NR 222 Health & Wellness: EXAM 1
EVIDENCE-BASED PROMOTION & ADVOCACY
MASTERY | 650+ Research-to-Practice Scenarios |
2026/2027 Edition
Chamberlain University | 2026/2027 Academic Year
Review Instructions: This review contains 55 questions based on the 2026/2027 NR 222
curriculum. It integrates health promotion theories, preventative care guidelines, and the
nurse's advocacy role. Use it to assess your readiness for applying wellness concepts in
diverse scenarios. Select the single best nursing action.
1. A 28-year-old woman who smokes tells the nurse she is “thinking about quitting”
but has not set a date. Which response best applies the Transtheoretical Model?
A) “You should quit immediately to avoid cancer.”
B) “What are the pros and cons of smoking that you have noticed lately?”
C) “I’ll refer you to a physician for a prescription.”
D) “Most people quit successfully on their first try.”
Rationale: B is correct. The Transtheoretical Model’s “consciousness raising” strategy
helps the patient explore ambivalence in the contemplation stage, enhancing readiness
for change (Prochaska, 2026). Option A is paternalistic and skips readiness
assessment. Referral (C) bypasses nurse-led counseling. General statistics (D) are
irrelevant to individual readiness.
2. A community nurse plans a childhood-obesity program. Which level of prevention
is being implemented when offering BMI screening in elementary schools?
A) Tertiary — reducing complications in already obese children
B) Primary — preventing obesity in the general population
, C) Secondary — early identification in at-risk children
D) Quaternary — avoiding over-medicalization
Rationale: C is correct. Screening detects early disease in asymptomatic children, fitting
secondary prevention (2026 USPSTF obesity screening). Primary (B) would be policy or
education. Tertiary (A) is treatment. Quaternary (D) is not applicable.
3. A 45-year-old man states he “doesn’t need a flu shot” because he “never gets
sick.” Using the Health Belief Model, which factor should the nurse explore first?
A) His perceived susceptibility to influenza [CORRECT]
B) His employer’s vaccination policy
C) The cost of the vaccine
D) His fear of needles
Rationale: A is correct. The Health Belief Model posits that perceived susceptibility
predicts preventive action (Rosenstock, 2026). Addressing policy (B) is external. Cost
(C) and needles (D) are barriers but secondary to risk perception.
4. A 65-year-old woman living alone has poorly controlled hypertension. Which
nursing action best supports Maslow’s hierarchy?
A) Teach her about antihypertensive side effects
B) Arrange transportation to a senior fitness class
C) Refer her to a community meal program to ensure reliable food access
D) Provide pamphlets on stress-reduction techniques
Rationale: C is correct. Addressing physiological needs (food security) precedes
higher-level health education (Maslow, 2026). Teaching meds (A) and stress (D) are
esteem/self-actualization. Transportation (B) supports safety but food is foundational.
5. During a home visit, a mother states her 3-year-old refuses vegetables. Which
strength-based coaching question is most appropriate?
A) “Why haven’t you forced her to eat them?”
B) “Don’t you know vegetables prevent disease?”
C) “What vegetables has she enjoyed before, even in small amounts?”
D) “Would you like a prescription for vitamins?”
, Rationale: C is correct. Strength-based questioning identifies past successes, fostering
self-efficacy (2026 SBN coaching update). Forcing (A) is authoritarian. Knowledge (B) is
paternalistic. Vitamins (D) bypasses behavioral change.
6. A nurse is educating teens about vaping. Which message aligns with primary
prevention?
A) “If you vape, come to our quit program.”
B) “Nicotine patches are available if you want to quit.”
C) “Vaping-free school policies reduce peer pressure to start.”
D) “We screen for lung damage in all students.”
Rationale: C is correct. Policy-level interventions prevent initiation, fitting primary
prevention (2026 Surgeon General vaping report). Quit program (A) and patches (B) are
secondary/tertiary. Screening (D) is secondary.
7. A 38-year-old immigrant mother is hesitant about childhood immunizations.
Which principle should guide the nurse’s approach?
A) Insist that vaccines are mandatory
B) Provide only CDC written materials in English
C) Use cultural humility to explore beliefs and collaborate on decisions
D) Refer to physician immediately
Rationale: C is correct. Cultural humility respects differing worldviews and builds trust
for shared decision-making (2026 ANA cultural humility standard). Insistence (A) is
coercive. English-only (B) ignores language barriers. Immediate referral (D) bypasses
nurse’s educator role.
8. A community has high obesity rates. Which social determinant should the nurse
prioritize first?
A) Individual motivation
B) Genetic predisposition
C) Food desert with limited access to fresh produce
D) Lack of diet knowledge
EVIDENCE-BASED PROMOTION & ADVOCACY
MASTERY | 650+ Research-to-Practice Scenarios |
2026/2027 Edition
Chamberlain University | 2026/2027 Academic Year
Review Instructions: This review contains 55 questions based on the 2026/2027 NR 222
curriculum. It integrates health promotion theories, preventative care guidelines, and the
nurse's advocacy role. Use it to assess your readiness for applying wellness concepts in
diverse scenarios. Select the single best nursing action.
1. A 28-year-old woman who smokes tells the nurse she is “thinking about quitting”
but has not set a date. Which response best applies the Transtheoretical Model?
A) “You should quit immediately to avoid cancer.”
B) “What are the pros and cons of smoking that you have noticed lately?”
C) “I’ll refer you to a physician for a prescription.”
D) “Most people quit successfully on their first try.”
Rationale: B is correct. The Transtheoretical Model’s “consciousness raising” strategy
helps the patient explore ambivalence in the contemplation stage, enhancing readiness
for change (Prochaska, 2026). Option A is paternalistic and skips readiness
assessment. Referral (C) bypasses nurse-led counseling. General statistics (D) are
irrelevant to individual readiness.
2. A community nurse plans a childhood-obesity program. Which level of prevention
is being implemented when offering BMI screening in elementary schools?
A) Tertiary — reducing complications in already obese children
B) Primary — preventing obesity in the general population
, C) Secondary — early identification in at-risk children
D) Quaternary — avoiding over-medicalization
Rationale: C is correct. Screening detects early disease in asymptomatic children, fitting
secondary prevention (2026 USPSTF obesity screening). Primary (B) would be policy or
education. Tertiary (A) is treatment. Quaternary (D) is not applicable.
3. A 45-year-old man states he “doesn’t need a flu shot” because he “never gets
sick.” Using the Health Belief Model, which factor should the nurse explore first?
A) His perceived susceptibility to influenza [CORRECT]
B) His employer’s vaccination policy
C) The cost of the vaccine
D) His fear of needles
Rationale: A is correct. The Health Belief Model posits that perceived susceptibility
predicts preventive action (Rosenstock, 2026). Addressing policy (B) is external. Cost
(C) and needles (D) are barriers but secondary to risk perception.
4. A 65-year-old woman living alone has poorly controlled hypertension. Which
nursing action best supports Maslow’s hierarchy?
A) Teach her about antihypertensive side effects
B) Arrange transportation to a senior fitness class
C) Refer her to a community meal program to ensure reliable food access
D) Provide pamphlets on stress-reduction techniques
Rationale: C is correct. Addressing physiological needs (food security) precedes
higher-level health education (Maslow, 2026). Teaching meds (A) and stress (D) are
esteem/self-actualization. Transportation (B) supports safety but food is foundational.
5. During a home visit, a mother states her 3-year-old refuses vegetables. Which
strength-based coaching question is most appropriate?
A) “Why haven’t you forced her to eat them?”
B) “Don’t you know vegetables prevent disease?”
C) “What vegetables has she enjoyed before, even in small amounts?”
D) “Would you like a prescription for vitamins?”
, Rationale: C is correct. Strength-based questioning identifies past successes, fostering
self-efficacy (2026 SBN coaching update). Forcing (A) is authoritarian. Knowledge (B) is
paternalistic. Vitamins (D) bypasses behavioral change.
6. A nurse is educating teens about vaping. Which message aligns with primary
prevention?
A) “If you vape, come to our quit program.”
B) “Nicotine patches are available if you want to quit.”
C) “Vaping-free school policies reduce peer pressure to start.”
D) “We screen for lung damage in all students.”
Rationale: C is correct. Policy-level interventions prevent initiation, fitting primary
prevention (2026 Surgeon General vaping report). Quit program (A) and patches (B) are
secondary/tertiary. Screening (D) is secondary.
7. A 38-year-old immigrant mother is hesitant about childhood immunizations.
Which principle should guide the nurse’s approach?
A) Insist that vaccines are mandatory
B) Provide only CDC written materials in English
C) Use cultural humility to explore beliefs and collaborate on decisions
D) Refer to physician immediately
Rationale: C is correct. Cultural humility respects differing worldviews and builds trust
for shared decision-making (2026 ANA cultural humility standard). Insistence (A) is
coercive. English-only (B) ignores language barriers. Immediate referral (D) bypasses
nurse’s educator role.
8. A community has high obesity rates. Which social determinant should the nurse
prioritize first?
A) Individual motivation
B) Genetic predisposition
C) Food desert with limited access to fresh produce
D) Lack of diet knowledge
