NR222 EXAM 2 2026/2027 | Health and Wellness |
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Section 1: Health, Wellness & Illness Continuum (Questions 1-12)
Q1. According to the World Health Organization (WHO), which of the following best
defines health?
A. The absence of disease or infirmity
B. A state of complete physical, mental, and social well-being and not merely the
absence of disease or infirmity
C. The ability to perform daily activities without physical limitations
D. A balanced state between the internal and external environments of the body
B. A state of complete physical, mental, and social well-being and not merely the
absence of disease or infirmity [CORRECT]
Rationale: The WHO definition explicitly includes physical, mental, and social well-
being, not just the absence of disease. Option A is the outdated biomedical
definition; C and D describe functional or homeostatic states but omit the holistic
WHO dimensions.
Correct Answer: B
Q2. A nurse is conducting a wellness assessment for a 42-year-old client who
exercises regularly, maintains strong friendships, practices meditation daily, and
reports high job satisfaction. Which dimension of wellness is the client demonstrating
when they describe finding purpose and meaning through their spiritual community?
A. Physical wellness
B. Emotional wellness
C. Spiritual wellness
D. Occupational wellness
C. Spiritual wellness [CORRECT]
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Rationale: Spiritual wellness involves seeking meaning, purpose, and connection to a
higher power or values. Physical wellness (A) refers to bodily function; emotional
wellness (B) to coping and feelings; occupational wellness (D) to job satisfaction. The
client's spiritual community engagement directly reflects spiritual wellness.
Correct Answer: C
Q3. A client with newly diagnosed type 2 diabetes states, "I know I need to change
my diet, but I feel overwhelmed and don't know where to start." On the illness-
wellness continuum, which stage best describes this client's current position?
A. High-level wellness
B. Protected poor health
C. Poor health
D. Emergent high-level wellness
C. Poor health [CORRECT]
Rationale: The client has an active chronic illness (diabetes) and expresses inability
to engage in self-management, placing them in poor health rather than protected
poor health (B), which implies illness with adequate coping. High-level wellness (A)
and emergent high-level wellness (D) describe optimal functioning states.
Correct Answer: C
Q4. Which of the following accurately distinguishes acute illness from chronic illness?
A. Acute illness has a rapid onset and short duration; chronic illness has a slow onset
and indefinite duration
B. Acute illness requires hospitalization; chronic illness is always managed in the
home
C. Acute illness affects only one body system; chronic illness affects multiple systems
D. Acute illness is always reversible; chronic illness is never reversible
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A. Acute illness has a rapid onset and short duration; chronic illness has a slow
onset and indefinite duration [CORRECT]
Rationale: The key distinction is temporal: acute illness is sudden and self-limiting,
while chronic illness persists indefinitely. Option B is incorrect because not all acute
illness requires hospitalization; C is incorrect because acute illness can affect multiple
systems (e.g., sepsis); D is incorrect because some acute illness causes permanent
damage and some chronic conditions can go into remission.
Correct Answer: A
Q5. A client who has been experiencing chest pain for three days finally schedules an
appointment with a healthcare provider. According to the stages of illness behavior,
which stage is this client currently demonstrating?
A. Stage 1: Experiencing symptoms
B. Stage 2: Assuming the sick role
C. Stage 3: Assuming a dependent role
D. Stage 4: Achieving recovery and rehabilitation
B. Assuming the sick role [CORRECT]
Rationale: Stage 2 involves acknowledging illness, seeking validation, and deciding
to seek professional care. Stage 1 (A) involves symptom recognition without care-
seeking; Stage 3 (C) involves accepting professional care and dependency; Stage 4
(D) involves recovery. The client has moved beyond symptom experience to active
care-seeking.
Correct Answer: B
Q6. A nurse is caring for a client who has been hospitalized for pneumonia. The client
is now medically stable but remains in bed, asks the nurse to perform all activities of
daily living, and states, "I'm too sick to do anything myself." Which stage of illness
behavior does this represent?
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A. Experiencing symptoms
B. Assuming the sick role
C. Assuming a dependent role
D. Achieving recovery and rehabilitation
C. Assuming a dependent role [CORRECT]
Rationale: The dependent role (Stage 3) involves accepting professional care,
cooperating with treatment, and expecting others to meet needs. The client's
behavior exceeds medical necessity, indicating psychological dependency rather than
physical limitation. Stage 2 (B) involves care-seeking; this client is already hospitalized
and exhibiting dependent behaviors.
Correct Answer: C
Q7. A wellness coach is working with a client who has no current medical diagnoses
but wants to optimize their cardiovascular fitness and stress resilience. According to
the illness-wellness continuum model, which term best describes this client's goal?
A. Protected poor health
B. Poor health
C. Emergent high-level wellness
D. High-level wellness
D. High-level wellness [CORRECT]
Rationale: High-level wellness describes optimal functioning in the presence or
absence of disease. This client has no illness and seeks to maximize well-being,
distinguishing this from emergent high-level wellness (C), which describes movement
toward wellness from a lower level. Protected poor health (A) and poor health (B)
describe illness states.
Correct Answer: D