NURS 222 Health and Wellness Approved Practice Final Exam Actual Questions and Answers 2026 Update | 100% Correct

NURS 222 Health and Wellness Approved Practice Final Exam Actual Questions and Answers 2026 Update | 100% Correct Define Chamberlain School of Nursing's definition of health - -A dynamic and holistic process in a person's perceived state of being. Compare and contrast the 3 levels of disease prevention. how do the levels of prevention differ from the levels of care? - -PRIMARY: (goal-prevent disease) health promotion, wellness education, immunizations, screening for RISK factors for disease SECONDARY:(goal-early identification of disease) screening for disease, prompt treatment of disease TERTIARY:(goal-limit effect of disease; prevent complications and deterioration) rehab, maintenance and surveillance Describe 5 nursing roles in promoting health and wellness. - -Advocate, consultant, direct care giver, educator, reseacher Identify the 4 overall goals for Healthy People 2020 - --Attain high quality, longer lives free of preventable disease, injury, and death. -Achieve health equity, eliminate disparities and improve the health of all groups. -Create social and physical environments that promote good health for all. -Promote quality of life, healthy development, and healthy behaviors across all life stages. Identify the 6 domains of health and provide an example of how each might influence health? - --Biological: physical and genetic characteristics that influence a person's health -Sociological: relationships with family, community, society and culture that influence health -Psychological: mental health and attitudes that influence health -Spiritual: values and belief systems that influence health -Environmental: physical surroundings that influence health -Sexual: sexual identity, expression, and attitudes that influence health. Identity the four models of health talked about in unit 1 and provide an example for each and whether they are illness or wellness models on the continuum of health. - --Clinical: illness model/ traditional medical model/ illness present with signs and symptoms -Role performance: wellness model/ illness a failure to perform societal roles -Adaptive: wellness model/ illness inability to adapt and change -Eudaimonistic: wellness model/ illness failure to meet potential/ health is finding meaning & meeting potential NURS 222 NURS 222 Compare and contrast internal versus external variables influencing health. - --Internal developmental state; intellect; mental health; spiritual beliefs -External-family practices; cultural background; socioeconomic factors Identify the 5 steps of the nursing process - --ADPIE-Assess, Diagnosis, Plan, Implement, Evaluate -Assessment data is not a medical diagnosis. It is either objective or subjective. Objective is what the monitor says and subjective is what the patient says. What does ADPIE stand for? - -Assess Diagnosis Plan Implement Evaluate Identify the 5 parameters required for writing a "SMART" goal - -Specific, Measurable, Attainable, Realistic and Timely Explain "Gordon's Functional Health Paterns" and how a nurse would use these concepts? - -"Provides a systematic approach to assessing and planning care of the whole person" Identify Gordon's eleven functional health patternses, spiritual b - -Cognitive:sensory abilities, pain, ability to understand and follow directions -Activity/Exercise: ADL's, Assistive devices, Exercise, Activities that require energy expenditure -Nutritional/Metabolic: Nutrition intake, 24 hour food recall, skin healing, temperature, weight, skin turgor, mucus membranes -Elimination-bowel and bladder patterns -Sexuality/Reproduction: Normal development and satisfaction with functions -Health Perception/Health Mgmt: Current health status and practices, access to care -Sleep/Rest: clients subjective assessment of fatigue and sleep effectiveness -Role/Relationship: Clients role in world and relationships with others -Self perception/Self concept: Client's level of self esteem, self image, Erikson's develomental level -Coping/Stress tolerance: effectiveness of coping strategies -Value/Beliefs:perceptions of right and wrong, values;spiritual beliefs Explain the purpose of "clumping" assessment data - -Analyze assessment data, distinguish relevant from irrelevant data, identify trends, draw conclusions, determine priority nursing diagnosis. How does health education fit into health promotion and the nursing process? - -"health education is the mainstay of therapy for the management for chronic diseases" -First thing you do is find out what client already knows. How would "Health beliefs" influence health education? - --Health beliefs- perceptions of illness versus wellness -Health beliefs-perceptions of risks for disease NURS 222 NURS 222 How do theories of change relate to planning health education? - --Ready to Learn (Transtheoretical Change Model-Stages of Change) -Precontemplation: not considering change -Contemplation: considering change in next 6 months -Planning: start to change in next 1 month -Action: Made behavior change -Maintenance: 6 months after change and indefinitely -Believe in their ability to change ( Motivation: Bandura's self Efficacy/Social Cognitive Theory) Compare and contrast the three domains of learning and provide an example of patient teaching for each domain. - --Taught in different "domains of learning" / Different teaching methods appropriate for different domains -Cognitive: new knowledge -Affective: recognition of values and beliefs about topic (reflection; role play) -Psychomotor-developing physical skills (task demonstration; practice) Name several internal and external barriers to providing health education. - --Internal development stage; cognitive ability; pain -External-lighting, timing, environmental distractions How would understanding how the health delivery system works and helps a nurse become better advocate for health promotion issues on a larger scale? - --How healthcare systems work, how clients move through the health system, how clients have ACCESS to care, how healthcare QUALITY is achieved, COST of healthcare -Use system resources appropriately Identify several standards, guidelines, or codes that nurses use to guide their delivery of care? - -serve as safety guidelines established by the profession -ANA Code of Ethics for Nurses-9 provisions; duty to client -ANA Scope and Standards of Practice -ANA Principles for Nursing Practice -AZ State Nurse Practice Act What does the study of ethics have to do with health promotion and healthcare delivery? - --Advocacy: support a cause -Responsibility: respect obligations and follow through with promises -Accountability: ability to answer for the choices one makes -Confidentiality: protection of patient privacy Describe Kohlberg's stages of moral development - --Preconvention: primarily egocentric and based on avoiding punishment; "What's in it for me?" -Conventional-Social rules; "How will this affect my relationship with others" -Postconventional: define own moral values NURS 222 NURS 222 Describe Piaget's stages of cognitive "schemas" people use to make sense of world. - - Sensorimotor (0-2) -Preoperational (2-7) -Concrete Operations (7-11) -Formal Operations (12-adult) Identify motor milestones for infants, toddlers, preschoolers and school age children - -4 months (Birth length doubles) 4 months. (Primitive reflexes disappear) 6 months. (Birth weight doubles) 8 months. (Sit unsupported) 7-9 months. (Stranger danger) 9 months. (uses pincer grasp to pick up objects) walks alone 2 yrs. (50% of adult height) 2 yrs. (speak 2-3 word sentences) 3 yrs. (pedals a tricycle) 5 yrs. (tie shoes) Identify risk factors and injury prevention tactics for each of Erickson's stages. - - unintentional injuries are the leading cause of death in children under 15 Identify 8 therapeutic communication strategies and give an example of each. - - Focusing: narrowing topic to explore further "let's talk about .... more" -Broad Opening: open ended questions "what would you like to talk about today?" -Reflecting: referring questions back to client "What do you think you should do?" -Restating: repeating main idea -Presenting reality: " I don't see anyone in the room" -Clarifying: " Did I understand you correctly" -Summarizing: "Today we talked about..." -Silence: demonstrates acceptance and allow for reflection. Identify 12 non-therapeutic communication techniques and give an example of each. - - Changing subject -Moralizing -Giving Opinions or advice -Making assumptions -False reassurance -Using cliches -Flattering -Probing -Closing off exploration with yes or no questions -Rejecting -Accusing -Overloading - asking "why" questions NURS 222 Compare and contrast a therapeutic relationship with a social or a professional relationship. - -Therapeutic relationship is purposeful and goal directed. Identify the four stages of a therapeutic relationship - --Pre-interaction: before meeting -Orientation: nurse client get to know each other -Working: nurse client work together to solve problems and accomplish goals -Termination: end of relationship Describe Erickson's theory of development including the 8 stages. - -Trust vs. Mistrust (0-1) Autonomy vs. Sense of shame/doubt (1-3) Initiative vs. guilt (3-6) Industry vs. inferiority (6-11) Identity vs. role confusion (puberty) Intimacy vs. isolation (young adult) Generativity vs. stagnation ( middle age) Integrity vs. despair (old age) NURS 222