NR 565 Week V Advanced Nursing
Concepts Final Review, Practice
Questions, and Exam Success Study
Manual 2026/2027
Question 1
Which statement best describes the Transtheoretical Model of Behavior Change?
A. Focuses on unconscious motivation only
B. Describes fixed personality-based behavior patterns
C. Explains stages individuals pass through when changing behavior
D. Emphasizes genetic control of behavior
Correct Answer: C. Explains stages individuals pass through when changing
behavior
Rationale: The Transtheoretical Model describes behavior change as a process that
occurs in stages rather than a single action. Individuals move through
precontemplation, contemplation, preparation, action, maintenance, and sometimes
relapse. It is widely used in health promotion because it helps clinicians tailor
interventions to a patient’s readiness to change. The other options are incorrect
because the model does not focus on unconscious drives, personality traits, or genetic
determinants.
Question 2
Which stage is included in the Transtheoretical Model of Change?
A. Denial
B. Action
C. Shock
D. Resistance
Correct Answer: B. Action
Rationale: The action stage involves active modification of behavior and
implementation of strategies to change. The other options are not recognized stages in
this model.
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Question 3
The Health Belief Model primarily focuses on:
A. Economic influences on health behavior
B. Genetic predisposition to disease
C. Relationship between beliefs and health behaviors
D. Hospital-based care outcomes
Correct Answer: C. Relationship between beliefs and health behaviors
Rationale: The Health Belief Model explains how personal beliefs about susceptibility,
severity, benefits, and barriers influence health behaviors. It is commonly used in
preventive health education.
Question 4
The ecological model of health promotion emphasizes:
A. Individual behavior only
B. Levels of influence on health behavior
C. Medical treatment alone
D. Genetic determinism
Correct Answer: B. Levels of influence on health behavior
Rationale: The ecological model recognizes multiple layers affecting health including
individual, interpersonal, organizational, community, and policy levels. It highlights
that behavior is shaped by environmental and social systems, not just personal choice.
Question 5
Pender’s Health Promotion Model focuses on:
A. Disease treatment strategies
B. Behavioral outcomes influenced by individual experiences
C. Hospital infection control
D. Pharmacological interventions only
Correct Answer: B. Behavioral outcomes influenced by individual experiences
Rationale: Pender’s model emphasizes how personal experiences, behavior-specific
cognition, and affect influence health behaviors and outcomes. It is widely used in
nursing health promotion planning.
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Question 6
Which is NOT a component of Pender’s Health Promotion Model?
A. Person
B. Environment
C. Illness classification system
D. Health
Correct Answer: C. Illness classification system
Rationale: The model includes person, environment, health, nursing, and illness
concepts but does not include classification systems.
Question 7
The Clinical Model of Health defines health as:
A. Ability to perform social roles
B. Absence of disease
C. Emotional well-being only
D. Genetic stability
Correct Answer: B. Absence of disease
Rationale: The clinical model views health strictly as the absence of disease or
pathology and does not emphasize prevention or wellness.
Question 8
The Role Performance Model defines health as:
A. Absence of infection
B. Ability to perform expected social roles
C. Genetic normality
D. Laboratory test results
Correct Answer: B. Ability to perform expected social roles
Rationale: Health is measured by how well a person performs roles in work, family,
and society. Illness is inability to fulfill those roles.
Question 9
The Adaptive Model of Health emphasizes:
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A. Drug response
B. Ability to adjust to internal and external changes
C. Hospitalization outcomes
D. Surgical recovery only
Correct Answer: B. Ability to adjust to internal and external changes
Rationale: Health is viewed as the ability to adapt physically, mentally, and socially to
changing environments.
Question 10
Maslow’s Hierarchy of Needs places which need at the base?
A. Self-actualization
B. Love and belonging
C. Physiological needs
D. Esteem
Correct Answer: C. Physiological needs
Rationale: Physiological needs such as oxygen, food, and water are the most basic
survival requirements and must be met first.
Question 11
Which nurse is known as the founder of modern nursing?
A. Clara Barton
B. Florence Nightingale
C. Mary Mahoney
D. Isabel Hampton Robb
Correct Answer: B. Florence Nightingale
Rationale: Florence Nightingale established modern nursing principles, sanitation
practices, and formal nurse training.
Question 12
Clara Barton is best known for:
A. Writing nursing textbooks
B. Founding the American Red Cross