GALEN COLLEGE OF NURSING
NSG 3205 HEALTH PROMOTION
FINAL EXAM
2026
1. A 50-year-old male with a family history of colon
cancer tells the nurse, "I know I should get a
colonoscopy, but I’m afraid of what they might
find." According to the Health Belief Model (HBM),
which construct is the nurse primarily addressing by
discussing the accuracy of the test and the high
survival rate of early-stage cancer?
A. Perceived Susceptibility
B. Perceived Barriers
C. Perceived Benefits
D. Cues to Action
Answer: C
Rationale: Perceived benefits refer to the
individual’s belief in the effectiveness of the
advised action to reduce risk. By focusing on
survival rates and test accuracy, the nurse is
highlighting the positive outcomes of the health
behavior.
2. A nurse is developing a program to reduce
childhood obesity in a low-income urban area. The
nurse focuses on local policy changes to increase
,the number of grocery stores and safe parks. This
approach aligns with which model?
A. The Transtheoretical Model
B. The Social Ecological Model
C. The Health Promotion Model
D. The Theory of Planned Behavior
Answer: B
Rationale: The Social Ecological Model emphasizes
multiple levels of influence, including the
community, policy, and environment, rather than
just individual behavior change.
3. In the Transtheoretical Model (TTM), a patient
who has started a smoking cessation program and
has remained tobacco-free for four months is in
which stage of change?
A. Contemplation
B. Preparation
C. Action
D. Maintenance
Answer: C
Rationale: The Action stage lasts from the start of
the behavior change up to six months. Once the
behavior has been sustained for more than six
months, the patient enters the Maintenance stage.
4. Occupational health nurses conducting a hearing
conservation program by performing annual
audiograms for factory workers are engaged in
,which level of prevention?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Answer: B
Rationale: Secondary prevention focuses on early
detection and screening of asymptomatic
individuals to identify disease in its earliest stages,
such as hearing loss through audiograms.
5. Which concept in Pender’s Health Promotion
Model is the strongest predictor of whether an
individual will actually engage in a health-
promoting behavior?
A. Perceived self-efficacy
B. Situational influences
C. Prior related behavior
D. Activity-related affect
Answer: A
Rationale: Self-efficacy, or the belief in one's
ability to successfully perform a behavior, is a core
component of Pender’s model and a primary driver
of behavior change.
6. A community nurse is using "Motivational
Interviewing" with a patient who is resistant to
changing their diet. The nurse says, "It sounds like
you are frustrated because you enjoy eating out
, with friends but feel pressured to eat differently."
Which MI technique is being used?
A. Developing discrepancy
B. Expressing empathy
C. Rolling with resistance
D. Supporting self-efficacy
Answer: B
Rationale: Expressing empathy involves reflective
listening to show the patient that the nurse
understands their perspective and feelings without
judgment.
7. When assessing a community for "Health
Literacy," the nurse should recognize that the most
significant barrier to health promotion is:
A. The patient’s inability to read or write.
B. The complexity of the healthcare system and
medical jargon.
C. A lack of high-speed internet in the home.
D. The patient's lack of interest in their own health.
Answer: B
Rationale: Health literacy is not just about reading
ability; it is the degree to which individuals have
the capacity to obtain, process, and understand
basic health information needed to make
appropriate health decisions.
8. A nurse is planning a tertiary prevention
intervention for a group of patients with Type 2
NSG 3205 HEALTH PROMOTION
FINAL EXAM
2026
1. A 50-year-old male with a family history of colon
cancer tells the nurse, "I know I should get a
colonoscopy, but I’m afraid of what they might
find." According to the Health Belief Model (HBM),
which construct is the nurse primarily addressing by
discussing the accuracy of the test and the high
survival rate of early-stage cancer?
A. Perceived Susceptibility
B. Perceived Barriers
C. Perceived Benefits
D. Cues to Action
Answer: C
Rationale: Perceived benefits refer to the
individual’s belief in the effectiveness of the
advised action to reduce risk. By focusing on
survival rates and test accuracy, the nurse is
highlighting the positive outcomes of the health
behavior.
2. A nurse is developing a program to reduce
childhood obesity in a low-income urban area. The
nurse focuses on local policy changes to increase
,the number of grocery stores and safe parks. This
approach aligns with which model?
A. The Transtheoretical Model
B. The Social Ecological Model
C. The Health Promotion Model
D. The Theory of Planned Behavior
Answer: B
Rationale: The Social Ecological Model emphasizes
multiple levels of influence, including the
community, policy, and environment, rather than
just individual behavior change.
3. In the Transtheoretical Model (TTM), a patient
who has started a smoking cessation program and
has remained tobacco-free for four months is in
which stage of change?
A. Contemplation
B. Preparation
C. Action
D. Maintenance
Answer: C
Rationale: The Action stage lasts from the start of
the behavior change up to six months. Once the
behavior has been sustained for more than six
months, the patient enters the Maintenance stage.
4. Occupational health nurses conducting a hearing
conservation program by performing annual
audiograms for factory workers are engaged in
,which level of prevention?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Answer: B
Rationale: Secondary prevention focuses on early
detection and screening of asymptomatic
individuals to identify disease in its earliest stages,
such as hearing loss through audiograms.
5. Which concept in Pender’s Health Promotion
Model is the strongest predictor of whether an
individual will actually engage in a health-
promoting behavior?
A. Perceived self-efficacy
B. Situational influences
C. Prior related behavior
D. Activity-related affect
Answer: A
Rationale: Self-efficacy, or the belief in one's
ability to successfully perform a behavior, is a core
component of Pender’s model and a primary driver
of behavior change.
6. A community nurse is using "Motivational
Interviewing" with a patient who is resistant to
changing their diet. The nurse says, "It sounds like
you are frustrated because you enjoy eating out
, with friends but feel pressured to eat differently."
Which MI technique is being used?
A. Developing discrepancy
B. Expressing empathy
C. Rolling with resistance
D. Supporting self-efficacy
Answer: B
Rationale: Expressing empathy involves reflective
listening to show the patient that the nurse
understands their perspective and feelings without
judgment.
7. When assessing a community for "Health
Literacy," the nurse should recognize that the most
significant barrier to health promotion is:
A. The patient’s inability to read or write.
B. The complexity of the healthcare system and
medical jargon.
C. A lack of high-speed internet in the home.
D. The patient's lack of interest in their own health.
Answer: B
Rationale: Health literacy is not just about reading
ability; it is the degree to which individuals have
the capacity to obtain, process, and understand
basic health information needed to make
appropriate health decisions.
8. A nurse is planning a tertiary prevention
intervention for a group of patients with Type 2
