Guide ACTUAL EXAM 2026/2027 |
Chamberlain NR 222 Exam 1 | Verified Q&A
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SECTION 1: CONCEPTS OF HEALTH, WELLNESS & ILLNESS (20 Questions)
Q1: A 45-year-old patient states, "I feel healthy because I exercise daily, maintain strong relationships,
and find purpose in my work." This statement best reflects which model of health?
A. The medical model focusing on absence of disease
B. The holistic wellness model incorporating multiple dimensions [CORRECT]
C. The illness behavior model emphasizing sick role
D. The biomedical model based on laboratory values
Correct Answer: B
Rationale: The holistic wellness model recognizes health as a dynamic integration of physical, emotional,
social, intellectual, occupational, spiritual, and environmental dimensions, as demonstrated by this
patient's multifaceted description of well-being.
Q2: [SATA] Which are considered dimensions of wellness? Select all that apply:
A. Physical [CORRECT]
B. Emotional [CORRECT]
C. Spiritual [CORRECT]
D. Financial
E. Intellectual [CORRECT]
F. Environmental [CORRECT]
Correct Answers: A, B, C, E, F
,Rationale: The seven dimensions of wellness are physical, emotional, social, intellectual, spiritual,
occupational, and environmental; financial wellness, while important, is not one of the traditionally
recognized core dimensions.
Q3: A patient with well-controlled type 2 diabetes, hypertension, and arthritis states, "I still enjoy my life
and manage my conditions well." This best describes:
A. Acute illness with rapid recovery expected
B. Chronic illness with successful illness management and high-level wellness [CORRECT]
C. Terminal illness with palliative care needs
D. Complete absence of disease
Correct Answer: B
Rationale: Chronic illness involves long-term conditions that can be managed effectively; this patient
demonstrates the health-illness continuum by maintaining optimal wellness and quality of life despite
the presence of multiple chronic diseases.
Q4: A college student develops influenza and stays home from classes, rests, and takes over-the-counter
medications. This behavior represents:
A. Health promotion activities
B. Illness behavior and the sick role [CORRECT]
C. Primary prevention strategies
D. Tertiary prevention interventions
Correct Answer: B
Rationale: Illness behavior refers to the ways individuals respond to symptoms, including seeking rest,
self-treating, and temporarily withdrawing from normal activities to recover, which this student is
demonstrating.
Q5: [Ordered Response] Place the stages of the health-illness continuum in order from optimal health to
death:
A. Chronic illness
B. Optimal health and wellness
C. Death
D. Acute illness
, Correct Order: B → D → A → C
Rationale: The health-illness continuum progresses from optimal wellness through acute illness (sudden,
short-term), chronic illness (long-term management), and ultimately death, representing the dynamic
nature of health status over time.
Q6: A patient with terminal cancer focuses on pain management and quality of life rather than curative
treatment. This represents which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention [CORRECT]
D. Health promotion
Correct Answer: C
Rationale: Tertiary prevention aims to minimize disability and maximize quality of life in individuals with
established disease; palliative care and symptom management for terminal cancer exemplify this level
of prevention.
Q7: [SATA] Which factors are considered non-modifiable risk factors for disease? Select all that apply:
A. Age [CORRECT]
B. Family history/genetics [CORRECT]
C. Gender [CORRECT]
D. Smoking status
E. Race/ethnicity [CORRECT]
F. Physical activity level
Correct Answers: A, B, C, E
Rationale: Non-modifiable risk factors are inherent characteristics that cannot be changed through
intervention, including age, genetic predisposition, biological sex, and race/ethnicity; smoking and
physical activity are modifiable through behavior change.
Q8: A 30-year-old patient with no symptoms receives a blood pressure screening at a community health
fair. This is an example of:
A. Primary prevention
B. Secondary prevention [CORRECT]