NSG 3130 Exam 1 Fundamental
Concepts & Skills for Nursing
Practice II Questions & Verified
Answers
1. Question: What model focuses on how patients' attitudes and beliefs
predict health behavior?
o Answer: Health Belief Model.
o Rationale: The Health Belief Model explains health behaviors by focusing
on an individual’s perceptions of susceptibility to illness, severity of illness,
benefits of action, and barriers to action.
2. Question: What are the 6 main constructs influencing an individual's
decision to take action about disease prevention, screening, and controlling
an illness?
o Answer: Perceived severity, perceived susceptibility, perceived benefit,
perceived barriers, cues to action, and perceived self-efficacy.
o Rationale: These constructs are core components of the Health Belief
Model, used to predict health-promoting behaviors.
3. Question: What age group is most susceptible to infections, and why?
o Answer: Infants, neonates, and premature infants due to their immature
immune systems.
o Rationale: Immune system development is incomplete in early life,
increasing vulnerability to infectious agents.
4. Question: What age group is most at risk for opportunistic infections?
o Answer: Older patients.
o Rationale: Age-related immune system decline (immunosenescence)
increases susceptibility to infections.
5. Question: List 6 factors that affect and influence health.
o Answer: Age, gender, genetics, environment, attitudes/emotions, and
lifestyle.
,o Rationale: These internal and external variables interact to shape an
individual’s health status and health-related behaviors.
6. Question: Maslow's Hierarchy of Needs: List the levels in order.
o Answer: (1) Physiological Needs, (2) Safety and Security, (3) Relationships,
Love and Affection, (4) Self Esteem, (5) Self Actualization.
o Rationale: This hierarchy guides prioritization of nursing care, starting with
basic physiologic needs (ABCs).
7. Question: A nurse teaches the importance of folic acid intake to a group of
pregnant women. This is considered which level of preventive care?
o Answer: Primary prevention.
o Rationale: Primary prevention aims to prevent disease before it occurs by
reducing risk factors and promoting health, such as through education and
immunization.
8. Question: Which of the following are basic types of health promotion
activities? (Select all that apply)
o Answer: B. A school of nursing that is holding a blood pressure fair; C. A
billboard promoting abstinence to prevent STIs and unplanned
pregnancies.
o Rationale: These are examples of primary prevention activities designed to
prevent illness and promote health at a population level.
9. Question: A patient is attending classes on building positive relationships
and learning skills to be open-minded and respectful to those whose
opinions are different. This client is focusing on which component of
wellness?
o Answer: Social wellness.
o Rationale: Social wellness involves building healthy relationships and
demonstrating respect for others.
10. Question: A nurse educator is explaining health and parallels this with
interruption of body systems and symptoms of disease or injury. This
educator is interpreting health according to which model?
o Answer: Clinical model.
o Rationale: The clinical model views health as the absence of disease or
signs/symptoms of illness.
,11. Question: The nurse is caring for a 6-year-old patient in the emergency
department who just had a full left leg cast placed for a fracture. As the
nurse is reviewing the discharge instructions with the patient's mother, she
states, "You don't have to go over those—I'll read them at home." What
should the nurse do?
o Answer: Consider the possibility of health literacy limitations and assess
further.
o Rationale: The mother’s response could indicate low health literacy; the
nurse should assess her understanding rather than assume it.
12. Question: A 58-year-old man is admitted for a small-bowel obstruction.
The admitting orders include placing a nasogastric (NG) tube. During the
assessment, the nurse determines the patient does not speak English.
Which action should the nurse take first before placing the NG tube?
o Answer: Request an interpreter per facility protocol.
o Rationale: An interpreter ensures accurate communication and patient
understanding before an invasive procedure.
13. Question: Immigrants who begin to use technology while continuing to
adhere to their traditional mode of dress are exhibiting what aspect of
cultural identity?
o Answer: Acculturation.
o Rationale: Acculturation is the process of adapting to a new culture while
retaining aspects of one’s original culture.
14. Question: An Asian American client is experiencing a fever. The nurse
plans care so that the client can self-treat the disorder using which
method?
o Answer: Foods considered to be yin.
o Rationale: In many traditional Asian health systems, illnesses like fever are
considered “hot” and treated with “cold” (yin) foods to restore balance.
15. Question: The patient, although a paraplegic from his accident,
participates in the Paralympics, is a motivational speaker, and has a family
with kids. The patient considers himself healthy. What model of health is
this patient demonstrating?
o Answer: Adaptive model.
, o Rationale: The adaptive model focuses on a person’s ability to adjust to
changing health circumstances and find meaning.
16. Question: All the following are considered internal variables that
influence a client's health beliefs and practices except:
o Answer: Socioeconomic factors.
o Rationale: Socioeconomic factors are external variables; internal variables
include perception of functioning, emotional factors, and developmental
stage.
17. Question: Which of the following external variables should be
addressed with a patient when providing education during a routine health
care visit? (Select all that apply)
o Answer: Use of tobacco, family practices, socioeconomic status, cultural
background.
o Rationale: All are external factors that influence health behaviors and must
be considered in patient education.
18. Question: A client sets a goal with their nurse to lose 100 lbs. The client
is apprehensive but went ahead and scheduled the surgery for 5 months
out, intending to lose the weight in that timeframe. What stage of health
behavior change is this client in?
o Answer: Preparation.
o Rationale: The client is planning to take action within the next month and
has made concrete steps (scheduling surgery), indicating the preparation
stage.
19. Question: You are caring for a patient with esophageal cancer. Which
task could be delegated to a UAP?
o Answer: Assisting the patient with oral hygiene.
o Rationale: Oral hygiene is a standard, routine task that does not require
nursing judgment and can be delegated to a UAP.
20. Question: Which task is appropriate for an RN to delegate to a nursing
assistant?
o Answer: Assisting a patient who is postoperative day 2 to the restroom.
o Rationale: Ambulation assistance is a routine activity that is within the
scope of practice for a nursing assistant.
Concepts & Skills for Nursing
Practice II Questions & Verified
Answers
1. Question: What model focuses on how patients' attitudes and beliefs
predict health behavior?
o Answer: Health Belief Model.
o Rationale: The Health Belief Model explains health behaviors by focusing
on an individual’s perceptions of susceptibility to illness, severity of illness,
benefits of action, and barriers to action.
2. Question: What are the 6 main constructs influencing an individual's
decision to take action about disease prevention, screening, and controlling
an illness?
o Answer: Perceived severity, perceived susceptibility, perceived benefit,
perceived barriers, cues to action, and perceived self-efficacy.
o Rationale: These constructs are core components of the Health Belief
Model, used to predict health-promoting behaviors.
3. Question: What age group is most susceptible to infections, and why?
o Answer: Infants, neonates, and premature infants due to their immature
immune systems.
o Rationale: Immune system development is incomplete in early life,
increasing vulnerability to infectious agents.
4. Question: What age group is most at risk for opportunistic infections?
o Answer: Older patients.
o Rationale: Age-related immune system decline (immunosenescence)
increases susceptibility to infections.
5. Question: List 6 factors that affect and influence health.
o Answer: Age, gender, genetics, environment, attitudes/emotions, and
lifestyle.
,o Rationale: These internal and external variables interact to shape an
individual’s health status and health-related behaviors.
6. Question: Maslow's Hierarchy of Needs: List the levels in order.
o Answer: (1) Physiological Needs, (2) Safety and Security, (3) Relationships,
Love and Affection, (4) Self Esteem, (5) Self Actualization.
o Rationale: This hierarchy guides prioritization of nursing care, starting with
basic physiologic needs (ABCs).
7. Question: A nurse teaches the importance of folic acid intake to a group of
pregnant women. This is considered which level of preventive care?
o Answer: Primary prevention.
o Rationale: Primary prevention aims to prevent disease before it occurs by
reducing risk factors and promoting health, such as through education and
immunization.
8. Question: Which of the following are basic types of health promotion
activities? (Select all that apply)
o Answer: B. A school of nursing that is holding a blood pressure fair; C. A
billboard promoting abstinence to prevent STIs and unplanned
pregnancies.
o Rationale: These are examples of primary prevention activities designed to
prevent illness and promote health at a population level.
9. Question: A patient is attending classes on building positive relationships
and learning skills to be open-minded and respectful to those whose
opinions are different. This client is focusing on which component of
wellness?
o Answer: Social wellness.
o Rationale: Social wellness involves building healthy relationships and
demonstrating respect for others.
10. Question: A nurse educator is explaining health and parallels this with
interruption of body systems and symptoms of disease or injury. This
educator is interpreting health according to which model?
o Answer: Clinical model.
o Rationale: The clinical model views health as the absence of disease or
signs/symptoms of illness.
,11. Question: The nurse is caring for a 6-year-old patient in the emergency
department who just had a full left leg cast placed for a fracture. As the
nurse is reviewing the discharge instructions with the patient's mother, she
states, "You don't have to go over those—I'll read them at home." What
should the nurse do?
o Answer: Consider the possibility of health literacy limitations and assess
further.
o Rationale: The mother’s response could indicate low health literacy; the
nurse should assess her understanding rather than assume it.
12. Question: A 58-year-old man is admitted for a small-bowel obstruction.
The admitting orders include placing a nasogastric (NG) tube. During the
assessment, the nurse determines the patient does not speak English.
Which action should the nurse take first before placing the NG tube?
o Answer: Request an interpreter per facility protocol.
o Rationale: An interpreter ensures accurate communication and patient
understanding before an invasive procedure.
13. Question: Immigrants who begin to use technology while continuing to
adhere to their traditional mode of dress are exhibiting what aspect of
cultural identity?
o Answer: Acculturation.
o Rationale: Acculturation is the process of adapting to a new culture while
retaining aspects of one’s original culture.
14. Question: An Asian American client is experiencing a fever. The nurse
plans care so that the client can self-treat the disorder using which
method?
o Answer: Foods considered to be yin.
o Rationale: In many traditional Asian health systems, illnesses like fever are
considered “hot” and treated with “cold” (yin) foods to restore balance.
15. Question: The patient, although a paraplegic from his accident,
participates in the Paralympics, is a motivational speaker, and has a family
with kids. The patient considers himself healthy. What model of health is
this patient demonstrating?
o Answer: Adaptive model.
, o Rationale: The adaptive model focuses on a person’s ability to adjust to
changing health circumstances and find meaning.
16. Question: All the following are considered internal variables that
influence a client's health beliefs and practices except:
o Answer: Socioeconomic factors.
o Rationale: Socioeconomic factors are external variables; internal variables
include perception of functioning, emotional factors, and developmental
stage.
17. Question: Which of the following external variables should be
addressed with a patient when providing education during a routine health
care visit? (Select all that apply)
o Answer: Use of tobacco, family practices, socioeconomic status, cultural
background.
o Rationale: All are external factors that influence health behaviors and must
be considered in patient education.
18. Question: A client sets a goal with their nurse to lose 100 lbs. The client
is apprehensive but went ahead and scheduled the surgery for 5 months
out, intending to lose the weight in that timeframe. What stage of health
behavior change is this client in?
o Answer: Preparation.
o Rationale: The client is planning to take action within the next month and
has made concrete steps (scheduling surgery), indicating the preparation
stage.
19. Question: You are caring for a patient with esophageal cancer. Which
task could be delegated to a UAP?
o Answer: Assisting the patient with oral hygiene.
o Rationale: Oral hygiene is a standard, routine task that does not require
nursing judgment and can be delegated to a UAP.
20. Question: Which task is appropriate for an RN to delegate to a nursing
assistant?
o Answer: Assisting a patient who is postoperative day 2 to the restroom.
o Rationale: Ambulation assistance is a routine activity that is within the
scope of practice for a nursing assistant.
