NFDN 1001 FINAL EXAM QUESTIONS
WITH VERIFIED ANSWERS 2026
What are the three historical approaches to health in Canada? - correct-answer --
medical approach
- behavioural approach
- socio-environmental approach
Describe the medical approach to health (6) - correct-answer -- western thinking
- focuses on treatment of disease
- must have adequate health-care system
- prevalent after WWII with influx of economic growth
- national health insurance was created
- less emphasis on health promotion & disease prevention
The physicians role in the medical model - correct-answer -The physician was seen
as the expert and patients were expected to comply with his/her advice. The
physician assumes an authoritarian position in relation to the patient.
What type of care results in greater patient involvement? - correct-answer -
Patient-centred care
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Describe the behavioural approach to health (5) - correct-answer -- lots of money
was being spent on health care but health status of population was not improving
- Lalonde report defined the health determinants as LIFESTYLE, environment,
human biology, and the organization of health-care.
- lifestyle contributes to chronic disease
- this approach places responsibility of health on the individual and less on
physician
- lifestyle improvements were made primarily by well-educated, well-employed,
and higher income Canadians
Describe the socio-environmental approach (1) - correct-answer -- health is tied to
social structure: poverty, air pollution, poor water quality and workplace hazards
are barriers to healthy behaviours
Describe the Ottawa Charter (2) - correct-answer -- took the socio-environmental
approach
- places responsibility for health on society rather than on just individuals
Ottawa Charter's pre-requisites for health (8) - correct-answer -- peace
- shelter
- education
- food
- income
- stable ecosystem
- social justice
- equity
Ottawa Charter's five main strategies to promote health - correct-answer -1) build
healthy public policy
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2) create supportive environments
3) strengthen community action
4) develop personal skills
5) reorient health services
Describe the Epp Report (1) - correct-answer -- developed by Jake Epp minister of
National Health and Welfare - wanted health for all
What are the three major challenges identified in the Epp Report - correct-answer
-1) reducing inequalities
2) improving prevention
3) enhancing coping
What are the twelve determinants of health? - correct-answer -1) income & social
status
2) social support networks
3) education
4) employment & working conditions
5) physical environments
6) biology & genetics
7) personal practices (lifestyle) & coping skills
8) healthy child development
9) health services
10) gender
11) culture
12) social environments
What is health promotion? (And the five strategies) - correct-answer -Directed
towards increasing the level of well-being and self-actualization