NR222 EXAM 2 REVIEW 2026/2027 | Health and Wellness |
Chamberlain University | Grade A Verified with Review Notes
| Pass Guaranteed - A+ Graded
Section 1: Foundations of Health, Wellness & Illness (Q1-14)
Q1. According to Dunn's high-level wellness grid, which dimension of wellness extends
beyond the individual to include the quality of the external environment?
A. Social well-being
B. Spiritual well-being
C. Environmental well-being [CORRECT]
D. Emotional well-being
Rationale: Dunn's grid explicitly includes environmental well-being as a dimension that
addresses the quality of one's surroundings and ecological conditions, distinct from
social or spiritual dimensions. REVIEW TIP: Dunn's five dimensions are physical, social,
emotional, spiritual, and environmental—know each for exam identification.
Correct Answer: C
Q2. A 42-year-old patient tells the nurse, "My blood pressure and cholesterol are perfect,
so I am healthy." The nurse responds by explaining that health is a state, while wellness
is best described as which of the following?
A. The absence of disease or infirmity
B. A passive outcome of good genetics
C. An active process of becoming aware of and making choices toward a fulfilling life
[CORRECT]
D. A static condition achieved once and maintained indefinitely
Rationale: Wellness is defined as an active, dynamic process of making choices that
lead toward optimal well-being, whereas health is a state of being. REVIEW TIP: On
,exams, wellness = active process/choice; health = state/condition. Do not confuse
these constructs.
Correct Answer: C
Q3. A patient recently diagnosed with prediabetes states, "I am not sick, but I am not at
my best either." This statement best represents which concept?
A. The biomedical model of disease
B. The Health-Illness Continuum [CORRECT]
C. Complete physical well-being
D. The acute illness trajectory
Rationale: The Health-Illness Continuum views health and illness as opposite directions
on a continuum rather than opposite states, allowing individuals to exist in intermediate
states. REVIEW TIP: Dunn's continuum emphasizes that people move back and forth;
wellness is a direction, not a fixed point.
Correct Answer: B
Q4. A nurse is caring for two patients: one with community-acquired pneumonia of 3
days' duration and another with type 2 diabetes diagnosed 8 years ago. Which analysis
accurately differentiates these illness classifications?
A. Both are acute because they have identifiable causes
B. Both are chronic because they require medical intervention
C. The pneumonia is acute with sudden onset and short duration; the diabetes is
chronic with slow progression and prolonged course [CORRECT]
D. The pneumonia is chronic because it is infectious; the diabetes is acute because it
can be managed with lifestyle
Rationale: Acute illness is characterized by sudden onset, short duration, and often an
identifiable cause, whereas chronic illness involves slow progression, prolonged
duration, and significant lifestyle impact requiring adaptation. REVIEW TIP: Exam
distractors often blur prevention levels or mislabel chronic conditions as acute—focus
on time course and reversibility.
Correct Answer: C
,Q5. A patient with a severe headache decides to lie down in a dark room and cancels
evening plans. The nurse recognizes this as which stage of illness behavior?
A. Medical care contact
B. Symptom experience
C. Sick role assumption [CORRECT]
D. Dependent patient role
Rationale: The sick role assumption occurs when the individual accepts that they are ill
and modifies their behavior accordingly, such as resting and withdrawing from normal
responsibilities. REVIEW TIP: Symptom experience = sensing/recognizing something is
wrong; sick role = accepting the illness identity and changing behavior.
Correct Answer: C
Q6. A patient with chest pain calls 911 and is transported to the emergency department.
This action represents which stage of illness behavior?
A. Symptom experience
B. Sick role assumption
C. Medical care contact [CORRECT]
D. Recovery and rehabilitation
Rationale: Medical care contact is the stage in which the individual seeks professional
evaluation and assistance for their symptoms. REVIEW TIP: The five stages progress
sequentially: symptom experience → sick role → medical care contact → dependent
patient role → recovery/rehabilitation.
Correct Answer: C
Q7. A nurse is developing a care plan for a patient recovering from myocardial
infarction. In addition to monitoring cardiac rehabilitation, the nurse assesses the
patient's anxiety, family support, spiritual distress, and home air quality. This approach
reflects which model?
A. The biomedical model
B. The holistic health model [CORRECT]
C. The acute care trajectory model
, D. The disease-specific management model
Rationale: The holistic health model addresses physical, psychological, social, spiritual,
and environmental dimensions of well-being rather than focusing solely on the disease
process. REVIEW TIP: Holistic = whole person; if you see spiritual, environmental, or
social factors being addressed alongside physical, select holistic.
Correct Answer: B
Q8. Which of the following is considered a dimension of wellness in Dunn's high-level
wellness model?
A. Genetic predisposition
B. Occupational productivity
C. Spiritual well-being [CORRECT]
D. Acuity level
Rationale: Dunn's model identifies five key dimensions: physical, emotional, social,
spiritual, and environmental well-being. REVIEW TIP: Do not confuse Dunn's dimensions
with other models; spiritual is core to Dunn but sometimes omitted in simpler
frameworks.
Correct Answer: C
Q9. A patient with rheumatoid arthritis reports difficulty performing household tasks,
fatigue, and feelings of loss related to former hobbies. The nurse recognizes these
findings as characteristic of which type of illness?
A. Acute illness with rapid recovery expected
B. Chronic illness with lifestyle impact and required adaptation [CORRECT]
C. Terminal illness with irreversible progression
D. Subacute illness with moderate duration
Rationale: Chronic illness produces prolonged effects that alter daily living, require
ongoing adaptation, and impact psychological and social functioning. REVIEW TIP:
Chronic illness questions often describe functional limitations, emotional responses,
and long-term management—never sudden resolution.
Correct Answer: B
Chamberlain University | Grade A Verified with Review Notes
| Pass Guaranteed - A+ Graded
Section 1: Foundations of Health, Wellness & Illness (Q1-14)
Q1. According to Dunn's high-level wellness grid, which dimension of wellness extends
beyond the individual to include the quality of the external environment?
A. Social well-being
B. Spiritual well-being
C. Environmental well-being [CORRECT]
D. Emotional well-being
Rationale: Dunn's grid explicitly includes environmental well-being as a dimension that
addresses the quality of one's surroundings and ecological conditions, distinct from
social or spiritual dimensions. REVIEW TIP: Dunn's five dimensions are physical, social,
emotional, spiritual, and environmental—know each for exam identification.
Correct Answer: C
Q2. A 42-year-old patient tells the nurse, "My blood pressure and cholesterol are perfect,
so I am healthy." The nurse responds by explaining that health is a state, while wellness
is best described as which of the following?
A. The absence of disease or infirmity
B. A passive outcome of good genetics
C. An active process of becoming aware of and making choices toward a fulfilling life
[CORRECT]
D. A static condition achieved once and maintained indefinitely
Rationale: Wellness is defined as an active, dynamic process of making choices that
lead toward optimal well-being, whereas health is a state of being. REVIEW TIP: On
,exams, wellness = active process/choice; health = state/condition. Do not confuse
these constructs.
Correct Answer: C
Q3. A patient recently diagnosed with prediabetes states, "I am not sick, but I am not at
my best either." This statement best represents which concept?
A. The biomedical model of disease
B. The Health-Illness Continuum [CORRECT]
C. Complete physical well-being
D. The acute illness trajectory
Rationale: The Health-Illness Continuum views health and illness as opposite directions
on a continuum rather than opposite states, allowing individuals to exist in intermediate
states. REVIEW TIP: Dunn's continuum emphasizes that people move back and forth;
wellness is a direction, not a fixed point.
Correct Answer: B
Q4. A nurse is caring for two patients: one with community-acquired pneumonia of 3
days' duration and another with type 2 diabetes diagnosed 8 years ago. Which analysis
accurately differentiates these illness classifications?
A. Both are acute because they have identifiable causes
B. Both are chronic because they require medical intervention
C. The pneumonia is acute with sudden onset and short duration; the diabetes is
chronic with slow progression and prolonged course [CORRECT]
D. The pneumonia is chronic because it is infectious; the diabetes is acute because it
can be managed with lifestyle
Rationale: Acute illness is characterized by sudden onset, short duration, and often an
identifiable cause, whereas chronic illness involves slow progression, prolonged
duration, and significant lifestyle impact requiring adaptation. REVIEW TIP: Exam
distractors often blur prevention levels or mislabel chronic conditions as acute—focus
on time course and reversibility.
Correct Answer: C
,Q5. A patient with a severe headache decides to lie down in a dark room and cancels
evening plans. The nurse recognizes this as which stage of illness behavior?
A. Medical care contact
B. Symptom experience
C. Sick role assumption [CORRECT]
D. Dependent patient role
Rationale: The sick role assumption occurs when the individual accepts that they are ill
and modifies their behavior accordingly, such as resting and withdrawing from normal
responsibilities. REVIEW TIP: Symptom experience = sensing/recognizing something is
wrong; sick role = accepting the illness identity and changing behavior.
Correct Answer: C
Q6. A patient with chest pain calls 911 and is transported to the emergency department.
This action represents which stage of illness behavior?
A. Symptom experience
B. Sick role assumption
C. Medical care contact [CORRECT]
D. Recovery and rehabilitation
Rationale: Medical care contact is the stage in which the individual seeks professional
evaluation and assistance for their symptoms. REVIEW TIP: The five stages progress
sequentially: symptom experience → sick role → medical care contact → dependent
patient role → recovery/rehabilitation.
Correct Answer: C
Q7. A nurse is developing a care plan for a patient recovering from myocardial
infarction. In addition to monitoring cardiac rehabilitation, the nurse assesses the
patient's anxiety, family support, spiritual distress, and home air quality. This approach
reflects which model?
A. The biomedical model
B. The holistic health model [CORRECT]
C. The acute care trajectory model
, D. The disease-specific management model
Rationale: The holistic health model addresses physical, psychological, social, spiritual,
and environmental dimensions of well-being rather than focusing solely on the disease
process. REVIEW TIP: Holistic = whole person; if you see spiritual, environmental, or
social factors being addressed alongside physical, select holistic.
Correct Answer: B
Q8. Which of the following is considered a dimension of wellness in Dunn's high-level
wellness model?
A. Genetic predisposition
B. Occupational productivity
C. Spiritual well-being [CORRECT]
D. Acuity level
Rationale: Dunn's model identifies five key dimensions: physical, emotional, social,
spiritual, and environmental well-being. REVIEW TIP: Do not confuse Dunn's dimensions
with other models; spiritual is core to Dunn but sometimes omitted in simpler
frameworks.
Correct Answer: C
Q9. A patient with rheumatoid arthritis reports difficulty performing household tasks,
fatigue, and feelings of loss related to former hobbies. The nurse recognizes these
findings as characteristic of which type of illness?
A. Acute illness with rapid recovery expected
B. Chronic illness with lifestyle impact and required adaptation [CORRECT]
C. Terminal illness with irreversible progression
D. Subacute illness with moderate duration
Rationale: Chronic illness produces prolonged effects that alter daily living, require
ongoing adaptation, and impact psychological and social functioning. REVIEW TIP:
Chronic illness questions often describe functional limitations, emotional responses,
and long-term management—never sudden resolution.
Correct Answer: B
