NR 222 Final Exam Test Bank Chamberlain College Health &
Wellness Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
SECTION A: HEALTH, WELLNESS & HEALTH PROMOTION MODELS
(Q1–Q12)
Q1: Which statement reflects the World Health Organization's (WHO) definition of
health?
A. Health is simply the absence of disease and infirmity
B. Health is a state of complete physical, mental, and social well-being, and not merely
the absence of disease or infirmity [CORRECT]
C. Health is the ability to perform activities of daily living without assistance
D. Health is determined entirely by genetic potential
Correct Answer: B
Rationale: The WHO defines health holistically as complete physical, mental, and social
well-being; defining health as only the absence of disease ignores the emotional and
social dimensions central to this definition.
Q2: A community health nurse organizes a program teaching heart-healthy nutrition and
exercise to people who currently have no chronic disease. Which level of prevention
does this represent?
A. Primary prevention [CORRECT]
B. Secondary prevention
C. Tertiary prevention
D. Restorative prevention
Correct Answer: A
Rationale: Primary prevention occurs before disease develops (immunizations, health
education, exercise); secondary prevention is early detection through screening, and
tertiary prevention reduces complications of existing disease.
Q3: A 52-year-old woman schedules a screening mammogram even though she has no
symptoms. This activity is classified as:
A. Primary prevention
,B. Secondary prevention [CORRECT]
C. Tertiary prevention
D. Health restoration
Correct Answer: B
Rationale: Screening tests such as mammography detect disease early, which is the
hallmark of secondary prevention; primary prevention stops disease from occurring, and
tertiary prevention manages established disease.
Q4: A patient who had a myocardial infarction attends a monitored cardiac rehabilitation
program to regain strength and prevent another event. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention [CORRECT]
D. Health promotion
Correct Answer: C
Rationale: Tertiary prevention minimizes complications and restores function after
disease is established; screening and immunization occur before or during early
disease, not after a major event.
Q5: Which concept is central to Pender's Health Promotion Model?
A. Perceived self-efficacy and perceived benefits of the health behavior [CORRECT]
B. Fear of a specific disease as the primary motivator of behavior
C. Sequential stages of change from precontemplation to maintenance
D. Unconditional positive regard in the nurse–client relationship
Correct Answer: A
Rationale: Pender's model emphasizes perceived benefits, barriers, and self-efficacy in
adopting health-promoting behaviors; fear-based susceptibility belongs to the Health
Belief Model, and stages of change belong to the Transtheoretical Model.
Q6: A 58-year-old man refuses a screening colonoscopy, stating, "Cancer won't happen
to me — I feel perfectly healthy." Using the Health Belief Model, this reflects a lack of
which component?
A. Perceived severity
B. Perceived benefits
C. Perceived susceptibility [CORRECT]
D. Cues to action
Correct Answer: C
Rationale: Perceived susceptibility is the individual's belief about the likelihood of
developing a condition, which this client lacks; his statement does not address
, seriousness (severity), effectiveness of screening (benefits), or a triggering event (cue
to action).
Q7: A smoker tells the nurse, "I've been thinking about quitting for the past six months,
but I'm not ready to pick a quit date." According to the Transtheoretical Model, this client
is in which stage?
A. Precontemplation
B. Contemplation [CORRECT]
C. Preparation
D. Action
Correct Answer: B
Rationale: Contemplation involves serious thought about change within the next 6
months without commitment; precontemplation denies the need to change, while
preparation involves planning and action involves active behavior change.
Q8: A client reports that she joined a gym three weeks ago and walks 30 minutes five
days a week. In which stage of the Transtheoretical Model is this client?
A. Preparation
B. Contemplation
C. Action [CORRECT]
D. Maintenance
Correct Answer: C
Rationale: Action occurs when the behavior has been actively practiced for less than 6
months; maintenance requires sustaining the behavior for 6 months or longer, and
preparation precedes the actual behavior.
Q9: Which of the following is one of the commonly recognized dimensions of wellness?
A. Cardiovascular
B. Spiritual [CORRECT]
C. Metabolic
D. Genomic
Correct Answer: B
Rationale: Wellness dimensions include physical, emotional, intellectual, spiritual, social,
occupational, and environmental; cardiovascular, metabolic, and genomic are
physiologic categories, not wellness dimensions.
Q10: A 45-year-old man schedules his first screening colonoscopy the week after
learning his brother was diagnosed with colon cancer. According to the Health Belief
Model, his brother's diagnosis served as a:
A. Perceived barrier
Wellness Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
SECTION A: HEALTH, WELLNESS & HEALTH PROMOTION MODELS
(Q1–Q12)
Q1: Which statement reflects the World Health Organization's (WHO) definition of
health?
A. Health is simply the absence of disease and infirmity
B. Health is a state of complete physical, mental, and social well-being, and not merely
the absence of disease or infirmity [CORRECT]
C. Health is the ability to perform activities of daily living without assistance
D. Health is determined entirely by genetic potential
Correct Answer: B
Rationale: The WHO defines health holistically as complete physical, mental, and social
well-being; defining health as only the absence of disease ignores the emotional and
social dimensions central to this definition.
Q2: A community health nurse organizes a program teaching heart-healthy nutrition and
exercise to people who currently have no chronic disease. Which level of prevention
does this represent?
A. Primary prevention [CORRECT]
B. Secondary prevention
C. Tertiary prevention
D. Restorative prevention
Correct Answer: A
Rationale: Primary prevention occurs before disease develops (immunizations, health
education, exercise); secondary prevention is early detection through screening, and
tertiary prevention reduces complications of existing disease.
Q3: A 52-year-old woman schedules a screening mammogram even though she has no
symptoms. This activity is classified as:
A. Primary prevention
,B. Secondary prevention [CORRECT]
C. Tertiary prevention
D. Health restoration
Correct Answer: B
Rationale: Screening tests such as mammography detect disease early, which is the
hallmark of secondary prevention; primary prevention stops disease from occurring, and
tertiary prevention manages established disease.
Q4: A patient who had a myocardial infarction attends a monitored cardiac rehabilitation
program to regain strength and prevent another event. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention [CORRECT]
D. Health promotion
Correct Answer: C
Rationale: Tertiary prevention minimizes complications and restores function after
disease is established; screening and immunization occur before or during early
disease, not after a major event.
Q5: Which concept is central to Pender's Health Promotion Model?
A. Perceived self-efficacy and perceived benefits of the health behavior [CORRECT]
B. Fear of a specific disease as the primary motivator of behavior
C. Sequential stages of change from precontemplation to maintenance
D. Unconditional positive regard in the nurse–client relationship
Correct Answer: A
Rationale: Pender's model emphasizes perceived benefits, barriers, and self-efficacy in
adopting health-promoting behaviors; fear-based susceptibility belongs to the Health
Belief Model, and stages of change belong to the Transtheoretical Model.
Q6: A 58-year-old man refuses a screening colonoscopy, stating, "Cancer won't happen
to me — I feel perfectly healthy." Using the Health Belief Model, this reflects a lack of
which component?
A. Perceived severity
B. Perceived benefits
C. Perceived susceptibility [CORRECT]
D. Cues to action
Correct Answer: C
Rationale: Perceived susceptibility is the individual's belief about the likelihood of
developing a condition, which this client lacks; his statement does not address
, seriousness (severity), effectiveness of screening (benefits), or a triggering event (cue
to action).
Q7: A smoker tells the nurse, "I've been thinking about quitting for the past six months,
but I'm not ready to pick a quit date." According to the Transtheoretical Model, this client
is in which stage?
A. Precontemplation
B. Contemplation [CORRECT]
C. Preparation
D. Action
Correct Answer: B
Rationale: Contemplation involves serious thought about change within the next 6
months without commitment; precontemplation denies the need to change, while
preparation involves planning and action involves active behavior change.
Q8: A client reports that she joined a gym three weeks ago and walks 30 minutes five
days a week. In which stage of the Transtheoretical Model is this client?
A. Preparation
B. Contemplation
C. Action [CORRECT]
D. Maintenance
Correct Answer: C
Rationale: Action occurs when the behavior has been actively practiced for less than 6
months; maintenance requires sustaining the behavior for 6 months or longer, and
preparation precedes the actual behavior.
Q9: Which of the following is one of the commonly recognized dimensions of wellness?
A. Cardiovascular
B. Spiritual [CORRECT]
C. Metabolic
D. Genomic
Correct Answer: B
Rationale: Wellness dimensions include physical, emotional, intellectual, spiritual, social,
occupational, and environmental; cardiovascular, metabolic, and genomic are
physiologic categories, not wellness dimensions.
Q10: A 45-year-old man schedules his first screening colonoscopy the week after
learning his brother was diagnosed with colon cancer. According to the Health Belief
Model, his brother's diagnosis served as a:
A. Perceived barrier
