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NURS 3021 Test #2 – Community Health Nursing, Models & Prevention – 2026, Practice Questions with Verified Answers

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This document contains a comprehensive set of exam-style questions and verified answers for NURS 3021 Test #2, focusing on community health nursing concepts, prevention levels, and health promotion models. It covers key topics such as upstream, midstream, and downstream prevention, the Canadian Community as Partner (CCAP) Model, Mandala of Health Model, community development, and public participation. As seen on page 1, the document begins with foundational concepts like characteristics of a healthy community and progresses into applied scenarios involving policy advocacy, community partnerships, and capacity building. It also includes critical thinking questions, matching exercises, and “select all that apply” formats that reinforce understanding of real-world nursing applications and exam preparation. The material is structured in a clear Q&A format, making it ideal for active recall, test preparation, and mastering theoretical frameworks used in community and public health nursing. It aligns with nursing curricula and supports preparation for exams, assignments, and NCLEX-style questions. Keywords: community health nursing primary health care upstream prevention downstream prevention midstream prevention CCAP model Mandala of Health health promotion community development capacity building public participation social determinants of health health equity partnership framework

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NURS 3021 Test #2 2026 Exam
Questions and Verified Answers
| Already Graded A+



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


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




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, 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).

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