|Rationales |Chamberlain College
1. A nurse is providing an immunization for influenza to an older adult. Which
level of prevention is being implemented?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Rationale: Primary prevention aims to prevent disease or injury before it occurs by
eliminating causes of health problems or increasing resistance to disease, such as
immunizations.
2. A patient believes that they are at risk for developing diabetes because of
their family history. According to the Health Belief Model, this is an example of:
A. Perceived barriers
B. Self-efficacy
C. Perceived severity
D. Perceived susceptibility
Answer: D
Rationale: Perceived susceptibility is a person’s subjective assessment of their risk of
developing a health problem.
,3. Which stage of the Transtheoretical Model involves a person intending to
take action in the next month and having a plan?
A. Precontemplation
B. Preparation
C. Contemplation
D. Action
Answer: B
Rationale: In the Preparation stage, individuals intend to take action in the immediate
future (usually the next month) and may have already taken some significant steps.
4. A nurse is teaching a patient how to self-administer insulin. Which domain of
learning is being utilized?
A. Psychomotor
B. Affective
C. Cognitive
D. Social
Answer: A
Rationale: Psychomotor learning involves the acquisition of physical skills and the
performance of actions, such as injections.
5. A nurse is conducting a screening for hypertension at a community health
fair. This is an example of:
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Health promotion
Answer: C
Rationale: Secondary prevention focuses on early detection of disease through screening
and prompt treatment.
, 6. What is the primary goal of Healthy People 2030?
A. To increase the profit of healthcare organizations
B. To decrease the number of nursing students in rural areas
C. To attain healthy, thriving lives and well-being free of preventable disease
D. To promote pharmacological interventions for every illness
Answer: C
Rationale: The overarching goal of Healthy People 2030 is to help people attain healthy,
thriving lives and well-being, free of preventable disease, disability, injury, and premature
death.
7. A patient expresses feeling overwhelmed by a new diagnosis. The nurse
suggests deep breathing exercises. This is an example of what type of coping?
A. Problem-focused coping
B. Emotion-focused coping
C. Avoidance coping
D. Maladaptive coping
Answer: B
Rationale: Emotion-focused coping aims to manage the emotional distress associated with
a stressful situation rather than changing the situation itself.
8. Which of the following is a social determinant of health?
A. Genetic predisposition
B. Age
C. Blood type
D. Economic stability
Answer: D
Rationale: Social determinants of health (SDOH) are the conditions in the environments
where people are born, live, learn, work, and play, such as economic stability.