NR 222: Final Exam — Version 2 | Health and Wellness | 2026/2027
Update
1. A nurse is teaching a community class about the Healthy People 2030
initiative. Which statement best describes the primary goal of this initiative?
A. To provide universal health insurance for all citizens.
B. To eliminate health disparities and achieve health equity.
C. To mandate physical activity in primary schools.
D. To focus exclusively on curative treatments for chronic diseases.
Answer: B
Rationale: Healthy People 2030 focuses on health promotion and disease prevention with
a key goal of achieving health equity and eliminating disparities.
2. Which level of prevention is a nurse practicing when administering a flu
vaccine to a healthy adult?
A. Secondary Prevention
B. Primary Prevention
C. Tertiary Prevention
D. Rehabilitative Prevention
Answer: B
Rationale: Primary prevention involves measures taken before a disease or injury occurs
to prevent its onset, such as immunizations.
,3. A patient is scheduled for a routine mammogram. This is an example of which
level of prevention?
A. Primary Prevention
B. Tertiary Prevention
C. Secondary Prevention
D. Health Promotion
Answer: C
Rationale: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages.
4. In the Health Belief Model, which factor most strongly influences a patient’s
decision to take action regarding their health?
A. The patient’s age and gender.
B. Perceived susceptibility and perceived seriousness of the illness.
C. The availability of medical insurance.
D. The proximity of the healthcare facility.
Answer: B
Rationale: The Health Belief Model posits that health-related action depends on the
person’s perception of the threat of a health problem.
5. The nurse considers the ‘Mind-Body-Spirit’ connection when planning care.
Which health model is being utilized?
A. Holistic Health Model
B. Health Promotion Model
C. Health Belief Model
D. Biomedical Model
Answer: A
Rationale: The Holistic Health Model considers the whole person and the interaction of
biological, psychological, and spiritual aspects.
, 6. Which of the following is considered an internal variable influencing a
patient’s health beliefs?
A. Socioeconomic status
B. Cultural background
C. Developmental stage
D. Family practices
Answer: C
Rationale: Internal variables include developmental stage, intellectual background,
perception of functioning, and emotional/spiritual factors.
7. A patient with chronic back pain attends a physical therapy program to
improve mobility. This is an example of:
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Diagnostic prevention
Answer: B
Rationale: Tertiary prevention focuses on restoration and rehabilitation to minimize long-
term effects of a permanent or irreversible condition.
8. According to the Transtheoretical Model of Change, a patient who says, ‘I am
thinking about quitting smoking in the next 6 months’ is in which stage?
A. Precontemplation
B. Preparation
C. Contemplation
D. Action
Answer: C
Rationale: In the contemplation stage, the individual is considering a change within the
next 6 months.
Update
1. A nurse is teaching a community class about the Healthy People 2030
initiative. Which statement best describes the primary goal of this initiative?
A. To provide universal health insurance for all citizens.
B. To eliminate health disparities and achieve health equity.
C. To mandate physical activity in primary schools.
D. To focus exclusively on curative treatments for chronic diseases.
Answer: B
Rationale: Healthy People 2030 focuses on health promotion and disease prevention with
a key goal of achieving health equity and eliminating disparities.
2. Which level of prevention is a nurse practicing when administering a flu
vaccine to a healthy adult?
A. Secondary Prevention
B. Primary Prevention
C. Tertiary Prevention
D. Rehabilitative Prevention
Answer: B
Rationale: Primary prevention involves measures taken before a disease or injury occurs
to prevent its onset, such as immunizations.
,3. A patient is scheduled for a routine mammogram. This is an example of which
level of prevention?
A. Primary Prevention
B. Tertiary Prevention
C. Secondary Prevention
D. Health Promotion
Answer: C
Rationale: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages.
4. In the Health Belief Model, which factor most strongly influences a patient’s
decision to take action regarding their health?
A. The patient’s age and gender.
B. Perceived susceptibility and perceived seriousness of the illness.
C. The availability of medical insurance.
D. The proximity of the healthcare facility.
Answer: B
Rationale: The Health Belief Model posits that health-related action depends on the
person’s perception of the threat of a health problem.
5. The nurse considers the ‘Mind-Body-Spirit’ connection when planning care.
Which health model is being utilized?
A. Holistic Health Model
B. Health Promotion Model
C. Health Belief Model
D. Biomedical Model
Answer: A
Rationale: The Holistic Health Model considers the whole person and the interaction of
biological, psychological, and spiritual aspects.
, 6. Which of the following is considered an internal variable influencing a
patient’s health beliefs?
A. Socioeconomic status
B. Cultural background
C. Developmental stage
D. Family practices
Answer: C
Rationale: Internal variables include developmental stage, intellectual background,
perception of functioning, and emotional/spiritual factors.
7. A patient with chronic back pain attends a physical therapy program to
improve mobility. This is an example of:
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Diagnostic prevention
Answer: B
Rationale: Tertiary prevention focuses on restoration and rehabilitation to minimize long-
term effects of a permanent or irreversible condition.
8. According to the Transtheoretical Model of Change, a patient who says, ‘I am
thinking about quitting smoking in the next 6 months’ is in which stage?
A. Precontemplation
B. Preparation
C. Contemplation
D. Action
Answer: C
Rationale: In the contemplation stage, the individual is considering a change within the
next 6 months.
