Advanced Health and Wellness (NR22). Instant
Download pdf | Graded A+ (2026)
Question 1 (Levels of Prevention)
A nurse manager is preparing an educational module on chronic disease management.
Which example of the tertiary level of prevention should be included in the instruction?
• A. Teaching breastfeeding to expectant mothers in a prenatal clinic.
• B. Providing physical therapy to a patient who has a right-sided paralysis from a
stroke.
• C. Performing routine blood pressure screenings at a local health fair.
• D. Administering a seasonal influenza vaccine to an older adult.
Correct Answer: B
Rationale: Physical therapy for a stroke patient is tertiary prevention because it focuses on
rehabilitation, maximizing remaining capabilities, and preventing further long-term
disability. Breastfeeding education and vaccines are primary prevention, while blood
pressure screening is secondary prevention.
Question 2 (Domains of Learning)
The nurse is instructing a client about the long-term health consequences of non-
compliance with prescribed cardiovascular medications. Which education strategy is most
appropriate to develop the affective learning domain of the client?
• A. A structured lecture followed by a simple written multiple-choice test.
• B. Role-playing and open group discussion regarding daily struggles with medication
habits.
• C. Providing a video presentation accompanied by takeaway reading pamphlets.
• D. Utilizing return-demonstration with a pill organizer box.
Correct Answer: B
Rationale: The affective domain deals with values, attitudes, and feelings. Role-playing and
group discussions encourage reflection on personal choices, driving intrinsic motivation to
change. Lectures and videos target the cognitive domain, while demonstrations target the
psychomotor domain.
Question 3 (Nursing Theory)
An individual's belief in being personally capable of executing a health-related behavior is a
core requirement to successfully influence their own health outcomes. Which theory or
model focuses primarily on this concept of self-efficacy?
• A. Clinical Model of Health
,Advanced Health and Wellness (NR22). Instant
Download pdf | Graded A+ (2026)
• B. Eudaimonistic Model
• C. Self-Efficacy / Social Cognitive Theory
• D. Role Performance Model
Correct Answer: C
Rationale: Self-efficacy is an individual's belief in their own capability to perform a specific
behavior successfully. It is a cornerstone component of Albert Bandura’s Self-Efficacy Theory
and Social Cognitive Theory, which heavily influences patient compliance and health
promotion actions.
Question 4 (Ethical Principles)
A nurse ensures that all community members receive equal access to a newly opened
diabetes management clinic, regardless of their insurance status or socioeconomic
background. Which ethical principle is the nurse upholding?
• A. Autonomy
• B. Beneficence
• C. Justice
• D. Veracity
Correct Answer: C
Rationale: Justice refers to fairness, equity, and treating everyone impartially. Distributing
resources or access to healthcare equally across a population strictly aligns with this
principle.
Question 5 (Stages of Change)
A patient who smokes a pack of cigarettes a day tells the nurse, "I know smoking is bad for
my lungs, and I’ve been thinking about trying to quit sometime this winter, but I just don't
think I have the willpower to do it right now." The nurse identifies this patient is in which
stage of change?
• A. Precontemplation
• B. Contemplation
• C. Preparation
• D. Action
Correct Answer: B
,Advanced Health and Wellness (NR22). Instant
Download pdf | Graded A+ (2026)
Rationale: The patient is in the Contemplation stage because they acknowledge the
problem and are considering a change within the next 6 months ("thinking about trying to
quit sometime this winter"), but they are still experiencing ambivalence and lack immediate
readiness to act.
Question 6 (Models of Health)
A client who was diagnosed with rheumatoid arthritis two years ago tells the clinic nurse,
"Even though my joints are stiff in the morning, I consider myself completely healthy because
I can still manage my household, cook for my family, and go to my job every day." This
statement aligns with which model of health?
• A. Clinical Model
• B. Eudaimonistic Model
• C. Role Performance Model
• D. Adaptive Model
Correct Answer: C
Rationale: The Role Performance Model defines health based on an individual's capacity to
fulfill their defined societal, familial, and occupational roles. Because the client evaluates
their health based on their ability to work and take care of their family despite a clinical
diagnosis, this fits the model perfectly.
Question 7 (Cultural Competence & Communication)
During a health assessment, a nurse encounters a client from a different cultural background
who smiles and nods frequently during instructions but speaks very little English. To ensure
effective patient education, what is the most appropriate action for the nurse to take?
• A. Assume the client fully understands the instructions based on their positive
nonverbal cues.
• B. Use a trained medical interpreter to facilitate communication and check for
comprehension.
• C. Speak slowly and loudly while using family members exclusively to translate
medical terms.
• D. Provide written pamphlets in English and instruct the client to review them at
home.
Correct Answer: B
Rationale: Smiling and nodding can be signs of politeness rather than true understanding. To
ensure accurate health promotion and safe care, a trained medical interpreter must be
, Advanced Health and Wellness (NR22). Instant
Download pdf | Graded A+ (2026)
used. Using family members can lead to translation errors, and speaking loudly does not
bypass a language barrier.
Question 14 (Health Belief Model)
A client at risk for type 2 diabetes states, "My father lost his foot to diabetes, and I know if I
don't lose weight, the same thing will happen to me." According to the Health Belief Model,
this statement reflects which construct?
• A. Perceived Barriers
• B. Perceived Severity
• C. Cues to Action
• D. Perceived Self-Efficacy
Correct Answer: B
Rationale: Perceived severity refers to an individual's assessment of the seriousness of a
condition and its potential consequences. By connecting the disease to a severe outcome
like amputation, the client is demonstrating a high perceived severity.
Question 15 (Levels of Prevention)
A nurse is coordinating a skin cancer prevention workshop. Which activity represents
primary prevention?
• A. Teaching high school students to apply SPF 30 sunscreen daily before going
outdoors.
• B. Providing free full-body mole mappings to detect early melanoma lesions.
• C. Assisting a patient recovering from surgical tumor removal to adapt to their
surgical scar.
• D. Instructing a patient undergoing radiation therapy on proper skincare.
Correct Answer: A
Rationale: Primary prevention focuses on preventing the onset of disease via health
promotion and specific protection. Applying sunscreen stops UV damage before cellular
changes occur. Screening is secondary, and post-surgical/radiation care is tertiary.
Question 16 (Holistic Health Model)
The nurse incorporates guided imagery, relaxation breathing techniques, and music therapy
into the care plan of a chronic pain patient. This approach is rooted in which model of
health?
• A. Clinical Model
Download pdf | Graded A+ (2026)
Question 1 (Levels of Prevention)
A nurse manager is preparing an educational module on chronic disease management.
Which example of the tertiary level of prevention should be included in the instruction?
• A. Teaching breastfeeding to expectant mothers in a prenatal clinic.
• B. Providing physical therapy to a patient who has a right-sided paralysis from a
stroke.
• C. Performing routine blood pressure screenings at a local health fair.
• D. Administering a seasonal influenza vaccine to an older adult.
Correct Answer: B
Rationale: Physical therapy for a stroke patient is tertiary prevention because it focuses on
rehabilitation, maximizing remaining capabilities, and preventing further long-term
disability. Breastfeeding education and vaccines are primary prevention, while blood
pressure screening is secondary prevention.
Question 2 (Domains of Learning)
The nurse is instructing a client about the long-term health consequences of non-
compliance with prescribed cardiovascular medications. Which education strategy is most
appropriate to develop the affective learning domain of the client?
• A. A structured lecture followed by a simple written multiple-choice test.
• B. Role-playing and open group discussion regarding daily struggles with medication
habits.
• C. Providing a video presentation accompanied by takeaway reading pamphlets.
• D. Utilizing return-demonstration with a pill organizer box.
Correct Answer: B
Rationale: The affective domain deals with values, attitudes, and feelings. Role-playing and
group discussions encourage reflection on personal choices, driving intrinsic motivation to
change. Lectures and videos target the cognitive domain, while demonstrations target the
psychomotor domain.
Question 3 (Nursing Theory)
An individual's belief in being personally capable of executing a health-related behavior is a
core requirement to successfully influence their own health outcomes. Which theory or
model focuses primarily on this concept of self-efficacy?
• A. Clinical Model of Health
,Advanced Health and Wellness (NR22). Instant
Download pdf | Graded A+ (2026)
• B. Eudaimonistic Model
• C. Self-Efficacy / Social Cognitive Theory
• D. Role Performance Model
Correct Answer: C
Rationale: Self-efficacy is an individual's belief in their own capability to perform a specific
behavior successfully. It is a cornerstone component of Albert Bandura’s Self-Efficacy Theory
and Social Cognitive Theory, which heavily influences patient compliance and health
promotion actions.
Question 4 (Ethical Principles)
A nurse ensures that all community members receive equal access to a newly opened
diabetes management clinic, regardless of their insurance status or socioeconomic
background. Which ethical principle is the nurse upholding?
• A. Autonomy
• B. Beneficence
• C. Justice
• D. Veracity
Correct Answer: C
Rationale: Justice refers to fairness, equity, and treating everyone impartially. Distributing
resources or access to healthcare equally across a population strictly aligns with this
principle.
Question 5 (Stages of Change)
A patient who smokes a pack of cigarettes a day tells the nurse, "I know smoking is bad for
my lungs, and I’ve been thinking about trying to quit sometime this winter, but I just don't
think I have the willpower to do it right now." The nurse identifies this patient is in which
stage of change?
• A. Precontemplation
• B. Contemplation
• C. Preparation
• D. Action
Correct Answer: B
,Advanced Health and Wellness (NR22). Instant
Download pdf | Graded A+ (2026)
Rationale: The patient is in the Contemplation stage because they acknowledge the
problem and are considering a change within the next 6 months ("thinking about trying to
quit sometime this winter"), but they are still experiencing ambivalence and lack immediate
readiness to act.
Question 6 (Models of Health)
A client who was diagnosed with rheumatoid arthritis two years ago tells the clinic nurse,
"Even though my joints are stiff in the morning, I consider myself completely healthy because
I can still manage my household, cook for my family, and go to my job every day." This
statement aligns with which model of health?
• A. Clinical Model
• B. Eudaimonistic Model
• C. Role Performance Model
• D. Adaptive Model
Correct Answer: C
Rationale: The Role Performance Model defines health based on an individual's capacity to
fulfill their defined societal, familial, and occupational roles. Because the client evaluates
their health based on their ability to work and take care of their family despite a clinical
diagnosis, this fits the model perfectly.
Question 7 (Cultural Competence & Communication)
During a health assessment, a nurse encounters a client from a different cultural background
who smiles and nods frequently during instructions but speaks very little English. To ensure
effective patient education, what is the most appropriate action for the nurse to take?
• A. Assume the client fully understands the instructions based on their positive
nonverbal cues.
• B. Use a trained medical interpreter to facilitate communication and check for
comprehension.
• C. Speak slowly and loudly while using family members exclusively to translate
medical terms.
• D. Provide written pamphlets in English and instruct the client to review them at
home.
Correct Answer: B
Rationale: Smiling and nodding can be signs of politeness rather than true understanding. To
ensure accurate health promotion and safe care, a trained medical interpreter must be
, Advanced Health and Wellness (NR22). Instant
Download pdf | Graded A+ (2026)
used. Using family members can lead to translation errors, and speaking loudly does not
bypass a language barrier.
Question 14 (Health Belief Model)
A client at risk for type 2 diabetes states, "My father lost his foot to diabetes, and I know if I
don't lose weight, the same thing will happen to me." According to the Health Belief Model,
this statement reflects which construct?
• A. Perceived Barriers
• B. Perceived Severity
• C. Cues to Action
• D. Perceived Self-Efficacy
Correct Answer: B
Rationale: Perceived severity refers to an individual's assessment of the seriousness of a
condition and its potential consequences. By connecting the disease to a severe outcome
like amputation, the client is demonstrating a high perceived severity.
Question 15 (Levels of Prevention)
A nurse is coordinating a skin cancer prevention workshop. Which activity represents
primary prevention?
• A. Teaching high school students to apply SPF 30 sunscreen daily before going
outdoors.
• B. Providing free full-body mole mappings to detect early melanoma lesions.
• C. Assisting a patient recovering from surgical tumor removal to adapt to their
surgical scar.
• D. Instructing a patient undergoing radiation therapy on proper skincare.
Correct Answer: A
Rationale: Primary prevention focuses on preventing the onset of disease via health
promotion and specific protection. Applying sunscreen stops UV damage before cellular
changes occur. Screening is secondary, and post-surgical/radiation care is tertiary.
Question 16 (Holistic Health Model)
The nurse incorporates guided imagery, relaxation breathing techniques, and music therapy
into the care plan of a chronic pain patient. This approach is rooted in which model of
health?
• A. Clinical Model
