NR222 HEALTH AND WELLNESS
COMPREHENSIVE EXAM & TEST BANK
CHAMBERLAIN UNIVERSITY
NR222 HEALTH AND WELLNESS
COMPREHENSIVE EXAM & TEST BANK
CHAMBERLAIN UNIVERSITY
200+ QUESTIONS WITH VERIFIED ANSWERS AND DETAILED RATIONALES
2026/2027 ACADEMIC YEAR | GRADED A+
UNIT 1: FOUNDATIONS OF HEALTH PROMOTION & HEALTHCARE MODELS
Question 1
A nurse is recommending relaxation techniques and music therapy to a client with insomnia.
Which health model is the nurse applying?
A) Health Belief Model
B) Holistic Health Model
C) Pender's Health Promotion Model
D) Transtheoretical Model
Answer: B
Rationale: The Holistic Health Model considers the patient as a whole being, addressing
emotional and spiritual well-being in addition to physical symptoms. By using relaxation
techniques and music therapy, the nurse is attempting to soothe the patient's mind and spirit to
promote physical sleep, which goes beyond just treating a physical symptom with medication.
This model recognizes the interconnection of mind, body, and spirit [citation:6].
1
,Question 2
A public health nurse is advocating for policies to improve clean air and water in a community.
Which level of prevention is the nurse primarily engaging in?
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 addressing
environmental and social determinants of health. Advocating for clean air and water policies
prevents exposure to harmful substances, thus preventing disease at the population level before
any illness develops [citation:6].
Question 3
A nurse is providing rehabilitation services to a patient who has right-sided paralysis from a
stroke. This is an example of which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Answer: C
Rationale: Tertiary prevention focuses on reducing disability and restoring function after a
disease has occurred. Physical therapy and rehabilitation services help stroke patients regain as
much function as possible and prevent further complications [citation:8].
Question 4
A child's immunization may cause temporary discomfort, but the benefits of protection from
disease, both for the individual and society, outweigh the temporary discomforts. Which ethical
principle is involved in this situation?
2
,A) Nonmaleficence
B) Justice
C) Beneficence
D) Fidelity
Answer: C
Rationale: Beneficence means "doing well" by taking positive actions to benefit others. It
implies that the best interest of the patient (and society) outweighs potential temporary
discomforts. Immunizations provide protection that benefits both the individual and the
community through herd immunity [citation:3].
Question 5
A nurse manager is teaching a group of nurses about the levels of prevention. Which example of
tertiary level of prevention should be included in the instruction?
A) Surgery to repair a hip dislocation of an older adult client
B) Teaching breastfeeding to expectant mothers in a prenatal clinic
C) Chemotherapy treatment to a client newly diagnosed with cancer
D) Physical therapy to a patient who has right-sided paralysis from a stroke
Answer: D
Rationale: Tertiary prevention aims to reduce disability and restore function after disease or
injury has occurred. Physical therapy following a stroke helps maximize functional recovery.
Surgery for hip dislocation is secondary prevention (treatment of acute injury), breastfeeding
education is primary prevention, and chemotherapy is treatment (secondary/tertiary depending
on goals) [citation:8].
Question 6
Which of the following emphasizes that an individual’s belief in being personally capable of
performing the behavior is required to influence one's own health?
A) Social Cognitive Theory
B) Self-Efficacy Theory
C) Health Belief Model
3
, D) Transtheoretical Model
Answer: B
Rationale: Self-Efficacy Theory (Bandura) focuses on an individual's belief in their capability to
execute behaviors necessary to produce specific performance attainments. Self-efficacy
influences the activities people choose to pursue, the effort they exert, and their persistence
when facing obstacles [citation:8].
Question 7
The nurse is discussing the importance of routine preventive care with a Hispanic family who
has recently immigrated to the United States. Which factors will the nurse consider as potential
barriers to the family's interest in receiving professional health care? (Select all that apply)
A) Lack of health insurance
B) Concern about invasion of privacy
C) Absence of transportation services
D) Limited proficiency in the English language
E) Belief in and accessibility to folk healers and remedies
F) The availability of family members for support and help
Answer: A, B, C, D, E
Rationale: Barriers to healthcare access for immigrant families include lack of insurance,
privacy concerns (especially fear of documentation status being reported), transportation
difficulties, language barriers, and cultural preferences for traditional healing practices. Family
support (F) is generally an asset, not a barrier [citation:8].
Question 8
A nurse is establishing health promotion goals for a female client who smokes cigarettes, has
hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
A) The client will list foods that are high in calcium, which should be avoided
B) The client will walk for 30 minutes a day 5 days a week
C) The client will increase calorie intake by 200 calories per day
D) The client will replace cigarettes with smokeless tobacco products
4
COMPREHENSIVE EXAM & TEST BANK
CHAMBERLAIN UNIVERSITY
NR222 HEALTH AND WELLNESS
COMPREHENSIVE EXAM & TEST BANK
CHAMBERLAIN UNIVERSITY
200+ QUESTIONS WITH VERIFIED ANSWERS AND DETAILED RATIONALES
2026/2027 ACADEMIC YEAR | GRADED A+
UNIT 1: FOUNDATIONS OF HEALTH PROMOTION & HEALTHCARE MODELS
Question 1
A nurse is recommending relaxation techniques and music therapy to a client with insomnia.
Which health model is the nurse applying?
A) Health Belief Model
B) Holistic Health Model
C) Pender's Health Promotion Model
D) Transtheoretical Model
Answer: B
Rationale: The Holistic Health Model considers the patient as a whole being, addressing
emotional and spiritual well-being in addition to physical symptoms. By using relaxation
techniques and music therapy, the nurse is attempting to soothe the patient's mind and spirit to
promote physical sleep, which goes beyond just treating a physical symptom with medication.
This model recognizes the interconnection of mind, body, and spirit [citation:6].
1
,Question 2
A public health nurse is advocating for policies to improve clean air and water in a community.
Which level of prevention is the nurse primarily engaging in?
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 addressing
environmental and social determinants of health. Advocating for clean air and water policies
prevents exposure to harmful substances, thus preventing disease at the population level before
any illness develops [citation:6].
Question 3
A nurse is providing rehabilitation services to a patient who has right-sided paralysis from a
stroke. This is an example of which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Answer: C
Rationale: Tertiary prevention focuses on reducing disability and restoring function after a
disease has occurred. Physical therapy and rehabilitation services help stroke patients regain as
much function as possible and prevent further complications [citation:8].
Question 4
A child's immunization may cause temporary discomfort, but the benefits of protection from
disease, both for the individual and society, outweigh the temporary discomforts. Which ethical
principle is involved in this situation?
2
,A) Nonmaleficence
B) Justice
C) Beneficence
D) Fidelity
Answer: C
Rationale: Beneficence means "doing well" by taking positive actions to benefit others. It
implies that the best interest of the patient (and society) outweighs potential temporary
discomforts. Immunizations provide protection that benefits both the individual and the
community through herd immunity [citation:3].
Question 5
A nurse manager is teaching a group of nurses about the levels of prevention. Which example of
tertiary level of prevention should be included in the instruction?
A) Surgery to repair a hip dislocation of an older adult client
B) Teaching breastfeeding to expectant mothers in a prenatal clinic
C) Chemotherapy treatment to a client newly diagnosed with cancer
D) Physical therapy to a patient who has right-sided paralysis from a stroke
Answer: D
Rationale: Tertiary prevention aims to reduce disability and restore function after disease or
injury has occurred. Physical therapy following a stroke helps maximize functional recovery.
Surgery for hip dislocation is secondary prevention (treatment of acute injury), breastfeeding
education is primary prevention, and chemotherapy is treatment (secondary/tertiary depending
on goals) [citation:8].
Question 6
Which of the following emphasizes that an individual’s belief in being personally capable of
performing the behavior is required to influence one's own health?
A) Social Cognitive Theory
B) Self-Efficacy Theory
C) Health Belief Model
3
, D) Transtheoretical Model
Answer: B
Rationale: Self-Efficacy Theory (Bandura) focuses on an individual's belief in their capability to
execute behaviors necessary to produce specific performance attainments. Self-efficacy
influences the activities people choose to pursue, the effort they exert, and their persistence
when facing obstacles [citation:8].
Question 7
The nurse is discussing the importance of routine preventive care with a Hispanic family who
has recently immigrated to the United States. Which factors will the nurse consider as potential
barriers to the family's interest in receiving professional health care? (Select all that apply)
A) Lack of health insurance
B) Concern about invasion of privacy
C) Absence of transportation services
D) Limited proficiency in the English language
E) Belief in and accessibility to folk healers and remedies
F) The availability of family members for support and help
Answer: A, B, C, D, E
Rationale: Barriers to healthcare access for immigrant families include lack of insurance,
privacy concerns (especially fear of documentation status being reported), transportation
difficulties, language barriers, and cultural preferences for traditional healing practices. Family
support (F) is generally an asset, not a barrier [citation:8].
Question 8
A nurse is establishing health promotion goals for a female client who smokes cigarettes, has
hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
A) The client will list foods that are high in calcium, which should be avoided
B) The client will walk for 30 minutes a day 5 days a week
C) The client will increase calorie intake by 200 calories per day
D) The client will replace cigarettes with smokeless tobacco products
4
