Bank with Solutions 2026/2027 | Complete Chapters 1–47
Study Guide & Practice Questions | Verified Answers with
Rationales | NCLEX, Clinical Judgment & Nursing
Fundamentals Review | Graded A+
Section I: Introduction to Nursing, Health, Wellness, Culture, Community
(Questions 1–15)
1. A nurse is explaining the concept of health to a group of nursing students.
Which statement best reflects the World Health Organization's (WHO) definition
of health?
A) "Health is the absence of disease or infirmity."
B) "Health is a state of complete physical, mental, and social well-being, not
merely the absence of disease."
C) "Health is the ability to perform activities of daily living without assistance."
D) "Health is determined solely by genetic factors."
Correct Answer: B
Rationale: The WHO defines health as "a state of complete physical, mental,
and social well-being and not merely the absence of disease or infirmity." Option
A is the outdated biomedical model. Option C focuses only on functional ability.
Option D is incorrect because health is multifactorial, not solely genetic.
2. Which of the following are components of the nursing metaparadigm? (Select
All That Apply)
A) Person
B) Environment
C) Health
D) Nursing
E) Physician
, Correct Answers: A, B, C, D
Rationale: The nursing metaparadigm consists of four concepts: person
(patient), environment, health, and nursing. The physician is not part of the
nursing metaparadigm; it is a separate discipline within healthcare.
3. A nurse is caring for a patient who practices Islam and requests to pray five
times daily. Which action by the nurse demonstrates culturally competent care?
A) Tell the patient that hospital routines take priority over religious practices.
B) Arrange care around prayer times and provide a quiet, clean space for prayer.
C) Ask the patient to skip prayers during hospitalization.
D) Document the request but take no further action.
Correct Answer: B
Rationale: Culturally competent care involves respecting and accommodating
patients' religious and cultural practices. Arranging care around prayer times and
providing appropriate space demonstrates cultural sensitivity. Options A and C
disregard patient autonomy and cultural needs. Option D is insufficient—
documentation alone does not meet the patient's needs.
4. A community health nurse is conducting a needs assessment. Which of the
following best describes the primary goal of community health nursing?
A) Treating individual patients in a hospital setting
B) Promoting and protecting the health of populations
C) Providing emergency care during disasters only
D) Focusing solely on communicable disease control
Correct Answer: B
Rationale: Community health nursing focuses on promoting and protecting
the health of populations through health promotion, disease prevention, and
,health education. Option A describes acute care nursing. Option C is too narrow.
Option D is only one aspect of community health nursing.
5. Which of the following are examples of primary prevention? (Select All That
Apply)
A) Immunizations
B) Mammography screening
C) Health education about smoking cessation
D) Rehabilitation after a stroke
E) Use of seat belts
Correct Answers: A, C, E
Rationale: Primary prevention aims to prevent disease before it occurs.
Immunizations, health education, and seat belt use are all primary prevention
strategies. Mammography screening (B) is secondary prevention (early detection).
Rehabilitation (D) is tertiary prevention (limiting disability).
6. A nurse is discussing health promotion with a patient. Which model
emphasizes the patient's readiness to change behavior?
A) Health Belief Model
B) Transtheoretical Model (Stages of Change)
C) Pender's Health Promotion Model
D) Biomedical Model
Correct Answer: B
Rationale: The Transtheoretical Model (Prochaska & DiClemente) describes
stages of change: precontemplation, contemplation, preparation, action, and
maintenance. It emphasizes readiness to change. The Health Belief Model focuses
on beliefs about susceptibility and severity. Pender's model focuses on health-
promoting behaviors. The Biomedical Model focuses on disease treatment.
, 7. A nurse is assessing a patient's cultural beliefs about health. Which question is
most appropriate to ask?
A) "Do you believe in modern medicine?"
B) "What do you do to stay healthy, and who do you consult when you are ill?"
C) "Why don't you follow your doctor's orders?"
D) "Are you willing to change your cultural practices?"
Correct Answer: B
Rationale: This open-ended question respectfully explores the patient's health
beliefs and practices without judgment. Option A is closed-ended and potentially
judgmental. Option C is accusatory. Option D implies the patient must change
their culture, which is not culturally competent.
8. Which of the following factors can influence a person's health beliefs and
practices? (Select All That Apply)
A) Cultural background
B) Socioeconomic status
C) Religious beliefs
D) Education level
E) Blood type
Correct Answers: A, B, C, D
Rationale: Cultural background, socioeconomic status, religious beliefs, and
education level all influence health beliefs and practices. Blood type (E) is a
biological factor and does not influence health beliefs.
9. A nurse is caring for a patient who does not speak English. Which action
should the nurse take to ensure effective communication?