NURSING 122 – EXAM 1(2025-2026) HEALTH
ASSESSMENT / FUNDAMENTALS OF NURSING
EXAM QUESTIONS AND ANSWERS
A patient comes to the local health clinic and states: "I've noticed how many
people are out walking in my neighborhood. Is walking good for you?" What is the
best response to help the patient through the stages of change for exercise?
A) "Walking is OK. I really think running is better."
B) "Yes, walking is great exercise. Do you think you could go for a 5-minute walk
next week?"
C) "Yes, I want you to begin walking. Walk for 30 minutes every day and start to
eat more fruits and vegetables."
D) "They probably aren't walking fast enough or far enough. You need to spend at
least 45 minutes if you are going to do any good."
The patient's response indicates that the patient is in the contemplative state,
possibly intending to make a behavior change within the next 6 months. The
nurse's statement reinforces the behavior and provides a specific goal for the
patient to begin a walking plan.
A male patient has been laid off from his construction job and has many unpaid
bills. He is going through a divorce from his marriage of 15 years and has been
seeing his pastor to help him through this difficult time. He does not have a
,primary health care provider because he has never really been sick and his parents
never took him to the physician when he was a child. Which external variables
influence the patient's health practices? (Select all that apply.)
A) Difficulty paying his bills
B) Seeing his pastor as a means of support
C) Family practice of not routinely seeing a health care provider
D) Stress from the divorce and the loss of a job
External factors impacting health practices include family beliefs and economic
impact. How patients' families use health care services generally affects their
health practices. Their perceptions of the serious nature of diseases and their
history of preventive care behaviors (or lack of them) influence how patients will
think about health. Economic variables may affect a patient's level of health by
increasing the risk for disease and influencing how or at what point the patient
enters the health care system.
The nurse is conducting a home visit with an older adult couple. She assesses that
the lighting in the home is poor and there are throw rugs throughout the home and
a low footstool in the living room. She discusses removing the rugs and footstool
and improving the lighting with the couple. The nurse is addressing which level of
need according to Maslow?
A) Physiological
B) Safety and security
C) Love and belonging
D) Self-actualization
,The teaching addresses the need for safety and security. The throw rugs, low
lighting, and low stool are hazards that can cause falls in the elderly. Preventing
falls is a priority safety issue for older adults.
When taking care of patients, the nurse routinely asks them if they take any
vitamins or herbal medications, encourages family members to bring in music that
the patient likes to help the patient relax, and frequently prays with her patients if
that is important to them. The nurse is practicing which model?
A) Holistic
B) Health belief
C) Transtheoretical
D) Health promotion
The nurse is using a holistic model of care that considers emotional and spiritual
well-being and other dimensions of an individual to be important aspects of
physical wellness. The holistic health model of nursing attempts to create
conditions that promote optimal health. Nurses using the holistic nursing model
recognize the natural healing abilities of the body and incorporate complementary
and alternative interventions such as music therapy, reminiscence, relaxation
therapy, therapeutic touch, and guided imagery because they are effective,
economical, noninvasive, nonpharmacological complements to traditional medical
care.
The nurse is participating at a health fair at the local mall giving influenza vaccines
to senior citizens. What level of prevention is the nurse practicing?
A) Primary prevention
B) Secondary prevention
, C) Tertiary prevention
D) Quaternary prevention
Primary prevention is aimed at health promotion and includes health-education
programs, immunizations, and physical and nutritional fitness activities. It can be
provided to an individual and includes activities that focus on maintaining or
improving the general health of individuals, families, and communities. It also
includes specific protection such as immunization for influenza.
A patient experienced a myocardial infarction 4 weeks ago and is currently
participating in the daily cardiac rehabilitation sessions at the local fitness center.
In what level of prevention is the patient participating?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Tertiary prevention involves minimizing the effects of long-term disease or
disability by interventions directed at preventing complications and deterioration
following the myocardial infarction. Tertiary-prevention activities are directed at
rehabilitation rather than diagnosis and treatment. Care at this level aims to help
patients achieve as high a level of functioning as possible, despite the limitations
caused by illness or impairment. This level of care is called preventive care
because it involves preventing further disability or reduced functioning.
ASSESSMENT / FUNDAMENTALS OF NURSING
EXAM QUESTIONS AND ANSWERS
A patient comes to the local health clinic and states: "I've noticed how many
people are out walking in my neighborhood. Is walking good for you?" What is the
best response to help the patient through the stages of change for exercise?
A) "Walking is OK. I really think running is better."
B) "Yes, walking is great exercise. Do you think you could go for a 5-minute walk
next week?"
C) "Yes, I want you to begin walking. Walk for 30 minutes every day and start to
eat more fruits and vegetables."
D) "They probably aren't walking fast enough or far enough. You need to spend at
least 45 minutes if you are going to do any good."
The patient's response indicates that the patient is in the contemplative state,
possibly intending to make a behavior change within the next 6 months. The
nurse's statement reinforces the behavior and provides a specific goal for the
patient to begin a walking plan.
A male patient has been laid off from his construction job and has many unpaid
bills. He is going through a divorce from his marriage of 15 years and has been
seeing his pastor to help him through this difficult time. He does not have a
,primary health care provider because he has never really been sick and his parents
never took him to the physician when he was a child. Which external variables
influence the patient's health practices? (Select all that apply.)
A) Difficulty paying his bills
B) Seeing his pastor as a means of support
C) Family practice of not routinely seeing a health care provider
D) Stress from the divorce and the loss of a job
External factors impacting health practices include family beliefs and economic
impact. How patients' families use health care services generally affects their
health practices. Their perceptions of the serious nature of diseases and their
history of preventive care behaviors (or lack of them) influence how patients will
think about health. Economic variables may affect a patient's level of health by
increasing the risk for disease and influencing how or at what point the patient
enters the health care system.
The nurse is conducting a home visit with an older adult couple. She assesses that
the lighting in the home is poor and there are throw rugs throughout the home and
a low footstool in the living room. She discusses removing the rugs and footstool
and improving the lighting with the couple. The nurse is addressing which level of
need according to Maslow?
A) Physiological
B) Safety and security
C) Love and belonging
D) Self-actualization
,The teaching addresses the need for safety and security. The throw rugs, low
lighting, and low stool are hazards that can cause falls in the elderly. Preventing
falls is a priority safety issue for older adults.
When taking care of patients, the nurse routinely asks them if they take any
vitamins or herbal medications, encourages family members to bring in music that
the patient likes to help the patient relax, and frequently prays with her patients if
that is important to them. The nurse is practicing which model?
A) Holistic
B) Health belief
C) Transtheoretical
D) Health promotion
The nurse is using a holistic model of care that considers emotional and spiritual
well-being and other dimensions of an individual to be important aspects of
physical wellness. The holistic health model of nursing attempts to create
conditions that promote optimal health. Nurses using the holistic nursing model
recognize the natural healing abilities of the body and incorporate complementary
and alternative interventions such as music therapy, reminiscence, relaxation
therapy, therapeutic touch, and guided imagery because they are effective,
economical, noninvasive, nonpharmacological complements to traditional medical
care.
The nurse is participating at a health fair at the local mall giving influenza vaccines
to senior citizens. What level of prevention is the nurse practicing?
A) Primary prevention
B) Secondary prevention
, C) Tertiary prevention
D) Quaternary prevention
Primary prevention is aimed at health promotion and includes health-education
programs, immunizations, and physical and nutritional fitness activities. It can be
provided to an individual and includes activities that focus on maintaining or
improving the general health of individuals, families, and communities. It also
includes specific protection such as immunization for influenza.
A patient experienced a myocardial infarction 4 weeks ago and is currently
participating in the daily cardiac rehabilitation sessions at the local fitness center.
In what level of prevention is the patient participating?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Tertiary prevention involves minimizing the effects of long-term disease or
disability by interventions directed at preventing complications and deterioration
following the myocardial infarction. Tertiary-prevention activities are directed at
rehabilitation rather than diagnosis and treatment. Care at this level aims to help
patients achieve as high a level of functioning as possible, despite the limitations
caused by illness or impairment. This level of care is called preventive care
because it involves preventing further disability or reduced functioning.
