This PPN 302 Week 9 2026/2027 study resource is a focused 19-page community and public health nursing review containing 50+ exam questions and correct answers on health education, health communication, social media in public health, social marketing, health literacy, empowerment and health equity. The material connects communication theory with practical community health nursing by examining how nurses communicate health information, influence voluntary health behavior, design population-level campaigns and help individuals and communities access, understand, evaluate and apply health information. It is particularly relevant to Canadian community health nursing because the document incorporates CASN public health competencies, Canadian health-literacy concepts and population-health perspectives.
The opening section examines the expanding role of social media in public health communication. Students review social media as a contagion, vector, inoculant, surveillance mechanism, disease-control and mitigation strategy, and treatment pathway. Examples include the influence of online promotion on tobacco-related beliefs, social-media involvement in STI outbreaks, proactive communication to limit misinformation, monitoring environmental exposures, distributing positive health-promotion information and directing people toward screening services. The guide also distinguishes communication, host and pathogen/disease attributes associated with these social-media functions and considers proximal, intermediate, collateral and distal outcomes.
A related section introduces the SPHERE framework—Social Media and Public Health Epidemic and Response. Students learn how the framework can guide investigation and assessment of social media in public health, including the potentially conflicting functions that online communication may have during an epidemic. The material emphasizes that communication itself can contribute either positively or negatively to health and disease outcomes. Challenges such as public trust in evidence-based public-health messages and resistance to social-media communication are also addressed, making this section relevant to contemporary discussions of misinformation and digital public-health communication.
A substantial portion of the document focuses on social marketing. It traces the discipline to Philip Kotler and Gerald Zaltman and explains how principles originally used in commercial marketing can be applied to ideas, attitudes and behaviors intended to benefit individuals and society. Social marketing is distinguished from health education and described as an integrated health-communication and health-promotion strategy designed to influence voluntary behavior. Students review four possible behavioral outcomes: accepting a new behavior, rejecting a potential behavior, modifying an existing behavior and abandoning an established behavior.
The guide extends social-marketing theory through macromarketing, Transformative Consumer Research and the capability approach. The capability perspective asks what individuals are genuinely able to do and become and what meaningful opportunities are available to them, connecting marketing interventions with social justice. Students also learn when social marketing is appropriate—for example, when the objective involves voluntary behavioral change, audience-focused programming or upstream policy/environmental change—and when it is insufficient, particularly when a campaign merely provides information without addressing behavioral or structural barriers.
Students receive detailed preparation on what social marketing can and cannot accomplish. Potential functions include influencing beliefs and attitudes, correcting myths and misconceptions, increasing awareness, advocating for health policies and facilitating access to services. However, the guide stresses that communication campaigns cannot compensate for inadequate healthcare services or lack of access, nor can they necessarily sustain desirable health practices without supportive resources, policies and broader programs. This distinction reinforces a central community-health principle: effective communication must operate alongside structural interventions rather than substitute for them.
The document provides a practical 12-step process for developing social-marketing campaigns, beginning with identifying stakeholders and partners and determining appropriate health-promotion strategies. Subsequent steps include defining and understanding the target audience, inventorying communication resources, establishing objectives, selecting communication channels, sequencing campaign activities, developing key messages and branding, producing materials, implementing the campaign and evaluating outcomes. Students also review targeting as a means of tailoring communication to audience preferences, needs and health behaviors.
Another high-yield examination area is the social-marketing mix. The traditional four Ps are Product, Price, Place and Promotion: the desired behavior or resource, what the audience must give up or invest, where the audience is reached, and how the intervention is communicated. Four additional Ps—Public/Participation, Partnerships, Purse Strings and Policy—expand the framework to account for stakeholders, strategic collaboration, funding and the policy environment needed for sustained change. The guide demonstrates integrated health promotion through a child booster-seat example involving healthy public policy, public education, social marketing and intersectoral collaboration.
The resource also emphasizes ethical social marketing and critical appraisal. Students are encouraged to apply critical health-promotion principles, social justice, equity and awareness of power relationships when constructing messages. Critical appraisal considers the novelty, effectiveness and ethics of a campaign as well as health literacy and accessibility. Important questions include whether a message stereotypes or disadvantages a population, whether the requested behavior is realistic, whether adequate resources exist to support the desired action and whether the intended audience can understand and apply the information.
A major second half of the guide is devoted to health literacy. The Canadian Expert Panel definition emphasizes people's ability to access, understand, evaluate/appraise and communicate health information so they can respond effectively to different health contexts across the life course. Health literacy extends beyond simply reading pamphlets or making appointments; it incorporates cognitive and social skills that influence people's ability and motivation to obtain and use information to promote and maintain health. The document therefore presents health literacy as closely connected to empowerment.
Students distinguish the three levels of health literacy: functional/basic, communicative/interactive and critical health literacy. Functional literacy involves foundational reading, writing and understanding of health information and systems. Interactive health literacy involves communication and social skills that allow people to interpret information and apply it to changing circumstances. Critical health literacy represents a higher level of cognitive and social capacity in which individuals and communities critically evaluate information for credibility, relevance and bias and use knowledge to address social, economic and environmental determinants of health through individual and collective action.
The practical significance of health literacy is explored through healthcare navigation, problem-solving, informed decision-making, policy awareness, advocacy and collective action on the social determinants of health and health disparities. Lower health literacy is associated in the document with poorer outcomes and greater healthcare costs, while increasingly complex healthcare systems and the enormous volume of available health information place greater literacy demands on patients. The resource also presents Canadian literacy statistics for adults aged 16–65 and older adults across prose, document and numeracy measures, reinforcing the population-level importance of accessible communication.
The guide concludes with practical strategies for community health nurses supporting health literacy. These include recognizing relationships between literacy and social determinants of health, using respectful and relevant communication, choosing plain language, readable fonts and clear diagrams, avoiding unnecessary jargon, recognizing power dynamics, respecting Indigenous knowledge and historical contexts, teaching people to critically assess health information and creating opportunities for collective learning. Five concise strategies are emphasized: engage the audience, use plain language and clear design, focus on key messages, use teach-back, and provide patient-friendly educational resources.
For academic cross-reference, the social-marketing material is consistent with foundational scholarship by Philip Kotler and Gerald Zaltman, particularly their landmark 1971 article, Social Marketing: An Approach to Planned Social Change, published in the Journal of Marketing. Health-literacy concepts can be cross-referenced with the Canadian Council on Learning's Health Literacy in Canada: A Healthy Understanding and World Health Organization literature describing health literacy as an important determinant and enabler of health. The broader health-promotion principles also complement the WHO Ottawa Charter for Health Promotion, especially its emphasis on developing personal skills, enabling people to exercise greater control over health and addressing supportive environments and public policy.
This document is especially relevant for PPN 302 students, community health nursing students, public health nursing students, Canadian nursing students, BSN and RN students, practical nursing students and learners studying population health or health promotion. It is particularly useful for examinations covering social media and public health, SPHERE, social marketing campaigns, the marketing mix, ethical health communication, health literacy, teach-back, empowerment, social determinants of health and equitable communication. The uploaded document does not identify a specific university, so University Not Specified is used rather than attributing the material to an unsupported institution.
Keywords: PPN 302 Week 9, PPN 302 questions and answers, PPN , health education nursing, health communication nursing, health literacy nursing, community health nursing questions, public health nursing exam, social media public health, social media health communication, SPHERE framework, public health communication, social marketing health promotion, social marketing questions, social marketing campaign, Kotler Zaltman social marketing, social marketing 4 Ps, product price place promotion, social marketing 8 Ps, transformative consumer research, capability approach, health promotion communication, target audience health campaign, health communication campaign, ethical social marketing, critical health promotion, health communication ethics, social justice health promotion, health equity communication, Canadian health literacy, functional health literacy, interactive health literacy, critical health literacy, health literacy levels, health literacy strategies, teach back nursing, plain language healthcare, patient education nursing, health information accessibility, digital divide health, health literacy and social determinants, health literacy disparities, health literacy empowerment, CASN public health competencies, population health nursing, Canadian community health nursing
Content preview
PPN 302 Week 9- Health
Education, Health
Communication + Health
Literacy 2026/2027 Exam
Questions and Correct
Answers | New Update
What can social media be used as? - ANSWER ✔✔-contagion (ex.
promotions influence beliefs around tobacco)
-vector (ex. outbreaks of STIs)
,-inoculant (proactive communication) ex. prevent/minimize spread of
missinformation
-surveillance (ex. monitor exposures of contaminants)
-disease control and mitigation (ex. spreading positive health promoting
info)
-treatment (ex. where to get screened)
What are the communication attributes of social media? - ANSWER
✔✔Social media as:
-contagion (proximal outcomes)
-treatment (collateral and proximal outcomes)
-disease control (collateral outcomes)
What are the attributes of host of social media? - ANSWER ✔✔Social
media as:
-surveillance (intermediate and distal outcome)
-inoculant (distal outcome)
What are the attributes of pathogen/disease of social media? -
ANSWER ✔✔Social media as:
-vector (intermediate outcome)
, -surveillance (intermediate and distal outcome)
What are the challenges of using social media to communicate health
messages? - ANSWER ✔✔-public trust in evidence-based PH
messages and interventions
-public resistance to social media messages
What is SPHERE (social media and public health epidemic and
response)? - ANSWER ✔✔a framework to guide investigation and
assessment of social media PH.
-illustrates potential and conflicting functions of social media across
epidemic
-recognizes communication itself can contribute to health/disease
-describes factors that influence roles social media play
T/F: Social Marketing is one of many health promotion strategies and is
also known as health education - ANSWER ✔✔F. Social Marketing is
one of many health promotion strategies and is also known as health
COMMUNICATION.
What are the CASN Public Health Competencies? - ANSWER ✔✔-
applies health literacy when working with clients
3
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