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Section 1: Foundations of Health & Wellness (12 Questions)
Q1: A nurse is explaining the World Health Organization's definition of health to a
group of nursing students. Which statement best reflects this definition?
A. Health is the absence of disease and physical symptoms.
B. Health is a state of complete physical, mental, and social well-being, not merely
the absence of disease. [CORRECT]
C. Health is the ability to perform daily activities without assistance.
D. Health is a subjective feeling of wellness reported by the individual.
Correct Answer: B
Rationale: The WHO defines health as a state of complete physical, mental, and
social well-being, emphasizing that health extends beyond the absence of disease or
infirmity.
Q2: Which model views health and illness as existing along a continuum, with
individuals moving back and forth between wellness and illness throughout their
lives?
A. The Agent-Host-Environment Model
B. The Health-Illness Continuum Model [CORRECT]
C. The Ecological Model
D. The Biomedical Model
Correct Answer: B
Rationale: The Health-Illness Continuum Model represents health as a dynamic,
ever-changing state where individuals can move toward greater wellness or toward
illness depending on various factors.
Q3: A 45-year-old client states, "I feel well because I exercise daily, eat a balanced
diet, and have strong relationships." This statement best reflects which dimension of
wellness?
A. Physical wellness only
,B. Emotional wellness only
C. A holistic integration of multiple wellness dimensions [CORRECT]
D. Spiritual wellness exclusively
Correct Answer: C
Rationale: The client's statement integrates physical wellness (exercise, diet),
emotional wellness (strong relationships), and social wellness, reflecting a holistic
view of health.
Q4: Which term describes the unique response of the whole person to internal and
external stimuli that disrupts the individual's normal functioning?
A. Disease
B. Illness [CORRECT]
C. Pathology
D. Morbidity
Correct Answer: B
Rationale: Illness refers to the subjective experience of discomfort and the
individual's unique response to disease or disruption in normal functioning, whereas
disease refers to the pathological process itself.
Q5: In the Agent-Host-Environment Model, an influenza virus would be classified as
which component?
A. Host
B. Agent [CORRECT]
C. Environment
D. Vector
Correct Answer: B
Rationale: In the Agent-Host-Environment Model, the agent is the causative factor
such as a virus, bacterium, or other pathogen that can produce disease in a
susceptible host.
Q6: A community health nurse is implementing a program to reduce childhood
asthma rates by improving indoor air quality in low-income housing. This intervention
is best described as addressing which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Both primary and secondary prevention [CORRECT]
Correct Answer: D
, Rationale: Improving indoor air quality prevents the onset of asthma (primary
prevention) while also reducing exacerbations in children who already have asthma
(secondary prevention).
Q7: Which level of prevention includes activities such as immunizations, health
education, and environmental modifications to prevent disease before it occurs?
A. Primary prevention [CORRECT]
B. Secondary prevention
C. Tertiary prevention
D. Restorative prevention
Correct Answer: A
Rationale: Primary prevention aims to prevent disease or injury before it ever occurs
through interventions such as immunizations, health education, and environmental
protections.
Q8: A nurse is caring for a client who has had a myocardial infarction and is now
participating in cardiac rehabilitation to prevent further damage. This is an example
of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention [CORRECT]
D. Quaternary prevention
Correct Answer: C
Rationale: Tertiary prevention focuses on minimizing the effects of existing disease
and preventing complications or further disability, such as cardiac rehabilitation after
a heart attack.
Q9: According to the Health Belief Model, which factor is most likely to motivate a
client to take action to prevent disease?
A. Low perceived susceptibility to the disease
B. High perceived benefits of the action minus perceived barriers [CORRECT]
C. Low perceived severity of the disease
D. Lack of cues to action
Correct Answer: B
Rationale: The Health Belief Model predicts that individuals are more likely to take
preventive action when they perceive high benefits of the action and low barriers to
taking that action.