NR222 Health and Wellness Exam 2 Actual Exam
2026/2027 | Complete Exam-Style Questions with
Detailed Rationales | Pass Guaranteed – A+ Graded
SECTION 1: Health Behavior Theories and Models (10 Questions)
Q1: A nurse is counseling a patient who recently received a diagnosis of prediabetes.
The patient states, "I know I should exercise, but I don't have time and the gym is too
expensive." The nurse recognizes this statement as an example of which component of
the Health Belief Model?
A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
D. Perceived barriers [CORRECT]
Correct Answer: D
Rationale: Correct because perceived barriers refer to the obstacles or costs that a
person believes will prevent them from adopting a recommended health behavior. The
patient's expressed concerns about time and cost represent classic perceived barriers
that must be addressed to facilitate behavior change.
Q2: A nurse is developing a smoking cessation program for a community health center.
The program includes group support sessions, nicotine replacement therapy, and
follow-up phone calls. These interventions are designed to address which constructs of
the Health Belief Model?
A. Perceived susceptibility and perceived severity
B. Perceived benefits and self-efficacy
C. Cues to action and self-efficacy [CORRECT]
D. Perceived barriers and perceived susceptibility
,Correct Answer: C
Rationale: Correct because cues to action are strategies used to trigger health behavior
change, such as follow-up phone calls and group support, while self-efficacy is
enhanced through nicotine replacement therapy and peer support, increasing the
individual's confidence in their ability to quit smoking.
Q3: A patient with hypertension has been taking antihypertensive medication
consistently for 6 months, exercises regularly, and follows a low-sodium diet. The
patient tells the nurse, "I feel great and I plan to keep this up forever." According to the
Transtheoretical Model, which stage of change best describes this patient?
A. Action
B. Maintenance [CORRECT]
C. Preparation
D. Contemplation
Correct Answer: B
Rationale: Correct because the maintenance stage is defined as sustaining behavior
change for more than 6 months and working to prevent relapse. The patient has been
consistently engaged in healthy behaviors for 6 months and expresses long-term
commitment, which aligns with the maintenance stage.
Q4: A patient who has smoked for 20 years tells the nurse, "I know smoking is bad for
me, but I'm not ready to quit right now. Maybe someday." According to the
Transtheoretical Model, which stage of change is this patient demonstrating?
A. Precontemplation
B. Contemplation [CORRECT]
C. Preparation
D. Action
Correct Answer: B
, Rationale: Correct because the contemplation stage is characterized by awareness of
the problem and consideration of behavior change within the next 6 months, but without
commitment to immediate action. The patient acknowledges the health risk but is not
yet ready to quit, which matches this stage.
Q5: A nurse observes a patient successfully perform a blood glucose self-monitoring
technique after watching a demonstration video. The patient then practices
independently and receives positive feedback from the nurse. This scenario best
illustrates which concept of Social Cognitive Theory?
A. Reinforcement and self-efficacy
B. Observational learning and reinforcement [CORRECT]
C. Self-efficacy and reciprocal determinism
D. Observational learning and self-regulation
Correct Answer: B
Rationale: Correct because Social Cognitive Theory emphasizes that learning occurs
through observing others (observational learning via the demonstration video) and that
behavior is strengthened by consequences (reinforcement through positive feedback
from the nurse).
Q6: A nurse is working with a patient who wants to begin a walking program. The
patient sets a goal to walk 30 minutes daily, but after missing two days due to rain, the
patient feels discouraged and stops walking entirely. The nurse should recognize this as
which phenomenon?
A. Lack of self-efficacy
B. Relapse [CORRECT]
C. Resistance
D. Nonadherence
2026/2027 | Complete Exam-Style Questions with
Detailed Rationales | Pass Guaranteed – A+ Graded
SECTION 1: Health Behavior Theories and Models (10 Questions)
Q1: A nurse is counseling a patient who recently received a diagnosis of prediabetes.
The patient states, "I know I should exercise, but I don't have time and the gym is too
expensive." The nurse recognizes this statement as an example of which component of
the Health Belief Model?
A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
D. Perceived barriers [CORRECT]
Correct Answer: D
Rationale: Correct because perceived barriers refer to the obstacles or costs that a
person believes will prevent them from adopting a recommended health behavior. The
patient's expressed concerns about time and cost represent classic perceived barriers
that must be addressed to facilitate behavior change.
Q2: A nurse is developing a smoking cessation program for a community health center.
The program includes group support sessions, nicotine replacement therapy, and
follow-up phone calls. These interventions are designed to address which constructs of
the Health Belief Model?
A. Perceived susceptibility and perceived severity
B. Perceived benefits and self-efficacy
C. Cues to action and self-efficacy [CORRECT]
D. Perceived barriers and perceived susceptibility
,Correct Answer: C
Rationale: Correct because cues to action are strategies used to trigger health behavior
change, such as follow-up phone calls and group support, while self-efficacy is
enhanced through nicotine replacement therapy and peer support, increasing the
individual's confidence in their ability to quit smoking.
Q3: A patient with hypertension has been taking antihypertensive medication
consistently for 6 months, exercises regularly, and follows a low-sodium diet. The
patient tells the nurse, "I feel great and I plan to keep this up forever." According to the
Transtheoretical Model, which stage of change best describes this patient?
A. Action
B. Maintenance [CORRECT]
C. Preparation
D. Contemplation
Correct Answer: B
Rationale: Correct because the maintenance stage is defined as sustaining behavior
change for more than 6 months and working to prevent relapse. The patient has been
consistently engaged in healthy behaviors for 6 months and expresses long-term
commitment, which aligns with the maintenance stage.
Q4: A patient who has smoked for 20 years tells the nurse, "I know smoking is bad for
me, but I'm not ready to quit right now. Maybe someday." According to the
Transtheoretical Model, which stage of change is this patient demonstrating?
A. Precontemplation
B. Contemplation [CORRECT]
C. Preparation
D. Action
Correct Answer: B
, Rationale: Correct because the contemplation stage is characterized by awareness of
the problem and consideration of behavior change within the next 6 months, but without
commitment to immediate action. The patient acknowledges the health risk but is not
yet ready to quit, which matches this stage.
Q5: A nurse observes a patient successfully perform a blood glucose self-monitoring
technique after watching a demonstration video. The patient then practices
independently and receives positive feedback from the nurse. This scenario best
illustrates which concept of Social Cognitive Theory?
A. Reinforcement and self-efficacy
B. Observational learning and reinforcement [CORRECT]
C. Self-efficacy and reciprocal determinism
D. Observational learning and self-regulation
Correct Answer: B
Rationale: Correct because Social Cognitive Theory emphasizes that learning occurs
through observing others (observational learning via the demonstration video) and that
behavior is strengthened by consequences (reinforcement through positive feedback
from the nurse).
Q6: A nurse is working with a patient who wants to begin a walking program. The
patient sets a goal to walk 30 minutes daily, but after missing two days due to rain, the
patient feels discouraged and stops walking entirely. The nurse should recognize this as
which phenomenon?
A. Lack of self-efficacy
B. Relapse [CORRECT]
C. Resistance
D. Nonadherence
