NR 222 EXAM 2 HEALTH AND
WELLNESS TEST BANK | 315 REAL
EXAM QUESTIONS WITH CORRECT
ANSWERS & RATIONALES |
CHAMBERLAIN COLLEGE OF NURSING
2026/2027 |
instant download!!
Health Promotion & Wellness Models
1. A nurse is organizing a blood pressure screening event at a local community
center. This activity is an example of which level of prevention?
• A) Primary prevention
• B) Secondary prevention
• C) Tertiary prevention
• D) Quaternary prevention
Correct Answer: B) Secondary prevention
Rationale: Secondary prevention focuses on early detection and screening to limit the
progression of disease. Blood pressure screening identifies hypertension early,
allowing for timely intervention before complications occur.
2. Which model emphasizes the relationship between a person's beliefs and
health behaviors?
• A) Ecological Model
• B) Health Belief Model
• C) Clinical Model
• D) Adaptive Model
Correct Answer: B) Health Belief Model
Rationale: The Health Belief Model addresses how a person's beliefs—including
perceived susceptibility, severity, benefits, and barriers—influence their health
behaviors. It is commonly used to predict and explain health behavior.
,3. A patient in the precontemplation stage of the Transtheoretical Model is best
described as:
• A) Aware of the problem and intending to act within 6 months
• B) Not aware of the problem and not intending to change
• C) Actively making changes for less than 6 months
• D) Maintaining changes for more than 6 months
Correct Answer: B) Not aware of the problem and not intending to change
Rationale: In the precontemplation stage, individuals are not yet considering change
and may be unaware of the need for behavior modification. Interventions should
focus on raising awareness.
Cultural Competence & Communication
4. A 46-year-old woman from Bosnia celebrates Christmas with her family in
the U.S., although she did not celebrate it in Bosnia. This is an example of:
• A) Biculturalism
• B) Assimilation
• C) Enculturation
• D) Marginalization
Correct Answer: B) Assimilation
Rationale: Assimilation occurs when an individual gradually adopts and incorporates
the characteristics of the dominant culture. The patient has adopted a cultural
practice of the host country.
5. When interviewing a Native American patient, which questions are
appropriate for the nurse to ask? (Select all that apply.)
• A) Do you use any folk remedies?
• B) Do you have a family physician?
• C) Do you use a Shaman?
• D) Does your family have a history of alcohol abuse?
Correct Answer: A, B, C
Rationale: Nurses should obtain information about folk remedies and cultural healers
to provide culturally congruent care. Asking about family history of alcohol abuse
may be stigmatizing and is not a culturally sensitive opening question.
,6. The best action for a nurse to take when a patient from a different culture is
repeatedly late for appointments is to:
• A) Give her a copy of the city bus schedule
• B) Call her the day before as a reminder
• C) Explore what has prevented her from arriving on time
• D) Refer her to a clinic closer to her home
Correct Answer: C) Explore what has prevented her from arriving on time
Rationale: Present-time orientation may conflict with the dominant healthcare norm
of punctuality. The nurse should assess barriers to timely attendance rather than
assuming a logistical issue.
Teaching & Learning
7. A nurse is providing preoperative education to a visibly anxious patient who
is unable to focus. The most appropriate nursing action is to:
• A) Continue with the teaching plan as scheduled
• B) Administer a sedative to calm the patient
• C) Address the patient's anxiety before proceeding with teaching
• D) Provide written instructions and ask family to review them
Correct Answer: C) Address the patient's anxiety before proceeding with
teaching
Rationale: Anxiety significantly impairs learning and retention. The nurse must first
address the patient's emotional state to create a receptive learning environment.
8. When teaching a patient how to control blood sugar levels, what type of
learning is primarily being utilized?
• A) Psychomotor learning
• B) Affective learning
• C) Cognitive learning
• D) Behavioral learning
Correct Answer: C) Cognitive learning
Rationale: Cognitive learning involves understanding and processing information,
such as learning about blood sugar control through knowledge acquisition.
Psychomotor learning involves physical skills, while affective learning relates to
attitudes and values.
, 9. When teaching an older adult about a new antihypertensive medication, the
nurse should:
• A) Speak loudly to ensure the patient can hear
• B) Present the information once and expect understanding
• C) Expect the patient to understand the information quickly
• D) Allow the patient time to express himself and ask questions
Correct Answer: D) Allow the patient time to express himself and ask questions
Rationale: Older adults may require more time to process new information. The nurse
should allow ample time for questions and concerns. Speaking loudly is not always
helpful and can be perceived as condescending.
Stress, Coping & Mental Health
10. Sandra works as a charge nurse in a busy medical unit and has gained 30
pounds over the past year. Which hormone, produced in excess during chronic
stress, contributes to weight gain?
• A) Insulin
• B) Cortisol
• C) Adrenaline
• D) Thyroxine
Correct Answer: B) Cortisol
Rationale: Chronic stress leads to sustained elevation of cortisol, which promotes
abdominal fat storage and weight gain. Cortisol is a key hormone in the stress
response.
11. Which strategies help prevent compassion fatigue? (Select all that apply.)
• A) Learn more about compassion fatigue.
• B) Establish professional boundaries.
• C) Practice self-care measures.
• D) Resist thinking about this topic until symptoms arise
• E) Ponder self-awareness.
Correct Answer: A, B, C, E
Rationale: Compassion fatigue can be prevented through education, setting
boundaries, self-care, and self-awareness. Ignoring the topic until symptoms arise is
not a preventive strategy.
WELLNESS TEST BANK | 315 REAL
EXAM QUESTIONS WITH CORRECT
ANSWERS & RATIONALES |
CHAMBERLAIN COLLEGE OF NURSING
2026/2027 |
instant download!!
Health Promotion & Wellness Models
1. A nurse is organizing a blood pressure screening event at a local community
center. This activity is an example of which level of prevention?
• A) Primary prevention
• B) Secondary prevention
• C) Tertiary prevention
• D) Quaternary prevention
Correct Answer: B) Secondary prevention
Rationale: Secondary prevention focuses on early detection and screening to limit the
progression of disease. Blood pressure screening identifies hypertension early,
allowing for timely intervention before complications occur.
2. Which model emphasizes the relationship between a person's beliefs and
health behaviors?
• A) Ecological Model
• B) Health Belief Model
• C) Clinical Model
• D) Adaptive Model
Correct Answer: B) Health Belief Model
Rationale: The Health Belief Model addresses how a person's beliefs—including
perceived susceptibility, severity, benefits, and barriers—influence their health
behaviors. It is commonly used to predict and explain health behavior.
,3. A patient in the precontemplation stage of the Transtheoretical Model is best
described as:
• A) Aware of the problem and intending to act within 6 months
• B) Not aware of the problem and not intending to change
• C) Actively making changes for less than 6 months
• D) Maintaining changes for more than 6 months
Correct Answer: B) Not aware of the problem and not intending to change
Rationale: In the precontemplation stage, individuals are not yet considering change
and may be unaware of the need for behavior modification. Interventions should
focus on raising awareness.
Cultural Competence & Communication
4. A 46-year-old woman from Bosnia celebrates Christmas with her family in
the U.S., although she did not celebrate it in Bosnia. This is an example of:
• A) Biculturalism
• B) Assimilation
• C) Enculturation
• D) Marginalization
Correct Answer: B) Assimilation
Rationale: Assimilation occurs when an individual gradually adopts and incorporates
the characteristics of the dominant culture. The patient has adopted a cultural
practice of the host country.
5. When interviewing a Native American patient, which questions are
appropriate for the nurse to ask? (Select all that apply.)
• A) Do you use any folk remedies?
• B) Do you have a family physician?
• C) Do you use a Shaman?
• D) Does your family have a history of alcohol abuse?
Correct Answer: A, B, C
Rationale: Nurses should obtain information about folk remedies and cultural healers
to provide culturally congruent care. Asking about family history of alcohol abuse
may be stigmatizing and is not a culturally sensitive opening question.
,6. The best action for a nurse to take when a patient from a different culture is
repeatedly late for appointments is to:
• A) Give her a copy of the city bus schedule
• B) Call her the day before as a reminder
• C) Explore what has prevented her from arriving on time
• D) Refer her to a clinic closer to her home
Correct Answer: C) Explore what has prevented her from arriving on time
Rationale: Present-time orientation may conflict with the dominant healthcare norm
of punctuality. The nurse should assess barriers to timely attendance rather than
assuming a logistical issue.
Teaching & Learning
7. A nurse is providing preoperative education to a visibly anxious patient who
is unable to focus. The most appropriate nursing action is to:
• A) Continue with the teaching plan as scheduled
• B) Administer a sedative to calm the patient
• C) Address the patient's anxiety before proceeding with teaching
• D) Provide written instructions and ask family to review them
Correct Answer: C) Address the patient's anxiety before proceeding with
teaching
Rationale: Anxiety significantly impairs learning and retention. The nurse must first
address the patient's emotional state to create a receptive learning environment.
8. When teaching a patient how to control blood sugar levels, what type of
learning is primarily being utilized?
• A) Psychomotor learning
• B) Affective learning
• C) Cognitive learning
• D) Behavioral learning
Correct Answer: C) Cognitive learning
Rationale: Cognitive learning involves understanding and processing information,
such as learning about blood sugar control through knowledge acquisition.
Psychomotor learning involves physical skills, while affective learning relates to
attitudes and values.
, 9. When teaching an older adult about a new antihypertensive medication, the
nurse should:
• A) Speak loudly to ensure the patient can hear
• B) Present the information once and expect understanding
• C) Expect the patient to understand the information quickly
• D) Allow the patient time to express himself and ask questions
Correct Answer: D) Allow the patient time to express himself and ask questions
Rationale: Older adults may require more time to process new information. The nurse
should allow ample time for questions and concerns. Speaking loudly is not always
helpful and can be perceived as condescending.
Stress, Coping & Mental Health
10. Sandra works as a charge nurse in a busy medical unit and has gained 30
pounds over the past year. Which hormone, produced in excess during chronic
stress, contributes to weight gain?
• A) Insulin
• B) Cortisol
• C) Adrenaline
• D) Thyroxine
Correct Answer: B) Cortisol
Rationale: Chronic stress leads to sustained elevation of cortisol, which promotes
abdominal fat storage and weight gain. Cortisol is a key hormone in the stress
response.
11. Which strategies help prevent compassion fatigue? (Select all that apply.)
• A) Learn more about compassion fatigue.
• B) Establish professional boundaries.
• C) Practice self-care measures.
• D) Resist thinking about this topic until symptoms arise
• E) Ponder self-awareness.
Correct Answer: A, B, C, E
Rationale: Compassion fatigue can be prevented through education, setting
boundaries, self-care, and self-awareness. Ignoring the topic until symptoms arise is
not a preventive strategy.
