NR 222 Health & Wellness Exam 4 Practice Questions 2026
|Chamberlain College
1. Which physiological change is considered a normal part of the aging process
in older adults?
A. Decrease in blood pressure
B. Increased skin elasticity
C. Increased sensitivity to glare
D. Heightened sense of taste and smell
Answer: C
Rationale: As people age, the lens of the eye becomes less transparent, making glare more
problematic. Skin loses elasticity, blood pressure often increases due to arterial stiffening,
and taste/smell sensitivity usually declines.
2. Which of the following describes the ‘Sandwich Generation’?
A. Young adults who live with their parents to save money
B. Grandparents who are the primary caregivers for their grandchildren
C. Retirees who travel between different family homes
D. Adults who are caring for both their children and their aging parents
Answer: D
Rationale: The sandwich generation refers to middle-aged adults who are caught between
the responsibilities of caring for their dependent children and their aging parents.
,3. During the ‘Alarm’ stage of the General Adaptation Syndrome (GAS), which
physiological response occurs?
A. Hormone levels return to normal
B. Increased heart rate and blood glucose levels
C. The body enters a state of deep sleep
D. Immune system function is significantly enhanced
Answer: B
Rationale: The alarm stage triggers the ‘fight or flight’ response, involving the sympathetic
nervous system, leading to increased heart rate, respiratory rate, and blood sugar levels for
energy.
4. A nurse is using the FICA tool to assess a patient’s spirituality. What does the
‘C’ in FICA represent?
A. Consistency of prayer
B. Church attendance record
C. Community or connection
D. Cultural background
Answer: C
Rationale: In the FICA spiritual assessment tool, F is for Faith, I is for Importance, C is for
Community, and A is for Address (how to incorporate into care).
5. Which type of family is formed when parents bring children from previous
relationships into a new joint living situation?
A. Nuclear family
B. Extended family
C. Blended family
D. Alternative family
Answer: C
, Rationale: A blended family is formed when at least one parent has children that are not
genetically related to the other spouse or partner.
6. What is the primary difference between delirium and dementia?
A. Delirium is permanent, while dementia is temporary
B. Dementia is caused only by medication toxicity
C. Delirium has a sudden onset and is often reversible
D. Delirium only affects younger populations
Answer: C
Rationale: Delirium is an acute, potentially reversible state of confusion, whereas
dementia is a chronic, progressive, and irreversible decline in cognitive function.
7. An older adult patient expresses that they feel useless because they can no
longer work. According to Erikson, which developmental stage is this patient
struggling with?
A. Generativity vs. Stagnation
B. Identity vs. Role Confusion
C. Integrity vs. Despair
D. Autonomy vs. Shame and Doubt
Answer: C
Rationale: Erikson’s final stage for older adults is Integrity vs. Despair, where individuals
reflect on their lives and either feel a sense of fulfillment or a sense of failure and regret.
8. Which term describes the belief that one’s own culture is superior to all
others?
A. Cultural relativism
B. Acculturation
C. Ethnocentrism
D. Cultural competence
Answer: C
|Chamberlain College
1. Which physiological change is considered a normal part of the aging process
in older adults?
A. Decrease in blood pressure
B. Increased skin elasticity
C. Increased sensitivity to glare
D. Heightened sense of taste and smell
Answer: C
Rationale: As people age, the lens of the eye becomes less transparent, making glare more
problematic. Skin loses elasticity, blood pressure often increases due to arterial stiffening,
and taste/smell sensitivity usually declines.
2. Which of the following describes the ‘Sandwich Generation’?
A. Young adults who live with their parents to save money
B. Grandparents who are the primary caregivers for their grandchildren
C. Retirees who travel between different family homes
D. Adults who are caring for both their children and their aging parents
Answer: D
Rationale: The sandwich generation refers to middle-aged adults who are caught between
the responsibilities of caring for their dependent children and their aging parents.
,3. During the ‘Alarm’ stage of the General Adaptation Syndrome (GAS), which
physiological response occurs?
A. Hormone levels return to normal
B. Increased heart rate and blood glucose levels
C. The body enters a state of deep sleep
D. Immune system function is significantly enhanced
Answer: B
Rationale: The alarm stage triggers the ‘fight or flight’ response, involving the sympathetic
nervous system, leading to increased heart rate, respiratory rate, and blood sugar levels for
energy.
4. A nurse is using the FICA tool to assess a patient’s spirituality. What does the
‘C’ in FICA represent?
A. Consistency of prayer
B. Church attendance record
C. Community or connection
D. Cultural background
Answer: C
Rationale: In the FICA spiritual assessment tool, F is for Faith, I is for Importance, C is for
Community, and A is for Address (how to incorporate into care).
5. Which type of family is formed when parents bring children from previous
relationships into a new joint living situation?
A. Nuclear family
B. Extended family
C. Blended family
D. Alternative family
Answer: C
, Rationale: A blended family is formed when at least one parent has children that are not
genetically related to the other spouse or partner.
6. What is the primary difference between delirium and dementia?
A. Delirium is permanent, while dementia is temporary
B. Dementia is caused only by medication toxicity
C. Delirium has a sudden onset and is often reversible
D. Delirium only affects younger populations
Answer: C
Rationale: Delirium is an acute, potentially reversible state of confusion, whereas
dementia is a chronic, progressive, and irreversible decline in cognitive function.
7. An older adult patient expresses that they feel useless because they can no
longer work. According to Erikson, which developmental stage is this patient
struggling with?
A. Generativity vs. Stagnation
B. Identity vs. Role Confusion
C. Integrity vs. Despair
D. Autonomy vs. Shame and Doubt
Answer: C
Rationale: Erikson’s final stage for older adults is Integrity vs. Despair, where individuals
reflect on their lives and either feel a sense of fulfillment or a sense of failure and regret.
8. Which term describes the belief that one’s own culture is superior to all
others?
A. Cultural relativism
B. Acculturation
C. Ethnocentrism
D. Cultural competence
Answer: C
