimension focuses exclusively on academic achievement and formal education
level
C. The emotional dimension is defined solely by the absence of diagnosed mental health disorders
D. The physical dimension addresses only the body's physiological functioning and laboratory
values
Correct Answer: D
Rationale:
The spiritual dimension of wellness encompasses the search for meaning, purpose, and fulfillment in life,
including connections to values and beliefs that transcend the self. Option A incorrectly limits intellectual
wellness to academics, while the intellectual dimension actually includes creative thinking, curiosity, and
lifelong learning beyond formal education.
NR222 Health and Wellness Exam 2 - 2026/2027 | Passing Score: 80% | Page 3 of 46
, SECTION 1 | Foundations of Health & Wellness | Q1-Q15 | NR222 Health & Wellness 2026/2027
Q5 Question 5 of 75
A 60-year-old retired teacher visits the clinic for a wellness visit. The nurse uses Maslow's
hierarchy of needs to prioritize the patient's assessment. The patient mentions she has been
skipping meals and feels lonely since her spouse passed away three months ago.
A. Belonging needs should take priority over physiological needs because loneliness poses a
greater health risk
B. The nurse should first address physiological needs such as nutrition before addressing
higher-level needs like belonging and love
C. Self-actualization needs should be addressed first to help the patient find new purpose in
retirement
D. All needs should be addressed simultaneously because Maslow's hierarchy does not apply to
grieving patients
Correct Answer: B
Rationale:
Maslow's hierarchy establishes that physiological needs such as food and shelter must be met before
higher-level needs like belonging and self-actualization can be effectively addressed. Since the patient is
skipping meals, this physiological deficit must be prioritized. Option B incorrectly prioritizes psychosocial
needs over basic physiological requirements, which contradicts the hierarchical model.
Q6 Question 6 of 75
A community health nurse is assessing the health of a neighborhood using the determinants
of health framework. She notes that the area has limited grocery stores, high crime rates, and
few recreational facilities. The nurse recognizes these as examples of a specific category of
health determinants.
A. These factors represent social determinants of health, which are conditions in the environment
where people live, learn, work, and play that affect health outcomes
B. These factors represent genetic determinants of health that are inherited and unchangeable
C. These factors are classified as behavioral determinants because they result from individual
lifestyle choices
D. These factors represent biological determinants of health related to physiological vulnerability
Correct Answer: B
Rationale:
Limited grocery stores, high crime, and lack of recreational facilities are social determinants of health -
environmental and social conditions that influence health outcomes and access to care. Option C incorrectly
attributes these community-level factors to individual behavioral choices, when they are structural conditions
beyond any single person's control.
NR222 Health and Wellness Exam 2 - 2026/2027 | Passing Score: 80% | Page 4 of 46
