NR 222 / NR222 Health and Wellness Exam 1 Practice
Test Actual 2025/2026 with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
SECTION 1: Foundations of Health & Wellness (Questions 1–12)
Q1: A nurse is caring for a patient who states, "I feel healthy because I have no
symptoms of illness." Which model of health does this statement reflect?
A. The holistic health model
B. The biomedical model
C. The wellness-illness continuum
D. The health promotion model
Correct Answer: B
Rationale: The biomedical model defines health as the absence of disease or
symptoms; this narrow perspective contrasts with holistic and wellness models that
consider physical, mental, social, and spiritual dimensions of well-being.
Q2: A nurse is applying Pender's Health Promotion Model to develop a plan for a
patient who wants to quit smoking. Which factor is the primary focus of this model?
A. Perceived susceptibility to disease
B. Individual characteristics, experiences, and behavioral-specific cognitions
C. External cues to action from healthcare providers
,D. Self-efficacy and perceived benefits of action
Correct Answer: B
Rationale: Pender's Health Promotion Model focuses on individual characteristics
and experiences, behavior-specific cognitions and affect, and behavioral outcomes; it
emphasizes health promotion rather than disease prevention and considers the
whole person in context.
Q3: A patient with a family history of heart disease states, "I know I am at risk for
heart disease, but I don't think it will happen to me." Which construct of the Health
Belief Model is this patient demonstrating?
A. Perceived severity
B. Perceived susceptibility
C. Perceived benefits
D. Self-efficacy
Correct Answer: B
Rationale: The patient acknowledges the risk (family history) but underestimates
personal susceptibility ("it won't happen to me"); low perceived susceptibility is a
barrier to health behavior change in the Health Belief Model.
Q4: A nurse is explaining the difference between illness and disease to a patient.
Which statement is most accurate?
A. Illness and disease are synonymous terms with identical meanings
B. Disease is an objective pathological condition, while illness is the subjective
experience of being unwell
,C. Illness refers only to mental health conditions, while disease refers to physical
conditions
D. Disease is always curable, while illness is always chronic
Correct Answer: B
Rationale: Disease is an objective, diagnosable pathological condition with specific
signs and symptoms, while illness is the subjective experience of feeling unwell that
may exist with or without identifiable disease; a person can have disease without
feeling ill or feel ill without having identifiable disease.
Q5: A nurse is using the Transtheoretical Model to assess a patient who has been
thinking about starting an exercise program for the past 3 months but has not taken
action. Which stage of change is this patient in?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Correct Answer: B
Rationale: The contemplation stage is characterized by intention to change within
the next 6 months without having taken concrete action; the patient is aware of the
problem and considering change but has not committed to a specific plan.
Q6: A patient asks the nurse to explain the difference between health and wellness.
Which response is most accurate?
A. Health and wellness are the same concept with no meaningful distinction
, B. Health is a state of being, while wellness is an active process of achieving optimal
health
C. Health refers only to physical well-being, while wellness includes mental health
D. Wellness is the absence of disease, while health is the presence of vitality
Correct Answer: B
Rationale: Health is a state of complete physical, mental, and social well-being, while
wellness is the active process through which people become aware of and make
choices toward a more successful existence; wellness involves purposeful
engagement in health-promoting behaviors.
Q7: A nurse is caring for a patient with chronic obstructive pulmonary disease who
continues to smoke. According to the Health Belief Model, which intervention is
most likely to motivate behavior change?
A. Emphasizing the severity of COPD and the patient's susceptibility to complications
B. Providing information about smoking cessation resources
C. Telling the patient that smoking is harmful and they must quit immediately
D. Focusing on the patient's past successes with behavior change
Correct Answer: A
Rationale: The Health Belief Model suggests that increasing perceived susceptibility
to disease complications and perceived severity of the condition motivates behavior
change; combining this with perceived benefits of quitting and self-efficacy
increases the likelihood of action.
Test Actual 2025/2026 with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
SECTION 1: Foundations of Health & Wellness (Questions 1–12)
Q1: A nurse is caring for a patient who states, "I feel healthy because I have no
symptoms of illness." Which model of health does this statement reflect?
A. The holistic health model
B. The biomedical model
C. The wellness-illness continuum
D. The health promotion model
Correct Answer: B
Rationale: The biomedical model defines health as the absence of disease or
symptoms; this narrow perspective contrasts with holistic and wellness models that
consider physical, mental, social, and spiritual dimensions of well-being.
Q2: A nurse is applying Pender's Health Promotion Model to develop a plan for a
patient who wants to quit smoking. Which factor is the primary focus of this model?
A. Perceived susceptibility to disease
B. Individual characteristics, experiences, and behavioral-specific cognitions
C. External cues to action from healthcare providers
,D. Self-efficacy and perceived benefits of action
Correct Answer: B
Rationale: Pender's Health Promotion Model focuses on individual characteristics
and experiences, behavior-specific cognitions and affect, and behavioral outcomes; it
emphasizes health promotion rather than disease prevention and considers the
whole person in context.
Q3: A patient with a family history of heart disease states, "I know I am at risk for
heart disease, but I don't think it will happen to me." Which construct of the Health
Belief Model is this patient demonstrating?
A. Perceived severity
B. Perceived susceptibility
C. Perceived benefits
D. Self-efficacy
Correct Answer: B
Rationale: The patient acknowledges the risk (family history) but underestimates
personal susceptibility ("it won't happen to me"); low perceived susceptibility is a
barrier to health behavior change in the Health Belief Model.
Q4: A nurse is explaining the difference between illness and disease to a patient.
Which statement is most accurate?
A. Illness and disease are synonymous terms with identical meanings
B. Disease is an objective pathological condition, while illness is the subjective
experience of being unwell
,C. Illness refers only to mental health conditions, while disease refers to physical
conditions
D. Disease is always curable, while illness is always chronic
Correct Answer: B
Rationale: Disease is an objective, diagnosable pathological condition with specific
signs and symptoms, while illness is the subjective experience of feeling unwell that
may exist with or without identifiable disease; a person can have disease without
feeling ill or feel ill without having identifiable disease.
Q5: A nurse is using the Transtheoretical Model to assess a patient who has been
thinking about starting an exercise program for the past 3 months but has not taken
action. Which stage of change is this patient in?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Correct Answer: B
Rationale: The contemplation stage is characterized by intention to change within
the next 6 months without having taken concrete action; the patient is aware of the
problem and considering change but has not committed to a specific plan.
Q6: A patient asks the nurse to explain the difference between health and wellness.
Which response is most accurate?
A. Health and wellness are the same concept with no meaningful distinction
, B. Health is a state of being, while wellness is an active process of achieving optimal
health
C. Health refers only to physical well-being, while wellness includes mental health
D. Wellness is the absence of disease, while health is the presence of vitality
Correct Answer: B
Rationale: Health is a state of complete physical, mental, and social well-being, while
wellness is the active process through which people become aware of and make
choices toward a more successful existence; wellness involves purposeful
engagement in health-promoting behaviors.
Q7: A nurse is caring for a patient with chronic obstructive pulmonary disease who
continues to smoke. According to the Health Belief Model, which intervention is
most likely to motivate behavior change?
A. Emphasizing the severity of COPD and the patient's susceptibility to complications
B. Providing information about smoking cessation resources
C. Telling the patient that smoking is harmful and they must quit immediately
D. Focusing on the patient's past successes with behavior change
Correct Answer: A
Rationale: The Health Belief Model suggests that increasing perceived susceptibility
to disease complications and perceived severity of the condition motivates behavior
change; combining this with perceived benefits of quitting and self-efficacy
increases the likelihood of action.
