NR 222 Health and Wellness Exam 5 Practice Questions 2026
|Chamberlain College
1. A patient expresses a desire to stop smoking but states, ‘I am just not ready
to commit to a date yet.’ According to the Transtheoretical Model, which stage
is the patient in?
A. Contemplation
B. Precontemplation
C. Preparation
D. Action
Answer: A
Rationale: In the contemplation stage, the individual is considering a change within the
next 6 months but has not yet committed to a specific start date.
2. Which level of prevention is represented by a nurse providing cardiac
rehabilitation to a patient who recently had a myocardial infarction?
A. Primary Prevention
B. Secondary Prevention
C. Primordial Prevention
D. Tertiary Prevention
Answer: D
Rationale: Tertiary prevention focuses on restoration and rehabilitation after a disease or
permanent disability has occurred.
,3. A nurse is teaching a patient about healthy sleep hygiene. Which
recommendation is most appropriate?
A. Take a long nap in the late afternoon to catch up on sleep.
B. Drink a glass of red wine before bed to promote relaxation.
C. Perform vigorous exercise one hour before bedtime.
D. Maintain a consistent wake-up time even on weekends.
Answer: D
Rationale: Consistency in wake-up times helps regulate the circadian rhythm, which is a
cornerstone of good sleep hygiene.
4. The nurse uses the ‘Teach-Back’ method to evaluate patient learning. Why is
this method effective?
A. It confirms that the nurse explained the information clearly and the patient understands.
B. It allows the nurse to test the patient’s IQ.
C. It satisfies legal requirements for documentation.
D. It shifts the responsibility of learning entirely to the patient.
Answer: A
Rationale: Teach-back is a closed-loop communication technique that ensures the
information was understood as intended.
5. Which of the following represents a ‘social determinant of health’?
A. Genetic predisposition to diabetes
B. An individual’s decision to smoke cigarettes
C. The availability of safe housing and clean water
D. Biological age and gender
Answer: C
Rationale: Social determinants of health are the conditions in the environments where
people are born, live, learn, work, and play.
, 6. In Hans Selye’s General Adaptation Syndrome (GAS), which stage involves the
‘fight-or-flight’ response?
A. Resistance stage
B. Exhaustion stage
C. Recovery stage
D. Alarm reaction stage
Answer: D
Rationale: The alarm reaction is the initial stage where the central nervous system is
aroused and the body’s defenses are mobilized.
7. A nurse is assisting a patient with ‘guided imagery’ for pain management. This
is an example of:
A. Complementary therapy
B. Allopathic medicine
C. Surgical intervention
D. Pharmacological management
Answer: A
Rationale: Guided imagery is a non-pharmacological complementary therapy used
alongside conventional treatments to reduce stress and pain.
8. When assessing a patient’s spiritual health using the FICA tool, what does the
‘C’ stand for?
A. Church
B. Community
C. Coping
D. Culture
Answer: B
Rationale: In the FICA spiritual assessment tool, ‘C’ stands for Community, referring to
spiritual groups or support systems.
|Chamberlain College
1. A patient expresses a desire to stop smoking but states, ‘I am just not ready
to commit to a date yet.’ According to the Transtheoretical Model, which stage
is the patient in?
A. Contemplation
B. Precontemplation
C. Preparation
D. Action
Answer: A
Rationale: In the contemplation stage, the individual is considering a change within the
next 6 months but has not yet committed to a specific start date.
2. Which level of prevention is represented by a nurse providing cardiac
rehabilitation to a patient who recently had a myocardial infarction?
A. Primary Prevention
B. Secondary Prevention
C. Primordial Prevention
D. Tertiary Prevention
Answer: D
Rationale: Tertiary prevention focuses on restoration and rehabilitation after a disease or
permanent disability has occurred.
,3. A nurse is teaching a patient about healthy sleep hygiene. Which
recommendation is most appropriate?
A. Take a long nap in the late afternoon to catch up on sleep.
B. Drink a glass of red wine before bed to promote relaxation.
C. Perform vigorous exercise one hour before bedtime.
D. Maintain a consistent wake-up time even on weekends.
Answer: D
Rationale: Consistency in wake-up times helps regulate the circadian rhythm, which is a
cornerstone of good sleep hygiene.
4. The nurse uses the ‘Teach-Back’ method to evaluate patient learning. Why is
this method effective?
A. It confirms that the nurse explained the information clearly and the patient understands.
B. It allows the nurse to test the patient’s IQ.
C. It satisfies legal requirements for documentation.
D. It shifts the responsibility of learning entirely to the patient.
Answer: A
Rationale: Teach-back is a closed-loop communication technique that ensures the
information was understood as intended.
5. Which of the following represents a ‘social determinant of health’?
A. Genetic predisposition to diabetes
B. An individual’s decision to smoke cigarettes
C. The availability of safe housing and clean water
D. Biological age and gender
Answer: C
Rationale: Social determinants of health are the conditions in the environments where
people are born, live, learn, work, and play.
, 6. In Hans Selye’s General Adaptation Syndrome (GAS), which stage involves the
‘fight-or-flight’ response?
A. Resistance stage
B. Exhaustion stage
C. Recovery stage
D. Alarm reaction stage
Answer: D
Rationale: The alarm reaction is the initial stage where the central nervous system is
aroused and the body’s defenses are mobilized.
7. A nurse is assisting a patient with ‘guided imagery’ for pain management. This
is an example of:
A. Complementary therapy
B. Allopathic medicine
C. Surgical intervention
D. Pharmacological management
Answer: A
Rationale: Guided imagery is a non-pharmacological complementary therapy used
alongside conventional treatments to reduce stress and pain.
8. When assessing a patient’s spiritual health using the FICA tool, what does the
‘C’ stand for?
A. Church
B. Community
C. Coping
D. Culture
Answer: B
Rationale: In the FICA spiritual assessment tool, ‘C’ stands for Community, referring to
spiritual groups or support systems.
