1
NR222 / NR 222 Exam 1 Health and
Wellness Guide Actual Exam 2026/2027 |
Complete Exam-Style Questions | 100%
Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Foundations of Health and Wellness | Q1 – Q15
Section 2 | Health Promotion Across the Lifespan | Q16 – Q30
Section 3 | Disease Prevention and Risk Reduction | Q31 – Q45
Section 4 | Patient Education and Health Literacy | Q46 – Q60
Section 5 | Cultural Competence and Health Beliefs | Q61 – Q75
SECTION 1: FOUNDATIONS OF HEALTH AND WELLNESS
Question 1 of 75
A public health nurse is designing a community program aimed at reducing the incidence of type
2 diabetes in a low-income neighborhood with limited access to grocery stores. According to the
objectives outlined in Healthy People 2030, which primary outcome should the nurse prioritize for
this specific population?
A. Increasing the number of free diabetes screenings provided at local community centers
B. Distributing insulin samples to residents who are unable to afford their medication
C. Establishing community gardens to improve access to fresh fruits and vegetables
D. Hosting weekly support groups for residents already diagnosed with diabetes
Correct Answer: C
Rationale: Healthy People 2030 emphasizes addressing social determinants of health, such as
access to healthy food, to achieve health equity and prevent chronic diseases like type 2 diabetes.
While screenings and support groups are beneficial, they represent secondary or tertiary
,2
interventions rather than addressing the root environmental cause. The nurse should focus on
upstream interventions that modify the environment to support healthier lifestyle choices.
Question 2 of 75
During a health assessment, a 45-year-old client who recently lost their job and home verbalizes
anxiety about the future and an inability to focus on personal health goals. Using Maslow’s
Hierarchy of Needs as a framework, which intervention should the nurse implement first?
A. Referring the client to a therapist to address anxiety and emotional instability
B. Assisting the client in locating a shelter and food resources to meet physiological needs
C. Encouraging the client to join a support group to build self-esteem and social connections
D. Helping the client set long-term career goals to foster self-actualization
Correct Answer: B
Rationale: Maslow’s theory dictates that physiological and safety needs must be met before an
individual can effectively address higher-level needs such as belonging, esteem, or self-
actualization. Providing resources for food and shelter addresses the immediate survival deficits
that are blocking the client's ability to focus on other health concerns. The nurse must stabilize the
client's basic living situation before psychological interventions can be successful.
Question 3 of 75
A nurse is counseling a patient who reports feeling overwhelmed by work and family obligations,
leading to poor sleep and dietary habits. When discussing the dimensions of wellness, the nurse
explains that optimal health is achieved not just by the absence of disease, but by balancing which
aspect?
A. Integrating physical, mental, emotional, social, and spiritual well-being
B. Focusing primarily on physical fitness and nutritional intake
C. Eliminating all sources of stress to achieve emotional stability
D. Prioritizing financial success to ensure access to healthcare
,3
Correct Answer: A
Rationale: The holistic model of wellness defines health as a balance across multiple dimensions,
including physical, intellectual, emotional, social, spiritual, and occupational well-being. Focusing
solely on physical fitness ignores the critical interplay between mental health and social support
systems that contribute to overall wellness. Nurses should encourage patients to nurture all areas
of life to achieve a state of optimal health.
Question 4 of 75
A 30-year-old female smoker is concerned about her risk of developing lung cancer but states that
she enjoys smoking and finds it difficult to quit. According to the Health Belief Model, which
perception is this patient lacking that would most likely motivate her to change her behavior?
A. Perceived susceptibility to the disease
B. Perceived benefits of the action
C. Cues to action
D. Self-efficacy
Correct Answer: D
Rationale: The Health Belief Model suggests that an individual's belief in their ability to
successfully perform a behavior, known as self-efficacy, is a crucial prerequisite for change. While
the patient acknowledges the risk (susceptibility) and likely knows quitting is beneficial, her lack
of confidence in her ability to stop smoking is the primary barrier. The nurse should focus on
building the patient's confidence through resources such as support groups or nicotine replacement
therapy.
Question 5 of 75
A community health nurse is analyzing behavioral factors in a neighborhood with high rates of
childhood obesity. According to Pender’s Health Promotion Model, which prior behavior factor
would most strongly predict a family's adherence to a new exercise program?
, 4
A. The family’s previous participation in organized sports or physical activities
B. The family’s knowledge of the long-term risks of childhood obesity
C. The availability of safe parks and recreational facilities in the neighborhood
D. The family’s request for specific educational materials regarding nutrition
Correct Answer: C
Rationale: Pender’s Health Promotion Model posits that prior related behavior is a significant
predictor of future behavior because it establishes familiarity and habit patterns. Knowledge and
environmental factors are important, but past engagement in physical activity is a stronger
indicator of whether a family will stick to a new exercise regimen. The nurse should assess the
family's activity history to tailor realistic and achievable goals.
Question 6 of 75
A patient with hypertension is attempting to reduce sodium intake but struggles to cook low-
sodium meals due to a lack of cooking skills. When applying Bandura’s concept of self-efficacy,
which strategy should the nurse use to enhance the patient's confidence?
A. Providing the patient with a list of high-sodium foods to avoid entirely
B. Arranging a cooking class where the patient can successfully prepare a low-sodium meal
C. Explaining the pathophysiology of hypertension and how sodium affects blood pressure
D. Encouraging the patient to rely on pre-packaged "low-sodium" frozen dinners
Correct Answer: B
Rationale: Bandura identifies performance accomplishments, or mastering a task through direct
experience, as the most effective way to build self-efficacy. Simply providing information or
avoiding the task does not give the patient the confidence that they can actually perform the
behavior. By facilitating a hands-on experience where the patient succeeds, the nurse reinforces
the patient's belief in their ability to manage their diet.
Question 7 of 75
NR222 / NR 222 Exam 1 Health and
Wellness Guide Actual Exam 2026/2027 |
Complete Exam-Style Questions | 100%
Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Foundations of Health and Wellness | Q1 – Q15
Section 2 | Health Promotion Across the Lifespan | Q16 – Q30
Section 3 | Disease Prevention and Risk Reduction | Q31 – Q45
Section 4 | Patient Education and Health Literacy | Q46 – Q60
Section 5 | Cultural Competence and Health Beliefs | Q61 – Q75
SECTION 1: FOUNDATIONS OF HEALTH AND WELLNESS
Question 1 of 75
A public health nurse is designing a community program aimed at reducing the incidence of type
2 diabetes in a low-income neighborhood with limited access to grocery stores. According to the
objectives outlined in Healthy People 2030, which primary outcome should the nurse prioritize for
this specific population?
A. Increasing the number of free diabetes screenings provided at local community centers
B. Distributing insulin samples to residents who are unable to afford their medication
C. Establishing community gardens to improve access to fresh fruits and vegetables
D. Hosting weekly support groups for residents already diagnosed with diabetes
Correct Answer: C
Rationale: Healthy People 2030 emphasizes addressing social determinants of health, such as
access to healthy food, to achieve health equity and prevent chronic diseases like type 2 diabetes.
While screenings and support groups are beneficial, they represent secondary or tertiary
,2
interventions rather than addressing the root environmental cause. The nurse should focus on
upstream interventions that modify the environment to support healthier lifestyle choices.
Question 2 of 75
During a health assessment, a 45-year-old client who recently lost their job and home verbalizes
anxiety about the future and an inability to focus on personal health goals. Using Maslow’s
Hierarchy of Needs as a framework, which intervention should the nurse implement first?
A. Referring the client to a therapist to address anxiety and emotional instability
B. Assisting the client in locating a shelter and food resources to meet physiological needs
C. Encouraging the client to join a support group to build self-esteem and social connections
D. Helping the client set long-term career goals to foster self-actualization
Correct Answer: B
Rationale: Maslow’s theory dictates that physiological and safety needs must be met before an
individual can effectively address higher-level needs such as belonging, esteem, or self-
actualization. Providing resources for food and shelter addresses the immediate survival deficits
that are blocking the client's ability to focus on other health concerns. The nurse must stabilize the
client's basic living situation before psychological interventions can be successful.
Question 3 of 75
A nurse is counseling a patient who reports feeling overwhelmed by work and family obligations,
leading to poor sleep and dietary habits. When discussing the dimensions of wellness, the nurse
explains that optimal health is achieved not just by the absence of disease, but by balancing which
aspect?
A. Integrating physical, mental, emotional, social, and spiritual well-being
B. Focusing primarily on physical fitness and nutritional intake
C. Eliminating all sources of stress to achieve emotional stability
D. Prioritizing financial success to ensure access to healthcare
,3
Correct Answer: A
Rationale: The holistic model of wellness defines health as a balance across multiple dimensions,
including physical, intellectual, emotional, social, spiritual, and occupational well-being. Focusing
solely on physical fitness ignores the critical interplay between mental health and social support
systems that contribute to overall wellness. Nurses should encourage patients to nurture all areas
of life to achieve a state of optimal health.
Question 4 of 75
A 30-year-old female smoker is concerned about her risk of developing lung cancer but states that
she enjoys smoking and finds it difficult to quit. According to the Health Belief Model, which
perception is this patient lacking that would most likely motivate her to change her behavior?
A. Perceived susceptibility to the disease
B. Perceived benefits of the action
C. Cues to action
D. Self-efficacy
Correct Answer: D
Rationale: The Health Belief Model suggests that an individual's belief in their ability to
successfully perform a behavior, known as self-efficacy, is a crucial prerequisite for change. While
the patient acknowledges the risk (susceptibility) and likely knows quitting is beneficial, her lack
of confidence in her ability to stop smoking is the primary barrier. The nurse should focus on
building the patient's confidence through resources such as support groups or nicotine replacement
therapy.
Question 5 of 75
A community health nurse is analyzing behavioral factors in a neighborhood with high rates of
childhood obesity. According to Pender’s Health Promotion Model, which prior behavior factor
would most strongly predict a family's adherence to a new exercise program?
, 4
A. The family’s previous participation in organized sports or physical activities
B. The family’s knowledge of the long-term risks of childhood obesity
C. The availability of safe parks and recreational facilities in the neighborhood
D. The family’s request for specific educational materials regarding nutrition
Correct Answer: C
Rationale: Pender’s Health Promotion Model posits that prior related behavior is a significant
predictor of future behavior because it establishes familiarity and habit patterns. Knowledge and
environmental factors are important, but past engagement in physical activity is a stronger
indicator of whether a family will stick to a new exercise regimen. The nurse should assess the
family's activity history to tailor realistic and achievable goals.
Question 6 of 75
A patient with hypertension is attempting to reduce sodium intake but struggles to cook low-
sodium meals due to a lack of cooking skills. When applying Bandura’s concept of self-efficacy,
which strategy should the nurse use to enhance the patient's confidence?
A. Providing the patient with a list of high-sodium foods to avoid entirely
B. Arranging a cooking class where the patient can successfully prepare a low-sodium meal
C. Explaining the pathophysiology of hypertension and how sodium affects blood pressure
D. Encouraging the patient to rely on pre-packaged "low-sodium" frozen dinners
Correct Answer: B
Rationale: Bandura identifies performance accomplishments, or mastering a task through direct
experience, as the most effective way to build self-efficacy. Simply providing information or
avoiding the task does not give the patient the confidence that they can actually perform the
behavior. By facilitating a hands-on experience where the patient succeeds, the nurse reinforces
the patient's belief in their ability to manage their diet.
Question 7 of 75
