,NUR 3270 Final Exam – Comprehensive Health
Assessment – Q&A (2026) | William Paterson
1. Which statement best defines the overall purpose of health promotion?
A) Enabling people to increase control over and improve their health
B) Eliminating all chronic disease
C) Providing treatment after illness occurs
D) Reducing the need for preventive services
Correct Answer: A) Enabling people to increase control over and improve their
health
Rationale: Health promotion is the process of enabling people to increase
control over and improve their health. It focuses on empowerment, prevention,
and wellness rather than only treating disease. This definition guides nurses to
support patients in making sustainable health behavior changes.
2. Which term refers to a positive, multidimensional state of health that
includes physical, mental, social, and spiritual dimensions?
A) Disease
B) Wellness
C) Illness
D) Disability
Correct Answer: B) Wellness
,Rationale: Wellness is a positive, multidimensional state of health that includes
physical, mental, spiritual, social, occupational, environmental, intellectual, and
financial dimensions. Disease is a functional disturbance, illness is the subjective
experience, and disability is impaired function. Wellness can exist even with
chronic illness.
3. Which definition of disease is most accurate?
A) A state of complete physical health
B) A functional or structural disturbance when adaptive mechanisms fail
C) A subjective feeling of being unwell
D) An absence of laboratory abnormalities
Correct Answer: D) A functional or structural disturbance when adaptive
mechanisms fail
Rationale: Disease is a functional or structural disturbance that results when a
person's adaptive mechanisms fail. Illness is the physical manifestation and
subjective experience of the individual. Disease can exist without illness, and
illness can occur without disease.
4. How do primary and tertiary prevention relate in chronic disease care?
A) They cannot occur together
B) They are identical
C) They can occur simultaneously
D) They exclude each other
Correct Answer: C) They can occur simultaneously
, Rationale: Primary prevention, such as teaching foot care to prevent ulcers, and
tertiary prevention, such as managing existing complications, can occur
simultaneously in chronic disease care. This overlap supports comprehensive
management. Secondary prevention may also be integrated.
5. Which USPSTF grade indicates a strong recommendation based on clear net
benefit?
A) Grade C
B) Grade D
C) Grade A
D) I statement
Correct Answer: C) Grade A
Rationale: The U.S. Preventive Services Task Force assigns Grade A to services
with high certainty of substantial net benefit. Grade B also indicates
recommendation but with lesser certainty. Grade C is selective, Grade D
recommends against, and I statement reflects insufficient evidence.
6. A screening test demonstrates high sensitivity. What is the primary
advantage?
A) Low false negative rate
B) Low false positive rate
C) High specificity
D) No false positives
Assessment – Q&A (2026) | William Paterson
1. Which statement best defines the overall purpose of health promotion?
A) Enabling people to increase control over and improve their health
B) Eliminating all chronic disease
C) Providing treatment after illness occurs
D) Reducing the need for preventive services
Correct Answer: A) Enabling people to increase control over and improve their
health
Rationale: Health promotion is the process of enabling people to increase
control over and improve their health. It focuses on empowerment, prevention,
and wellness rather than only treating disease. This definition guides nurses to
support patients in making sustainable health behavior changes.
2. Which term refers to a positive, multidimensional state of health that
includes physical, mental, social, and spiritual dimensions?
A) Disease
B) Wellness
C) Illness
D) Disability
Correct Answer: B) Wellness
,Rationale: Wellness is a positive, multidimensional state of health that includes
physical, mental, spiritual, social, occupational, environmental, intellectual, and
financial dimensions. Disease is a functional disturbance, illness is the subjective
experience, and disability is impaired function. Wellness can exist even with
chronic illness.
3. Which definition of disease is most accurate?
A) A state of complete physical health
B) A functional or structural disturbance when adaptive mechanisms fail
C) A subjective feeling of being unwell
D) An absence of laboratory abnormalities
Correct Answer: D) A functional or structural disturbance when adaptive
mechanisms fail
Rationale: Disease is a functional or structural disturbance that results when a
person's adaptive mechanisms fail. Illness is the physical manifestation and
subjective experience of the individual. Disease can exist without illness, and
illness can occur without disease.
4. How do primary and tertiary prevention relate in chronic disease care?
A) They cannot occur together
B) They are identical
C) They can occur simultaneously
D) They exclude each other
Correct Answer: C) They can occur simultaneously
, Rationale: Primary prevention, such as teaching foot care to prevent ulcers, and
tertiary prevention, such as managing existing complications, can occur
simultaneously in chronic disease care. This overlap supports comprehensive
management. Secondary prevention may also be integrated.
5. Which USPSTF grade indicates a strong recommendation based on clear net
benefit?
A) Grade C
B) Grade D
C) Grade A
D) I statement
Correct Answer: C) Grade A
Rationale: The U.S. Preventive Services Task Force assigns Grade A to services
with high certainty of substantial net benefit. Grade B also indicates
recommendation but with lesser certainty. Grade C is selective, Grade D
recommends against, and I statement reflects insufficient evidence.
6. A screening test demonstrates high sensitivity. What is the primary
advantage?
A) Low false negative rate
B) Low false positive rate
C) High specificity
D) No false positives
