NR 222 Health and Wellness Exam 4 Study Guide 2026 |Chamberlain
College
1. A nurse is teaching a group of young adults about health promotion. Which of
the following is the primary developmental task for this age group according to
Erikson?
A. Intimacy vs. Isolation
B. Identity vs. Role Confusion
C. Generativity vs. Stagnation
D. Autonomy vs. Shame and Doubt
Answer: A
Rationale: According to Erikson, the primary developmental task for young adults is
Intimacy vs. Isolation, which focuses on forming deep, personal relationships.
2. Which level of prevention is a nurse performing when conducting a screening
for hypertension at a local health fair?
A. Primary Prevention
B. Quaternary Prevention
C. Tertiary Prevention
D. Secondary Prevention
Answer: D
Rationale: Screenings and early detection of diseases before symptoms appear are
considered secondary prevention.
,3. A middle-aged adult is caring for both their aging parents and their own
children. This individual is part of which group?
A. The Lost Generation
B. The Sandwich Generation
C. The Baby Boomers
D. The Silent Generation
Answer: B
Rationale: The ‘Sandwich Generation’ refers to middle-aged adults who are
simultaneously caring for their children and their aging parents.
4. What is the most common cause of death among young adults in the United
States?
A. Unintentional Injuries (Accidents)
B. Heart Disease
C. Cancer
D. Suicide
Answer: A
Rationale: Unintentional injuries, particularly motor vehicle accidents, are the leading
cause of death for the young adult population.
5. Which of the following describes the goal of tertiary prevention?
A. Preventing the initial onset of disease
B. Early detection and intervention
C. Rehabilitating and preventing further disability
D. Promoting health through education
Answer: C
Rationale: Tertiary prevention focuses on managing long-term health problems and
preventing complications or further deterioration.
, 6. An older adult patient reports difficulty reading small print even with glasses.
The nurse recognizes this normal age-related change as:
A. Presbycusis
B. Presbyopia
C. Cataracts
D. Glaucoma
Answer: B
Rationale: Presbyopia is the age-related loss of the eye’s ability to focus on nearby objects
due to decreased elasticity of the lens.
7. According to Piaget, which stage of cognitive development is characterized by
the ability to think abstractly and use logic?
A. Formal Operational
B. Preoperational
C. Concrete Operational
D. Sensorimotor
Answer: A
Rationale: The Formal Operational stage, beginning in adolescence, involves abstract
reasoning and hypothetical-deductive thinking.
8. Which nutritional recommendation is most appropriate for an older adult to
prevent muscle loss (sarcopenia)?
A. Decrease caloric intake significantly
B. Eliminate all fats from the diet
C. Limit fluid intake to prevent edema
D. Increase intake of high-quality protein
Answer: D
Rationale: Adequate protein intake is essential for older adults to maintain muscle mass
and prevent sarcopenia.
College
1. A nurse is teaching a group of young adults about health promotion. Which of
the following is the primary developmental task for this age group according to
Erikson?
A. Intimacy vs. Isolation
B. Identity vs. Role Confusion
C. Generativity vs. Stagnation
D. Autonomy vs. Shame and Doubt
Answer: A
Rationale: According to Erikson, the primary developmental task for young adults is
Intimacy vs. Isolation, which focuses on forming deep, personal relationships.
2. Which level of prevention is a nurse performing when conducting a screening
for hypertension at a local health fair?
A. Primary Prevention
B. Quaternary Prevention
C. Tertiary Prevention
D. Secondary Prevention
Answer: D
Rationale: Screenings and early detection of diseases before symptoms appear are
considered secondary prevention.
,3. A middle-aged adult is caring for both their aging parents and their own
children. This individual is part of which group?
A. The Lost Generation
B. The Sandwich Generation
C. The Baby Boomers
D. The Silent Generation
Answer: B
Rationale: The ‘Sandwich Generation’ refers to middle-aged adults who are
simultaneously caring for their children and their aging parents.
4. What is the most common cause of death among young adults in the United
States?
A. Unintentional Injuries (Accidents)
B. Heart Disease
C. Cancer
D. Suicide
Answer: A
Rationale: Unintentional injuries, particularly motor vehicle accidents, are the leading
cause of death for the young adult population.
5. Which of the following describes the goal of tertiary prevention?
A. Preventing the initial onset of disease
B. Early detection and intervention
C. Rehabilitating and preventing further disability
D. Promoting health through education
Answer: C
Rationale: Tertiary prevention focuses on managing long-term health problems and
preventing complications or further deterioration.
, 6. An older adult patient reports difficulty reading small print even with glasses.
The nurse recognizes this normal age-related change as:
A. Presbycusis
B. Presbyopia
C. Cataracts
D. Glaucoma
Answer: B
Rationale: Presbyopia is the age-related loss of the eye’s ability to focus on nearby objects
due to decreased elasticity of the lens.
7. According to Piaget, which stage of cognitive development is characterized by
the ability to think abstractly and use logic?
A. Formal Operational
B. Preoperational
C. Concrete Operational
D. Sensorimotor
Answer: A
Rationale: The Formal Operational stage, beginning in adolescence, involves abstract
reasoning and hypothetical-deductive thinking.
8. Which nutritional recommendation is most appropriate for an older adult to
prevent muscle loss (sarcopenia)?
A. Decrease caloric intake significantly
B. Eliminate all fats from the diet
C. Limit fluid intake to prevent edema
D. Increase intake of high-quality protein
Answer: D
Rationale: Adequate protein intake is essential for older adults to maintain muscle mass
and prevent sarcopenia.
