HEALTH PROMOTION THROUGHOUT THE LIFE
SPAN ACTUAL EXAM PAPER 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A PLUS
WELLNESS EDUCATION GUIDE
◉ What are the two paradigms that define health in nursing
literature?
Answer: 1. Wellness-illness continuum: High level wellness (+) to
depletion of health (-); "well-being"; quality of life; satisfaction =
health and illness
2. Perspective development: unitary patterns of person
environment; personal transformation; self-actualization;
recognition
◉ What is Ecological model of health?
Answer: A more comprehensive developmental approach that is
useful in promoting health at an individual, family, community, and
societal level; adaptation and eudemonia
◉ What is social determinants of health?
,Answer: Factors in society that influence health and the options
available to people to improve or maintain health; form basis for
Health People 2020
◉ Why is it beneficial to recognize the different entities for the
meaning health?
Answer: 1. It can clarify outcomes and expectations in health
promotion
2. Enhance the quality of care
◉ What are some different ways health can be described?
Answer: 1. Philosophy of care- Health promotion and maintenance
2. System- Health care delivery system
3. Practices- evidenced based health practices
4. Behaviors- Personal Health behaviors
5. Cost- Health care cost
6. Insurance- uninsured health care
◉ How was health different before 1940?
Answer: 1. it was viewed as the absence of disease
2. No state involvement in addressing public health and wellness
issues
, ◉ How did the dynamic of health change?
Answer: 1940s-1950s
1. Became linked to a person ability to fill a role in society
2. Government funding hospitals for expansion
3. Department of Health, Education, and Welfare (DHEW)
and Department of Health and Human Services (DHHS)
were implemented
4. Introduction to concepts of disability and rehabilitation
1960s
5. Nurse Practitioners aimed to involve individuals and their families
in the person-centered care and teaching responsibilities and
lifestyle choices
6. Became linked to individuals reactions to the environment
(adaptation)
◉ What are some of the factors that contribute to functional health
or health-related quality of life (HRQoL)?
Answer: 1. Self rated cognitively and physically
2. Self-rated function (self measures of physical and mental health)
◉ Who established a general measuring tool for quality of life?
Answer: World Health Organization
SPAN ACTUAL EXAM PAPER 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A PLUS
WELLNESS EDUCATION GUIDE
◉ What are the two paradigms that define health in nursing
literature?
Answer: 1. Wellness-illness continuum: High level wellness (+) to
depletion of health (-); "well-being"; quality of life; satisfaction =
health and illness
2. Perspective development: unitary patterns of person
environment; personal transformation; self-actualization;
recognition
◉ What is Ecological model of health?
Answer: A more comprehensive developmental approach that is
useful in promoting health at an individual, family, community, and
societal level; adaptation and eudemonia
◉ What is social determinants of health?
,Answer: Factors in society that influence health and the options
available to people to improve or maintain health; form basis for
Health People 2020
◉ Why is it beneficial to recognize the different entities for the
meaning health?
Answer: 1. It can clarify outcomes and expectations in health
promotion
2. Enhance the quality of care
◉ What are some different ways health can be described?
Answer: 1. Philosophy of care- Health promotion and maintenance
2. System- Health care delivery system
3. Practices- evidenced based health practices
4. Behaviors- Personal Health behaviors
5. Cost- Health care cost
6. Insurance- uninsured health care
◉ How was health different before 1940?
Answer: 1. it was viewed as the absence of disease
2. No state involvement in addressing public health and wellness
issues
, ◉ How did the dynamic of health change?
Answer: 1940s-1950s
1. Became linked to a person ability to fill a role in society
2. Government funding hospitals for expansion
3. Department of Health, Education, and Welfare (DHEW)
and Department of Health and Human Services (DHHS)
were implemented
4. Introduction to concepts of disability and rehabilitation
1960s
5. Nurse Practitioners aimed to involve individuals and their families
in the person-centered care and teaching responsibilities and
lifestyle choices
6. Became linked to individuals reactions to the environment
(adaptation)
◉ What are some of the factors that contribute to functional health
or health-related quality of life (HRQoL)?
Answer: 1. Self rated cognitively and physically
2. Self-rated function (self measures of physical and mental health)
◉ Who established a general measuring tool for quality of life?
Answer: World Health Organization
