PPN 302 - MIDTERM COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS GRADED A+
● WEEK 1. Answer: Critical theory lens
● - Look at power relationships and relations and the ways in which these are influenced by
history, economics, politics, social structures - Question the status quo. Answer: Micro level
perspective
● individual, family, and/or neighbourhood contexts. Answer: Meso level perspective
● Neighbourhood, group, institutional context. Answer: Macro level perspective
● broader social, political, economic, and historical context. Answer: Community Health
Nursing Standards guide CHN practice
● 1. Promoting health 2. Building community capacity 3. Building relationship 4. Facilitating
access and equity 5. Demonstrating professional responsibility and accountability. Answer: 1.
Promoting health
● - Involves strategies that promote, protect and preserve health. - Addressing health
disparities and inequalities - Promoting health is a partnership - Incorporate the lived
experience of the community - Caring for the total human being. Answer: 2. Building
community capacity
● - A focus on strengths - Facilitates appropriate involvement of clients in identifying their
health outcomes and developing a plan of care - The result is empowerment - Doing
with-versus- Doing for. Answer: 3. Building relationship
● - Relationship building is knowing how to be with people - Being respectful of diversity,
health status, experiences, and beliefs.. Answer: 4. Facilitating access and equity
● - Enable access to resources based on community needs. - Advocates for community
members when they are unable to advocate for themselves. Answer: What are you treating?
--Community Health Issues
● social injustice racism poverty lack of education violence victim blaming homelessness
Unemployment Social isolation Lack of housing Lack of access Inequality/inequity
Disempowerment Low self-esteem. Answer: What outcome are you trying to achieve?
, --Healthy Communities
● - Clean and safe physical environment - Peace, equity, and social justice - Adequate
access to food, water, shelter, income, safety, work, and recreation for all - Adequate access
to health care services - Opportunities for learning and skill development. Answer: What else
is required of Community Health Nurses?
● Understand the social dynamics and complexities of race, class and gender Awareness of
health disparities Think upstream-understand and modify factors that contribute to population
health. Answer: Goal of a community nurse
● health promotion, to prevent, to protect BUILD RELATIONSHIPS. Answer: the community
nurse does NOT
● focus on the biomedical model. Answer: goal is to look at the
● ROOT CAUSE and how the system has a role in peoples lives i.e. WHY did the person start
smoking? VIEW HEALTH IN THE SOCIAL ENVIRONMENTAL MODEL. Answer: Upstream
approach
● ROOT CAUSE OF PROBLEM Question the status quo. Answer: How can the CHN address
social injustice issues? CHN will: A. Tell the community to find ways to solve their
problem"tell" your not actually doing anything B. Collaborate with the community to address
the issues working with the community C. Partner with other organizations and agencies to
eradicate the problemtaking agency away from the community. Cant "eridacate" the problem
D. Provide resources to support the community Correct
● Correct answer: B. Collaborate with the community to address the issues (working with the
community) D. Provide resources to support the community. Answer: WEEK 2
● As a community health nurse move away from. Answer: Individual--> SOCIAL/SOCIETY
● Upstream Thinking*. Answer: - Keeping people out of the river - Prevention, protection -
Targets social determinants of health - Helps to address health inequities, issues of social
justice Policy, laws, environmental protection
● Downstream Thinking. Answer: - Pulling people out of the river - Focused on the individual -
Fixing or reducing the impact of the problem once it has occurred
● Primary Care is different from Primary Health Care. Answer: Primary care - PC is more
narrow in focus than PHC - PC is often referred to the place of 1st entry into the system vs. a
comprehensive way of thinking and valuing health care - PC does not necessarily address
FULL QUESTIONS AND SOLUTIONS GRADED A+
● WEEK 1. Answer: Critical theory lens
● - Look at power relationships and relations and the ways in which these are influenced by
history, economics, politics, social structures - Question the status quo. Answer: Micro level
perspective
● individual, family, and/or neighbourhood contexts. Answer: Meso level perspective
● Neighbourhood, group, institutional context. Answer: Macro level perspective
● broader social, political, economic, and historical context. Answer: Community Health
Nursing Standards guide CHN practice
● 1. Promoting health 2. Building community capacity 3. Building relationship 4. Facilitating
access and equity 5. Demonstrating professional responsibility and accountability. Answer: 1.
Promoting health
● - Involves strategies that promote, protect and preserve health. - Addressing health
disparities and inequalities - Promoting health is a partnership - Incorporate the lived
experience of the community - Caring for the total human being. Answer: 2. Building
community capacity
● - A focus on strengths - Facilitates appropriate involvement of clients in identifying their
health outcomes and developing a plan of care - The result is empowerment - Doing
with-versus- Doing for. Answer: 3. Building relationship
● - Relationship building is knowing how to be with people - Being respectful of diversity,
health status, experiences, and beliefs.. Answer: 4. Facilitating access and equity
● - Enable access to resources based on community needs. - Advocates for community
members when they are unable to advocate for themselves. Answer: What are you treating?
--Community Health Issues
● social injustice racism poverty lack of education violence victim blaming homelessness
Unemployment Social isolation Lack of housing Lack of access Inequality/inequity
Disempowerment Low self-esteem. Answer: What outcome are you trying to achieve?
, --Healthy Communities
● - Clean and safe physical environment - Peace, equity, and social justice - Adequate
access to food, water, shelter, income, safety, work, and recreation for all - Adequate access
to health care services - Opportunities for learning and skill development. Answer: What else
is required of Community Health Nurses?
● Understand the social dynamics and complexities of race, class and gender Awareness of
health disparities Think upstream-understand and modify factors that contribute to population
health. Answer: Goal of a community nurse
● health promotion, to prevent, to protect BUILD RELATIONSHIPS. Answer: the community
nurse does NOT
● focus on the biomedical model. Answer: goal is to look at the
● ROOT CAUSE and how the system has a role in peoples lives i.e. WHY did the person start
smoking? VIEW HEALTH IN THE SOCIAL ENVIRONMENTAL MODEL. Answer: Upstream
approach
● ROOT CAUSE OF PROBLEM Question the status quo. Answer: How can the CHN address
social injustice issues? CHN will: A. Tell the community to find ways to solve their
problem"tell" your not actually doing anything B. Collaborate with the community to address
the issues working with the community C. Partner with other organizations and agencies to
eradicate the problemtaking agency away from the community. Cant "eridacate" the problem
D. Provide resources to support the community Correct
● Correct answer: B. Collaborate with the community to address the issues (working with the
community) D. Provide resources to support the community. Answer: WEEK 2
● As a community health nurse move away from. Answer: Individual--> SOCIAL/SOCIETY
● Upstream Thinking*. Answer: - Keeping people out of the river - Prevention, protection -
Targets social determinants of health - Helps to address health inequities, issues of social
justice Policy, laws, environmental protection
● Downstream Thinking. Answer: - Pulling people out of the river - Focused on the individual -
Fixing or reducing the impact of the problem once it has occurred
● Primary Care is different from Primary Health Care. Answer: Primary care - PC is more
narrow in focus than PHC - PC is often referred to the place of 1st entry into the system vs. a
comprehensive way of thinking and valuing health care - PC does not necessarily address
