NR222 Health and Wellness Quiz 4 Actual
Exam 2026/2027 | Complete Exam-Style
Questions with Detailed Rationales | Pass
Guaranteed – A+ Graded
Section 1: Health Promotion and Disease Prevention (6 Questions)
Q1: A nurse is developing a community program to reduce childhood obesity by
implementing school-based nutrition education and increasing physical activity
opportunities. Which level of prevention best describes this intervention?
A. Secondary prevention, because it focuses on early detection of obesity in children
B. Tertiary prevention, because it targets children already diagnosed with obesity
C. Primary prevention, because it aims to prevent obesity before it occurs
D. Primordial prevention, because it addresses the underlying social determinants of
obesity
Correct Answer: C
Rationale: Correct because primary prevention focuses on preventing disease before it
occurs through health promotion and risk reduction strategies; school-based nutrition
,education and physical activity programs are classic primary prevention interventions
targeting healthy children.
Q2: A patient tells the nurse, "I know I should quit smoking, but I don't think lung cancer
will happen to me." According to the Health Belief Model, which construct is this patient
lacking?
A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
D. Self-efficacy
Correct Answer: A
Rationale: Correct because perceived susceptibility refers to an individual's belief about
their likelihood of developing a condition; the patient's statement "it won't happen to me"
directly demonstrates low perceived susceptibility, which is a key barrier to behavior
change in the Health Belief Model.
Q3: A patient has been exercising regularly for 6 months and reports feeling confident
about maintaining this behavior long-term. According to the Transtheoretical Model
(Stages of Change), which stage best describes this patient?
A. Action stage
B. Maintenance stage
C. Preparation stage
, D. Contemplation stage
Correct Answer: B
Rationale: Correct because the Maintenance stage is defined as sustaining behavior
change for more than 6 months with confidence in continued adherence; the patient's
6-month duration and expressed confidence align with this stage's criteria.
Q4: A nurse is applying Social Cognitive Theory to help a patient increase physical
activity. The nurse arranges for the patient to observe a peer successfully completing an
exercise routine. Which theoretical construct is the nurse utilizing?
A. Self-efficacy
B. Reciprocal determinism
C. Observational learning
D. Outcome expectations
Correct Answer: C
Rationale: Correct because observational learning (modeling) is a core construct of
Social Cognitive Theory where individuals learn new behaviors by watching others
perform them successfully; arranging peer observation directly applies this construct.
Q5: According to Healthy People 2030, which is a leading health indicator that nurses
should prioritize when developing community health promotion programs?
A. Decreasing the number of hospital admissions for chronic conditions
B. Increasing the proportion of adults who meet aerobic physical activity guidelines
Exam 2026/2027 | Complete Exam-Style
Questions with Detailed Rationales | Pass
Guaranteed – A+ Graded
Section 1: Health Promotion and Disease Prevention (6 Questions)
Q1: A nurse is developing a community program to reduce childhood obesity by
implementing school-based nutrition education and increasing physical activity
opportunities. Which level of prevention best describes this intervention?
A. Secondary prevention, because it focuses on early detection of obesity in children
B. Tertiary prevention, because it targets children already diagnosed with obesity
C. Primary prevention, because it aims to prevent obesity before it occurs
D. Primordial prevention, because it addresses the underlying social determinants of
obesity
Correct Answer: C
Rationale: Correct because primary prevention focuses on preventing disease before it
occurs through health promotion and risk reduction strategies; school-based nutrition
,education and physical activity programs are classic primary prevention interventions
targeting healthy children.
Q2: A patient tells the nurse, "I know I should quit smoking, but I don't think lung cancer
will happen to me." According to the Health Belief Model, which construct is this patient
lacking?
A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
D. Self-efficacy
Correct Answer: A
Rationale: Correct because perceived susceptibility refers to an individual's belief about
their likelihood of developing a condition; the patient's statement "it won't happen to me"
directly demonstrates low perceived susceptibility, which is a key barrier to behavior
change in the Health Belief Model.
Q3: A patient has been exercising regularly for 6 months and reports feeling confident
about maintaining this behavior long-term. According to the Transtheoretical Model
(Stages of Change), which stage best describes this patient?
A. Action stage
B. Maintenance stage
C. Preparation stage
, D. Contemplation stage
Correct Answer: B
Rationale: Correct because the Maintenance stage is defined as sustaining behavior
change for more than 6 months with confidence in continued adherence; the patient's
6-month duration and expressed confidence align with this stage's criteria.
Q4: A nurse is applying Social Cognitive Theory to help a patient increase physical
activity. The nurse arranges for the patient to observe a peer successfully completing an
exercise routine. Which theoretical construct is the nurse utilizing?
A. Self-efficacy
B. Reciprocal determinism
C. Observational learning
D. Outcome expectations
Correct Answer: C
Rationale: Correct because observational learning (modeling) is a core construct of
Social Cognitive Theory where individuals learn new behaviors by watching others
perform them successfully; arranging peer observation directly applies this construct.
Q5: According to Healthy People 2030, which is a leading health indicator that nurses
should prioritize when developing community health promotion programs?
A. Decreasing the number of hospital admissions for chronic conditions
B. Increasing the proportion of adults who meet aerobic physical activity guidelines
