Health Promotion and Community Nursing
PN 3004 HEALTH PROMOTION AND COMMUNITY NURSING
EXAM: VERIFIED QUESTIONS AND DETAILED ANSWERS |
2026/2027 | TOP RATED
1. According to the Ottawa Charter for Health Promotion (1986), which
of the following is one of the five key action areas?
A. Increasing hospital bed capacity
B. Expanding pharmaceutical coverage
C. Standardizing nursing curricula
D. Building healthy public policy
D. Building healthy public policy — The Ottawa Charter's five action
areas are building healthy public policy, creating supportive
environments, strengthening community action, developing personal
skills, and reorienting health services.
2. The World Health Organization defines health promotion as:
A. The process of enabling people to increase control over, and to
improve, their health
B. The construction of new hospital facilities
C. The provision of free medications to low-income patients
D. The treatment of disease after diagnosis
A. The process of enabling people to increase control over, and to
improve, their health — WHO's definition centers on enabling
people to increase control over and improve their own health.
1
, Health Promotion and Community Nursing
3. A nurse teaching a community group about smoking cessation before
any disease has developed is practicing:
A. Tertiary prevention
B. Secondary prevention
C. Quaternary prevention
D. Primary prevention
D. Primary prevention — Primary prevention aims to prevent
disease onset, such as smoking cessation education for healthy
individuals.
4. Screening mammograms to detect breast cancer in asymptomatic
women is an example of:
A. Tertiary prevention
B. Health promotion
C. Secondary prevention
D. Primary prevention
C. Secondary prevention — Secondary prevention focuses on early
detection of disease that has already begun but is not yet
symptomatic.
5. Teaching a client with a new colostomy how to manage the appliance
to prevent complications is an example of:
A. Secondary prevention
B. Primary prevention
C. Screening
D. Tertiary prevention
D. Tertiary prevention — Tertiary prevention reduces the impact of
an already-established disease or disability and prevents further
complications.
2
, Health Promotion and Community Nursing
6. Nutbeam's model identifies three levels of health literacy. Which
level involves the ability to critically analyze health information and
apply it to exert greater control over life events?
A. Critical health literacy
B. Functional health literacy
C. Basic literacy
D. Interactive health literacy
A. Critical health literacy — Critical health literacy is the most
advanced level, involving critical analysis and use of information for
greater personal and social control.
7. A client can read a prescription label but cannot use the information
to determine when to take a missed dose. This best reflects a deficit in:
A. Cultural competency
B. Functional health literacy
C. Interactive health literacy
D. Critical health literacy
B. Functional health literacy — Functional health literacy is the basic
ability to read and understand health information for everyday use.
8. The "teach-back" method is used primarily to:
A. Confirm the client's understanding of health teaching by having them
restate it in their own words
B. Test the client's reading ability
C. Document informed consent
D. Replace written discharge instructions entirely
A. Confirm the client's understanding of health teaching by having
them restate it in their own words — Teach-back checks
comprehension by asking the client to explain the information back,
not simply repeat it verbatim.
3
, Health Promotion and Community Nursing
9. Using a "universal precautions" approach to health literacy means:
A. Only simplifying communication for clients with known low literacy
B. Avoiding all written materials
C. Requiring literacy testing before every encounter
D. Simplifying communication for all clients regardless of assumed
literacy level
D. Simplifying communication for all clients regardless of assumed
literacy level — Because low health literacy is often invisible, best
practice is to use clear communication with every client.
10. Which factor is most likely to be a barrier to health literacy?
A. Use of pictures and diagrams
B. Teach-back confirmation
C. Availability of an interpreter
D. Use of medical jargon and complex sentence structure in patient
materials
D. Use of medical jargon and complex sentence structure in patient
materials — Jargon and complex language are common barriers; the
other options are literacy-supportive strategies.
11. The Health Belief Model proposes that a person is more likely to
take a health action when they believe:
A. Their family disapproves of the behavior
B. Their insurance will not cover treatment
C. The government mandates the action
D. They are susceptible to the condition and the benefits of action
outweigh the barriers
D. They are susceptible to the condition and the benefits of action
outweigh the barriers — The Health Belief Model centers on
perceived susceptibility, severity, benefits, and barriers.
4
PN 3004 HEALTH PROMOTION AND COMMUNITY NURSING
EXAM: VERIFIED QUESTIONS AND DETAILED ANSWERS |
2026/2027 | TOP RATED
1. According to the Ottawa Charter for Health Promotion (1986), which
of the following is one of the five key action areas?
A. Increasing hospital bed capacity
B. Expanding pharmaceutical coverage
C. Standardizing nursing curricula
D. Building healthy public policy
D. Building healthy public policy — The Ottawa Charter's five action
areas are building healthy public policy, creating supportive
environments, strengthening community action, developing personal
skills, and reorienting health services.
2. The World Health Organization defines health promotion as:
A. The process of enabling people to increase control over, and to
improve, their health
B. The construction of new hospital facilities
C. The provision of free medications to low-income patients
D. The treatment of disease after diagnosis
A. The process of enabling people to increase control over, and to
improve, their health — WHO's definition centers on enabling
people to increase control over and improve their own health.
1
, Health Promotion and Community Nursing
3. A nurse teaching a community group about smoking cessation before
any disease has developed is practicing:
A. Tertiary prevention
B. Secondary prevention
C. Quaternary prevention
D. Primary prevention
D. Primary prevention — Primary prevention aims to prevent
disease onset, such as smoking cessation education for healthy
individuals.
4. Screening mammograms to detect breast cancer in asymptomatic
women is an example of:
A. Tertiary prevention
B. Health promotion
C. Secondary prevention
D. Primary prevention
C. Secondary prevention — Secondary prevention focuses on early
detection of disease that has already begun but is not yet
symptomatic.
5. Teaching a client with a new colostomy how to manage the appliance
to prevent complications is an example of:
A. Secondary prevention
B. Primary prevention
C. Screening
D. Tertiary prevention
D. Tertiary prevention — Tertiary prevention reduces the impact of
an already-established disease or disability and prevents further
complications.
2
, Health Promotion and Community Nursing
6. Nutbeam's model identifies three levels of health literacy. Which
level involves the ability to critically analyze health information and
apply it to exert greater control over life events?
A. Critical health literacy
B. Functional health literacy
C. Basic literacy
D. Interactive health literacy
A. Critical health literacy — Critical health literacy is the most
advanced level, involving critical analysis and use of information for
greater personal and social control.
7. A client can read a prescription label but cannot use the information
to determine when to take a missed dose. This best reflects a deficit in:
A. Cultural competency
B. Functional health literacy
C. Interactive health literacy
D. Critical health literacy
B. Functional health literacy — Functional health literacy is the basic
ability to read and understand health information for everyday use.
8. The "teach-back" method is used primarily to:
A. Confirm the client's understanding of health teaching by having them
restate it in their own words
B. Test the client's reading ability
C. Document informed consent
D. Replace written discharge instructions entirely
A. Confirm the client's understanding of health teaching by having
them restate it in their own words — Teach-back checks
comprehension by asking the client to explain the information back,
not simply repeat it verbatim.
3
, Health Promotion and Community Nursing
9. Using a "universal precautions" approach to health literacy means:
A. Only simplifying communication for clients with known low literacy
B. Avoiding all written materials
C. Requiring literacy testing before every encounter
D. Simplifying communication for all clients regardless of assumed
literacy level
D. Simplifying communication for all clients regardless of assumed
literacy level — Because low health literacy is often invisible, best
practice is to use clear communication with every client.
10. Which factor is most likely to be a barrier to health literacy?
A. Use of pictures and diagrams
B. Teach-back confirmation
C. Availability of an interpreter
D. Use of medical jargon and complex sentence structure in patient
materials
D. Use of medical jargon and complex sentence structure in patient
materials — Jargon and complex language are common barriers; the
other options are literacy-supportive strategies.
11. The Health Belief Model proposes that a person is more likely to
take a health action when they believe:
A. Their family disapproves of the behavior
B. Their insurance will not cover treatment
C. The government mandates the action
D. They are susceptible to the condition and the benefits of action
outweigh the barriers
D. They are susceptible to the condition and the benefits of action
outweigh the barriers — The Health Belief Model centers on
perceived susceptibility, severity, benefits, and barriers.
4
