NR 222 EXAM 1 HEALTH AND WELLNESS EXAM 300
QUESTIONS AND CORRECT ANSWER WITH RATIONALE
ALREADY GRADED A+
NR 222 Exam 1 Health and Wellness is a foundational nursing course exam
covering essential concepts for nursing practice. Key topics include the
nursing process (ADPIE), health definitions, the Health Belief Model, the
Transtheoretical Model of Change, Maslow's hierarchy of needs, and the
three levels of prevention (primary, secondary, tertiary). Students must
understand social determinants of health, health literacy, patient education
strategies, stress adaptation (Selye's General Adaptation Syndrome), ethical
principles (autonomy, beneficence, nonmaleficence, justice), and professional
nursing roles. The exam emphasizes application of theory to patient care
scenarios, requiring critical thinking about health promotion, disease
prevention, and patient-centered communication.
1. According to the World Health Organization (WHO), health is defined as:
A) The absence of disease or illness
B) A state of complete physical, mental, and social well-being
C) The ability to perform activities of daily living
D) Freedom from pain and suffering
Correct Answer: B
Rationale: The WHO defines health holistically as a state of complete physical,
mental, and social well-being, not merely the absence of disease or infirmity.
2. Which model of health defines health as the absence of illness, signs, and
symptoms of disease?
A) Eudaimonistic model
B) Adaptive model
C) Clinical model
D) Role performance model
Correct Answer: C
Rationale: The clinical model defines health as the absence of illness, signs, and
symptoms of disease. It does not emphasize prevention or wellness, making it the
most expensive model today.
,3. A patient states, "I can't go to work because of my back pain." Which health
model is reflected by this statement?
A) Clinical model
B) Adaptive model
C) Eudaimonistic model
D) Role performance model
Correct Answer: D
Rationale: The role performance model defines health in terms of an individual's
ability to perform social roles. The patient's statement reflects an inability to fulfill
their work role due to back pain.
4. Which of the following is an example of primary prevention?
A) Cardiac rehabilitation after a heart attack
B) Administering a flu vaccine to a healthy older adult
C) Screening for hypertension at a health fair
D) Teaching a patient with diabetes how to check blood sugar
Correct Answer: B
Rationale: Primary prevention prevents disease before it occurs through
interventions like vaccines, health education, and injury prevention. Administering
a flu vaccine to a healthy adult is a classic example.
5. A home care nurse takes care of patients with spinal cord injuries. What type of
prevention is this?
A) Primordial prevention
B) Secondary prevention
C) Primary prevention
D) Tertiary prevention
Correct Answer: D
Rationale: Tertiary prevention focuses on reducing complications and disability
after a disease has occurred. Rehabilitation for spinal cord injuries is tertiary
prevention, aimed at maximizing function and quality of life.
6. A nurse provides immunizations through the public health department. Which
type of preventative care is provided?
A) Risk factor prevention
B) Secondary prevention
C) Primary prevention
D) Tertiary prevention
Correct Answer: C
,Rationale: Immunizations prevent disease from occurring, making them a primary
prevention strategy. They protect individuals and communities from infectious
diseases before exposure.
7. A nurse in an urgent care provides care to a patient having chest pain. Which
level of prevention is this?
A) Primordial prevention
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention
Correct Answer: C
Rationale: Secondary prevention involves early diagnosis and prompt treatment of
disease to limit its effects. Providing care for chest pain in urgent care is secondary
prevention, aimed at identifying and treating a potential heart condition early.
8. A nurse is following the goals of Healthy People 2030 to provide care. Which
action should the nurse take?
A) Promoting a society in which all people live long, healthy lives
B) Allowing people to continue current behaviors to reduce the stress of change
C) Focusing on illness treatment to provide fast recuperation
D) Focusing only on health changes that will lead to better local communities
Correct Answer: A
Rationale: The overarching goals of Healthy People 2030 are to attain healthy,
thriving lives and well-being free of preventable disease, disability, injury, and
premature death, and to achieve health equity and eliminate disparities.
9. The two major goals of Healthy People 2020 are to:
A) Eliminate health disparities and increase the quality and years of healthy life
B) Support research in finding disease cures and increase focus on technology
C) Advance the access to care for all and reduce tobacco use among adolescents
D) Reduce fraud in healthcare spending and increase aid to dependent children
Correct Answer: A
Rationale: Healthy People 2020 had two overarching goals: (1) eliminate health
disparities and (2) increase the quality and years of healthy life. These goals
focused on improving population health and achieving health equity.
10. A patient says, "I know smoking is bad, but I've tried quitting before and failed.
Maybe I'll try again next year." This patient is in which stage of the
Transtheoretical Model of Change?
A) Precontemplation
, B) Contemplation
C) Preparation
D) Action
Correct Answer: B
Rationale: The contemplation stage involves awareness of the problem and
thinking about change within the next 6 months. The patient acknowledges the
problem and is considering quitting, but not yet taking active steps.
11. A patient has quit drinking and has been alcohol-free for two years. Which
stage best describes this behavior?
A) Preparation
B) Maintenance
C) Action
D) Contemplation
Correct Answer: B
Rationale: The maintenance stage occurs when a behavior change has been
sustained for more than 6 months. The patient has maintained sobriety for two
years, placing them firmly in the maintenance stage.
12. A patient who has been walking 30 minutes daily for 10 months is in which
stage of the Transtheoretical Model?
A) Action
B) Maintenance
C) Preparation
D) Contemplation
Correct Answer: B
Rationale: The maintenance stage is defined as sustained behavior change for more
than 6 months. Since the patient has been walking for 10 months, they are in the
maintenance stage.
13. A patient who has maintained a 40-pound weight loss for 18 months is in
which stage of the Transtheoretical Model?
A) Action
B) Maintenance
C) Termination
D) Relapse
Correct Answer: B
Rationale: Maintenance = sustained behavior change for more than 6 months. An
18-month sustained weight loss places the patient firmly in the maintenance stage.
QUESTIONS AND CORRECT ANSWER WITH RATIONALE
ALREADY GRADED A+
NR 222 Exam 1 Health and Wellness is a foundational nursing course exam
covering essential concepts for nursing practice. Key topics include the
nursing process (ADPIE), health definitions, the Health Belief Model, the
Transtheoretical Model of Change, Maslow's hierarchy of needs, and the
three levels of prevention (primary, secondary, tertiary). Students must
understand social determinants of health, health literacy, patient education
strategies, stress adaptation (Selye's General Adaptation Syndrome), ethical
principles (autonomy, beneficence, nonmaleficence, justice), and professional
nursing roles. The exam emphasizes application of theory to patient care
scenarios, requiring critical thinking about health promotion, disease
prevention, and patient-centered communication.
1. According to the World Health Organization (WHO), health is defined as:
A) The absence of disease or illness
B) A state of complete physical, mental, and social well-being
C) The ability to perform activities of daily living
D) Freedom from pain and suffering
Correct Answer: B
Rationale: The WHO defines health holistically as a state of complete physical,
mental, and social well-being, not merely the absence of disease or infirmity.
2. Which model of health defines health as the absence of illness, signs, and
symptoms of disease?
A) Eudaimonistic model
B) Adaptive model
C) Clinical model
D) Role performance model
Correct Answer: C
Rationale: The clinical model defines health as the absence of illness, signs, and
symptoms of disease. It does not emphasize prevention or wellness, making it the
most expensive model today.
,3. A patient states, "I can't go to work because of my back pain." Which health
model is reflected by this statement?
A) Clinical model
B) Adaptive model
C) Eudaimonistic model
D) Role performance model
Correct Answer: D
Rationale: The role performance model defines health in terms of an individual's
ability to perform social roles. The patient's statement reflects an inability to fulfill
their work role due to back pain.
4. Which of the following is an example of primary prevention?
A) Cardiac rehabilitation after a heart attack
B) Administering a flu vaccine to a healthy older adult
C) Screening for hypertension at a health fair
D) Teaching a patient with diabetes how to check blood sugar
Correct Answer: B
Rationale: Primary prevention prevents disease before it occurs through
interventions like vaccines, health education, and injury prevention. Administering
a flu vaccine to a healthy adult is a classic example.
5. A home care nurse takes care of patients with spinal cord injuries. What type of
prevention is this?
A) Primordial prevention
B) Secondary prevention
C) Primary prevention
D) Tertiary prevention
Correct Answer: D
Rationale: Tertiary prevention focuses on reducing complications and disability
after a disease has occurred. Rehabilitation for spinal cord injuries is tertiary
prevention, aimed at maximizing function and quality of life.
6. A nurse provides immunizations through the public health department. Which
type of preventative care is provided?
A) Risk factor prevention
B) Secondary prevention
C) Primary prevention
D) Tertiary prevention
Correct Answer: C
,Rationale: Immunizations prevent disease from occurring, making them a primary
prevention strategy. They protect individuals and communities from infectious
diseases before exposure.
7. A nurse in an urgent care provides care to a patient having chest pain. Which
level of prevention is this?
A) Primordial prevention
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention
Correct Answer: C
Rationale: Secondary prevention involves early diagnosis and prompt treatment of
disease to limit its effects. Providing care for chest pain in urgent care is secondary
prevention, aimed at identifying and treating a potential heart condition early.
8. A nurse is following the goals of Healthy People 2030 to provide care. Which
action should the nurse take?
A) Promoting a society in which all people live long, healthy lives
B) Allowing people to continue current behaviors to reduce the stress of change
C) Focusing on illness treatment to provide fast recuperation
D) Focusing only on health changes that will lead to better local communities
Correct Answer: A
Rationale: The overarching goals of Healthy People 2030 are to attain healthy,
thriving lives and well-being free of preventable disease, disability, injury, and
premature death, and to achieve health equity and eliminate disparities.
9. The two major goals of Healthy People 2020 are to:
A) Eliminate health disparities and increase the quality and years of healthy life
B) Support research in finding disease cures and increase focus on technology
C) Advance the access to care for all and reduce tobacco use among adolescents
D) Reduce fraud in healthcare spending and increase aid to dependent children
Correct Answer: A
Rationale: Healthy People 2020 had two overarching goals: (1) eliminate health
disparities and (2) increase the quality and years of healthy life. These goals
focused on improving population health and achieving health equity.
10. A patient says, "I know smoking is bad, but I've tried quitting before and failed.
Maybe I'll try again next year." This patient is in which stage of the
Transtheoretical Model of Change?
A) Precontemplation
, B) Contemplation
C) Preparation
D) Action
Correct Answer: B
Rationale: The contemplation stage involves awareness of the problem and
thinking about change within the next 6 months. The patient acknowledges the
problem and is considering quitting, but not yet taking active steps.
11. A patient has quit drinking and has been alcohol-free for two years. Which
stage best describes this behavior?
A) Preparation
B) Maintenance
C) Action
D) Contemplation
Correct Answer: B
Rationale: The maintenance stage occurs when a behavior change has been
sustained for more than 6 months. The patient has maintained sobriety for two
years, placing them firmly in the maintenance stage.
12. A patient who has been walking 30 minutes daily for 10 months is in which
stage of the Transtheoretical Model?
A) Action
B) Maintenance
C) Preparation
D) Contemplation
Correct Answer: B
Rationale: The maintenance stage is defined as sustained behavior change for more
than 6 months. Since the patient has been walking for 10 months, they are in the
maintenance stage.
13. A patient who has maintained a 40-pound weight loss for 18 months is in
which stage of the Transtheoretical Model?
A) Action
B) Maintenance
C) Termination
D) Relapse
Correct Answer: B
Rationale: Maintenance = sustained behavior change for more than 6 months. An
18-month sustained weight loss places the patient firmly in the maintenance stage.
