NR222 / NR 222 Quiz 4 Health and Wellness
ACTUAL EXAM 2026/2027 | Chamberlain
NR 222 Quiz 4 | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Health Behavior Change Models (Q1–Q10)
Q1: A patient with newly diagnosed hypertension states, "I know I should exercise, but I just can't find
the time." According to the Transtheoretical Model (Stages of Change), which stage best describes this
patient?
A. Precontemplation
B. Contemplation [CORRECT]
C. Preparation
D. Action
Correct Answer: B
Rationale: The Transtheoretical Model's contemplation stage is characterized by awareness of a health
problem and intention to change behavior within the next 6 months, accompanied by significant
ambivalence. This patient acknowledges the health benefit of exercise (awareness) but identifies a
barrier (lack of time) that prevents commitment to action. The ambivalence and lack of concrete
planning distinguish contemplation from preparation, where the individual has committed to change
and may have taken small steps.
Q2: A nurse is counseling a patient who has been smoking for 20 years. The patient says, "I've tried to
quit before and always failed. I'm just not strong enough." Using the Health Belief Model, which
construct is the nurse addressing when she responds, "Many people succeed after multiple attempts,
and we can identify strategies that fit your life"?
A. Perceived susceptibility
B. Perceived severity
,C. Perceived self-efficacy [CORRECT]
D. Cues to action
Correct Answer: C
Rationale: Perceived self-efficacy in the Health Belief Model refers to an individual's confidence in their
ability to successfully perform a behavior change. The patient's statement reflects low self-efficacy—
belief that personal capability is insufficient to overcome the behavior. The nurse's response directly
targets this construct by reframing past attempts as normative learning experiences and emphasizing
collaborative strategy development to build the patient's confidence in their capacity to quit smoking
successfully.
Q3: A patient with Type 2 diabetes has begun walking 20 minutes three times weekly and has scheduled
a follow-up with a dietitian. According to the Transtheoretical Model, which stage does this represent?
A. Contemplation
B. Preparation [CORRECT]
C. Action
D. Maintenance
Correct Answer: B
Rationale: The preparation stage is defined by intention to take action within the next 30 days and
observable behavioral steps toward change. This patient has moved beyond ambivalence
(contemplation) by implementing small, concrete changes (walking schedule, dietitian appointment)
that signal readiness for more intensive behavior modification. Preparation bridges the gap between
thinking about change and consistently engaging in the new behavior, which would characterize the
action stage.
Q4: A community health nurse applies Pender's Health Promotion Model when planning a childhood
obesity prevention program. Which factor is a behavior-specific cognition in this model?
A. The community's socioeconomic status
B. The child's prior experience with structured physical activity [CORRECT]
C. The availability of safe parks in the neighborhood
D. The family's health insurance coverage
Correct Answer: B
Rationale: Pender's Health Promotion Model distinguishes between individual
characteristics/experiences (prior behavior, biological factors, psychological factors) and behavior-
specific cognitions (perceived benefits, barriers, self-efficacy, activity-related affect). Prior experience
, with structured physical activity is an individual characteristic that shapes behavior-specific
perceptions—specifically, it influences perceived self-efficacy and activity-related affect (enjoyment or
aversion), which are proximal predictors of health-promoting behavior commitment.
Q5: A nurse uses motivational interviewing with a patient who drinks alcohol excessively. The patient
says, "Maybe I do drink too much sometimes, but it's the only way I relax after work." Which response
demonstrates the spirit of motivational interviewing?
A. "You need to stop drinking immediately—it's destroying your liver."
B. "It sounds like drinking helps you cope with stress, yet you're also concerned it might be too much.
What are your thoughts about finding other ways to relax?" [CORRECT]
C. "Have you considered joining Alcoholics Anonymous?"
D. "Your blood work shows elevated liver enzymes, proving you need to quit."
Correct Answer: B
Rationale: Motivational interviewing is grounded in partnership, acceptance, compassion, and
evocation. This response demonstrates the core skill of double-sided reflection—simultaneously
acknowledging the patient's ambivalence by reflecting both the perceived benefit (stress relief) and the
emerging concern (possible excess). By evoking the patient's own ideas about alternatives rather than
imposing solutions, the nurse maintains autonomy support and elicits change talk, which is the
mechanism by which motivational interviewing produces behavior change.
Q6: A patient who quit smoking 8 months ago tells the nurse, "I still crave cigarettes when I'm stressed,
but I've learned to call a friend instead of smoking." According to the Transtheoretical Model, which
stage is this patient in?
A. Action
B. Maintenance [CORRECT]
C. Termination
D. Relapse
Correct Answer: B
Rationale: The maintenance stage is defined by sustained behavior change for more than 6 months with
ongoing effort to prevent relapse. This patient has successfully abstained for 8 months (exceeding the 6-
month threshold for maintenance) and has developed active coping strategies (social support
substitution) to manage high-risk situations (stress). The presence of continued cravings and conscious
relapse prevention efforts distinguishes maintenance from termination, where the behavior is fully
integrated and no temptation remains.
ACTUAL EXAM 2026/2027 | Chamberlain
NR 222 Quiz 4 | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Health Behavior Change Models (Q1–Q10)
Q1: A patient with newly diagnosed hypertension states, "I know I should exercise, but I just can't find
the time." According to the Transtheoretical Model (Stages of Change), which stage best describes this
patient?
A. Precontemplation
B. Contemplation [CORRECT]
C. Preparation
D. Action
Correct Answer: B
Rationale: The Transtheoretical Model's contemplation stage is characterized by awareness of a health
problem and intention to change behavior within the next 6 months, accompanied by significant
ambivalence. This patient acknowledges the health benefit of exercise (awareness) but identifies a
barrier (lack of time) that prevents commitment to action. The ambivalence and lack of concrete
planning distinguish contemplation from preparation, where the individual has committed to change
and may have taken small steps.
Q2: A nurse is counseling a patient who has been smoking for 20 years. The patient says, "I've tried to
quit before and always failed. I'm just not strong enough." Using the Health Belief Model, which
construct is the nurse addressing when she responds, "Many people succeed after multiple attempts,
and we can identify strategies that fit your life"?
A. Perceived susceptibility
B. Perceived severity
,C. Perceived self-efficacy [CORRECT]
D. Cues to action
Correct Answer: C
Rationale: Perceived self-efficacy in the Health Belief Model refers to an individual's confidence in their
ability to successfully perform a behavior change. The patient's statement reflects low self-efficacy—
belief that personal capability is insufficient to overcome the behavior. The nurse's response directly
targets this construct by reframing past attempts as normative learning experiences and emphasizing
collaborative strategy development to build the patient's confidence in their capacity to quit smoking
successfully.
Q3: A patient with Type 2 diabetes has begun walking 20 minutes three times weekly and has scheduled
a follow-up with a dietitian. According to the Transtheoretical Model, which stage does this represent?
A. Contemplation
B. Preparation [CORRECT]
C. Action
D. Maintenance
Correct Answer: B
Rationale: The preparation stage is defined by intention to take action within the next 30 days and
observable behavioral steps toward change. This patient has moved beyond ambivalence
(contemplation) by implementing small, concrete changes (walking schedule, dietitian appointment)
that signal readiness for more intensive behavior modification. Preparation bridges the gap between
thinking about change and consistently engaging in the new behavior, which would characterize the
action stage.
Q4: A community health nurse applies Pender's Health Promotion Model when planning a childhood
obesity prevention program. Which factor is a behavior-specific cognition in this model?
A. The community's socioeconomic status
B. The child's prior experience with structured physical activity [CORRECT]
C. The availability of safe parks in the neighborhood
D. The family's health insurance coverage
Correct Answer: B
Rationale: Pender's Health Promotion Model distinguishes between individual
characteristics/experiences (prior behavior, biological factors, psychological factors) and behavior-
specific cognitions (perceived benefits, barriers, self-efficacy, activity-related affect). Prior experience
, with structured physical activity is an individual characteristic that shapes behavior-specific
perceptions—specifically, it influences perceived self-efficacy and activity-related affect (enjoyment or
aversion), which are proximal predictors of health-promoting behavior commitment.
Q5: A nurse uses motivational interviewing with a patient who drinks alcohol excessively. The patient
says, "Maybe I do drink too much sometimes, but it's the only way I relax after work." Which response
demonstrates the spirit of motivational interviewing?
A. "You need to stop drinking immediately—it's destroying your liver."
B. "It sounds like drinking helps you cope with stress, yet you're also concerned it might be too much.
What are your thoughts about finding other ways to relax?" [CORRECT]
C. "Have you considered joining Alcoholics Anonymous?"
D. "Your blood work shows elevated liver enzymes, proving you need to quit."
Correct Answer: B
Rationale: Motivational interviewing is grounded in partnership, acceptance, compassion, and
evocation. This response demonstrates the core skill of double-sided reflection—simultaneously
acknowledging the patient's ambivalence by reflecting both the perceived benefit (stress relief) and the
emerging concern (possible excess). By evoking the patient's own ideas about alternatives rather than
imposing solutions, the nurse maintains autonomy support and elicits change talk, which is the
mechanism by which motivational interviewing produces behavior change.
Q6: A patient who quit smoking 8 months ago tells the nurse, "I still crave cigarettes when I'm stressed,
but I've learned to call a friend instead of smoking." According to the Transtheoretical Model, which
stage is this patient in?
A. Action
B. Maintenance [CORRECT]
C. Termination
D. Relapse
Correct Answer: B
Rationale: The maintenance stage is defined by sustained behavior change for more than 6 months with
ongoing effort to prevent relapse. This patient has successfully abstained for 8 months (exceeding the 6-
month threshold for maintenance) and has developed active coping strategies (social support
substitution) to manage high-risk situations (stress). The presence of continued cravings and conscious
relapse prevention efforts distinguishes maintenance from termination, where the behavior is fully
integrated and no temptation remains.
