2026/2027
NR 565 Week II Exam Study Guide
and Practice Test Bank for
Chamberlain College Nursing
Program 2026/2027
Question 1:
A nursing student is reviewing behavioral change theories before planning a patient
education program. Which model is best known for describing behavior change as a
stepwise progression through distinct stages?
A. Health Belief Model
B. Transtheoretical Model
C. Ecological Model
D. Holistic Health Model
Correct Answer: B. Transtheoretical Model
Rationale:
The Transtheoretical Model explains behavior change as a process that occurs over
time through six stages: precontemplation, contemplation, preparation, action,
maintenance, and termination or relapse. It is widely used in health promotion
because it recognizes that individuals do not change behavior all at once but gradually
move through readiness levels. The Health Belief Model focuses on perceptions of
threat and benefits, not stages. The Ecological Model emphasizes multiple
environmental levels of influence, while the Holistic Model focuses on mind-body-
spirit integration rather than behavior progression.
Question 2:
A nurse is planning a community health program that considers individual,
interpersonal, organizational, community, and policy influences. Which model is
being applied?
A. Health Belief Model
B. Ecological Model
C. Adaptive Model
D. Clinical Model
Correct Answer: B. Ecological Model
Rationale:
The Ecological Model of health promotion emphasizes multiple levels of influence on
,2026/2027
health behavior, including individual, interpersonal, organizational, community, and
policy levels. This approach recognizes that health is shaped by both personal and
environmental factors. The Health Belief Model focuses on personal beliefs, the
Adaptive Model emphasizes adjustment to stressors, and the Clinical Model defines
health simply as absence of disease.
Question 3:
Which concept is the central focus of Pender’s Health Promotion Model?
A. Disease treatment outcomes
B. Behavioral change through punishment
C. Health-promoting behaviors and individual experiences
D. Biological disease progression
Correct Answer: C. Health-promoting behaviors and individual experiences
Rationale:
Pender’s Health Promotion Model focuses on individual experiences, behavior-
specific cognitions and affect, and behavioral outcomes. It explains how personal
characteristics and perceptions influence health-promoting actions. It is not focused
on disease treatment or biological progression, unlike biomedical models.
Question 4:
Which statement best describes the Clinical Model of health?
A. Health is achieved through adaptation to stress
B. Health is the absence of disease
C. Health is spiritual harmony
D. Health depends on environmental balance
Correct Answer: B. Health is the absence of disease
Rationale:
The Clinical Model defines health strictly as the absence of disease or illness,
focusing on diagnosis and treatment rather than prevention or wellness promotion. It
does not consider psychological, social, or spiritual dimensions, unlike holistic or
adaptive models.
Question 5:
A patient is unable to perform expected social and occupational roles due to illness.
Which model of health is being violated?
A. Role Performance Model
B. Adaptive Model
,2026/2027
C. Clinical Model
D. Eudaimonistic Model
Correct Answer: A. Role Performance Model
Rationale:
The Role Performance Model defines health as the ability to fulfill social roles such as
work, family, and societal expectations. Illness is identified when individuals cannot
perform their expected roles. The Adaptive Model focuses on adjustment, the Clinical
Model on disease absence, and the Eudaimonistic Model emphasizes life meaning and
self-actualization.
Question 6:
Which model of health emphasizes achieving meaning and self-actualization through
interaction of physical, social, psychological, and spiritual dimensions?
A. Adaptive Model
B. Clinical Model
C. Eudaimonistic Model
D. Role Performance Model
Correct Answer: C. Eudaimonistic Model
Rationale:
The Eudaimonistic Model emphasizes holistic well-being and personal meaning
derived from interactions among physical, social, psychological, and spiritual factors.
It focuses on self-actualization and life purpose. Other models focus on disease
absence, role function, or adaptation rather than meaning.
Question 7:
Which nursing theorist developed the Hierarchy of Needs?
A. Florence Nightingale
B. Abraham Maslow
C. Patricia Benner
D. Dorothea Orem
Correct Answer: B. Abraham Maslow
Rationale:
Maslow developed the Hierarchy of Needs, which includes physiological needs,
safety, love/belonging, esteem, self-actualization, and self-transcendence. It is widely
used in nursing to prioritize patient care. Other theorists contributed to nursing
education, practice development, or environmental theory.
, 2026/2027
Question 8:
Which level of Maslow’s hierarchy must be addressed first in patient care?
A. Self-esteem
B. Physiological needs
C. Love and belonging
D. Self-actualization
Correct Answer: B. Physiological needs
Rationale:
Physiological needs such as oxygen, hydration, and nutrition are the most basic and
must be met before higher-level needs. Nursing prioritization is based on this
hierarchy. Higher levels like esteem and self-actualization are addressed only after
survival needs are met.
Question 9:
Which nurse is known as the founder of modern nursing?
A. Clara Barton
B. Mary Mahoney
C. Florence Nightingale
D. Lavinia Dock
Correct Answer: C. Florence Nightingale
Rationale:
Florence Nightingale is recognized as the founder of modern nursing due to her work
in sanitation, hygiene, and nursing education. She also established the first organized
nursing training program. Other figures contributed significantly to nursing but did
not establish the profession’s foundation.
Question 10:
A nurse educator is teaching about the primary level of prevention. Which
intervention is included?
A. Rehabilitation after stroke
B. Early disease screening
C. Immunizations
D. Physical therapy after injury
Correct Answer: C. Immunizations
NR 565 Week II Exam Study Guide
and Practice Test Bank for
Chamberlain College Nursing
Program 2026/2027
Question 1:
A nursing student is reviewing behavioral change theories before planning a patient
education program. Which model is best known for describing behavior change as a
stepwise progression through distinct stages?
A. Health Belief Model
B. Transtheoretical Model
C. Ecological Model
D. Holistic Health Model
Correct Answer: B. Transtheoretical Model
Rationale:
The Transtheoretical Model explains behavior change as a process that occurs over
time through six stages: precontemplation, contemplation, preparation, action,
maintenance, and termination or relapse. It is widely used in health promotion
because it recognizes that individuals do not change behavior all at once but gradually
move through readiness levels. The Health Belief Model focuses on perceptions of
threat and benefits, not stages. The Ecological Model emphasizes multiple
environmental levels of influence, while the Holistic Model focuses on mind-body-
spirit integration rather than behavior progression.
Question 2:
A nurse is planning a community health program that considers individual,
interpersonal, organizational, community, and policy influences. Which model is
being applied?
A. Health Belief Model
B. Ecological Model
C. Adaptive Model
D. Clinical Model
Correct Answer: B. Ecological Model
Rationale:
The Ecological Model of health promotion emphasizes multiple levels of influence on
,2026/2027
health behavior, including individual, interpersonal, organizational, community, and
policy levels. This approach recognizes that health is shaped by both personal and
environmental factors. The Health Belief Model focuses on personal beliefs, the
Adaptive Model emphasizes adjustment to stressors, and the Clinical Model defines
health simply as absence of disease.
Question 3:
Which concept is the central focus of Pender’s Health Promotion Model?
A. Disease treatment outcomes
B. Behavioral change through punishment
C. Health-promoting behaviors and individual experiences
D. Biological disease progression
Correct Answer: C. Health-promoting behaviors and individual experiences
Rationale:
Pender’s Health Promotion Model focuses on individual experiences, behavior-
specific cognitions and affect, and behavioral outcomes. It explains how personal
characteristics and perceptions influence health-promoting actions. It is not focused
on disease treatment or biological progression, unlike biomedical models.
Question 4:
Which statement best describes the Clinical Model of health?
A. Health is achieved through adaptation to stress
B. Health is the absence of disease
C. Health is spiritual harmony
D. Health depends on environmental balance
Correct Answer: B. Health is the absence of disease
Rationale:
The Clinical Model defines health strictly as the absence of disease or illness,
focusing on diagnosis and treatment rather than prevention or wellness promotion. It
does not consider psychological, social, or spiritual dimensions, unlike holistic or
adaptive models.
Question 5:
A patient is unable to perform expected social and occupational roles due to illness.
Which model of health is being violated?
A. Role Performance Model
B. Adaptive Model
,2026/2027
C. Clinical Model
D. Eudaimonistic Model
Correct Answer: A. Role Performance Model
Rationale:
The Role Performance Model defines health as the ability to fulfill social roles such as
work, family, and societal expectations. Illness is identified when individuals cannot
perform their expected roles. The Adaptive Model focuses on adjustment, the Clinical
Model on disease absence, and the Eudaimonistic Model emphasizes life meaning and
self-actualization.
Question 6:
Which model of health emphasizes achieving meaning and self-actualization through
interaction of physical, social, psychological, and spiritual dimensions?
A. Adaptive Model
B. Clinical Model
C. Eudaimonistic Model
D. Role Performance Model
Correct Answer: C. Eudaimonistic Model
Rationale:
The Eudaimonistic Model emphasizes holistic well-being and personal meaning
derived from interactions among physical, social, psychological, and spiritual factors.
It focuses on self-actualization and life purpose. Other models focus on disease
absence, role function, or adaptation rather than meaning.
Question 7:
Which nursing theorist developed the Hierarchy of Needs?
A. Florence Nightingale
B. Abraham Maslow
C. Patricia Benner
D. Dorothea Orem
Correct Answer: B. Abraham Maslow
Rationale:
Maslow developed the Hierarchy of Needs, which includes physiological needs,
safety, love/belonging, esteem, self-actualization, and self-transcendence. It is widely
used in nursing to prioritize patient care. Other theorists contributed to nursing
education, practice development, or environmental theory.
, 2026/2027
Question 8:
Which level of Maslow’s hierarchy must be addressed first in patient care?
A. Self-esteem
B. Physiological needs
C. Love and belonging
D. Self-actualization
Correct Answer: B. Physiological needs
Rationale:
Physiological needs such as oxygen, hydration, and nutrition are the most basic and
must be met before higher-level needs. Nursing prioritization is based on this
hierarchy. Higher levels like esteem and self-actualization are addressed only after
survival needs are met.
Question 9:
Which nurse is known as the founder of modern nursing?
A. Clara Barton
B. Mary Mahoney
C. Florence Nightingale
D. Lavinia Dock
Correct Answer: C. Florence Nightingale
Rationale:
Florence Nightingale is recognized as the founder of modern nursing due to her work
in sanitation, hygiene, and nursing education. She also established the first organized
nursing training program. Other figures contributed significantly to nursing but did
not establish the profession’s foundation.
Question 10:
A nurse educator is teaching about the primary level of prevention. Which
intervention is included?
A. Rehabilitation after stroke
B. Early disease screening
C. Immunizations
D. Physical therapy after injury
Correct Answer: C. Immunizations
