NR 222 Midterm V3 | NR 222 Foundation of
Nursing Process | Actual Q&A with
Rationale (NR222 Midterm) | Chamberlain
1. A nurse is providing an immunization clinic for high school students. According to Leavell and
Clark’s levels of prevention, which level is the nurse practicing?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Health restoration
Answer: B
Rationale: Primary prevention involves health promotion and specific protection against
diseases before they occur. Immunizations are a classic example of primary prevention as
they aim to prevent the onset of illness in a healthy population. The nurse’s role in this
stage is to decrease the vulnerability of the individual to disease agents.
2. When assessing a client using Gordon’s Functional Health Patterns, the nurse asks, ‘How
would you describe your overall health?’ Which pattern is being assessed?
A. Health Perception-Health Management Pattern
B. Self-Perception Pattern
C. Value-Belief Pattern
,D. Cognitive-Perceptual Pattern
Answer: A
Rationale: The Health Perception-Health Management pattern describes the client’s self-
report of health and well-being and how they manage their health. This includes the
individual’s perceived level of health and their practices for maintaining it. It provides a
foundation for understanding the client’s motivation toward health-promoting behaviors.
3. A nurse is teaching a patient with newly diagnosed Type 2 Diabetes how to perform self-
blood glucose monitoring. This is an example of which type of learning?
A. Affective learning
B. Cognitive learning
C. Social learning
D. Psychomotor learning
Answer: D
Rationale: Psychomotor learning involves the acquisition of skills that require the
integration of mental and muscular activity. Teaching a patient a physical skill like glucose
monitoring or insulin injection falls directly into this domain. The nurse must allow the
patient to demonstrate the skill to ensure mastery and competence.
4. The nurse identifies that a patient is in the ‘Contemplation’ stage of the Transtheoretical
Model regarding smoking cessation. Which statement by the patient supports this?
A. I have no intention of quitting smoking in the next 6 months.
, B. I have not smoked a cigarette for three months now.
C. I have purchased nicotine patches and plan to quit next Monday.
D. I am thinking about quitting smoking within the next 6 months.
Answer: D
Rationale: The contemplation stage is characterized by the individual considering a change
within the next six months. During this phase, the person is aware of the pros and cons of
changing their behavior but has not yet made a commitment to action. Nurses should
provide information and support to help the patient move toward the preparation stage.
5. Which ethical principle is the nurse practicing when they ensure that a patient has all the
information needed to make a decision about their care?
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
Answer: A
Rationale: Autonomy refers to the right of patients to make their own decisions about their
medical care without being influenced by their healthcare providers. In the nursing
process, this is often manifested through the process of informed consent. Respecting
Nursing Process | Actual Q&A with
Rationale (NR222 Midterm) | Chamberlain
1. A nurse is providing an immunization clinic for high school students. According to Leavell and
Clark’s levels of prevention, which level is the nurse practicing?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Health restoration
Answer: B
Rationale: Primary prevention involves health promotion and specific protection against
diseases before they occur. Immunizations are a classic example of primary prevention as
they aim to prevent the onset of illness in a healthy population. The nurse’s role in this
stage is to decrease the vulnerability of the individual to disease agents.
2. When assessing a client using Gordon’s Functional Health Patterns, the nurse asks, ‘How
would you describe your overall health?’ Which pattern is being assessed?
A. Health Perception-Health Management Pattern
B. Self-Perception Pattern
C. Value-Belief Pattern
,D. Cognitive-Perceptual Pattern
Answer: A
Rationale: The Health Perception-Health Management pattern describes the client’s self-
report of health and well-being and how they manage their health. This includes the
individual’s perceived level of health and their practices for maintaining it. It provides a
foundation for understanding the client’s motivation toward health-promoting behaviors.
3. A nurse is teaching a patient with newly diagnosed Type 2 Diabetes how to perform self-
blood glucose monitoring. This is an example of which type of learning?
A. Affective learning
B. Cognitive learning
C. Social learning
D. Psychomotor learning
Answer: D
Rationale: Psychomotor learning involves the acquisition of skills that require the
integration of mental and muscular activity. Teaching a patient a physical skill like glucose
monitoring or insulin injection falls directly into this domain. The nurse must allow the
patient to demonstrate the skill to ensure mastery and competence.
4. The nurse identifies that a patient is in the ‘Contemplation’ stage of the Transtheoretical
Model regarding smoking cessation. Which statement by the patient supports this?
A. I have no intention of quitting smoking in the next 6 months.
, B. I have not smoked a cigarette for three months now.
C. I have purchased nicotine patches and plan to quit next Monday.
D. I am thinking about quitting smoking within the next 6 months.
Answer: D
Rationale: The contemplation stage is characterized by the individual considering a change
within the next six months. During this phase, the person is aware of the pros and cons of
changing their behavior but has not yet made a commitment to action. Nurses should
provide information and support to help the patient move toward the preparation stage.
5. Which ethical principle is the nurse practicing when they ensure that a patient has all the
information needed to make a decision about their care?
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
Answer: A
Rationale: Autonomy refers to the right of patients to make their own decisions about their
medical care without being influenced by their healthcare providers. In the nursing
process, this is often manifested through the process of informed consent. Respecting
