NURS 3021 TEST #2 EXAM QUESTIONS
AND ANSWERS GRADED A+ 2026
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 - ANS 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 - ANS 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
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,B) Canadian Community as Partner (CCAP) Model
C) Lalonde Report Model
D) Harm Reduction Model - ANS 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. - ANS Answer:
False
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. - ANS 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 - ANS 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).
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,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 - ANS 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.
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 - ANS 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 - ANS Answer: B) Partnering
with local government officials to advocate for improved access to healthy foods and safe
recreational spaces
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, 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 - ANS Answer: B) Appreciating existing
strengths and building on them
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 - ANS 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 - ANS 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).
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
AND ANSWERS GRADED A+ 2026
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 - ANS 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 - ANS 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
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,B) Canadian Community as Partner (CCAP) Model
C) Lalonde Report Model
D) Harm Reduction Model - ANS 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. - ANS Answer:
False
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. - ANS 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 - ANS 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).
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,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 - ANS 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.
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 - ANS 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 - ANS Answer: B) Partnering
with local government officials to advocate for improved access to healthy foods and safe
recreational spaces
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, 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 - ANS Answer: B) Appreciating existing
strengths and building on them
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 - ANS 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 - ANS 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).
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
