NR 222 UNIT 2 ASSIGNMENT | ATI Nurse's Touch
Wellness & Self-Care | Wellness Health & Disease
Prevention | Complete Solutions | Pass Guaranteed - A+
Graded
Section 1: Foundations of Wellness & Health (Questions 1-15)
Q1. A 45-year-old patient states, "I know I should exercise, but I don't think I'll get
heart disease because my parents lived into their 90s." According to the Health Belief
Model, which construct is the patient demonstrating?
A. Perceived severity [INCORRECT] - Perceived severity refers to how serious the
patient believes the condition would be if they developed it. The patient is not
discussing severity.
B. Perceived susceptibility [CORRECT] - The patient is expressing low perceived
susceptibility (belief about personal risk) because of family longevity. In the Health
Belief Model, perceived susceptibility is the belief about the likelihood of getting a
condition. Low susceptibility is a barrier to behavior change.
C. Perceived benefits [INCORRECT] - Perceived benefits refer to the believed
effectiveness of the recommended action (exercise). The patient is not discussing
exercise benefits.
D. Cues to action [INCORRECT] - Cues to action are triggers that prompt behavior
change (symptoms, media, provider advice). The patient is responding to family
history as a cue that reduces perceived risk.
Rationale: The Health Belief Model includes perceived susceptibility, severity,
benefits, barriers, cues to action, and self-efficacy. This patient demonstrates low
perceived susceptibility, which predicts low likelihood of adopting preventive
,behaviors. ATI Nurse's Touch Wellness module emphasizes assessing these
constructs to tailor health promotion interventions.
Correct Answer: B
Q2. A nurse is using Pender's Health Promotion Model to develop a smoking
cessation plan for a patient. The nurse assesses the patient's previous quit attempts,
social support, and perceived self-efficacy. Which component of the HPM do these
factors represent?
A. Individual characteristics and experiences [INCORRECT] - While previous quit
attempts relate to prior behavior, social support and self-efficacy are not primarily
individual characteristics.
B. Behavior-specific cognitions and affect [CORRECT] - In Pender's HPM, behavior-
specific cognitions include perceived benefits, barriers, self-efficacy, and activity-
related affect. Social support and self-efficacy are key behavior-specific cognitions
that directly influence commitment to action.
C. Commitment to a plan of action [INCORRECT] - Commitment to action is the
behavioral intention stage that follows cognitions. The nurse is assessing
antecedents, not commitment.
D. Immediate competing demands and preferences [INCORRECT] - Competing
demands are situational factors that compete for the patient's attention/resources.
Self-efficacy and social support are not competing demands.
Rationale: Pender's HPM has three components: individual
characteristics/experiences, behavior-specific cognitions/affect, and behavioral
outcomes. Behavior-specific cognitions (self-efficacy, benefits, barriers, social
support) are the strongest predictors of health-promoting behavior. ATI Nurse's
Touch emphasizes assessing these cognitions before developing interventions.
Correct Answer: B
,Q3. A patient has been thinking about starting a walking program for the past 3
months but has not taken any action. According to the Transtheoretical Model
(Stages of Change), which stage is this patient in?
A. Precontemplation [INCORRECT] - Precontemplation is the stage where the patient
has no intention to change within 6 months. This patient is thinking about change.
B. Contemplation [CORRECT] - Contemplation is the stage where the patient intends
to take action within 6 months but has not yet made specific plans or begun small
changes. Thinking about walking for 3 months without action fits this stage.
C. Preparation [INCORRECT] - Preparation involves intent to act within 30 days and
may include small behavioral changes (buying walking shoes). This patient has not
begun any changes.
D. Action [INCORRECT] - Action is the stage where the patient has changed behavior
for less than 6 months. This patient has not started walking.
Rationale: The Transtheoretical Model stages are: Precontemplation (no intent
within 6 months), Contemplation (intent within 6 months), Preparation (intent within
30 days, small changes), Action (<6 months of changed behavior), Maintenance (>6
months), and Termination (no temptation, 100% self-efficacy). Matching
interventions to stage improves outcomes.
Correct Answer: B
Q4. A patient has successfully maintained a Mediterranean diet for 8 months after
being diagnosed with prediabetes. The patient states, "I don't even crave fast food
anymore." According to the Transtheoretical Model, which stage is this patient in?
A. Action [INCORRECT] - Action stage is defined as changed behavior for less than 6
months. This patient has maintained the diet for 8 months.
B. Maintenance [CORRECT] - Maintenance is defined as sustained behavior change
for more than 6 months. The patient's statement about not craving fast food
indicates established habits and reduced temptation, consistent with maintenance.
, C. Termination [INCORRECT] - Termination is the ideal stage with zero temptation
and 100% self-efficacy. While the patient is doing well, 8 months may not represent
complete termination.
D. Preparation [INCORRECT] - Preparation involves planning and small changes, not
sustained behavior change.
Rationale: Maintenance stage (6+ months) requires relapse prevention strategies
and continued support. The patient's reduced cravings indicate successful habit
formation. ATI Nurse's Touch emphasizes that maintenance stage interventions focus
on preventing relapse rather than initiating change.
Correct Answer: B
Q5. Which of the following is an example of a "process of change" in the
Transtheoretical Model that would be MOST appropriate for a patient in the
Contemplation stage?
A. Counterconditioning (substituting healthy behaviors for unhealthy ones)
[INCORRECT] - Counterconditioning is appropriate for the Action stage, when the
patient is actively changing behavior.
B. Consciousness raising (increasing knowledge about the behavior and its
consequences) [CORRECT] - Consciousness raising is a cognitive process appropriate
for Precontemplation and Contemplation stages. It involves providing information
about risks and benefits to increase awareness and move the patient toward
preparation.
C. Reinforcement management (rewarding oneself for progress) [INCORRECT] -
Reinforcement management is a behavioral process for Action and Maintenance
stages.
D. Stimulus control (removing cues for unhealthy behavior) [INCORRECT] - Stimulus
control is a behavioral process for Action and Maintenance stages.
Rationale: Processes of change are categorized as cognitive/experiential
(consciousness raising, dramatic relief, environmental reevaluation, self-reevaluation,
social liberation) for early stages and behavioral (counterconditioning, helping
Wellness & Self-Care | Wellness Health & Disease
Prevention | Complete Solutions | Pass Guaranteed - A+
Graded
Section 1: Foundations of Wellness & Health (Questions 1-15)
Q1. A 45-year-old patient states, "I know I should exercise, but I don't think I'll get
heart disease because my parents lived into their 90s." According to the Health Belief
Model, which construct is the patient demonstrating?
A. Perceived severity [INCORRECT] - Perceived severity refers to how serious the
patient believes the condition would be if they developed it. The patient is not
discussing severity.
B. Perceived susceptibility [CORRECT] - The patient is expressing low perceived
susceptibility (belief about personal risk) because of family longevity. In the Health
Belief Model, perceived susceptibility is the belief about the likelihood of getting a
condition. Low susceptibility is a barrier to behavior change.
C. Perceived benefits [INCORRECT] - Perceived benefits refer to the believed
effectiveness of the recommended action (exercise). The patient is not discussing
exercise benefits.
D. Cues to action [INCORRECT] - Cues to action are triggers that prompt behavior
change (symptoms, media, provider advice). The patient is responding to family
history as a cue that reduces perceived risk.
Rationale: The Health Belief Model includes perceived susceptibility, severity,
benefits, barriers, cues to action, and self-efficacy. This patient demonstrates low
perceived susceptibility, which predicts low likelihood of adopting preventive
,behaviors. ATI Nurse's Touch Wellness module emphasizes assessing these
constructs to tailor health promotion interventions.
Correct Answer: B
Q2. A nurse is using Pender's Health Promotion Model to develop a smoking
cessation plan for a patient. The nurse assesses the patient's previous quit attempts,
social support, and perceived self-efficacy. Which component of the HPM do these
factors represent?
A. Individual characteristics and experiences [INCORRECT] - While previous quit
attempts relate to prior behavior, social support and self-efficacy are not primarily
individual characteristics.
B. Behavior-specific cognitions and affect [CORRECT] - In Pender's HPM, behavior-
specific cognitions include perceived benefits, barriers, self-efficacy, and activity-
related affect. Social support and self-efficacy are key behavior-specific cognitions
that directly influence commitment to action.
C. Commitment to a plan of action [INCORRECT] - Commitment to action is the
behavioral intention stage that follows cognitions. The nurse is assessing
antecedents, not commitment.
D. Immediate competing demands and preferences [INCORRECT] - Competing
demands are situational factors that compete for the patient's attention/resources.
Self-efficacy and social support are not competing demands.
Rationale: Pender's HPM has three components: individual
characteristics/experiences, behavior-specific cognitions/affect, and behavioral
outcomes. Behavior-specific cognitions (self-efficacy, benefits, barriers, social
support) are the strongest predictors of health-promoting behavior. ATI Nurse's
Touch emphasizes assessing these cognitions before developing interventions.
Correct Answer: B
,Q3. A patient has been thinking about starting a walking program for the past 3
months but has not taken any action. According to the Transtheoretical Model
(Stages of Change), which stage is this patient in?
A. Precontemplation [INCORRECT] - Precontemplation is the stage where the patient
has no intention to change within 6 months. This patient is thinking about change.
B. Contemplation [CORRECT] - Contemplation is the stage where the patient intends
to take action within 6 months but has not yet made specific plans or begun small
changes. Thinking about walking for 3 months without action fits this stage.
C. Preparation [INCORRECT] - Preparation involves intent to act within 30 days and
may include small behavioral changes (buying walking shoes). This patient has not
begun any changes.
D. Action [INCORRECT] - Action is the stage where the patient has changed behavior
for less than 6 months. This patient has not started walking.
Rationale: The Transtheoretical Model stages are: Precontemplation (no intent
within 6 months), Contemplation (intent within 6 months), Preparation (intent within
30 days, small changes), Action (<6 months of changed behavior), Maintenance (>6
months), and Termination (no temptation, 100% self-efficacy). Matching
interventions to stage improves outcomes.
Correct Answer: B
Q4. A patient has successfully maintained a Mediterranean diet for 8 months after
being diagnosed with prediabetes. The patient states, "I don't even crave fast food
anymore." According to the Transtheoretical Model, which stage is this patient in?
A. Action [INCORRECT] - Action stage is defined as changed behavior for less than 6
months. This patient has maintained the diet for 8 months.
B. Maintenance [CORRECT] - Maintenance is defined as sustained behavior change
for more than 6 months. The patient's statement about not craving fast food
indicates established habits and reduced temptation, consistent with maintenance.
, C. Termination [INCORRECT] - Termination is the ideal stage with zero temptation
and 100% self-efficacy. While the patient is doing well, 8 months may not represent
complete termination.
D. Preparation [INCORRECT] - Preparation involves planning and small changes, not
sustained behavior change.
Rationale: Maintenance stage (6+ months) requires relapse prevention strategies
and continued support. The patient's reduced cravings indicate successful habit
formation. ATI Nurse's Touch emphasizes that maintenance stage interventions focus
on preventing relapse rather than initiating change.
Correct Answer: B
Q5. Which of the following is an example of a "process of change" in the
Transtheoretical Model that would be MOST appropriate for a patient in the
Contemplation stage?
A. Counterconditioning (substituting healthy behaviors for unhealthy ones)
[INCORRECT] - Counterconditioning is appropriate for the Action stage, when the
patient is actively changing behavior.
B. Consciousness raising (increasing knowledge about the behavior and its
consequences) [CORRECT] - Consciousness raising is a cognitive process appropriate
for Precontemplation and Contemplation stages. It involves providing information
about risks and benefits to increase awareness and move the patient toward
preparation.
C. Reinforcement management (rewarding oneself for progress) [INCORRECT] -
Reinforcement management is a behavioral process for Action and Maintenance
stages.
D. Stimulus control (removing cues for unhealthy behavior) [INCORRECT] - Stimulus
control is a behavioral process for Action and Maintenance stages.
Rationale: Processes of change are categorized as cognitive/experiential
(consciousness raising, dramatic relief, environmental reevaluation, self-reevaluation,
social liberation) for early stages and behavioral (counterconditioning, helping
