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Which of the following is a key characteristic of a healthy community?
A) Limited access to health services
B) Strong cultural and spiritual heritage
C) Minimal community participation in decision-making
D) High rates of social inequality - (ANSWER)Answer: B) Strong cultural and spiritual heritage
Rationale: A healthy community supports its residents through various means, including strong cultural
and spiritual heritage, equity, social justice, and access to health services.
What is the primary focus of upstream prevention in community health nursing?
A) Treating existing diseases at the individual level
B) Administering vaccines to prevent immediate health risks
C) Addressing systemic factors that influence health outcomes
D) Conducting health screenings for early disease detection - (ANSWER)Answer: C) Addressing systemic
factors that influence health outcomes
Rationale: Upstream prevention targets broader social, economic, and environmental determinants of
health before problems arise, such as policy changes and community interventions.
Which model of community health nursing emphasizes the community as a system and utilizes a
strengths-based approach?
A) Biomedical Model
B) Canadian Community as Partner (CCAP) Model
C) Lalonde Report Model
D) Harm Reduction Model - (ANSWER)Answer: B) Canadian Community as Partner (CCAP) Model
Rationale: The CCAP model views the community as a system, focusing on engagement, capacity
building, and the interaction of various subsystems in health promotion.
True or False: The primary goal of community partnerships in health planning is to improve individual
patient outcomes rather than address broader health inequities. - (ANSWER)Answer: False
,NURS 3021 Test #2 Exam Questions & Answers | 100% Verified solutions |Questions with Correct Answers 2025
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Rationale: Community partnerships aim to reduce health inequities and improve overall community
health rather than focusing solely on individual patient care.
True or False: The Mandala of Health Model takes a holistic approach to health by incorporating social,
environmental, and personal determinants of health. - (ANSWER)Answer: True
Rationale: This model considers multiple interconnected factors influencing health, moving beyond a
strictly biomedical perspective.
Matching: Match the level of prevention with its primary focus.
A) Primordial Prevention → i) Preventing risk factors before they develop
B) Primary Prevention → ii) Preventing diseases before they occur
C) Secondary Prevention → iii) Early detection and treatment to halt disease progression
D) Tertiary Prevention → iv) Managing chronic illness to prevent complications - (ANSWER)Answer:
A→i
B → ii
C → iii
D → iv
Rationale: Each level of prevention has a distinct focus, from preventing risk factors (primordial) to
disease prevention (primary), early diagnosis (secondary), and long-term disease management (tertiary).
Select all that apply: Which of the following are principles of Primary Health Care?
A) Accessibility
B) Public participation
C) Hospital-centered treatment
D) Intersectoral collaboration
E) Equity - (ANSWER)Answer: A, B, D, E
Rationale: Primary Health Care is built on accessibility, community involvement, collaboration across
sectors, and equity in health services, not solely hospital-based care.
,NURS 3021 Test #2 Exam Questions & Answers | 100% Verified solutions |Questions with Correct Answers 2025
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Select all that apply: What are elements of effective community partnerships?
A) Shared vision
B) Power imbalance in decision-making
C) Mutual trust and respect
D) Flexible structures and processes - (ANSWER)Answer: A, C, D
Rationale: Effective community partnerships require equality, shared goals, trust, and adaptable
strategies to ensure collaboration and success.
Scenario: A community health nurse (CHN) is working in a neighborhood with high rates of diabetes and
heart disease. The CHN wants to implement an intervention that addresses the root causes of these
health disparities rather than just treating individual cases.
Which of the following interventions aligns best with an upstream prevention approach?
A) Organizing a free health screening event for early detection of diabetes
B) Partnering with local government officials to advocate for improved access to healthy foods and safe
recreational spaces
C) Providing individual nutritional counseling for patients diagnosed with diabetes
D) Administering insulin to patients with unmanaged diabetes - (ANSWER)Answer: B) Partnering with
local government officials to advocate for improved access to healthy foods and safe recreational spaces
Rationale: Upstream prevention focuses on systemic and environmental changes that improve health
outcomes at a population level, rather than treating individual cases reactively.
Which of the following best describes the strength-based approach in community health nursing?
A) Identifying and fixing community deficits
B) Appreciating existing strengths and building on them
C) Relying on experts to dictate solutions
D) Ignoring community input in decision-making - (ANSWER)Answer: B) Appreciating existing strengths
and building on them
, NURS 3021 Test #2 Exam Questions & Answers | 100% Verified solutions |Questions with Correct Answers 2025
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Rationale: A strength-based approach focuses on community assets rather than weaknesses,
encouraging community participation and empowerment.
What is the primary goal of the Community as Partner Model?
A) Treat individuals in acute care settings
B) Address only the physical health of a community
C) Strengthen community capacity and resilience
D) Focus exclusively on disease treatment - (ANSWER)Answer: C) Strengthen community capacity and
resilience
Rationale: The Community as Partner Model emphasizes building community capacity, engagement, and
resilience rather than focusing solely on treatment.
Which of the following interventions is an example of midstream prevention?
A) Providing individual smoking cessation counseling
B) Implementing community-wide capacity-building programs
C) Developing policies that increase tobacco taxes
D) Treating patients with lung disease - (ANSWER)Answer: B) Implementing community-wide capacity-
building programs
Rationale: Midstream prevention focuses on improving living conditions and promoting health at the
community level, rather than individual treatment (downstream) or systemic policy changes (upstream).
True or False: Upstream prevention focuses on addressing individual behavior rather than social
determinants of health. - (ANSWER)Answer: False
Rationale: Upstream prevention aims to address broader social, economic, and environmental factors
that influence health.
True or False: The Ottawa Charter for Health Promotion emphasizes health promotion beyond just the
healthcare system. - (ANSWER)Answer: True
Rationale: The Ottawa Charter focuses on policies, environments, and community action that contribute
to overall health, not just healthcare services.